One way or another, a life without conscience is a failed life.

I am not allowed by my profession to diagnose somebody from a distance, but one can observe certain symptoms of sociopathy in George W. Bush.

If you see somebody really pulling for your sympathy while at the same time hurting you intermittently, you should start to wonder. If somebody plays to your pity and really tries to draw that out of you, that's not normal.

The bottom line for most people who are normal is their need for other people. Even the greedy ones have this need - as long as they're not sociopathic. They may be very misguided and unhappy and do bad things and so forth, but in general if you look down deep, you find that these people are mainly concerned with other people and what other people think of them.

I think con man is the usual term. When somebody comes on television to tell a lot of needy people that God will send them to heaven if they send him $200, if that's not downright sociopathic, it's close.

Usually sociopaths will look down upon us for that very reason - that we're gullible. We're weak. One person told me that he thought he was the only honest person because he would admit that he didn't have a conscience and everybody else was clearly faking it.

I am always impressed by the fact that even the tiniest amount of being listened to, the barest suggestion of the possibility of kind treatment, can bring such an immediate rush of emotion. I think this is because we are almost never really listened to. In my work as a psychologist, I am reminded every day of how infrequently we are heard, any of us, or our actions even marginally understood. And one of the ironies of my "listening profession" is its lesson that, in many ways, each of us ultimately remains a mystery to everyone else.