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The Psychopath Inside: A Neuroscientist's Personal Journey into the Dark Side of the Brain Hardcover – October 31, 2013

4.3 4.3 out of 5 stars 1,272 ratings

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“The last scan in the pile was strikingly odd. In fact it looked exactly like the most abnormal of the scans I had just been writing about, suggesting that the poor individual it belonged to was a psychopath—or at least shared an uncomfortable amount of traits with one....When I found out who the scan belonged to, I had to believe there was a mistake....But there had been no mistake. The scan was mine.”

For the first fifty-eight years of his life James Fallon was by all appearances a normal guy. A successful neuroscientist and medical school professor, he’d been raised in a loving, supportive family, married his high school sweetheart, and had three kids and lots of friends.


Then he learned a shocking truth that would not only disrupt his personal and professional life, but would lead him to question the very nature of his own identity.


The Psychopath Inside tells the fascinating story of Fallon’s reaction to the discovery that he has the brain of a psychopath. While researching serial murderers, he uncovered a distinct neurological pattern in their brain scans that helped explain their cold and violent behavior. A few months later he learned that he was descended from a family with a long line of murderers which confirmed that Fallon’s own brain pattern wasn’t a fluke.


As a scientist convinced that humans are shaped by their genetics, Fallon set out to reconcile the truth about his brain with everything he knew about the mind, behavior, and the influence of nature vs. nurture on our personalities. How could he, a successful scientist and a happy family man with no history of violence, be a psychopath? How much did his biology influence his behavior? Was he capable of some of the gruesome atrocities perpetrated by the serial killers he had studied?


Combining his personal experience with scientific analysis, Fallon shares his journey and the discoveries that ultimately led him to understand that, despite everything science can teach us, humans are even more complex than we can imagine.

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Customer reviews

4.3 out of 5 stars
1,272 global ratings

Customers say

Customers find the book fascinating, enjoyable, and eye-opening. They also describe the writing as well-written and easy to comprehend. Opinions are mixed on the information quality, with some finding it helpful in understanding the mind of a psychopath, while others say the explanations are dry. Readers also have mixed feelings about the story quality, with some finding the story interesting and compelling, while others find it dull and disappointing.

AI-generated from the text of customer reviews

87 customers mention "Readability"87 positive0 negative

Customers find the book fascinating, enjoyable, and eye-opening. They say it's worth its weight in information. Readers mention the premise is interesting and the book is fast-paced.

"...It was eye-opening to learn how observations, thoughts, and emotions that plagued people throughout their childhood could make them more or less..." Read more

"...We both found Fallon's book to be most compelling, and for many reasons...." Read more

"...Anyway, it was an interesting premise, but ultimately turned out to be a combination of dry neuroscience and onanistic self-reflection...." Read more

"...its fascinating read, and really wonder why so many negative comments??......the author was really beeing honest there, and many of the people would..." Read more

26 customers mention "Ease of reading"19 positive7 negative

Customers find the book easy to read and comprehend. They appreciate the author's honest way of telling his story. Readers also mention that the book is for professionals but easy enough for the average person to read and understand.

"...His unique style of writing, one that is easy to comprehend, attracted me to his book because I could follow along with the various new details he..." Read more

"...this is very honest and real portrait of a personal traits of psychopathy, and there is just a lot to learn, the thing is i came to many of those..." Read more

"...The late author simply had no organizational skills. He wanders around and recklessly (fecklessly?)..." Read more

"...The person you will find in this book is interesting, competent and genuine. The book is worth reading just to know that such a person exists." Read more

4 customers mention "Start-up"4 positive0 negative

Customers find the book's start promising. They say it starts out well but fades into science jargon.

"Just now getting into the book. It looks promising and is accessible both for clinicians and lay persons." Read more

"...A good intro, but not necessarily an in depth conversation on psychopathy. I recommend reading The Anatomy of Violence first." Read more

"Starts off well, but rambles a bit too much away from the intended points...." Read more

"I got bored midway. It starts out real good then fades into science jargon. However, if tough science words are your sorta thing, spend that money." Read more

52 customers mention "Information quality"35 positive17 negative

Customers have mixed opinions about the information quality of the book. Some mention it's very helpful in understanding the mind of a psychopath, while others say the explanations are dry and unsubtle.

"...First, the science and medicine presented is eminently readable and illuminating...." Read more

"i read half of the book, but i already know i LOVE it!! this is very honest and real portrait of a personal traits of psychopathy, and there is just..." Read more

"...I'd end with a warning that he's included a lot of very unsubtle and baseless dog whistle theories about the genetics in inner cities...." Read more

"...having said that, the information contained here in is invaluable." Read more

17 customers mention "Story quality"6 positive11 negative

Customers have mixed opinions about the story quality. Some find it interesting and compelling, while others say it's dull, disappointing, and not worth their time.

"this is definitely not for your average reader. this is definitely a textbook, probably around year 3-4...." Read more

"An entertaining story from a guy who really loves to tell a story (about himself)...." Read more

"...This is the least convincing part of the book...." Read more

"...It is (to me, a layperson) rather densely scientific and therefore boring...." Read more

6 customers mention "Likability"0 positive6 negative

Customers find the author very dislikeable, narcissistic, and psychotic. They also describe him as a spoiled brat.

"...I find the author to be for me a very dislikeable person; and one who has the narcissisms to delude himself into believing he is very widely, if not..." Read more

"...the time you're done with the book, it's very clear that he is utterly narcissistic and not at all hard to believe that he's a psychopath of some..." Read more

"...a neuroscientist who is also a psychopath (though not a killer), is not likable, and the traits that characterize a psychopath show on every page...." Read more

"...unique, you're an untreated narcissist, untreated alcoholic, spoiled brat man-child and I pray your wife has had many affairs if not left you...." Read more

Good for scientific research behind the psychopathic brain
3 out of 5 stars
Good for scientific research behind the psychopathic brain
I found myself interested in buying this because I wanted to learn more about the psychopathic brain and how we work with possible psychopaths. However I’m really bad with my interest in science so I found myself taking months to read it (because I was bored) and skimming most of the book. The thing that ultimately threw me off was his narcissism in his writing. He disclosed that he’s obviously somewhat of a psychopath so he has that narcissistic trait, but I couldn’t get past it in the way he wrote. Give it a shot if you like science based reading!
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Top reviews from the United States

Reviewed in the United States on April 28, 2015
For decades now, neuroscientists have been seeking the answer the question, “What makes a psychopath, a psychopath?” In James Fallon’s, The Psychopath Inside, he wanted to uncover the answer to that question by studying the brains and genes of psychopaths. Unknown to him at the time, this research would lead him to make a detour towards having to re-evaluate his own personal life. Fallon is an accredited science writer who discusses his various projects that he has been working on in psychopathology, one of them being himself. With a background in neurobiology, he is a renowned professor in the department of Psychiatry and Human Behavior at the School of Medicine at the University of California, Irvine.

Fallon is not shy about his work or family history and has been published in various articles such as The Wall Street Journal, been asked to speak at a national conference (TED), and was even contacted by the producer of the Criminal Minds television show due to his psychopathological findings. However, his most successful work is his book, The Psychopath Inside, acting not only as a factual and knowledge-based book, but an autobiography as well.

The lurking question, “What is a psychopath?” lingers in conversation between researchers because it has yet to have an agreed upon definition. Fallon begins by acknowledging common facts agreed on by the majority of researchers: psychopaths lack empathy and disregard morals, right? Correct. Using these facts and his countless amount of research, Fallon discovers that there are not only areas in the brain that are similar between psychopaths, but also genetic sequences.

James Fallon did a blind review of over a hundred PET scans which came from both average people and from those who were diagnosed as psychopaths. Looking closely at the various scans, he recognized a pattern in the scans of those deemed as psychopaths: a major loss of activity in the limbic (emotional) cortex of the brain. However, this pattern didn’t interest Fallon enough to pursue it further and he decided to continue with his other Alzheimer’s trial. During the Alzheimer’s trial, Fallon established a control group of brain scans who did not has Alzheimer’s, and these scans happened to be those of his family. Looking closely at his family scans, he noticed a similarity in a PET scan that looked familiar to him; it looked like a psychopath scan which he had studied previously. Turns out, the scan which he had been looking at was a scan of his own brain.

After that finding, Fallon’s interest in psychopathology peaked. Looking at someone’s genetic pattern is like looking at a blue-print of a house someone is building. Genetics is the foundation of life, through which DNA plays a leading role. Basing his research under that model, Fallon began to look at psychopaths’ genetic patterns and compared and contrasted them.

Fallon began to look closely at his origin: his family life, the environment he grew up in, and activities that he pursued throughout his lifetime. He asked a number of questions to his family and friends, through which Fallon concluded that he was a happy, spirited, and confident child throughout his youth. As many other neuroscientists have agreed upon, bed-wetting, playing with fire, and animal abuse are main causes of concern when a child is developing because this suggests they are likely to be psychopathic. Fallon disregards that statement because he believes that “boys will be boys” and they just happen to do these sorts of things or it could just be peer pressure. So with this being said, the problem still remained, why did his brain scan resemble one of a psychopath?

Fallon develops a three-legged stool theory as a way to account for how a person becomes a psychopath. He establishes this theory based off of three parts: genes, a specific brain pattern, and childhood abuse. However, this theory does not fit all because Fallon’s PET scans resemble those of a psychopath yet he didn’t have any childhood abuse while growing up. Therefore, Fallon calls himself a “lucky psychopath”, because he was brought up in a loving family and was not raised to have these tendencies many psychopaths do.

This is where my favorite part of the book comes into play because Fallon discusses how having psychopaths in society isn’t so bad. Who would have thought, right? For example, psychopaths are defined to have less stress because they aren’t empathetic to others and don’t care how others go about their lives. With this lack of stress, they have healthier immune systems are and less susceptible to diseases and can live longer and healthier lives for the most part. Also, with this lack of emotion, people with psychopathic tendencies can better lie and be able to get away with it, saving themselves potential trouble.

Fallon’s book is unlike any other scientific novel because he not only incorporates facts and real-life PET scans, but also discusses his private life and family history. One should not be nervous to try to read this book because of its organization and ability to be followed easily. Fallon proves to do an excellent job describing his work and its significance and ties it back to how it relates to psychopathology. This leaves little to no room for a reader to get lost among his words. Through his writing, he provides many analogies for complex topics such as serotonin processes and activating systems which make it easy to understand, so lack of a neuroscience degree won't leave you lost and confused.

After reading this book and even re-reading certain passages, I, without hesitation, would give it a 5/5 rating. I was drawn to the book immediately by the way in which James Fallon began introducing himself and establishing his authority on the topic of psychopathology. His unique style of writing, one that is easy to comprehend, attracted me to his book because I could follow along with the various new details he was using to support his findings. This book proved to be an insightful look into Fallon’s personal life and demonstrated to the reader how fascinating our brain truly is. It was eye-opening to learn how observations, thoughts, and emotions that plagued people throughout their childhood could make them more or less susceptible to psychopathy. Fallon pushed past the various controversies which the field of psychopathology held and stood his ground and continued his research, and he will soon hopefully unlock the mystery behind "psychopaths".
26 people found this helpful
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Reviewed in the United States on April 12, 2024
If I were rating this book on its writing alone, I would give it one star. The late author simply had no organizational skills. He wanders around and recklessly (fecklessly?) skips from one topic to another, all the while tossing obscure academic jargon around like fairy dust. But. Wow! It’s as if a prominent political psychopath, well known to this generation, had opened up and talked candidly about his emotions (or lack thereof) and all of the disgusting (from a social point of view) manifestations of his lifetime as an obnoxious, blow-hard, egocentric, jerk without a conscience. If you want to understand psychopathy from the ground up, and its real life meaning, read this book. Oh. And prepare to examine your own mind.
4 people found this helpful
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Reviewed in the United States on December 12, 2013
I am not a psychiatrist but am in a clinical health field. I read the book and then passed it on to a friend, a science "civilian" tp read. We both found Fallon's book to be most compelling, and for many reasons. First, the science and medicine presented is eminently readable and illuminating. He has captured the essence of modern medicine, psychiatry, and genetics both from a practical and theoretical viewpoint, and has beuatifully folded in important aspects of the law, criminology and public policy to provide an absorbing synthesis of what it means to be a human in the 21st century and beyond.

Above and beyond the social and scientific gems in his book, Fallon details some of the most intimate secrets of a life that on the outside is one of a stellar scientist, teacher and stable family man, but in a deeper view he affords of his mind and behavior, a truly dark set of forces in him. He surgically dissects his whole being for the reader, and then explains how he now is trying to piece it all back together, and in a most unusual way. This book will undoubtedly threaten the self security of some, their own mask on sanity, and perhaps professional and personal complacence. But for most, this book will be a joined spiritual journey, one shared by someone who claims to be so un-spiritual
15 people found this helpful
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Reviewed in the United States on December 7, 2016
I bought this because I read an interview with the author and thought it sounded like some family members, and was curious.

In the end, I don't know anyone like this. The way he writes about himself reminds me of Donald Trump. I read this entire book and have no idea how his wife put up with him.

The most interesting thing I got out of it, though, was that the types of behaviors he talks about are much more common than we tend to think. We like to assume everyone is pretty decent and will avoid harming us, but a good number of people really don't care much whether the things they do are harmful to others.

I'd end with a warning that he's included a lot of very unsubtle and baseless dog whistle theories about the genetics in inner cities. His theory, that inner cities have higher percentages of genes that increase violence, has severe racial overtones, and he offers zero evidence that it's even plausible (I believe it is not, I don't think any of his assumptions are correct. He's never lived in the inner city, being a middle class east coast boy, and has never studied it). Based on the rest of his political leanings (he's a libertarian who doesn't care if people die of hunger, because they were inferior anyway), I suspect that this was not an accident.

Anyway, it was an interesting premise, but ultimately turned out to be a combination of dry neuroscience and onanistic self-reflection. Unless you're really interested in the subject matter, there isn't much here.
9 people found this helpful
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Top reviews from other countries

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Maddy
5.0 out of 5 stars Amazing Book!
Reviewed in Canada on June 1, 2023
I started reading it and great book so far! I recommend it!
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Maddy
5.0 out of 5 stars Amazing Book!
Reviewed in Canada on June 1, 2023
I started reading it and great book so far! I recommend it!
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Erik Deanda
5.0 out of 5 stars bien
Reviewed in Mexico on July 1, 2021
le gustó a mi novia
Eduardo Alvim
5.0 out of 5 stars simply great
Reviewed in France on March 5, 2023
Thanks a lot for this vivid and , to some extent, torturing report things work in the realm of psychopathy. I could relate to most, if not all, “symptoms” or traits. It helps to explain a lot. And it’s reliving.
What i do have has a name and I don’t need to be ashamed of it. It’s not bad, nor good. It is what it is.
Thanks for bringing light to this topic.
Rose
5.0 out of 5 stars Wonderful book!
Reviewed in the United Kingdom on May 19, 2022
If there is an easy read on psychology for everyone to read, I would say, here it is. It explains certain things about the brain and its functions and really banishes that stigma about not only psychopaths but also even other mental health issues (psychopathy may or may not be classed as an issue). It is perfect for general education and I am sure it would help reduce narrow-mindedness and prejudice and also will be helpful to those who consider to be responsible parents, etc. I see it as a must in every household, educational and easy to understand.
Eva M.
5.0 out of 5 stars Un gran libro, Fallon es un genio.
Reviewed in Spain on June 18, 2020
Es un libro genial, como su autor, un genio y muy sincero. Lástima no encontrar una edición en Castellano. De todos modos, es muy bueno y no es ficción, es real todo lo que describe. Tuve el honor de verle, escucharle e intercambiar ideas, gracias Dr.Fallon.