Abnormal Exam 3 Matthew Antisocial Personality Disorder sociopath Personality Disorder criteria Always with you Enduring pattern of inner experience or behavior that deviates from the expectation of one s culture o Engage in exciting behaviors lack emotionality Cognition Affectivity emotionality Interpersonal functioning Lacks impulse control Antisocial Personality Disorder criteria Conduct disorder is a precursor Often tortures other animals lacks emotionality to care for living creatures Disregard for and violation of rights of others o Unlawful o Deceitful clever at lying o Impulsive o Irritable and aggressive o Reckless disregard for safety of self or others o Irresponsible o Lack of remorse EXAM Interpersonal danger signals Forced teaming wants to give the message that you re in the same boat Charm and niceness manipulative Too many details very still and focused when lying not fidgety Typecasting slightly critical labeling with the aim of getting you to disprove of him Loansharking make victim feel debted to you give them something they don t ask for Unsolicited promises Discounting NO Psychological test data on Matthew Given an MMPI Elevated scales of four and nine psychopathic tendencies and mania Concepts from Textbook Chapter 14 Case study Harold BPD impulsive suicidal unable to cope w emotions Dimensional vs Categorical diagnosis of personality disorders Categorical diagnosis 11 diagnoses grouped into 3 clusters o Cluster A paranoid schizoid schizotypal personality disorders odd eccentric behavior o Cluster B antisocial borderline histrionic narcissistic overdramatic emotional erratic unpredictable behaviors o Cluster C avoidant dependent OCD anxious fearful behaviors o Problems too much overlap between clusters no room for somewhat antisocial or narcissistic behavior Dimensional diagnosis original 12 personality disorders down to 6 o Clinicians assign ratings along four sets of criteria Antisocial Avoidant Borderline Narcissistic o First two personality functioning how individual expresses their personality o Second two individual s personality as reflected in relationships with others o Rate individuals from mild to extreme then rate specific personality traits o 79 criteria 25 core criteria The various personality disorders Paranoid personality disorder individual is unduly suspicious of others and is always on guard against potential danger or harm Schizoid personality disorder characterized by indifference to social relationships as well as a limited range of emotional experience and expression Schizotypal personality disorder primarily involves odd beliefs behavior appearance and interpersonal style may have bizarre ideas or preoccupations such as magical thinking and beliefs in psychic phenomena Antisocial personality disorder characterized by a lack of regard for society s moral or legal standards and an impulsive and risky lifestyle Borderline personality disorder characterized by a pervasive pattern of poor impulse control and instability in mood interpersonal relationships and sense of self Histrionic personality disorder characterized by exaggerated emotional reactions approaching theatricality in everyday behavior Narcissistic personality disorder characterized by an unrealistic inflated sense of self importance and a lack of sensitivity to the needs of other people Avoidant personality disorder people have a low estimation of their social skills and are fearful of disapproval rejection and criticism or being ashamed or embarrassed Dependent personality disorder individual is extremely passive and tends to cling to other people to the point of being unable to make any decisions or to take independent action Obsessive compulsive personality disorder involves intense perfectionism and inflexibility manifested in worrying indecisiveness and behavioral rigidity Moral culpability in people with antisocial personality disorder Psychopathy to an offender harsher sentence court perceives the person as lacking any redeeming qualities The emotional insensitivity that is a hallmark of psychopathy makes an individual less able to appreciate the moral consequence of his her actions Without the ability to appreciate the punishment that may follow a crime psychopaths cannot learn from their experiences and are doomed to become emotionally depraved Emotional processing deficit in antisocial personality disorder Difficulty processing negative emotional stimuli sad facial expressions Deficit is related to their inability to develop a sense of morality they cannot empathize with their victims no remorse over harming them Response modulation hypothesis in antisocial personality disorder Attempts to explain the failure of individuals high in psychopathy to learn from negative experience and to process emotional information People have a dominant and nondominant focus of their attention in any given situation Psychopaths are unable to pay enough attention to secondary cues to switch modulate their attention when necessary Focus only on what they can get from a situation money power and not consider that if they pursue these rewards that punishment may result Emotional dysregulation lack of awareness understanding or acceptance of emotions inability to control the intensity or duration of emotions unwillingness to experience emotional distress as an aspect of pursuing goals and inability to engage in goal directed behaviors when experiencing distress Sandra Marie Borderline Personality Disorder Symptoms of borderline personality disorder Instability in relationships self image affects and impulse control 5 o Abandonment fear repetition of huge loss o Unstable and intense relationships idealization devaluation splitting Cannot see a person with positive and negative aspects o Identity disturbance o Self damaging impulsivity sex substances driving binging spending o Suicidal behavior gestures threats self mutilating o Affective instability and reactivity o Chronic emptiness soothe with substances sex relationships o Inappropriate intense anger lashing out o Paranoid ideation or dissociation hypersensitivity sometimes so extreme can lead to a dissociative state DBT Dialectical Behavior Therapy Treatment approach for people with BPD integrates supportive and cognitivebehavioral treatments to reduce frequency of self destructive acts and to improve client s ability to handle disturbing emotions such as anger and dependency This person is in terrible pain burn victim scolded by a