A person may be born with a genetic predisposition to developing the disorder but may never suffer from a schizophrenic episode. However, that same predisposition coupled with a traumatic upbringing may lead to a life long struggle with several psychotic episodes. When this predisposition is coupled with a traumatic life that can lead to violent voices and hallucinations, comorbidity with antisocial personality disorder the end result can be wicked and violent. Antisocial personality disorder is a disorder that can lead to greater rates of impulsivity and lack of conscience for violence acts. In the case of David Berkowitz this comorbidity may be the reason he went on a killing spree through New York City from 1976 to 1977. When asked by authorities Berkowitz claimed that his neighbor's dog was commanding him to kill. This disconnection with reality and violent hallucinations may be ignored or controlled in a schizophrenic individual, but when there is a lack of conscience and empathy violent acts such as this may be …show more content…
Auditory hallucinations can be best described as hearing voices in one's head, and having these voices feed paranoia and aggressive actions. Recent research however has found that people who suffer from schizophrenia do not experience these hallucinations as thoughts or voices inside of their heads, but rather through their ears and truly experience another person speaking to them. Cognitive behavioral therapy is researching the causes of auditory hallucinations and the best treatment methods for these hallucinations in patients diagnosed with BPD. CBT’s most profound discovery has been that schizophrenic patients show a greater emotional connection to the voices and hallucinations they experience. The main difference lies in the affective response, schizophrenic patients will take greater power and malevolence in the inner voices and commands that they issue. These commands can lead to the more mission oriented styles and feelings associated with schizophrenic serial killers. BPD and schizophrenia can both individually provide a patient with auditory hallucinations, and when combined with increased aggression and a lacking conscience the results can be