If anything, this strikes me as a person who just really didn't like what they were doing and eventually imploded along their own personal fault-lines. Not to be overly reductive of their psychosis, of course -- one cannot disentangle the neurological from the psychological and so the way things shook out is hardly a matter of personal responsibility or playing blame.

This is all to say that they have my sympathy... but also to kind of disagree with their premise. Truthfully, the "best" bad programmers never get so far as imploding. They simply manage to sabotage everything they touch while being none the wiser. They smoothly redirect blame whenever it comes their way without even consciously thinking about it, because they truthfully believe that they are in the clear.