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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:

  • Rigid patriarchal structure: the capo di tutti i capi embodies absolute paternal authority. Loyalty is vertical, unconditional, and sanctioned by death.
  • Ritualization: initiation ceremonies (the punciutu — finger prick, burning of a holy image, blood oath), dress codes, coded language. These rituals create an identity bond that activates the same neural circuits as religious belonging (Inzlicht et al., 2009).
  • State substitution: the mafia does not merely violate the law — it replaces it. It dispenses justice, collects taxes (the pizzo), offers protection and employment. The mafioso perceives himself as a man of order, not as a criminal.
  • Transgenerational transmission: one is born into the mafia. The godfather's son is raised to inherit. Trauma and loyalty are transmitted like a genetic patrimony.
  • 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:

  • Pure economic motivation: the cartel is a business. The mafioso speaks of honor; the narcotrafficker speaks of margins. Pablo Escobar did not claim to dispense justice — he bought the State directly.
  • Instrumental violence vs. cultural violence: in the mafia, violence is codified, ritualized, measured. In the cartels, violence is spectacular, excessive, designed to terrorize. Decapitations, narcomensajes (messages left on corpses), torture videos published on social media — this ostentatious brutality has no equivalent in the mafia tradition.
  • Absence of a structured code of honor: no formal omerta, no standardized initiation rituals. Loyalty is purchased, not sworn. It lasts as long as the money flows.
  • Mass recruitment: where the mafia recruits through family, the cartel recruits through poverty. The sicarios (hitmen) are often teenagers from the poorest colonias, recruited as young as 12-14. The psychological profile is different: less primary psychopathy, more traumatic desensitization.
  • Organizational lifespan: mafia families last generations. Cartels explode and reform within a few years, driven by arrests and internal wars. The Medellín cartel (Escobar) lasted 15 years. The Gambino family has existed since 1910.
  • 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:

  • Primary identity function: the gang replaces the absent family. For a fatherless adolescent (a theme we know well), the gang offers what the home does not: structure, protection, recognition, identity. The typical gangster profile is one of disorganized attachment (Main & Hesse, 1990) who finds in the gang a substitute attachment system.
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