Dans la tete du parrain
Ce que la psychologie revele sur les caids — du DSM-5 a la rue
By Gildas Garrec — CBT Psychotherapist
Introduction — Why analyze the psychology of mobsters?
On May 23, 1992, half a ton of TNT exploded under the A29 motorway, near Capaci, Sicily. Judge Giovanni Falcone, his wife Francesca Morvillo, and three escort officers died instantly. The detonation was so powerful that it registered a seismic signal of magnitude 3.
Fifty-seven days later, Judge Paolo Borsellino was assassinated by the same method. Via d'Amelio, Palermo. Five additional escort officers.
The man who ordered both massacres, Salvatore "Toto" Riina, watched the television news that evening with his family. He ate dinner normally. He slept.
How does a human being order the assassination of seven people — including the wife of a man he has never met — and sleep without difficulty? How does a human mind compartmentalize violence and normalcy to such a degree?
This is the central question of this book.
What this book is not
This book is not a true crime account (a literary and audiovisual genre dedicated to real criminal cases, told in narrative form). There will be no dramatic reenactments, no cliffhangers, no morbid fascination. Bookstores and streaming platforms already overflow with content that transforms criminals into seductive anti-heroes.
Nor is this book a moral indictment. Moral judgment is the work of judges and juries, not the clinician's. A forensic psychiatrist evaluating a defendant does not "condemn" him — he describes a psychological functioning. That is exactly what we are going to do.
What this book is
An exercise in applied clinical analysis.
Each profile is treated as a case file. We will apply the tools of contemporary clinical psychology:
The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition, American Psychiatric Association, 2013) provides standardized diagnostic criteria. When we refer to "Narcissistic Personality Disorder" or "Antisocial Personality Disorder," we are referring to precise clinical categories with operationalized criteria.
The ICD-11 (International Classification of Diseases, 11th revision, World Health Organization, 2022) offers a complementary framework, particularly through the new dimensional model of personality disorders that replaces rigid categories with a spectrum of traits.
The PCL-R (Psychopathy Checklist-Revised, Hare, 1991, revised 2003) remains the gold-standard tool for assessing psychopathy. Its 20 items, scored from 0 to 2, produce a score out of 40. The diagnostic threshold is set at 30 in North America, 25 in Europe. We will use it systematically for real profiles.
The Adverse Childhood Experiences (ACE), developed by Felitti and Anda (1998), quantify the impact of developmental trauma — a factor omnipresent in mafia trajectories.
Attachment theory (Bowlby, 1969; Ainsworth, 1978; Main & Hesse, 1990) illuminates relational dynamics within criminal organizations, where tribal loyalty often replaces the secure attachment absent in childhood.
Structure of the analysis
The book is divided into five parts.
Part 1 lays the theoretical foundations. Before analyzing individuals, we must understand the psychological mechanisms common to all mafia profiles: compartmentalization, tribal loyalty, rationalization, the founding trauma, and narcissism as a driving force. We will then explore the psychopathy spectrum, the code of honor as a parallel morality, and childhood as the breeding ground for organized crime.
Part 2 analyzes twelve real profiles: Al Capone, Pablo Escobar, Lucky Luciano, Griselda Blanco, Toto Riina, John Gotti, Anthony Spilotro, Kazuo Taoka, Amado Carrillo Fuentes, Matteo Messina Denaro, Haji Mastan, and Vyacheslav Ivankov. For each, we will propose reasoned diagnostic hypotheses and an estimated PCL-R score.
Part 3 dissects five iconic fictional characters: Tony Soprano, Michael Corleone, Walter White, Tommy Shelby, and Gustavo Fring. The goal is not to "diagnose" fictional characters, but to analyze what their narrative arcs reveal about our collective understanding of criminal psychology.
Part 4 focuses specifically on women in the mafia — wives, accomplices, and bosses — an angle systematically under-analyzed in the literature.
Part 5 broadens the frame: why the mafia fascinates us, and what psychological levers exist to prevent mafia recruitment.
A methodological note
The retrospective analysis of historical figures is a delicate exercise. We do not have clinical interviews, complete histories, or psychometric tests. We have biographies — often hagiographic or demonizing —, court testimonies, memoirs of turncoats, and sometimes partial psychiatric evaluations.
Each diagnostic hypothesis will therefore be presented as such: a hypothesis. We will systematically use conditional formulations: "traits compatible with," "profile suggestive of," "PCL-R score estimated between X and Y." Clinical rigor demands it.
That said, the exercise is not futile. Retrospective analysis is a recognized method in forensic psychiatry and historical psychology. It has been applied to figures as diverse as Adolf Hitler (Langer, 1943), Vincent van Gogh (Blumer, 2002), and Steve Jobs (Isaacson, 2011). The goal is not definitive diagnosis but understanding the psychological dynamics at work.
The common thread: the normalcy of evil
If this book has a thesis, it is this: mobsters are not monsters. They are human beings whose psychological functioning can be described, analyzed, and — to a certain extent — understood with the tools of clinical psychology.
This thesis is not an excuse. Understanding is not excusing. A psychiatrist who explains the neurocognitive mechanisms of a serial killer does not "justify" his crimes. He makes the phenomenon intelligible.
Hannah Arendt spoke of the "banality of evil" regarding Adolf Eichmann. In the mafia world, evil is not banal — it is systemic. It is embedded in organizational structures, cultural codes, family dynamics. It is transmitted from generation to generation, like a genetic patrimony of crime.
It is this machinery that we are going to dismantle, gear by gear.
Let us begin.
Preliminary Chapter — What Is the Mafia? Definitions and Distinctions
Before entering the minds of crime bosses, we must name precisely what we are talking about. The word "mafia" has become a catch-all term that everyday language applies indiscriminately to any form of organized crime. This is an error. The mafia, cartels, gangs, and triads are distinct phenomena — in their structure, their culture, their relationship to power, and their psychology.
The Mafia — the State Within the State
The word mafia originally designates the Sicilian Cosa Nostra, born in the latifundia of rural Sicily in the nineteenth century. Etymologically, the term may derive from the Arabic mahyâs (boastfulness) or the Sicilian mafiusu (handsome, bold, self-assured).
Clinical definition: The mafia is a criminal organization founded on familial or pseudo-familial bonds, a ritualized code of honor (omerta), territorial control, and the capacity to substitute itself for the State in the functions of protection, justice, and economic redistribution.
Distinctive psychological characteristics:
Main organizations: Cosa Nostra (Sicily), 'Ndrangheta (Calabria), Camorra (Naples), Sacra Corona Unita (Apulia), American Mafia (Five Families of New York).
The Cartels — the Business of Violence
Definition: A cartel is a criminal organization centered on drug trafficking, structured like a multinational corporation, operating primarily in Latin America.
Psychological differences from the mafia:
Main organizations: Sinaloa Cartel, Jalisco New Generation Cartel (CJNG), former Medellín Cartel, former Cali Cartel, Primeiro Comando da Capital (PCC, Brazil).
The Gangs — the Brotherhood of Territory
Definition: A gang is a territorial criminal group, usually urban, founded on neighborhood belonging, ethnic or racial identity, and a less formalized hierarchy than the mafia.
Psychological differences:
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