The impaired functioning of these areas of the brain affects the ability of individuals with psychopathy to form associations between stimuli and consequences, such as hurting other people and the fear and distress others display as a consequence, or making a poor choice and receiving a punishment. Altogether, the reduced activity within these areas of the brain impairs responses to emotional stimuli and decision making. The key question is: do these differences in the brain make someone into a psychopath, or does their behaviour change the brain?