We are all born with an innate understanding of interpersonal equity - the idea that if you lend me your rake today, I'll respond in kind when you come to borrow my shovel tomorrow. Or nearly all of us are born with that. Psychopaths aren't.

Operating-room errors hold a special terror for patients, if only because they seem like the most avoidable kind of complications. The occasional horror stories of patients who have the wrong leg removed or the wrong knee replaced generate the most headlines, as do tales of patients whose identities are mixed up entirely.

Narcissism is actually a clever guise adopted to mask its exact opposite, which is a deep well of self-loathing, a well of low self-esteem, rather than high self-esteem. This helps explain why narcissists are so sensitive to criticism, why narcissists tend to break into outrage if they're criticized, because their self-esteem is actually much more brittle than it seems, and once they're challenged, that mask falls apart.

There are popular celebrities, there are unpopular celebrities and then there are the walking dead. You know the walking dead when you see them: they look like Mel Gibson, still striving for drunken charm in an L.A. County mug shot, after getting picked up on a DWI charge that included anti-semitic slurs directed at the police.

Is there anything sadder than the foods of the 1950s? Canned, frozen, packaged concoctions, served up by the plateful, three meals per day, in an era in which the supermarket was king, the farmer's market was, well, for farmers, and the word 'locavore' sounded vaguely like a mythical beast.

It's a deep and all but certain truth about narcissistic personalities that to meet them is to love them, but to know them well is to find them unbearable. Confidence quickly curdles into arrogance; smarts turn to smugness, charm turns to smarm.

A mere ape in our world may be a scholar in its own, and the low life of any beast may be a source of deep satisfaction for the beast itself.