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If everything about me stayed the same except for that one compulsion, I would probably feel incredibly guilty about it and would try to suppress it. The shame would also make me try to hide it, which means I wouldn't seek help or treatment.
This is an interesting question, but really unanswerable. I'm not a monster now, and I'd like to say that if I were a monster I wouldn't act like a monster. But the reality is probably that if I were a monster I'd probably act like one.
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