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[QUOTE="letstalk, post: 17601335, member: 400726"] [B]continuing [/B] [I]One bitter December day in 2011, Jen was driving the children along a winding road near their home. Samantha had just turned 6. Suddenly Jen heard screaming from the back seat, and when she looked in the mirror, she saw Samantha with her hands around the throat of her 2-year-old sister, who was trapped in her car seat. Jen separated them, and once they were home, she pulled Samantha aside. “What were you doing?,” Jen asked. “I was trying to choke her,” Samantha said. “You realize that would have killed her? She would not have been able to breathe. She would have died.” “I know.” “What about the rest of us?” “I want to kill all of you.” Samantha later showed Jen her sketches, and Jen watched in horror as her daughter demonstrated how to strangle or suffocate her stuffed animals. “I was so terrified,” Jen says. “I felt like I had lost control.” Four months later, Samantha tried to strangle her baby brother, who was just two months old. Jen and Danny had to admit that nothing seemed to make a difference—not affection, not discipline, not therapy. “I was reading and reading and reading, trying to figure out what diagnosis made sense,” Jen tells me. “What fits with the behaviors I’m seeing?” Eventually she found one condition that did seem to fit—but it was a diagnosis that all the mental-health professionals had dismissed, because it’s considered both rare and untreatable. In July 2013, Jen took Samantha to see a psychiatrist in New York City, who confirmed her suspicion. “In the children’s mental-health world, it’s pretty much a terminal diagnosis, except your child’s not going to die,” Jen says. “It’s just that there’s no help.” She recalls walking out of the psychiatrist’s office on that warm afternoon and standing on a street corner in Manhattan as pedestrians pushed past her in a blur. A feeling flooded over her, singular, unexpected. Hope. Someone had finally acknowledged her family’s plight. Perhaps she and Danny could, against the odds, find a way to help their daughter. Samantha was diagnosed with [URL='https://www.theatlantic.com/family/archive/2018/08/conduct-disorder-parent-support-group/567946/']conduct disorder[/URL] with callous and unemotional traits. She had all the characteristics of a budding psychopath. Psychopaths have always been with us. Indeed, certain psychopathic traits have survived because they’re useful in small doses: the cool dispassion of a surgeon, the tunnel vision of an Olympic athlete, the ambitious narcissism of many a politician. But when these attributes exist in the wrong combination or in extreme forms, they can produce a dangerously antisocial individual, or even a cold-blooded killer. Only in the past quarter century have researchers zeroed in on the early signs that indicate a child could be the next Ted Bundy. Researchers shy away from calling children psychopaths; the term carries too much stigma, and too much determinism. They prefer to describe children like Samantha as having “callous and unemotional traits,” shorthand for [URL='https://books.google.com/books?id=oemMDQAAQBAJ&pg=PA192&lpg=PA192&dq=%22items+of+the+youth+psychopathy+checklist%22&source=bl&ots=WtGynO2T6t&sig=w1dhWktYGuMktEisxrWanbyZ-2c&hl=en&sa=X&ved=0ahUKEwio3sqcu9nTAhUCKyYKHZ99DBUQ6AEIIzAA#v=onepage&q=%22items%20of%20the%20youth%20psychopathy%20checklist%22&f=false']a cluster of characteristics and behaviors[/URL], including a lack of empathy, remorse, or guilt; shallow emotions; aggression and even cruelty; and a seeming indifference to punishment. Callous and unemotional children have no trouble hurting others to get what they want. If they do seem caring or empathetic, they’re probably trying to manipulate you. Researchers believe that nearly 1 percent of children exhibit these traits, about as many as have autism or bipolar disorder. Until recently, the condition was seldom mentioned. Only in 2013 did the American Psychiatric Association include callous and unemotional traits in its diagnostic manual, DSM-5. The condition can go unnoticed because many children with these traits—who can be charming and smart enough to mimic social cues—are able to mask them.[/I] [/QUOTE]
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