Wikipedia

Haltlose personality disorder

proposed personality disorder

Haltlose personality disorder is a mental illness that displays as selfishness, blaming others for the actions they have committed, lacking direction in life and a lack of insight and self-control.[7][8] They are unable to learn from experience or mistakes in life since they lack any sense of past or future,[9] and are not able to genuinely care about other people.[10] People with Haltlose are also called an unstable psychopath.[1][11][12]

Haltlose personality disorder
Usual onsetAdolescence
TypesNo subtypes[1]
Differential diagnosisADHD[2]
Asthenic personality disorder[3]
-Delayed maturity[4]
-Simplex or Disorganized schizophrenia[4][5]
Epilepsy (When Haltlose is combined with alcoholism)[6]

It is studied in psychiatry, sociology and criminology[13][14][15] - and is one of the most common types of psychopathy to end up committing crimes, including violence and murder.[11][16][17] Healthier individuals may still focus on either vengeance or sadism.[18] Parents with Haltlose make up the majority of those who sexually molest their own children.[19]

The disorder has many things in common with anti-social personality disorder[20][21] and borderline personality disorder (BPD). In some countries, doctors diagnose BPD to describe two sets of behaviors, but doctors in other countries diagnose the one group as BPD and the other group as Haltlose, or some people might have both. Usually people with Haltlose will also have other mental illnesses,[22] such as histrionic personality disorder[23] narcissistic personality disorder[24] or fantasy prone personality.[25]

When diagnosing, doctors may sometimes mistake this disorder with bipolar disorder.[26] It can also look like epilepsy if combined with alcoholism.[6]

It can be very difficult for a doctor to help them become better since they tend to lie to doctors because they are afraid, and their pathological lying can be convincing even though they view it similar to a child and often believe they should be rewarded for having taken the time to invent such a good lie.[27]

Of all the different types of psychiatric patients, those with Haltlose personality disorder have some of the worst results.[28]

The Haltlose will usually need boundaries and controls set by those around them,[29] and "optimistic" professionals suggest that marriage to a spouse willing to curtail their behaviors may be sufficient to avoid professional involvement.[30] Their symptoms get worse if they are given independence, whether at home, work or in a prison or hospital.[1]

Cause

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Picture that can illustrate the reckless behavior of Haltlose personality disorder.[31]

The name is based on a German word, "Haltlos", which means "without stability". In this context it is used for an irresponsible and unstable lifestyle. It appears in the ICD-10 book, but not in the DSM-V book.

Like other personality disorders, nobody is certain what causes it. There appears to be both genetic and environmental causes, and although it is difficult to identify in children - by adolescence it is typically easy to diagnose. It is believed to be caused by the mother, not the father, both from her own health and also from how she treated the child when they were young.[32]

It is equally common in males and females, and doctors must be careful not to wrongly identify a child as Haltlose since many of the symptoms are actually normal for children,such as selfishness, lack of planning and feigning emotions they see others having, and they only suggest a mental illness if they continue at later ages.[11]

Professionals disagree on whether the Haltlose are actually unable to understand the difference between good and evil, or if they understand but do not care, or if they deliberately choose evil instead of good.[33][34][35]

Usually people with Haltlose personality disorder stop showing their symptoms almost immediately if they are in a controlled environment, like the army[36] or a psychiatric hospital or prison.[37][38]

Effects

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“ "In one hour, they are happy and excited with the whole world...but the next hour casts aside this optimism and the future now seems bleak, gray on gray...what was worshipped yesterday is garbage today, and despite all promises of eternal loyalty the best friend is transformed into the hated enemy overnight." ”

—Dr. L. Scholz, Anomale Kinder, Berlin. 1919[39]

People with Haltlose personality disorder have "primitive reactions" to things, and their largest focus is simply on their own survival.[40][41] They frequently struggle with addictions, such as with drugs or alcohol, and are one of two types of personality disorders that commit the most crimes.[42] They also tend to have abnormal sexual habits, such as BDSM or increased masturbation.[9][18][43][44]

They do struggle with addictions, most commonly with alcoholism.[45][46][47] They often consume drugs, coffee, tea or medicines in larger quantities than normal.[9] Because they spend so much money, they usually have large debts they cannot pay - and either ask family to pay, ignore, or attempt crime (theft, prostitution, etc) to pay their debts.[1] However many professionals suggest that parents and spouses do not pay such debts, and instead let the Haltlose person's bad decisions lead them to institutionalization where they will be healthier and have more guidance.[30][11]

Although they often threaten or pretend to commit suicide, suicide pacts or murder suicide, they do not commonly actually do it since they are easily distracted and made happy again.[9] Often their reason for pretending is because they are scared of an approaching consequence for their actions, of even because they like the "excitement" of police and hospitals becoming involved.[9] Lobotomy was tested as a possible means to limit their chaotic thinking.[48]

It can be very difficult for people to understand them, because they can have "a number of endearing qualities" such as appearing naturally charming, plausible, likable or emotionally warm, but they are actually using those as tools to "conquer" the people watching them.[20][12][16]

Usually, they do not like science or religion as they control and limit the answers.[17] Often, they are very good at arts like acting in theatres: their lack of memory means that they can easily play new characters and feel very similar to the character they are playing.[1][39]

Having families of their own

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Some have said that Haltlose patient should be sterilized to prevent them from having children since they are not able to make decisions that would be good for anyone except themselves[49][50] and they can become "family tyrants" while pretending to be victims.[9] Sometimes, governments have even refused them marriage licenses, out of fear that marriage would lead to them having children.[51]

Even when they are not "true" pedophiles, the Haltlose demonstrate an increased risk of sexually molesting children,[52][53] with as many as 90% of incestuous adult-child molestors being Haltlose.[19] Mothers with Haltlose may push their young daughters to engage in sex with men that the mother wishes she could have herself.[9] They also like to have sex with their own partners in front of the children, rather than hiding the details of their sex life.[9]

Because they can have an "explosive" temper,[54] domestic violence is common, beatings, death threats, smashing household objects.[9]

Examples

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“ It is not possible to send Wolf as an apprentice...he would end up in prison if I let him go into the world, with his lack of morality, and that is something I cannot do. ”

—Max Scheler, speaking about his Haltlose son.

Willy Roloff was a smart Pomeranian serial killer with Haltlose personality disorder, who was executed by guillotine in 1937 after his appeal for mercy to Adolf Hitler was denied.[55][56][57][58]

The philosopher Max Scheler had an adult son who was diagnosed as both a Haltlose and Gemutlose psychopath. He was guilty of many crimes over twenty years, and was eventually sent to a concentration camp where it is assumed that he died.

Problems and solutions

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This letter, in German, from a patient to his mother demonstrates Haltlose personality disorder. It was simple but understandable, repeatedly promised that his future would improve but without any plan, and showed more depth of feeling for the specific types of cigarettes he wanted to see than for other people.[59]

At some times, they will look very positive and responsible and talk about large plans that they intend to accomplish, but they are actually very depressed and cynical most of the time because they are unable to make their plans work since they cannot learn from their mistakes, and they do not have a good sense of time. They will very quickly change from acting very confident and brave, to very sad, angry or afraid when their plans do not work.[9]

A major source of the problem is that they are not able to remember the past, or think about the future - so every decision is decided only on the basis of the present time. Similarly, if asked to describe themselves, they cannot accurately describe things they felt in the past, because they only know the story they are telling right now.[20]

Because they are not capable of planning for the future, and make very bad choices, doctors often decide they need leaders and controls to guide them in every aspect of life. This means they can be very successful when they are in a hospital, prison or school with very strict rules and leadership - because their intelligence is normal, it is just their personality disorder that leads them to trouble.

Some professionals say the haltlose do not understand warnings, so only punishments work to stop them from doing bad things.[60] But other professionals say that they do not learn any long-term lessons from punishment.[12]

When they feel guilty about something, they become overwhelmed with the fear that there will be consequences or punishment,[37][1] so they often exaggerate or invent untruthful stories to blame other people, and will pretend that they are a victim or being exploited or held prisoner.[61][43][1][6]

They will often pretend to be embarrassed, experience regret or to be submissive,[62] even though these things are not usually real for haltlose personalities. This makes it "troublesome" for doctors trying to help them.[62]

When they feel guilty about doing something that has not been noticed yet, they become overwhelmed with the fear that there will be consequences or punishment,[37][1] so they often begin to exaggerate or invent untruthful stories to blame other people, and will pretend that they are a victim or being exploited or held prisoner.[61][43][1][6] Once caught, the less intelligent haltlose will respond by claiming that their childhood was not good and that current friends or relatives have misled them and caused them to do these bad things.[1] The more intelligent haltlose will instead invent elaborate stories with a lot of false details to misdirect attention from what they have done.[1]

Sources

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  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 Kramer, F. (1927). "Haltlose Psychopathen". Bericht uber die vierte Tagung uber Psychopathenfursorge Dusseldorf. Springer. pp. 35–94. doi:10.1007/978-3-642-94454-3_3. ISBN 978-3-642-94054-5.
  2. ↑ Steinberg, Holger & Maria Strauss. "Die Aufmerksamkeitsdefizit-/ Hyperaktivitätsstörung bei Erwachsenen in der klinischen Beschreibung und der Klassifikation von Emil Kraepelin", 2019. Pgs 6–8 and elsewhere
  3. ↑ Stumpfl, Friedrich (1935). "V. Erbanlage und Verbrechen Charakterologische und Psychiatrische Sippenuntersuchungen". Studien uber Vererbung und Entstehung Geistiger Storungen. Springer-Verlag. p. 222. ISBN 978-3-662-25838-5. NB this work uses the term "Asthenic Psychopath", others use "Asthenic Personality Disorder" or "Dependent Personality Disorder".
  4. ↑ 4.0 4.1 Muller, C. "Lexikon der Psychiatrie: Gesammelte Abhandlungen der gebräuchlichsten", 2013
  5. ↑ Schneider, Kurt. Bericht fiber die dritte Tagung fiber Psychopathenffirsorge, "Die Verwahrlosung vom Standpunkt des Psychiaters", Heidelberg 17.-19. September 1924
  6. ↑ 6.0 6.1 6.2 6.3 Kraepelin, Emil. Einführung in die psychiatrische Klinik: Zweiunddreissig Vorlesungen, Chapter XXIX: Vorlesung - Krankhafte Personlichkeiten, Leipzig, 1905
  7. ↑ Boumendjel, May Doria. "Diagnostic de la comorbidité du Trouble de Déficit Attentionnel et d’Hyperactivité (TDAH) chez les patients bipolaires adultes." Psychiatrie et santé mentale. 2014.
  8. ↑ BVwG of Austria, W200-2007445-1, heard by judge Ulrike Scherz, Dr. Clemens Kuzminski, Michael Svoboda, March 14, 2014 - referencing the earlier 1966 case.
  9. ↑ 9.00 9.01 9.02 9.03 9.04 9.05 9.06 9.07 9.08 9.09 Kraepelin, Emil, Psychiatrie : ein Lehrbuch für Studierende und Ärzteby, 1915. Page 1794, 1996+ and elsewhere
  10. ↑ Psychopathy – Signs in men and Women[permanent dead link], 2019
  11. ↑ 11.0 11.1 11.2 11.3 Mayer-Gross, Willy; Slater, Eliot; Roth, Martin (1954). Clinical Psychiatry. Cassell. pp. 165–166.
  12. ↑ 12.0 12.1 12.2 Pollitt, John D. (1987). "Moody patients". Psychiatric Emergencies in Family Practice. Springer. pp. 220–228. doi:10.1007/978-94-009-3191-6_22. ISBN 978-94-010-7931-0.
  13. ↑ Rothmaler, Christiane. "Von "Haltlosen Psychopathinnen" und "Konstitutionellen Sittlichkeitsverbrechern". Die kriminalbiologische Untersuchungs- und Sammelstelle der Hamburgischen Gefangenenanstalten 1926 bis 1945", Edited by Heidrun Kaupen-Haas et al. Frankfurt/Main 1999: 257-303
  14. ↑ Birnbaum, NA, "Kriminal≈Psychopathologie und Psychobiologische Verbrecherkunde", Page 137
  15. ↑ Kriminologie, Gerhard Ledig, Page 37
  16. ↑ 16.0 16.1 Dr. Iustinian Turcu, Psychology, "Tulburarile de Personalitate, section "Tulburarea de Personalitate de Tip Haltlose"
  17. ↑ 17.0 17.1 Weichbrodt, Dr. R., Abhandlungen aus der Neurologie Psychiatrie Psychologie und ihren Grenzgebieten, Chapter "Der Selbstmord" page 34 and elsewhere, Berlin 1923
  18. ↑ 18.0 18.1 Elemente der Exakten Triebpsychiatrie, "Klinische Psychologie Experimentelle Syndromatik", Page 190-191
  19. ↑ 19.0 19.1 Wyss, R. (1967). Unzucht mit Kindern [Fornication with children]. Monographien aus dem Gesamtgebiete der Neurologie und Psychiatrie (in German). Vol. 121. Springer. doi:10.1007/978-3-642-88580-8. ISBN 978-3-540-03939-6.[page needed]
  20. ↑ 20.0 20.1 20.2 Langmaack, Claus (June 2000). "'Haltlose' type personality disorder (ICD-10 F60.8)". Psychiatric Bulletin. 24 (6): 235–236. doi:10.1192/pb.24.6.235-b.
  21. ↑ Sieverts, Rudolf. Schneider, Hans J. "Aberglausse – Kriminalbiologie", 2011. Page 517
  22. ↑ PETRIL, N. (1968). "Psychopathie und Neurose" [Psychopathy and neurosis]. In Petrilowitsch, N. (ed.). Charakterstudien [Character studies] (in German). pp. 223–232. doi:10.1159/000390426. ISBN 978-3-8055-0986-2.
  23. ↑ Diagnosis and Drug Treatment of Psychiatric Disorders", page 154-169
  24. ↑ Ekselius, Lisa (December 2018). "Personality disorder: a disease in disguise". Upsala Journal of Medical Sciences. 123 (4): 194–204. doi:10.1080/03009734.2018.1526235. PMC 6327594. PMID 30539674.
  25. ↑ Schultz, J. H. (1928). "Die Konstitutionelle Nervosität" [The constitutional nervousness]. Spezieller Teil (in German). Springer. pp. 28–111. doi:10.1007/978-3-642-51083-0_3. ISBN 978-3-540-01062-3.
  26. ↑ International Advocacy, Personality Disorders Webinar, July 21, 2020
  27. ↑ Kielholz, Arthur, Internationale Zeitschrift für Psychoanalyse XIX 1933 Heft 4, "Weh'dem der lugt! Beitrag zum problem der pseudologia phantastica"
  28. ↑ Kalachev, BP; Burlakov, IA; Dobrokhotova, EV (1978). "[Results of long-term catamnesis of neurotic and psychopathic states and assessment of the prognosis]". Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova. 78 (11): 1667–1671. PMID 726763.
  29. ↑ Tolle, R. "Katamnestische Untersuchungen zur Biographie Abnormer Personlichkeiten", Berlin, 1966
  30. ↑ 30.0 30.1 D. Curran and E. Guttman, Psychological Medicine: A Short Introduction to Psychiatry with an Appendix: War-Time Psychiatry (E. and S. Livingstone, Edinburgh, 1943), p.61
  31. ↑ Asmae, Chekira. Elaboration d'un Programme Psychoeducatif dans le Trouble Deficit de l"attention/Hyperactivite Adapte au Contexte Marocain, 2015
  32. ↑ Frankenstein, Carl. "Varieties of Juvenile Delinquency", pp. 115, 158 and elsewhere
  33. ↑ Germann, Urs (2004). Psychiatrie und Strafjustiz: Entstehung, Praxis und Ausdifferenzierung der forensischen Psychiatrie in der deutschsprachigen Schweiz 1850-1950 [Psychiatry and criminal justice: emergence, practice and differentiation of forensic psychiatry in German-speaking Switzerland 1850-1950] (in German). Chronos. ISBN 978-3-0340-0678-1.[page needed]
  34. ↑ Skodol, Andrew E. (1998). Psychopathology and Violent Crime. American Psychiatric. ISBN 978-0-88048-834-1.[page needed]
  35. ↑ "Личность расторможенная - это... Что такое Личность расторможенная?" [Disinhibited personality]. Словари и энциклопедии на Академике (in Russian).[unreliable source?]
  36. ↑ Günther, Katrin (24 June 2008). Diagnose 'Psychopath' - Die Behandlung von Soldaten und Zivilisten in der Marburger Universitäts-Nervenklinik 1939-1945 [Diagnosis 'Psychopath' - The treatment of soldiers and civilians in the Marburg University Psychiatric Clinic 1939-1945] (Thesis) (in German). doi:10.17192/z2008.0366.
  37. ↑ 37.0 37.1 37.2 Huber, Gerd. "Psychiatrie: Lehrbuch für Studium und Weiterbildung", Page 444+
  38. ↑ Villinger (December 1937). "Über individuelle und kollektive Methoden in der Psychotherapie" [About individual and collective methods in psychotherapy]. Zeitschrift für die gesamte Neurologie und Psychiatrie (in German). 158 (1): 413–419. doi:10.1007/BF02870762. S2CID 179037457.
  39. ↑ 39.0 39.1 Scholz, Dr. L. with Dr. Adalbert Gregor, "Anomale Kinder, Berlin. 1919. Page 157-159
  40. ↑ British Journal of Psychiatry, Special Publication, Issues 9-11, Page 30
  41. ↑ Psychiatrie der Brandstiftung: Eine psychopathologische Studie anhand von Gutachten [1 ed., 2005
  42. ↑ Waltisbühl, Rudolf. "Die Bekämpfung des Landstreicher und Landfahrertums in der Schweiz" (1944), PP 69, 109
  43. ↑ 43.0 43.1 43.2 Burnett, Matthew (November 2013). Psychopathy: Exploring Canadian Mass Newspaper Representations Thereof and Violent Offender Talk Thereon (Thesis). hdl:10388/ETD-2013-11-1285.
  44. ↑ Kraepelin, E. (1912). Psychiatry: A textbook for students and physicians (7th ed.) (A. R. Diefendorf, Trans.). London: Macmillan. (Original work published 1903–1904)
  45. ↑ Kristianson, P. (November 1976). "Classification of the MMPI profiles of two alcoholic groups". Acta Psychiatrica Scandinavica. 54 (5): 359–380. doi:10.1111/j.1600-0447.1976.tb00132.x. PMID 1007940. S2CID 20547244.
  46. ↑ Hampton, Peter J. (November 1951). "Representative Studies of Alcoholism and Personality: I. Naturalistic Studies". The Journal of Social Psychology. 34 (2): 203–210. doi:10.1080/00224545.1951.9919074.
  47. ↑ Kankeleit, Dr. "Alkohol und Geisteskrankheiten", Hamburg, 1926
  48. ↑ Zentralblatt fur die gesamte Neurologie und Psychiatrie. Springer. 1962. p. 166.
  49. ↑ Knaack, Kirsten. Die Hilfschul: 8. Aktueller wissenschaftlicher Rassismus in der Neuen Rechten am Beispiel der Zeitschrift "Neue Anthropologie"
  50. ↑ Halmi, Alice. "Kontinuitäten der (Zwangs-)Psychiatrie. Eine kritische Betrachtung", 2008
  51. ↑ Wetzell, Richard F. "Inventing the Criminal: A History of German Criminology", page 151-152, 276
  52. ↑ Markus T. Gastpar, Siegfried Kasper, Michael Linden, "Psychiatrie und Psychotherapie", 2013, pg 226
  53. ↑ Exner, Dr. Franz. "Kriminologie", Heidelberg, 1949.
  54. ↑ Luxenburger, Dr. Hans. "Die Schizophrenie und ihr Erbkreis", pp 791, 1051, 1092, 1113, 1121, 1143, 1257 of the "Handbuch der Erbbiologie des Menschen", 1939
  55. ↑ "erichs-kriminalarchiv". Archived from the original on 2020-12-04. Retrieved 2020-12-23.
  56. ↑ Kruger, Wolfgang (2008). Kriminalchronik des Dritten Reiches. Kirchschlager. ISBN 978-3-934277-24-3.
  57. ↑ Berliner Lokal-Anzeiger, July 10, 1937, Evening Edition
  58. ↑ Berliner Volkszeitung, July 6, 1937 evening edition
  59. ↑ Bleuler, Eugen. "Lehrbuch der Psychiatrie", 1916.
  60. ↑ Mezger, Edmund. "Probleme der strafrechtlichen Zurechnungsfähigkeit", 1949. Page 4
  61. ↑ 61.0 61.1 Adler, Herman M., "s:Psychiatric Contribution to the Study of Delinquency", 1917
  62. ↑ 62.0 62.1 Tonge, W. L. (30 April 1955). "The Neurasthenic Psychopath". British Medical Journal. 1 (4921): 1066–1068. doi:10.1136/bmj.1.4921.1066. PMC 2061785. PMID 14363794.
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