"Dr. Schouten and Mr. Silver have written a sophisticated self-help book aimed primarily at those victims — parents, spouses and co-workers — but also at those who might sense some of these traits in themselves. The authors include a detailed discussion of the thought processes behind a psychiatric evaluation and an overview of the still-tentative theories of causation.

The almost-psychopaths are inherently fascinating; they may rise high and fall low (certain scions of politics and finance come to mind) or simply cause smaller miseries in their roles as controlling spouses, manipulative colleagues or uncontrollable teenagers.

At work they may be competent, self-disciplined and high-achieving. At home they may be charming and lots of fun. And on the inside they may be just as morally empty as any true psychopath, but the almost-psychopaths are grounded enough to keep some of their worst instincts in check, staying employed and out of major legal trouble."

—Abigail Zuger, New York Times, June 26, 2012

"Most of us have had an inexplicably uncomfortable feeling upon meeting certain people. They do not fit the psychopath mold, but they leave us with the proverbial hairs on the back of our necks standing alert. Schouten and Silver have done a masterful job explaining both why we have this reaction and how we might deal with almost psychopaths."

—Mark Albanese, MD, Assistant Clinical Professor of Psychiatry at Harvard Medical School and the Director of Addictions at Cambridge Health Alliance.

“At a time when the label “psychopath” has devolved into a mere epithet, Schouten and Silver provide the understanding that comes from recent research in the field, as well as their many years of education, training, and clinical practice. Most importantly, their “operational” approach to interactions with those who demonstrate psychopathic behaviors provides a primer for all who might otherwise fall prey to psychopathic behaviors of colleagues, co-workers, and yes, even family members.”
—Gregory Saathoff, MD,
Author; Criminal Poisoning: Clinical and Forensic Perspectives
Associate Professor of Research, University of Virginia School of Medicine

“Psychopaths are the predatory and very dangerous few. Those who are “almost a psychopath” create mischief and misery for many. In this marvelous book of knowledge, wisdom, and sound advice, the subclinical—or should we say subcriminal—psychopath is brought to life. He can be dangerous but not lethal, duplicitous but not completely fraudulent. We finally have a book to help us recognize and cope with this personality.
—Reid Meloy, PhD Forensic Psychologist and author, The Psychopathic Mind

“The Almost Effect Series of books captures the fundamentally hum experiences and helps readers interpret what the symptoms might mean—both for themselves and others. The Almost Effect collection should be required reading for those interested in psychology and human behavior.”
—Howard J. Shaffer, PhD,
Associate Professor at Harvard Medical School,
Director of the Division on Addiction at the Cambridge Health Alliance Co-author; Change Your Gambling, Change Your Life

"Most of us have had an inexplicably uncomfortable feeling upon meeting certain people. They do not fit the psychopath mold, but they leave us with the proverbial hairs on the back of our necks standing alert. Schouten and Silver have done a masterful job explaining both why we have this reaction and how we might deal with almost psychopaths."
—Mark Albanese, MD, is an Assistant Clinical Professor of Psychiatry at Harvard Medical School and the Director of Addictions at Cambridge Health Alliance.

"By highlighting the continuum of psychopathy and placing its associated symptoms and behaviors within the context of everyday encounters, the authors make understanding these difficult to manage people a little bit easier for everyone."
—Sally C. Johnson, MD

Almost a Psychopath "is a powerful read for those who want to better understand this mental illness and how to work with such individuals."
- The Midwest Book Review