Eh, psychopaths are incapable of sympathizing with others, they have pretty much no innate sense for morals.
If their condition is found, they learn how to behave and can adapt to that, but if someone they do not have a very personal, selfish interest in were to drown, they would feel no desire to help, at all.
They have no desire to murder but would probably see nothing wrong with it if it furthers their own interests. And wouldn't lose a minute of sleep over it. However, all of this is also not their fault, they've just been wired differently and who are we to claim that our wiring is the better one?
It's also not like "normal" people cannot turn off their moral compass and murder someone for very selfish reasons.
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