Table of Contents

Part I: The Psychology of Altruism

Chapter 1: Pathological Altruism - An Introduction
Barbara Oakley, Ariel Knafo, and Michael McGrath

Chapter 2: Empathy-Based Pathogenic Guilt, Pathological Altruism, and Psychopathology
Lynn E. O'Connor, Jack W. Berry, Thomas Lewis, David J. Stiver

Chapter 3: A Contextual Behavioural Approach to Pathological Altruism
Roger Vilardaga and Steven C. Hayes

Chapter 4: Codependency and Pathological Altruism
Michael McGrath

Part II: Psychiatric Implications of Pathological Altruism

Chapter 5: Self-Addiction and Self-Righteousness
By David Brin

Chapter 6: Pathological Altruism and Personality Disorder
Thomas A. Widiger and Jennifer Ruth Presnall

Chapter 7: The relevance of pathological altruism to eating disorders
Rachel Bachner-Melman

Chapter 8: Animal Hoarding: How the Semblance of a Benevolent Mission Becomes Actualized as Egoism and Cruelty
Jane N. Nathanson and Gary J. Patronek

Chapter 9: Everyone's friend? The case of Williams syndrome
Deborah M Riby, Vicki Bruce, & Ali Jawaid

Part III. Societal implications of pathological altruism

Chapter 10: Pathological Certitude
Robert Burton

Chapter 11: Altruism and Suffering in the Context of Cancer: Implications of a Relational Paradigm
Madeline Li, Gary Rodin

Chapter 12: Considering Pathological Altruism in the Law from Therapeutic Jurisprudence and Neuroscience Perspectives
Michael L. Perlin

Chapter 13: Pathological Altruism: Victims and Motivational Types
Brent E. Turvey

Chapter 14: Does No Good Deed Go Unpunished? The Victimology of Altruism
Robert J. Homant and Daniel B. Kennedy

Chapter 15: Suicide Attack Martyrdoms: Temperament and Mindset of Altruistic Warriors
Adolf Tobeña

Chapter 16: Genocide: From pathological altruism to pathological obedience
Augustine Brannigan

Chapter 17: Too Much of a Good Thing? Foreign Aid and Pathological Altruism
Guruprasad Madhavan and Barbara Oakley

Chapter 18: Was Gandhi A "Pathological Altruist"?
Arun Gandhi

Chapter 19: A Contrarian Perspective on Altruism: The Dangers of First Contact
David Brin

Chapter 20: Is Pathological Altruism Altruism?
Bernard Berofsky

Chapter 21: Altruism, Pathology, and Culture
John W. Traphagan

Part IV. Cultural and evolutionary dimensions of pathological altruism

Chapter 22: Culture-gene coevolution of empathy and altruism
Joan Y. Chiao, Katherine D. Blizinsky, Vani A. Mathur, Bobby K. Cheon

Chapter 23: The Messianic Effect of Pathological Altruism
Jorge M. Pacheco and Francisco C. Santos

Chapter 24: Battered Women, Happy Genes: There Is No Such Thing as Altruism, Pathological or Otherwise
Satoshi Kanazawa


Part V. The development and underlying brain processes of pathological altruism

Chapter 25: Empathy, Guilt, and Depression: When Caring for Others Becomes Costly to Children
Carolyn Zahn-Waxler & Carol Van Hulle

Chapter 26: Autism, Empathizing-Systemizing (E-S) Theory, and Pathological Altruism
Simon Baron-Cohen

Chapter 27: Seduction Super-Responders and Hyper-Trusters: The Biology of Affiliative Behavior
Karol M. Pessin

Chapter 28: Empathic Distress Fatigue Rather than Compassion Fatigue? - Integrating Findings from Empathy Research in Psychology and Social Neuroscience
Olga Klimecki and Tania Singer

Chapter 29: Hell's angels-a runaway model of pathological altruism
Marc D. Hauser

Chapter 30: Altruism gone mad
Joachim I. Krueger

Chapter 31: Pathology, Evolution, and Altruism
David Sloan Wilson

About the Author

Barbara Oakley is an associate professor of engineering at Oakland University in Michigan. Her work focuses on the complex relationship between social behavior and neuroscience. Her books include Cold-Blooded Kindness (Prometheus Books, 2011) and Evil Genes (Prometheus Books, 2007).

Ariel Knafo is a senior lecturer in psychology at the Hebrew University of Jerusalem. His research deals with the genetic and environmental contributions to empathy and altruism and how children's genetics affect their behavior and the way parents react to them.

Guruprasad Madhavan, a bioengineer, is a program officer in policy and global affairs at the National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and the National Research Council - collectively called the National Academies - in Washington, DC. He is senior co-editor of Career Development in Bioengineering and Biotechnology (Springer, 2008).

David Sloan Wilson is SUNY Distinguished Professor of Biology and Anthropology at Binghamton University. His books include The Neighborhood Project (Little, Brown, 2011), Evolution for Everyone (Delacorte, 2007), Darwin's Cathedral (Chicago, 2002), and Unto Others (Harvard,1998).

Reviews

"A scholarly yet surprisingly sprightly volume...The book is the first comprehensive treatment of the idea that when ostensibly generous 'how can I help you?' behavior is taken to extremes, misapplied or stridently rhapsodized, it can become unhelpful, unproductive and even destructive."
--Natalie Angier, The New York Times
"What a wonderful book! This is one of the few books in evolutionary biology I've read in the past ten years that taught me something completely new."
-Edward O. Wilson, Pulitzer Prize Winner and Pellegrino University Research Professor Emeritus, Harvard University
"The coverage of topics is breathtaking.... The reader will emerge with a much deeper and nuanced understanding of altruism in reading this book, the best on altruism in the last 15 years."
-Dacher Keltner, Professor of Psychology, University of California, Berkeley; author of Born To Be Good: The Science of A Meaningful Life
"This unique volume manages the impressive feat of pulling together the best research from psychology, genetics, neuroscience, evolutionary biology, and law on well-meaning but ultimately harmful forms of self-sacrifice. It will forever change the way you look at altruism."
-Sharon Begley, Science Editor, Newsweek, and author of Train Your Mind, Change Your Brain
"An essential reading for anyone who truly cares about helping others."
-Paul Zak, Professor of Economics, Claremont Graduate University, and co-editor of Moral Markets: The Critical Role of Values in the Economy
"What is grand about the collection is that light pours in through every contribution, and even the glare of competing views can reveal dark assumptions."
-Robert J. Richards, Morris Fishbein Professor of Science and Medicine, The University of Chicago, and author of Darwin and the Emergence of Evolutionary Theories of Mind and Behavior (winner of the Pfizer Prize in History of Science)
"This volume is unique in examining 'pathological altruism' from various angles with unfailing insight and depth."
-Elkhonon Goldberg, Clinical Professor of Neurology, New York University School of Medicine, and author of The New Executive Brain,The Wisdom Paradox, and The Executive Brain
'''Be careful what you wish for' might be one way of summing up the take-home message of this strikingly original book, highlighting the fact that 'more is not always better' when it comes to either being the altruist or the recipient of altruism."
-Jay Belsky, Professor of Pyschology; Birkbeck University of London
"Is pathological altruism a disease, an addiction, an evolutionary relic, or perhaps a mirage? This is a wonderfully engaging and thought provoking book; you may not agree with all of its arguments, but you'll never look at kindness quite the same way again."
-Oren Harman, Chair of the Graduate Program in Science, Technology and Society, Bar Ilan University, Israel, and author of The Price of Altruism
"It is rare-actually, probably unprecedented-to find in a single volume discussions of the moral right to sell one's kidney, of friends who enable an alcoholic's benders out of a misplaced sense of empathy, of people who hoard animals (the not-at-all apocryphal crazy neighbor who lives with 87 cats), of the psychological motivations of suicide bombers, of the genetics of individualism and collectivism, and of the frequent failings of well-intentioned foreign
aid programs. This is that rare, if not unique, volume. It manages the impressive feat of pulling together the best research from psychology, genetics, neuroscience, evolutionary biology, and law on
well-meaning but ultimately harmful forms of self-sacrifice. It will forever change the way you look at altruism." --Sharon Begley, Science Editor, Newsweek, and author of Train Your Mind, Change Your Brain
"Can there be too much of a good thing? Surely, eating too many chocolate chip cookies will lead to a sore stomach, but too much altruism bringing about harm?! In Pathological Altruism, experts in diverse fields consider the phenomenon of radical altruism, from battered women to suicide martyrs, and from autistic people to foreign aid givers, and all the way to Mahatma Gandhi. Is pathological altruism a disease, an addiction, an evolutionary relic, or
perhaps a mirage? This is a wonderfully engaging and thought provoking book: you may not agree with all of its arguments, but you'll never look at kindness quite the same way again." --Oren Harman, Chair of the
Graduate Program in Science, Technology and Society at Bar Ilan University, Israel, and author of The Price of Altruism
"WOW-what a book! Can one be too nice? In this fascinating volume Barbara Oakley and her collaborators show how altruism can bleed into misplaced, excessive, self-righteous, or self-serving pathologies. Why this occurs and its societal implications make this book essential reading for anyone who truly cares about helping others." --Paul Zak, Professor of Economics and Director, Center for Neuroeconomics Studies, Claremont Graduate University, co-editor of
Moral Markets: The Critical Role of Values in the Economy
"Pathological altruism? Sounds like an oxymoron, but this fascinating book quickly convinces you that altruism can go seriously mad and bad. The great breadth and quality of contributors to this book from psychiatry, psychology, and philosophy - and that's just the 'P's' - shed light on the dark side of our evolutionary propensity towards altruism, which can be subverted to a wide range of pathologies such as survivor guilt, drug co-dependency, personality
disorders, and eating disorders. When within-group altruism is exploited to between-group hostility, it can lead to suicide martyrdom and genocide." --Robert Plomin, MRC Research Professor and Deputy
Director, Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London; author of Behavioral Genetics (now in its 5th edition), and past-president of the Behavior Genetics Association
"What most of us perceive as unmitigated evil, its perpetrators sometimes regard as self-sacrifice in the name of some delusional cause. Suicide bombers, terrorists, messianic cult leaders guiding their following to self-destruction usually think of their heinous acts as benefiting humanity at the cost of self-deprecation. So did Adolf Hitler. To understand such behaviors, it is necessary to understand 'pathological altruism' in its many manifestations. This
volume is unique in examining 'pathological altruism' from various angles with unfailing insight and depth. The book will be an invaluable source for psychologists, psychiatrists, sociologists,
historians, criminologists, as well as fascinating reading for the general educated public." --Elkhonon Goldberg, Clinical Professor of Neurology, New York University School of Medicine and author of New Executive Brain, Wisdom Paradox, and Executive Brain
"Read this book. You will learn much that would be new to you, whatever your expertise or interest. And I would be surprised if you don't enjoy this voyage of discovery."
-Francisco J. Ayala, Templeton Prize Laureate and University Professor, University of California, Irvine
"It will lead the way for future investigators and scientists to open the doors of inquiry into a new and most interesting field of inquiry. It is well done, reader friendly, and highly praised by leaders in the scientific and educational communities. I will add my praise to those and recommend it highly." -- Lois Bennett, Ph.D., New York Journal of Books
"Overall, this is a well-written, easily comprehensible collection of typological (epidemiological) investigations into "altruism's gloomy underbelly" (p. 7)asserting that "some people are pathological altruists in their essence" (Krueger, p. 298). From its seemingly oxymoronic title to the final chapter, the content flows logically in a coherent, clear, and convincing presentation of all aspects of altruism. Ultimately, the book adds to the growing scientific
examination of empathy and prosocial behavior. It is a must read for clinicians and researchers interested in these fields." -- Lora Humphrey Beebe, PhD, Issues in Mental Health Nursing
"Apparently not, at least for a lot of people. One of the best pieces in Pathological Altruism is David Brin's chapter on addiction to indignation: "Self-addiction and Self-righteousness." You might see why looking to feel outraged as often as you can is pathological, but how could overweening, self-righteous huffiness ever be described as altruistic?" -- Los Angeles Review of Books
"This book offers a well-balanced sense of how altruistic acts can cause harm to the self, to
any intended target(s), and to society at large. Although not organized into these categories,
Pathological Altruism highlights the problems that can emerge when personal, civic, and
civil agendas are left unchallenged." -- PsycCRITIQUES