Psych 380 1nd EditionExam # 3 Study Guide Lectures: 14 - 21Lecture 14 (10.28.14)Key Terms & Concepts:Personality Disorder Criteriaa. Enduring pattern of inner experience or behavior that deviates from expectation ofone’s culture (2+)i. Cognitionii. Affectivity (emotionality) – so extreme that they are dysfunctionaliii. Interpersonal functioningiv. Impulse control (lack there of)Antisocial Personality Disorder CriteriaI. Antisocial personality disordera. Disregard for and violation of rights of others (3+)i. Unlawfulii. Deceitfuliii. Impulsiveiv. Irritable/aggressive – fight over the little thingsv. Reckless disregard for safety of self or othersvi. Irresponsibilityvii. Lack of remorseInterpersonal Danger SignalsI. Characteristics of a potential predatora. Forced teaming (we are in the same boat)b. Charm and niceness (overdoes it)c. Too many detailsd. Type casting – manipulation in interaction (luring you into a stereotype)e. Loan sharking – make someone feel indebtedf. Unsolicited promisesg. Discounting “no”Psychological Test Data on MatthewMMPI - High on 4/9 (psychopathic deviant and mania)Sentence Completion TestingConcepts from Chapter 14:Dimensional vs. Categorical diagnosis of personality disordersThe various personality disorders:Personality disorder - ingrained patterns of relating to other people, situations, and events witha rigid and maladaptive pattern of inner experience and behavior, dating back to adolescence orearly adulthoodAntisocial personality disorder – a personality disorder characterized by a lack of regard for society's moral or legal standards and an impulsive and risky lifestyleMoral culpability in people with antisocial personality disorderEmotional Processing deficit in antisocial personality disorderResponse modulation hypothesis in antisocial personality disorderSplitting - a defense, common in people with borderline personality disorder, in which individuals perceive others, or themselves, as being all good or all bad, usually resulting in disturbed interpersonal relationshipsEmotional 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 distressDialectical behavior therapy - treatment approach for people with borderline personality disorder that integrates supportive and cognitive-behavioral treatments to reduce the frequency of self-destructive acts to improve the client's ability to handle disturbing emotions such as anger and dependencyNotes:I. Personality Disordera. Enduring pattern of inner experience or behavior that deviates from expectation ofone’s culture (2+)i. Cognitionii. Affectivity (emotionality) – so extreme that they are dysfunctionaliii. Interpersonal functioningiv. Impulse control (lack there of)II. Antisocial personality disordera. Disregard for and violation of rights of others (3+)i. Unlawfulii. Deceitful – most men areiii. Impulsiveiv. Irritable/aggressive – fight over the little thingsv. Reckless disregard for safety of self or othersvi. Irresponsibilityvii. Lack of remorseb. Case study; Matthewi. Issues1. Problems with family2. Dysfunctional3. Irresponsible4. Grades were suffering5. Depressedii. Referred to Dr. Halgin by another professoriii. Matthew told Dr. Halgin he was honored to have been talking to Dr. Halginiv. He was meticulously dressed1. Wearing a Rolex2. Had expensive shoes3. Was very fashionablev. “I’m messing up everything in my life”vi. was kicked off of the team he was onvii. claims that everything he does is wrongviii. kicked out of ROTCix. struggling financially1. this is questionable because of the watch he is wearingx. family history1. his parents were divorced at a young age and he was adopted by another family2. his mother was a psycho/schizo3. his father was abusive and cruelxi. his parents barely give him enough to live off ofxii. story about when he was younger and his father burned him1. his father thought he had set a couch on fire in the neighborhood – when Matthew denied it his father burned him and told him to never lie to him againxiii. suffered from psychological and physical abusexiv. Matt is 24 years old1. Which is older for a studentxv. He is a risk takerIII. Dr. Halgin asks what made him come in now? Precipitant?a. More to the story?b. He was arrested for selling drugs on campus – he was set up by an undercover cop, he/she was going to buy weed and 100 tabs of LSDc. When the undercover cop pulled out his badge, Matt swallowed the tabs and jumped out of the 2nd floor window of Bakerd. Afterwards he was taken to the hospital and treatedIV. Possible malingering?a. Caught up in crime because of financial trouble, wants to gain sympathy from the courtV. Dr. Halgin lets him know that he won’t go to court and testify for himVI. This guy is a psychopath/ has antisocial personality disorderVII. He has a bad story – lots of scars emotionally and physicallyVIII. Dr. Halgin wants to believe that he is malleable, that he can change – “rescue fantasy”a. I can save you, have an impact on your whole lifeb. Help him attain goalsIX. DSM 4 dimensions/axesa. 1st clinical disorderi. schizophrenia, depression, manic episodeb. 2nd personality disorderi. never goes awayii. person is always like thisiii. it is the fabric of who you areiv. types: panic, dependent, borderline (volatile)X. example of someone with personality disorder: Bernie Maydoffa. he exploited millions of dollars from peopleb. has no emotionalityc. he even exploited his familyd. one of his sons committed suicidee. he was insensitive to other peopleXI. another example – the Craigslist killer, Philllip Markoffa. a BU medical studentb. killed masseuse in the Copley Square hotelc. went back to his wife afterwards like nothing happenedd. was a senseless killer with no remorsee. there are audio interviews online with him that are chilling because of the lack of emotionalityXII. back to Matthewa. He claims that it is not about courtb. He wants to get betterc. He has excellent insurance – Blue Cross Blue Shield, and can cover therapy sessionsd. He also agrees for Dr. Halgin to use his case in future classesXIII. Psychological testinga. MMPIi. High on 4/9ii. Psychopathic deviant and maniaiii. Many police officers and firefighters have high 4/9 but not too highXIV. Matt is 24,