41 pages 1-hour read

The Sociopath Next Door: The Ruthless Versus The Rest Of Us

Nonfiction | Book | Adult | Published in 2005

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Introduction-Chapter 2Chapter Summaries & Analyses

Introduction Summary: “Imagine”

Content Warning: This section of the guide includes discussion of mental illness, emotional abuse, sexual violence, and animal cruelty and death.


Psychologist Martha Stout introduces her exploration of antisocial personality disorder (ASPD, colloquially known as “psychopathy” or “sociopathy”) with a mental exercise in imagining what it might be like to be someone who has this disorder. ASPD is defined primarily by a lack of conscience (guilt, remorse, shame, and empathy), rather than by the specific actions that a person with this disorder might exhibit. Stout urges the readers to imagine the limitless power and possibility that comes with a lack of conscience, as a person without a conscience can do the things necessary to fulfill their goals and desires without the same limits of remorse and guilt that others would have.


Approximately one in 25 Americans can be classified as a person with ASPD, and people with this disorder are varied and come from diverse backgrounds. What they share in common is their lack of conscience and their singular focus on fulfilling their own desires, which, more often than not, leads to the abuse, exploitation, and manipulation of others. Another important distinction is that unlike other psychiatric disorders, ASPD does not necessarily negatively affect the person who has it, and it is thus a question of ethics and philosophy as to whether it is even a disorder at all.


People with ASPD often go unnoticed by larger society and even by those close to them due to their ability to mimic the behaviors and emotions of others. While some commit acts of violence, they are equally likely to be business owners or teachers. Many intentionally avoid employment and survive off the hard work of others. Stout works as a trauma therapist and has treated many people whose trauma originates in the way they were treated by someone with ASPD, such as a parent, sibling, or spouse. Her goal is to educate the public on how to identify people with ASPD and thus avoid being used or abused by them. Stout argues that this small portion of the population has a disproportionate impact on the rest of the populace, and her book aims to balance that power dynamic.

Chapter 1 Summary: “The Seventh Sense”

Stout presents a scenario in which a man named Joe sacrifices an important work meeting for the sake of his dog. After rushing to work for the meeting, Joe realizes that he forgot to feed his dog, and he misses the meeting to amend this despite the risk to his work reputation. Stout raises the question of whether Joe acted on his conscience or because of some selfish drive like avoiding the social repercussions of potentially harming his dog. She argues that if Joe acted on his emotional attachment to the dog and an underlying feeling of discomfort in relation to the idea of the dog’s suffering, then Joe was acting on his conscience. The conscience, therefore, is derived from people’s emotional attachment to other people, animals, or humanity as a whole.


The origins of the conscience have long been the subject of philosophical questioning. The conscience was long thought to be imbued by God, and thus human reasoning was seen as its antecedent. In the early 20th century, Sigmund Freud proposed that the superego (what he called the conscience) was the result of a child’s need to fit in with their family and be loved by that family. For Freud, the superego was an instructor and critic that guided people in social life. In current times, the superego is seen as only a part of conscience, which exists alongside the emotional side of the conscience. The conscience, Stout argues, is the glue that holds humanity together and keeps people connected.

Chapter 2 Summary: “Ice People: The Sociopaths”

Stout describes the life of Skip, a man diagnosed with ASPD. Growing up, Skip was always seen as charming and intelligent, but he had an unusual temperament that his parents found difficult to work with. Skip used to take pleasure in stabbing and blowing up frogs in the countryside each summer as a child, and his parents never addressed it. As Skip got older, his main priority became money, and he began to await his father’s death so that he could inherit his wealth.


As an adult, Skip worked his way up the ranks of a mining equipment company, using his manipulative skills to strike deals and bring the company (and himself) wealth. Skip married for the sake of his image and had two children but was known to have many sexual partners and be sexually abusive toward female employees at work. Skip was motivated by winning and dominating, and he took pride in his ability to control others. Skip, like all those with ASPD, failed to see his own part or responsibility in any harm he caused. Many people with ASPD report a consistent emptiness that is likely the result of the missing emotional attachment to others.

Introduction-Chapter 2 Analysis

In the Introduction, Stout emphasizes The Importance of Conscience in Human Interaction by inviting readers to explore the implications of a life without a conscience. She uses the second-person point of view to encourage readers to imagine themselves as someone with ASPD—a disorder characterized by the absence of guilt, shame, and remorse. This technique aims to draw readers in by asking them to imagine an experience radically different from their own. Throughout the Introduction, she portrays people with ASPD as utterly unlike the rest of humanity and as figures to be feared—leading to the criticism that the book engages in the very practice of “moral exclusion” that Stout later identifies as an impediment to the conscience. Asking the readers to imagine themselves as a person with ASPD, Stout writes, “The ice water in your veins is so bizarre, so completely outside of [typical people’s] personal experience, that they seldom guess at your condition” (1). Such language emphasizes the threat that people with ASPD can pose to others, but it also has the effect of dehumanizing those who have this disorder. 


People with ASPD are often motivated by desire, either for power or for personal pleasure, but Stout also notes that, more often than not, this manifests in nonviolent forms. Some may manipulate others in order to avoid work rather than in order to gain societal power. People with ASPD often demonstrate a superficial charm, making it difficult to recognize their true intentions. The Introduction emphasizes the urgency of Protecting Against the Consequences of ASPD, presenting the disorder as a moral wrong that affects others more than the person with ASPD. Since ASPD is defined by the absence of a conscience, Stout focuses on the nature and origins of conscience, exploring its significance in human life. The conscience is presented as an essential element that defines humanity, and its absence leads to dangerous and destructive behavior. The anecdote about Joe, who returns home to feed his dog, raises questions about the motivation behind his actions: Was it fear, social preservation, or personal honor? This leads to the idea that conscience is not just a thought process but something emotional as well: Joe leaves work to feed his dog not for any personal gain but because he cares about his dog. Stout argues that one’s conscience is rooted in emotional attachment to others and continually stresses the importance of the conscience.


Stout draws on lengthy case studies to explore the nature of ASPD. In Chapter 2, for example, she discusses a man named “Skip” (all names in the book have been changed to protect confidentiality). An early indication of Skip’s lack of empathy was his enjoyment of killing frogs as a child. He was brilliant and charming, but he did not like to work hard. He accumulated a fortune as an adult and treated his wife like an object while working as a negotiator for a major mining equipment company. Skip’s professional success provides early evidence of a claim that Stout will make more explicitly later in the book—that the individualistic and capitalistic nature of US culture often rewards the behaviors associated with ASPD. In addition to being accused of fraud, Skip’s life was fraught with sexual misconduct accusations at his workplace. In describing how Skip “[hid] his emotional vacancy behind various roles” (44), Stout raises the possibility that people with ASPD frequently adopt false personas in order to control people. The quote “Life is reduced to a contest, and other human beings seem to be nothing more than game pieces” illustrates Skip’s view of relationships as mere tools for personal gain (46). This view provided professional advantages while impoverishing Skip’s emotional life.


Stout regularly explores the philosophical questions surrounding ASPD, including whether it can truly be classified as a disorder. Typically, mental disorders are classified as such only when they negatively impact the person who has the disorder, but ASPD often has no discernible negative impact on the person with the disorder but greatly harms those around that person. Stout clarifies this question as the book progresses, showing that ASPD harms those who have it in profound ways even if those harms are not always visible. Stout challenges the idea of the conscience as merely a burden that inhibits true freedom, refuting the notion that “nice people finish last.” The question “Why have a conscience?” is posed several times and introduced early (15), with Stout asserting that understanding why people have a conscience is more important than ever.


Stout uses several rhetorical strategies throughout the text to engage readers and provoke thought. The use of questions encourages the readers to consider their own beliefs and reactions. Stout frequently asks readers to imagine themselves as having ASPD, prompting them to reflect on the implications of ASPD in their own lives. The inclusion of the clinical definition provides a factual basis for understanding the disorder, while Stout appeals to the readers’ emotions (pathos, in rhetorical terms) by describing the worst fears that the readers may have about encountering people with ASPD. Comparisons to statistics help provide a clear picture of how prevalent ASPD is. Stout also draws on her own credibility as a therapist who works with people who have been traumatized by people with ASPD. Finally, the text raises alarm bells about the difficulty of diagnosing ASPD and the lack of effective treatments, stressing the urgent need for awareness and understanding of the disorder: “To create a better world, we need to understand the nature of people who routinely act against the common good, and who do so with emotional impunity” (17). This call to action outlines the purpose and underlines the importance of the book.

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