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I look at it a little like being a drunk, deep down those are your true values the mental illness just releases those inhibitions. I feel the same way when racists blame mental illness and drug abuse for their evil actions and speech. Those values were already in ****-ye.
I will have to disagree. Same when you are drunk. it actually distorts your thoughts and behaviors in some people. Drugs and alcohol may induce mania or psychosis in some people.
How you know someone has machevellian tendencies is when they are sober. Drugs, alcohol, and mentall illness if more on the severe end change your personality and alter and distort your thoughts, beliefs, and behavior.