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He shows no remorse in business, in his personal life and during his murders. He lies to get his way, such as when he says the blood stains are cranberry juice, and plays into Paul Allen mistaking him for Marcus Halberstram. He breaks countless rules/laws, such as commuting murder, not doing any work at his job, cheats on his fiancé and much more. Most of which Bateman does possess throughout the story. Such as Rule/Law Breaking, Excessive Lying, Remorselessness, Impulsive Behavior, etc. It is usually categorized and diagnosed by a set of behaviors. Anti Social Personality Disorder also known as Sociopathy is a mental illness in which a person has a complete disregard for others, and have no remorse or emotion toward others. Anti Social Personality Disorder, and Narcissistic Personality Disorder.
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Yet due to observation and fan theories, it can be narrowed down to two personality disorders. It is never made clear as to what Patrick Bateman's illness is, or if he even has one.
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It is curious to wonder what he suffers from and how it plays into his character and why it drives him to do what he does.
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Seeing that he is a serial killer or he believes himself to be one. It is clear he does have a mental illness, and is delusional. The character of Patrick Bateman is quite interesting in how he could be diagnosed mentally. These are the major differences between the film and it's source material. While there are many more differences between the film and novel. Another major scene from the novel removed from the film, is when Bateman tortures a woman by forcing a Rat into a woman's vagina, and trapping it inside forcing the rat to eat its way out while Bateman chops off her legs with a chainsaw. This scene is removed entirely from the film. "I ate some of their brains, and I tried to cook a little." In the novel Bateman kills a young child at the zoo, to see if he would like it or not. This is completely ignored in the film, the cannibalism is only briefly referenced, in the scene where Bateman confesses to his lawyer all his actions in which he says. Throughout the book we hear of his countless sick and demented actions of him cooking his victims flesh, and having sexual intercourse with his victims bodies, and various body parts. In the novel aside from a serial killer, he is also a cannibal and a necrophile.
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Most of these changes were made to ensure the film received an R rating, despite the film getting an Unrated cut later, some of the acts described in the novel could very well get the movie banned. This is the reason the novel had so much controversy around it. The most obvious and major change from the two, is the amount of on-screen Violence that is shown between the two. In the book there are three separate chapters which deal with Bateman's obsession for Pop Music in which he goes much more in depth in his analysis and gives his overall opinion. When Bateman talks with Paul Allen about Huey Lewis and the News, as well as the escorts about Phil Collins, and Whitney Houston. The movie we only get minor tellings of these, and usually it's when he is comparing himself with someone else. The novel is filled with these explanations that sometimes take up more than one page. Much of the novel is described in terms of people's clothing and the accessories they wear, as in the yuppie lifestyle, is how they see who has the better lifestyle. Henceforth why Bateman says "Don't touch the watch." As for major differences, there are many as there are even entire scenes from the book left out of the movie. Rolex did not allow the film to use their name as they did not want to be associated with a violent movie. The scene were Bateman sleeps with the two escorts, the novel he uses the word Rolex. Also while most of the dialogue from the novel is similar in terms of wording, they are slightly changed up to match the actors portraying the characters. The names were changed since it was later discovered that there were real people who worked on Wall Street with those names, and they production could run into trouble down the road. In the book their names are Timothy Price, and Paul Owen. In the novel Timothy Bryce and Paul Allen have mildly different surnames. In the film he is a much older character played by Willem Dafoe. Some Minor Differences are, The character of Donald Kimble is a man around Bateman's age, 27, or 28. Yet due to run time, and content wise, there is much that is different from the novel. There is also many similarities or things taken directly from the novel. There are many differences from American Psycho the novel, and the film.