Twelve Tips To Identify Professional Parasites

“Stay away from lazy parasites, who perch on you just to satisfy their needs, they do not come to alleviate your burdens, hence, their mission is to distract, detract and extract, and make you live in abject poverty,” writes Nigerian author Michael Bassey Johnson (Goodreads Website)


Enablers are often in the helping professions—doctors, nurses, teachers, social workers and other careers that require an unselfish concern for others. But when cainists show up in these avocations, it’s like a blow to the back of the knees.

This winter I required in-home nursing care after three consecutive surgeries, an abdominal wound that took five months to heal (still 2 cm to go) and hospitalization on Christmas day due to congestive heart failure. In-home nursing care was arranged to pack and unpack the wound every other day and check vitals and my heart.

My first nurse, an Enabler, was warm, caring, and competent. She listened attentively, cared deeply for her patients, and I trusted her with my whole heart. Then…along came the cainist. From the start,  this second nurse lacked the comfy, caring touch expected from someone in the nursing profession. But because I didn’t anticipate a cainist in the nursing field, I was ill-prepared for the inattentive, negligent treatment I received. Plus I was recuperating with limited energy to fight battles. Unfortunately, when a cainist walks in, life burns with emotional poverty and upset.

The care I received lacked professional ethics most of the time. But then the entire life of a cainist lacks integrity. He is a phony parasite who takes but can’t give. Veiled and devious, cainistic behavior takes a long time to understand. To protect yourself, Enablers must watch for the following characteristics regardless of the profession:

  1. Cainists Are Crafty Manipulators.  While the competent nurse with 18 years experience drove over 900 miles one week to visit sick patients, the cainistic nurse somehow wrangled her hometown area shortly after she was hired…to sidestep all that driving. Unfortunately, I lived in her town, stuck with her. Cainists are expert manipulators who get what they want when they want it by any means possible. And they will step on anyone to get their desires. There is no such word as “fairness” in their vocabulary.
  2. Cainists are Lazy. They always look for the easy way. I asked the nurse to obtain a medical test from the hospital via her computer, but she hunched her shoulders, saying she couldn’t do it. Looked more like I don’t know how and don’t care to learn to me. Sure enough. Later, I learned that the hospital hook-up was available for all in-home nurses, but the cainist wasn’t interested in putting forth any extra effort to help a patient.  Additionally, checking my feet and legs for edema was the biggest joke of all. Initially, she removed my slippers to look at my feet, but eventually she waited for me to do it. Apparently, bending down was literally and figuratively beneath her. Generally speaking, cainists are too arrogant, too important, to do mundane work. Then she would weave an elaborate story, everything from relatives vacationing in another state to a medical story about another patient, as she poked the top of my foot with her finger over and over in the same spot while staring out the glass slider door. I thought:

How can she possibly assess whether I have edema in my feet and legs while looking outside? And how can she count pulse rate while she’s talking?

On many occasions she would say I had no edema when it was blatantly clear that my feet were swollen and my ankles were bulbous. It was confusing to live in Cain’s fantasy world until I realized that she wasn’t checking edema at all. She was using a sneaky tactic –talking about other things to divert my attention while totally ignoring my health problems. It was her perpetual scam as you will notice throughout this blog.

Additionally, it was vitally important to pack my wound correctly or it would close up, trapping blood, causing infection. The competent nurse packed the wound in less than a minute, quickly like they had done in the hospital. The cainistic nurse took five minutes or longer which was grueling as she poked and probed and stabbed the wound with a harsh, hard touch until the nerves in my abdomen exploded in pain, as well as triggering nausea. Yet, the packing kept falling out. One time I caught her using the wooden end of the Q-tip instead of the soft cotton end to push the packing into the wound. I believe she thought it would stay in better, never caring about the pain it caused me or the risk of infection. She was definitely not practicing within the scope of competence. How I dreaded those visits.

Nor did she care enough about her patient to ask for outside help from her supervisor or a doctor when I complained about the discomfort. When I was on my last nerve, I Goggled “how to pack a wound,” watched a video on YouTube, and through my subtle suggestions guided her on what to do  to reduce my pain. (This is another example of laziness and lack of empathy as I was the one who had to do the research because she was not motivated (lack of empathy) to make changes on her own).

When I started packing the wound myself, I asked the doctor to slash her visits to once a week. Apparently, that was an insult to her pretentious self because after that, she basically did nothing but take a blood pressure reading and measure the wound which she got wrong most of the time. One time she had used the inches side of the ruler instead of the centimeter side so the measurement was way off. She talked constantly about needing and shopping for reading glasses but never wore any. One time she said she found some cute ones, but I don’t think she bought them because she never wore them.

Nurses, like doctors, take a vow to do no harm but simply learning ethical codes does not make a cainistic nurse principled. Cainists are imposters going through the motions, hoping no one notices their hoax and scam. A nurse’s code of ethics also demands no exploitation. Yet, that is one of Cain’s strongest tools to get what he wants. And what better place to exploit than among the frail, ill and elderly. I was paying for services and getting very little except for a feeling that my caregiver cared more about her own power and needs than about my needs and care. 

In the last six weeks, she pared down my visits to a blood pressure check, watching me change my own abdominal wound and then using the rest of her time to finish her computer work while regaling me with stories about her day. It felt like passive-aggressive revenge on her part. It was as if she were non-verbally saying,  If you cut my services, I’ll cut yours. She was in control, regardless if it cheated her patient.

3. Cainists Talk Only About Themselves. If I had sciatica, she had it too. If arthritis bothered my hands, she woke up with her hands hurting that morning, too. If she didn’t have it, then one of her other patients had it, and I would hear about the problems of a client I didn’t know. I reached the point where I shared very little because in a typical cainistic bait-and-switch, the topic of conversation (and attention) always shifted to her.

For instance, one day I had hives all over my face from a reaction to a medication. She looked at my face, nodded and started talking about how she couldn’t find a certain flavored yogurt that she liked, that she would have to look at a different store…no, she had already looked for it at that store…blah blah, blah. After babbling on about yogurt, she changed the course of the conversation to avoid dealing with the hives. If problems didn’t exist, she didn’t have to do anything.

4. Cainists Are Pathological Liars Who Lack Empathy.  Author Barbara Oakley in her book Cold-Blooded Kindness,  points out that cainists have deficits in the right side of the brain–the side that allows for empathy (p 268).

“Psychopaths have a glib ability to lie that is somehow part and parcel of their strangely different neurological make-up,” writes Oakley.

If my blood pressure was high, the cainistic nurse would take it several times to try to get a lower reading for her records, no doubt, a self-protection game. If something happened to me, like a stroke or heart attack, she would be off the hook, referring to her screened documentation. One day all the BP readings she took were high, so she used lower numbers I had obtained in the morning from my wrist monitor. She did not care if the records were true or untrue. Cainists seek self-interest over substance.

5. Cainists Are Arrogant, Know-it-alls. When I asked her if anyone at the agency had ever shown her how to pack a wound, she informed me in a rather defensive, haughty tone that she had worked in a doctor’s office for ten years and saw many wounds packed. From experience I knew there was a gigantic difference between the first nurse who had wound experience and the cainistic nurse who had watched a wound being packed.

Later I found out that she was not a nurse, but an assistant, when she worked at the doctor’s office, and she had not worked there for almost a decade. A cainist has no curiosity to learn things on her own–they know it all. It would have capsized her illusions of grandiosity to ask for help. She was an RN. End of topic. I’ve often wondered if the nursing agency had ever checked her credentials to verify if she truly had a nursing degree. Whenever I would tell others about my experiences with her, the frequent question was, “Is she an RN?”

I always wondered why an agency would hire someone with no wound experience, then give her a patient who had a serious (8 cm down from 10 cm) abdominal wound?  I don’t know, but if she were a true cainist, she probably lied to the hiring board to nail the job, stating she had wound experience when she didn’t. And I was the unfortunate guinea pig.

6. Cainists Don’t Remember Because They Don’t Listen. We remember things that interest us, and Cain’s interest is in himself. Listening to others takes too much energy unless the topic of conversation is about him. He’s interested in himself. The nurse had a horrible memory, but no doubt it was because she didn’t listen. One day I told her I had had an agonizing gout attack on Tuesday morning of that week. When I quit talking, she said nothing about the gout, then asked if I had fallen recently?

When I said, “No, but I was afraid I might Tuesday,” she responded, “Why, what happened Tuesday?” Obviously, she had not listened to my story about waking up on Tuesday morning unable to walk due to a severe gout in my left foot. She made no further reference to the gout nor did she look at my foot that day which is 100% derelict. This also points to her deficit in empathy.

7. Cainists Light Up Like a Christmas Tree Gluttons for Attention.  Every time she visited, she acted deeply depressed. I was battling many health issues and spending time with a depressed nurse was demoralizing. In retrospect, I think it was just another strategy not to ask too much of her.

Then one day my former cleaning woman–who talked to much and worked too little– was at the house when the cainistic nurse visited. Cainists fake being wondrous, considerate, and helpful. She perked up brighter than a 500 watt bulb with a new audience. It was amazing to see her display energy and charisma, morphing into someone I had never seen before. I was dumbfounded over her  sudden magnetism. She kept drawing the cleaning woman into the conversation, which I found highly unprofessional, but like an addict with a fresh reservoir, she wanted to be viewed as friendly, supportive and outgoing while pulling out all the stops to garner brand new attention. Who was this masked woman, I wondered?

8. Cainists Think They’re Above the Law and Do What They Please. The competent nurse was the supervisor of the cainistic nurse. When the competent nurse resigned, my nurse acted like she didn’t have to do the routine vital checks. In fact, she didn’t have to do much of anything. The week I suffered a gout attack in my foot, she never looked at the foot. Another time I needed blood drawn. She cancelled two appointments due to personal reason, and when she returned to work, she pretended she didn’t remember that I needed a blood draw (even though we had previously scheduled it three times). When I realized she wasn’t waiting for a convenient time to do it but was trying to ignore and forget it, I reminded  her. Cainists think they can do whatever they want to do regardless of laws or ethics. She didn’t care that my doctor wanted a blood draw.

9. Cainists are Thieves.  They rarely have an original idea and because they are lazy, they steal ideas from others and pass them off as their own without giving credit where credit is due. The day I terminated, the cainistic nurse didn’t care enough to take the time to measure and check my wound one last time for her final report. She asked if I had changed the wound yet, and when I said no, she said, “We don’t have to if you don’t want to.” She made no attempt to do so. However, she kept asking me what the doctor had said at my last appointment, so I knew she planned to use his stats and comments for her documentation. She asked if he measured the width of the wound, and when I said “no,” she dropped the subject. I’m sure she filled in the width from her previous visit because she didn’t measure it for the termination visit.

10. Cainists Won’t Support You Because of  Their Jealousy. One of my cleaning women was steeped in passive-aggressive anger (see earlier post written about this), and eventually I got a new cleaning person who is excellent. She wants to please and takes great pride in her work. The cainistic nurse knew how much trouble I had had with the previous cleaning person so I shared my good news about my new, efficient one. It fell on deaf ears. She absolutely didn’t respond. Not one word. It was like she was deaf (something she did to me much of the time). That’s because cainists are jealous of other people’s good luck. They don’t want others to be happy. They want you to be as miserable as they are. Their jealousy (and exploitation) destroy almost every relationship eventually.

11. Cainists Push Emotional Buttons to Feel Powerful. The day I terminated, she suddenly asked me, “Do you have heart failure?” in a tone that acted as if she were interested. Mind you, she had stopped listening to my heart and lungs after her supervisor resigned weeks beforehand, nor did she do it for the last visit for the termination report. Yet, now she was interested?

When I answered affirmatively, she looked it up on her computer and with great amazement said, “Oh, yes, you have chronic systolic heart failure.” (I suspected she knew and precisely why she had quit listening to my heart and lungs for fear she would find a problem and, as usual, never wanted to deal with problems). Think about how corrupt that behavior is?

I knew I had a leaky mitrol valve called mitrol regurgitation, but wanted to know if systolic heart failure was something apart from the mitrol value problem? She said it was a problem with the systolic heart value. I had never heard of a systolic heart valve but must admit it instilled deep fear in me, thinking I had problems with two of my heart values. I wondered why I had not been informed of this by physicians.

Hours later, when I caught myself wallowing in fear, I thought: Wait a minute. Cainists always try to push your emotional buttons. They like to scare others which gives them power over people. I researched it, finding no such separate systolic heart value. What it means is that the left side of the heart does not pump blood efficiently due to various complications one of them being my condition of mitrol regurgitation.

I don’t know if she was trying to frighten me into keeping nursing services because I was the third patient who had terminated that day,  or if she was just too lazy to look it up and had no qualms about spewing the wrong information. I suspect the latter. Either way, cainists will always find a way to gain power over you, usually by pushing your emotional buttons to upset  you. I was terminating her sermons, so she was leaving me in fear. Who does that? Cainists do that.

12. Cainists Are Inconsistent. They are frauds with no real values. They say one thing and do another because they balance life with what’s best for them not what’s best for others. This nurse would say she’d call on a certain day or evening, then wouldn’t call. These set ups were frustrating to say the least and grew worse over time. It felt like a sneaky way to have me think about her constantly. The week before I terminated, she said she would call on the day of my doctor visit (Tuesday) to make sure he didn’t cancel. Then she would either see me Wed or Friday, but not Thursday because she had that day off. She didn’t call Tuesday. She didn’t call Wednesday. She called Thursday the day she said she would not call.

I terminated her care last week. I often wonder who is receiving her miserly self-absorbed (lack of) care now.

Cainists are everywhere in every profession. You don’t expect to find them in the helping professions, but there they are when you least need them. What’s so troubling is that your best interest will not be at heart because cainists are all about themselves. When you find them in the helping  professions–an area where you need empathy, consistency, and truth–you find the opposite.

Every nurse and every patient should be outraged by cainists who fail to promote the honorableness and integrity of their profession.  Cainists are incapable of being an ethical professional, and you must look out for yourself. Trust your intuition. Hopefully the above-mentioned characteristics will help you identify a parasitic cainist and avoid the harm they inflict–especially if you are ill.

If you have something to share about this post, please leave a message in the Comment section below. I love to hear from my readers. Thank you.







I Gave You Everything, and Still You Were Empty

1426470_554136038004702_621961254_nDuring a recent book group meeting, we discussed the extremes in personalities and behavior between two sisters, Anna and Maria, portrayed in the book The Island by author Victoria Hislop. The sisters were as different as night and day; Anna, beautiful and selfish; Maria, obedient and compassionate. One group member remarked that one family would never find two siblings with such diverse scruples and values raised in the same household.

Knowing about the current neuroscience of cainism, I totally disagree. For the record, the infamous, serial killer Ted Bundy had four siblings, whom he spent much of his time babysitting. All of which leaves me wondering how they might have been emotionally terrorized by him. They were sitting pigeons for his low-to-no levels of empathy, manipulation and lack of conscience and remorse.

In the book, The Island, the younger daughter, Maria, remained a caring daughter to her kind, generous father after the girls’ mother was sent to a leper colony in Greece and later died. But the oldest daughter, Anna was contrary and self-absorbed throughout her childhood and grew into a cold, deceitful woman. These sisters grew up in the same household, raised by the same doting father, yet, their personalities were the difference between evil and sainthood.

Over the last two decades, neuroscience and genetics have shown that on some level cainists are born the way they are. They possess low levels of empathy, if they feel anything at all. Cainists don’t respond to normal childhood experiences in a normal way. At the same time, Enablers are born with an excessive empathy gene, indomitable hope and helpfulness. The difference? She is able to learn from experiences and manage her behaviors. She needs to scale down her compassion if it prevents her from enjoying a life of her own.

For instance, Maria, refused to marry someone she loved deeply because it would take her far from her father who she felt needed her, especially after the death of his wife by leprosy. Most Enablers automatically understand that depth of compassion. A cainist would never give up his own life for the benefit of another. He might arrange it to “look” that way, but it will always be under his terms and conditions, and it simply doesn’t matter if it is the best for the person in need.

In the opposite direction, the older sister, Anna, rarely found time to visit her loving father. It was an inconvenience. She seemed to give him little thought, engaged in an extramarital affair, focused on her own pleasure. Although The Island was a fictional, historical novel, it delineated the Cain and Enabler Complex precisely. The uncaring cainist (Anna) and the overly compassionate Enabler (Maria.)

When a parent has a cainistic child whose brain is neurologically deficient at birth, it can be extremely hard to ascertain whether he’s experiencing normal jealousy over the birth of a new baby brother or sister, but within time the difference is evident; his jealousy and anger fail to dissipate. In fact, he will be angry with all siblings born into the family just because they exist, robbing him of precious parental attention. He will show the same reaction over and over, and hang on to his anger forever. Nothing changes.

As parents try to teach this cainistic child how to nurture and respond with love to his sibling(s), there is a total emotional disconnect based on the neurological defects. He doesn’t “get it.” He doesn’t learn and he doesn’t change. He’s constantly angry and irritated. He might come through under pressure, but he’ll do it with no more emotion than if he were counting jelly beans in a jar. And only if authority is nearby, watching, all the while resenting the forced lesson.

In a recent blog radio show, counselor Jennifer Young at the Institute for Relational Harm Reduction Public Psychopathy Education, explained: “These disorders are indicative of little to no conscience, little to no empathy, little to no emotional depth or insight, and little to no sustaining change. Those parts of the brain are broken. Clearly people without empathy cause dramatic, intense mounts of harm to other people.”

Think about how a normal sibling feels, growing up with a hurtful cainistic sibling. There will never be any depth of caring from this cainistic sibling. Whatever Cain does is based solely on what he wants in the moment, and he will manipulate and control his environment to get it, including all his siblings. For example, he might agree to play Monopoly if his sibling sets up the board game (time consuming job), but when they are finished with the game, he says, “You got it out, you have to put it away.” He’s constantly in control. Nothing will be for the best interest of the sibling over Cain’s interest.

He’s rarely ever cooperative unless it is to look good in front of others and thereby gain something for himself. He loves a doting audience who he has conned into thinking he is kind and cooperative. If the sibling asks or demands that his needs are met, Cain reacts with hostility. If the sibling gets his needs met, Cain makes sure someone pays, most likely in a passive-aggressive way to hide the abuse.

Cainism is not a brain disorder where one can go back and do inner child work or regression therapy and change the personality. It is what it is. Cainists lack the whole emotional range that normal people have at their fingertips, especially the Enabler who is hard-wired with excessive empathy traits. There are no warm fuzzies hidden in Cain’s heart that you will somehow extract by a magic formula, such as, saying the right thing or doing the right thing.

The Institute for Relational Harm Reduction Public Psychopathy Education points out that our conscience and our empathy are how we connect with others in the world, how our species has survived all these centuries. Look how people came together after the tragedy of 9/11 to help others in need. As Sandra Brown, M.A. stated during the same blog radio show with Jennifer Young: “Empathy is our humanity. Impulse control is generated from the ability to be empathetic.” Cainists simply don’t have the full emotional spectrum with which to relate.

During Cain’s childhood, it’s a matter of what doesn’t develop in the personality under normal circumstances. His brain is broken. He doesn’t experience normal empathy or compassion. Take this example. A sibling falls and breaks his leg. The only emotion a cainist feels about the incident is that the broken leg robs him of parental time and attention. His emotions consist of jealousy and anger that he’s not center stage. He resents his sibling for existing and doubly so for breaking a leg and needing more parental time. There are no normal feelings of care and concern for his sibling during this difficult time.

You can imagine how this coldness impacts siblings who grow up with Cain. Often they blame themselves (that’s what children do) as if something is wrong with them that their cainistic sibling won’t love them. That is totally wasted effort. That’s why parents need to educate themselves about cainism and then teach other siblings the difference about emotional abilities and reactions and give the normal siblings a strong background in self-worth by praising and noticing their empathetic qualities. Too often parents are afraid of Cain’s anger, dropping the lessons of compassion because they rile Cain, making him impossible to live with.

Unfortunately, this cold, uncaring and selfish behavior of cainism is pervasive and enduring throughout his life which means it affects how the cainist thinks, feels, reacts, and behaves when he turns fifty, sixty, seventy, or eighty-years old. His behavior won’t change because his dysfunctional brain is incapable of learning lessons or connecting with emotions. He will learn what kinds of control methods work or don’t work to get what he wants, but there is no compassion or caring attached to what he learns. He controls his environment to meet his whims at the expense of others.

If parents, themselves, are insecure and looking for their children’s love, they may give in to Cain’s every desire erroneously thinking it will be an exchange for love. But due to his broken brain, Cain is incapable of real love. It won’t happen. He can’t feel things. Some parents spend their entire lifetime trying to get a cainist child to love them and subsequently they allow a terrorist to develop and control the entire family.

So, while a parent is teaching the same lesson to a Cain and an Enabler within the same family under the same roof, there are two very different emotional responses and outcomes. “One of the perils of having a huge heart is that it breaks almost daily.But this is a sad fact with which I have learned to live.” (Harriet in The Invention of Beauty). That quote is something the Enabler knows daily. And one the cainist will never understand.

The diverse characters in the book, The Island, reminded me that cainists are born and incapable of change. So whether it is your parent, sibling, mate or child, stop hoping for change that will never come. It’s a game you can’t win. Instead learn how to deal directly with his manipulations to prevent destruction of the entire family. If it’s an adult relationship, run in the opposite direction as if your shoes are on fire.