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I'm sure there's some people out there who are clinicly insane from day one but those are probably the rarity.
A LOT of it has to do with parenting. Children will take things as far as you let them. Some are more empathetic by nature and won't harm others by reason of their inherant sensitivities. Other's are rebellious or strong willed and will do anything and everything they can to piss others off or hurt others. Either kind of child can grow into something quite evil if completely unguided or given a bad example to follow. BUT the rebellious, strong willed child will more likely become the "evil" one.
I guess in my opinion a person is given a certain set of blueprints to begin with. The parents eliminate some of those blueprints through their child rearing stretegies. In the end the child has to choose which final blueprint will be what they are.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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