Ben, in fact, the Rogochover says that murder is so heinous that even a shotteh is executed (Responsa Tzefanat Paaneach 19). It would seem that one murder is sufficient to execute him. It should be noted that a psychopath is not necessarily a murderer. He could be someone who advances by crushing everyone in his way. According to Psychology Today “Psychopathy is among the most difficult disorders to spot. The psychopath can appear normal, even charming. Underneath, he lacks conscience and empathy, making him manipulative, volatile and often (but by no means always) criminal”.
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