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UMass Amherst PSYCH 380 - Antisocial Personality Disorder

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Psych 380 1nd Edition Lecture 14 Outline of Current Lecture I. Antisocial Personality DisorderCurrent LectureI. 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 wearingThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.x. 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, has high energy and likely to get involved in troublesome behaviorXV. You can tell from this test that he has anti-social personality disorderXVI. Sentence Completion test:a. I regret: that I was stupid enough to get caught selling drugsb. What annoys me most is: being wrongly accused of what I didn’t do.i. These sentences are cues of his personality disorderii. He doesn’t regret selling drugs, just getting caught. He also won’t admit hedid something wrong.XVII. Dr. Halgin was able to see old pictures of his room in Bakera. There are electronics on a desk – he claims that his friend worked at Best Buy and was able to buy them for whole sale, Matt would then sell them to other students and make a profit on themb. He also had a pet snake – at parties he would entertain people by taunting his snake with a live mouse and making the snake go crazyi. Animal abuse is a bad signii. 2 weeks ago the FBI turned cruelty to animals into a top tier felonyiii. this will help to pick out offenders when they are young and help them to get betteriv. Jeffrey Dohmer used to impale animal headsv. Boston strangler used to put animals in boxes and shoot arrows through the boxes to kill the animals insideXVIII. Matt comes back to session a week latera. Dr. Halgin asks why he has such expensive clothesb. He says that he has a lot of credit cards and could afford the stuff from the electronics he soldc. One day he comes in with different colored contacts – says that the ladies dig blueeyesd. He goes into talking about girls – says he is triple timing 3 women into thinking he is dating theme. One of them finds out – she goes to his apartment and steals his credit cards, thenshe takes them to holyoak and throws them around random streets so that peoplecan find them and spend his moneyf. She followed him one day and started bashing into his carg. She drove him off the roadh. He was found in a ditch by police officers – when they asked what happened he claimed it was a squirrel because of everything going on in courtXIX. On the 11th week – he doesn’t show up to the sessiona. Dr. Halgin sees in the paper that he was arrested again for selling drugsb. His defense attorney said that he was abused and brought up Dr. Halginc. The judge didn’t care and put him in jail for a yearXX. 3 months later, his name was in the paper againa. he began teaching illiterate inmates how


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