
Blanket Chest — Khaya and Sapele
One of the radical changes in the structure of our society in the USA is the dramatic shift in how generalized populations are supposed to not only address mental illness, through care modalities, but how mental illness is supposed to be mainstreamed into the various operations of our corporations and institutions. No longer is mental illness a condition to be treated and overcome. Rather, now, it must be accommodated in your normative social environment. And if you, as an individual cannot accommodate a given neurodivergent condition, then you face punishment or loss of employment.
Worse, if you are trapped with a severely mentally ill person in your immediate family, the “mainstreaming rehabilitation” mindset is so powerful that if you are dealing with a violent version from a protected class who ALSO has a mental illness, the current systems and institutions supposedly set up to protect society as well as family units collapse. YOU are the bad person for refusing to accept aberrant behavior, and not go along with disordered social service agencies who offer little, if any help.
There can be no more terrible example that the recent arbitrary murder of Iryna Zarutska by DeCarlos Brown on the commuter train in Charlotte, NC. Brown had been convicted and released 14 times for violent crimes, including armed robbery, and his own mother had attempted to have him involuntarily committed. But despite violent schizophrenic outbreaks, this failed, even in light of his extensive criminal history. My suspicion is that had Brown not been African-American, he would have been committed. But our social institutions are so contaminated with the notion that racism must be the root of all evil, even Brown’s own mother’s concerns — she had taken him to a homeless shelter because she could not control his behavior — landed on a tin ear in the justice system. She didn’t persist — and Iryna Zarutzka, a person honestly seeking refuge in this country paid with a violent death, and her life.
When such a crazy, violent event happens, one needs to reflect on what principles are our society structured around. It’s easy to go through some litany of the usual list of the various v-Memes, laying out safety and security at the bottom, moving up to rules to regulate such areas as commerce, or even traffic, and then ending up in the space of opportunity to create new economies, or protect the environment. The list would certainly go on.
But if we were to look at things from a more generalized relational substrate, we might come up with profoundly different answers. From a guiding principles perspective, a society is supposed to lay the groundwork for fundamental coherence of action among its residents. Dependent on the overall psychosocial development of its members, societies should create structured environments that allow members to participate, within reason, in an environment that allows enough predictability for people to join some group action, and have some set of expectations about what the outcomes will be.
The short version is coherence, within the context of development and values of a given society, must be the desired end state. It is one of the hallmarks of Collapse Narratives that they promote other, decidedly more disordered, egocentric outcomes.
When people read that word “coherence” it is very easy, without an understanding of v-Memes, which code how people change and grow over a lifetime, to assume that somehow it means that everyone should be a goose-stepping minion. This is ridiculous. A simple example is in order. In contemporary society, the guiding principle of coherence implies that you ought to be able to get in your car, drive to the local supermarket, and provided you have cash or credit cards in your wallet, buy yourself a six-pack of beer. All those activities rely on a much larger stable system to instantiate this simple action.
And psychopaths know this. So if they want to relationally disrupt the coherence of the system, they have several pathways available to them. One is the obvious, conscious mode of throwing a brick through the grocery store’s window. While that is dramatic, it’s also highly unlikely that brick throwing is going to be mainstreamed as a stated societal value any time soon.
Better to co-opt mental models of virtue that a society might hold dear, that inherently are unstable, and arm different cohorts of society, with these as attack modes to the foundations of a society — which inherently includes coherence — and get people inside the system, functioning on different temporal and spatial scales — to fight. Then the psychopath gets to sit back and quite literally watch the world burn.
Much of this has manifested in the last 30 years. My own mother had a relatively profound personality disorder — she was likely Avoidant/Borderline. She was an absolute fire starter when it came to manipulating people into a constellation where people believed they were justified in starting a fight, especially as she aged. But her demeanor, projected as someone who was introverted, gained her allies across the community, especially in the face of my father’s alcoholism, which was also real. It took me to about 48 years of age to realize that at least part of the reason my father drank was because he was married to my mom.
Yet at the same time, my mother functioned relatively well in society. It was because society had imposed constraints on her behavior. As a doctor’s wife (my father was an obstetrician in good standing in the community) she had a role to play, and she knew it. We were Catholic, and she befriended the local sisterhood, who played no small part in our social lives. They also had problems, but once again, they were constrained by social expectations. There were particular situations where it became obvious my mother had problems. But here’s the key — for the most part, because her role was scripted, and she did have a couple of bright kids, she had little latitude for finding or displaying any deep, disordered feelings.
The key element in her progression through life in the ’60s and ’70s was that she was supposed to be an upstanding citizen, PTA leader, and mother. Any activities straying out of that would have been considered aberrant and anti-social. Her focus of her identity, which was madly scrambled inside her own head, was EXTERNAL to her true self. It is also true she had a brutal childhood, full of poverty and uncertainty, and my own grandmother had multiple husbands that she had. to navigate. But her path was set. And that was a GOOD thing.
Contrast this to any young woman emerging into modern society. As part of the bedrock belief structure of any version of late stage feminism, you get to be, ostensibly, whatever you want. But that means very little if you have a combination of disorders, as well as a lack of family structure. Young men, even though they are an aggrieved and attacked group in modern society, have far more. Bedrock ‘Protect and Provide’, though diluted, still exists. Focusing on the egocentric needs of some women does benefit some — I have some outstanding female colleagues that I wouldn’t trade for anything. But most people have little integral sense of self until they are north of 26. Couple this with the very natural drive to have children, which is then wildly confounded by extant societal messaging, and it’s no wonder we’re in some version of societal crisis. Short version — like every society, we have some percentage of crazy people. We then strip away boundaries for normative behavior, and then additionally arm young women in particular with powerful legal tools to lash out, and we end up with a lethal stew for relational disruption.
The people that suffer most from this are, not surprisingly, healthy young women, who then inherit a hostile relational environment that they are poorly equipped to navigate.
And while there is more to say here from a gendered perspective, the real point is that the de-centering from some version of societal conformity as an expectation for young people, to a re-centering on the poorly developed needs of the self is a recipe for societal chaos. And chaos goes directly against the need inside a society for coherence. The society simply cannot function effectively at the complexity level that it may have evolved to. And so it begins to decline.
Psychopaths love this circumstance of combining what has been called a “moral racket”, combined with my term, “narcissistic shielding.” The more out of it a given person with alternately neurodivergent issues that might have been more manageable in a more constrained environment, or someone who actually suffers from mental illness, the more they show up on the psychopath’s radar as someone who can be co-opted and manipulated against the relational hierarchy in a social setting. In my clinic program, which is somewhat unique in that I send students out into the real world, I noticed a pattern where a more well-formed psychopath would adopt a functional “child” — and then wait for affront from me. It was relatively unconscious, though the impetus for “splitting” by the personality-disordered ‘parent’ was usually a bad grade for work.
Then the bias towards centering the social situation around the person with mental illness or neurodivergence would come into play. It’s well known, for example, that people on the autism spectrum are often literalists, and have a very difficult time with irony or sarcasm. So the student would misunderstand something I said (I use a lot of humor in the classroom, akin to a football coach goading players to higher performance) and then the psychopath would raise the interests of her narcissistic shield in order to gain power and control.
This has happened on systemic levels across society. Academia is well-known to include more than its fair share of mentally ill people (who could study a particularly obscure, minute area for their entire career without the advantage of OCD?) and it’s not surprising, with its development of complex micro-aggressions, often developed by its own psychology and sociology faculty, that there is a rapid relational collapse into externally defined, low empathy, relational modes. The problem with this is that our brains will only do what they practice, and when you end up with entire modern systems that enshrine siloed thinking, exacerbated by a heavily siloed social system, there is a profound decay in the ability to synergize larger solutions that society needs.
As the society plunges ever deeper into the meaning crisis, it exposes even more avenues for psychopaths to use the narcissistic shields of the mentally impaired to focus on ostensibly empathetic solutions for problems — “let’s focus on making people who are severely disordered feel comfortable everywhere.” This creates a wild level of cognitive burden on the rest of society. If a 50 year old man with lipstick wants in your high school daughter’s locker room, she must be accommodated. If the homeless person refuses being housed, and prefers to sleep in the open-air drug market they’ve established at the local park, they must be accommodated! This re-centering causes everyone else to retreat from public spaces, which causes further social degradation, as well as establishing hyper vigilance as the norm for public interaction. Everyone you meet doesn’t mean you well — because they probably don’t. During the recent Palisades Fire in Los Angeles, I brought up on social media the likelihood that homeless people had helped spread the fires. My ultra-virtuous liberal friends immediately went on the attack. How dare I impugn such an obvious source (homeless people in LA often live at the mouths of canyons, and have burn barrels they gather around)!
And it hardly helps the mentally ill, either. I had a memorable adventure once chasing a bipolar schizophrenic through the streets of Vancouver, BC. I don’t know if that sounds like fun — but it wasn’t. He had actually escaped from an institution, but real mental illness is no joke. Mentally ill people need help because they are not normal. And they are often very low functioning. A lack of understanding that differential actually worsens the societal consequences for them. It does not help to pretend.
But for psychopaths, it’s any manipulative virtue/narcissistic shield in a storm. And when your goal is relational chaos, there are multiple paths to get there. Facilitating the crazy is just another tool in the toolbox.
If you think it’s almost designed to make you crazy, or at a minimum, retreat from society, you’d be correct. That’s the key game in the psychopath’s playbook — relational disruption, or make you nuts. And what could be more delicious than using the helpless against society?
One final note — I was in Vietnam looking for venues for international projects, when I happened to encounter a British psychiatrist. We hit it off famously, and ended up having drinks at the Hotel Metropole with another Vietnamese mental health care provider. He had been working in Laos, and I asked him what they did in the villages there. “They build a set of pole cages outside the villages, and when they have someone go on a manic episode, they lock them in the cage.” He went on to tell me that there were only eight psychiatrists in all of Laos, a country of approximately 7.7 million people.
As always — perspective — use it or lose it.

Hotel Metropole, Hanoi, Vietnam