Jeffrey Epstein may have a psychiatric disorder, but not the one he often is accused of having.

Welcome to the Carlisd Psychiatry podcast, keeping psychiatry honest since 2003.

I'm Chris Agen, the editor-in-chief of the Carlatt Psychiatry Report.

And I'm Kelly Newsom, a psychiatric MP, and a dedicated reader of every issue.

Last week, we reviewed a post-mortem analysis of Jeffrey Epstein's personality by forensic psychologists

who used the Harr Psychopathy Check checklist to assess antisocial traits.

The average adult scores four on this 40-point scale.

Prisoners and sex offenders score around 22.

Epstein scored 29, just under the 30-point cutoff for clinical sociopathy.

But the breakdown of his score is more revealing.

The psychopathy checklist has two factors. Factor one captures the core features of a skillful

antisocial, charm, manipulation, pathological lying, lack of remorse, shallow emotions,

and lack of empathy.

Epstein scored a perfect 16 out of 16 there.

Factor 2 captures behavioral problems, impulsivity, criminal history, parasitic lifestyle, poor self-control.

These are not the hallmarks of a quote successful antisocial,

and it is here that Epstein lost points.

He was calculating, patient, strategic.

He wasn't getting arrested for bar fights.

He was cultivating relationships

and managing his image.

Music and managing his image.

...