“The converse. The polar opposite, in a sense. No abuse in this instance but simply a
The office sat just behind the McDonald’s on Stone Way; all I could smell were french fries and Big Macs, which kind of threw me for a loop: smelling fast food while listening to psych profiles seemed bizarre. “Both of those descriptions make sense,” I said. “But I’m wondering—just how crazy is this guy?”
“In Profile #1, the perpetrator may be quite ‘crazy,’ to use your term. He may be psychopathic or merely sociopathic, but more than likely the former. He’s probably in the mid- or late-stages of a hallucinotic syndrome, and has long since experienced a mid-phased episodic reality break.”
“Clinically, we would call Profile #1 a graduated bipolar symbolist. The effect of his illness has a tendency to switch off and on at times relative to his delusion, and to put it in general terms, when he’s
“Jeeze, that sounds pretty serious.”
“Well, it is given the gravity of the crimes. It’s unusual, though, that someone could maintain this level of bipolarity for three years. If there’s anything ‘promising’ about the diagnosis, it is the graduated aspect. He’s gradually becoming more and more insane; eventually—soon, I would say—he’ll lose his ability to maintain social functionality. And he’ll get caught rather quickly.”
“More complicated, and less predictable,” Desmond began. “Profile #2 is functionally similar in that the killer is suffering from a symbolic bipolar personality disorder. But he’s not experiencing any manner of hallucinosis and his delusions are conscious and quite controllable. The fantasy element takes over. It’s probably quite like a dream. When he’s murdering these women—and severing their hands—he’s immersed so deeply in the delusion that he’s probably not even consciously aware of what he’s doing. It’s a fixation disorder that’s run amok. Am I losing you?”
“Well, a little, yes.”
“He’s dreaming of something he never had. Only, regrettably, he’s acting out the dream in real life. Is that synopsis
But I still didn’t get it. “A dream…of cutting off hands?”
“No, no. Be intuitive. The perpetrator doesn’t see it that way. He sees it as claiming what he never had as a child. Remember—the facilitation of the mother’s nurturing touch. All infants need to be touched; the perpetrator was not. That should answer your question about what exactly he’s
I stared at him, gulped. And the implication was disgusting. “You mean he’s… taking the hands—”
“He’s taking the hands home,” Desmond finished, “and putting them on his body. His mother is at last touching him. Nurturing him. But now, in adulthood, the delusion is so thoroughly contorted and transfigured—he’s probably masturbating with the hands too.”