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Antisocial Personality Disorder and Pathological Narcissism in Prolonged Conflicts and Wars of the 21st Century

Published online by Cambridge University Press:  12 October 2015

Frederick M. Burkle Jr
Frederick M. Burkle Jr*
Affiliation:
Harvard Humanitarian Initiative, Harvard School of Public Health, Cambridge, Massachusetts Senior International Public Policy Scholar, Woodrow Wilson International Center for Scholars, Washington, DC National Academy of Medicine, Washington, DC.
*
Correspondence and reprint requests to Frederick M. Burkle, Jr, MD, Harvard Humanitarian Initiative, 14 Story Street, 2nd Floor, Cambridge, MA 02138 (e-mail: fburkle@hsph.harvard.edu).
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Abstract

The end of the Cold War brought with it many protracted internal conflicts and wars that have lasted for decades and whose persistent instability lies at the heart of both chronic nation-state and regional instability. Responsibility for these chronically failed states has been attributed to multiple unresolved root causes. With previous governance and parties to power no longer trusted or acceptable, the vacuum of leadership in many cases has been filled with “bad leadership.” This Concept piece argues that in a number of cases opportunistic leaders, suffering from severe antisocial character disorders, have emerged first as saviors and then as despots, or as common criminals claiming to be patriots, sharing a psychological framework that differs little from those responsible for World War II and the Cold War that followed. I describe the identifying characteristics of this unique and poorly understood subset of the population who are driven to seek the ultimate opportunity to control, dictate, and live out their fantasies of power on the world scene and discuss why their destructive actions remain unabated in the 21st century. Their continued antisocial presence, influence, and levels of violence must be seen as a global security and strategic issue that is not amenable to conventional diplomatic interventions, negotiations, mediations, or international sanctions. (Disaster Med Public Health Preparedness. 2016;10:118–128)

Keywords

narcissismwar and conflicthumanitarian crises and aidantisocial personality disordernarcissistic personality disorderinternal warsnegotiations
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Issue 1 , February 2016 , pp. 118 - 128
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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