This is the age of understanding and progress, so it’s only natural that psychiatry be our generation’s flagship academia. It’s hip, it’s open minded and it’s liberal. Gone are the atrocities of lobotomies and electro-convulsion therapy (also known as ECT.) More and more we are using simple doses of carefully engineered medication in co-ordination with what is colloquially referred to as “talk therapy” (also known as Cognitive Behavioral Therapy or CBT.) In his book, The Psychopath Test: Journey Through the Madness Industry, author Jon Ronson explores the transition between the old school horror show visions we get of insane asylums and straight jackets to our very open minded seeming and liberal modern psychiatric industry.
Ronson, self-styled detective and author of Them and Men Who Stare At Goats, begins his journey with an unlikely request from a professor. This professor, and many others across the world, has received a mysterious book in the mail that can only be described as a puzzle unto itself. As Ronson begins his attempts to track down the author of the book and figure out why it was sent so prolifically to members of University academia, he finds himself drawn into a world of obsessives related to the book who quickly direct his fascination from the book to the psyche of the author and his own obsessions.
In an attempt to better understand the obsessions behind the author of the mysterious book and his own growing anxiety, he begins speaking with psychiatrists related to the book. More questions without answers are growing in his mind and he shifts his focus, the book is no longer interesting, the brain is. What made the author so deluded and himself so chronically anxious and troubled?
Thus starts Ronson’s “Journey Through the Madness Industry.” What follows are meetings with disbarred psychiatric doctors who’s unsuccessful and radical treatment techniques earned them a career exile. Once proud and ground breaking facilities such as Oakridge in Canada that tried to turn psychopaths into normal humans by dosing them with LSD, cramming them in an isolation room together naked, and letting them treat each other for as much as a week straight.
Ronson travels the globe speaking with both shamed psychiatrists and lauded ones such as Dr. Robert Hare. Dr. Hare invented the PCL-R, the psychopath checklist revised. This checklist is used on modern parole boards across the United States as well as other countries to help determine if the prisoner would re-offend due to his or her possible mental status as a psychopath. 20 questions this test consists of, score too high and you may never be released.
Armed with the PCL-R and a preparatory course on it’s use, Ronson continuously travels trying to ferret out psychopaths in our midst.
The Psychopath Test: Journey Through the Madness Industry is a stirring recounting of Ronson’s very personal sleuthing into the validity of modern psychiatry. What started as a few questions leads to interviews with both modern and recent psychiatrists that expose what makes the sane different from the sane, and whether our modern treatments are any less barbaric than those we so often shame.
This book runs the risk of seeming preachy, baring an agenda, and inhuman but Ronson never ceases to put his own feelings, doubts, and fears into each and every inquiry. What results is a novel sized investigative journalism article that is both heart breaking, awe inspiring, and intermittently hilarious.
Ronson’s brilliant interviewing style exposes the guilt, shame and pride held by some of the most daring psychiatrists in recent history. His talks with Dr. Hare being the most profound example. Dr. Hare, the pioneering psychiatrist in the research and understanding of psychopathology, is intensely proud of his psychopath test but also deeply ashamed at it’s modern uses. The passion and love that these psychiatrists have for their work is clearly evident.
Ronson does not stop at simply speaking with the men who charge by the hour to hear your problems, he also delves deeply into the lives of those affected by the engine of modern psychiatry. This is particularly evident in the relationship Ronson develops with a young man who has been imprisoned in the notorious psychiatric hospital known as Broadmoor. Home to serial killers, serial rapists, and the worst of Britain’s criminally insane. This young man, charged with assault at the age of 17 reported that he faked his way in to get out of 7 years of jail time. Ronson finds him at 29, having spent 5 years longer than his initial sentence, imprisoned; almost half of his life spent in Broadmoor. This man has been diagnosed as a psychopath. What follows is the friendship between Ronson and the anonymous psychopath’s pleas for help in being released.
Ronson expounds on his deeply personal doubts about the true state of his friend’s mental health, what makes psychopath’s so dangerous, why our culture is attracted to insanity, and whether we are medicating and treating people who are completely normal in this terrifically sincere book.