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Paradox of the Sociopath's Confession

"Out, Out, Damn Spot"

Often a confession is driven by remorse, guilt, the drive to "do the right thing".

But, how to reconcile the act of confession with the diagnosis of sociopathy?

Control is the driving force in a sociopath's mind.

Waiting, wondering, worrying about someday being arrested is antagonistic to sense of control.

Confession restores control of sorts to the sociopath's mind.

Is Lady Macbeth a sociopath? Or is her insomnia due less to lack of control than to human guilt.