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Lab 10: Personality Disorders

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Title: Lab 10: Personality Disorders


1
  • Lab 10 Personality Disorders

2
Personality Disorders
  • Axis II of the DSM - they are seen as
    longstanding, pervasive and inflexible patterns
    of behaviour and inner experience
  • Deviate from the expectations of the persons
    culture
  • Impair social and occupational functioning
  • Some, but not all, can cause emotional distress

3
Video 2 Antisocial Personality vs Psychopathy
  • Does he meet criteria for Antisocial Personality
    Disorder?
  • Does he show any remorse or empathy when
    describing his offending?
  • Does he meet criteria for being a psychopath
  • What are your overall impressions of this person?

4
DSM IV Criteria Antisocial Personality Disorder
  • A) Pervasive pattern of disregard for and
    violation of the rights of others occuring since
    15yrs as indicated by 3 or more of the following
  • 1) Failure to conform to social norms with
    respect fo lawful behaviours i.e repeatedly
    arrested
  • 2) Decietfulness
  • 3) Impulsivity or failure to plan ahead
  • 4) Irritability and aggressiveness
  • 5) Reckless disregard for safety of self or
    others

5
APD criteria cont..
  • 6) Constant irresponsibility
  • 7) Lack of remorse, indifferent or rationalizing
    to having hurt others
  • B) At least 18 years of age
  • C) Evidence of Conduct Disorder with onset before
    15 yrs of age
  • D) Antisocial behaviours not only during
    Schizophrenia or a manic episode.

6
Criteria for Psychopathy
  • No DSM criteria
  • Literature (Cleckly, Hare) indicates psychopaths
    have a lack of both positive and negative
    emotions, no sense of shame, positive feelings
    mearly an act, superficially charming,
    manipulates others for personal gain, lack of
    negative emotions, dont learn from mistakes, no
    empathy or consideration of others, acts for the
    thrill of it.
  • Similar but inflated elements of APD diagnosis

7
Hares PCL-R item groupings
  • Factor 1 Interpersonal or Affective
  • Glibness or superficial charm
  • Grandiose sense of self-worth
  • Pathological Lying
  • Conning or manipulative
  • Lack of remorse or guilt
  • Shallow affect
  • Callous or lack of empathy
  • Failure to accept responsibility for actions

8
Hares PCL-R cont
  • Factor 2 Social Devience
  • Proneness to boredom
  • Parasitic lifestyle
  • Poor behavioural controls
  • Early behavioural problems
  • Lack of realistic long-term goals
  • Impulsivity
  • Irresponsiblity
  • Juvenile delinquency
  • Revocation of conditional release

9
Hares PCL-R cont.
  • Additional Items
  • Promiscuous sexual behaviour
  • Many short-term marital relationships
  • Criminal versatility

10
Video Clip 2 Antisocial Personality Disorder
  • What criteria does this person meet for APD?
  • What impact has this mans personality had on his
    life?
  • What early experiences seem significant as
    possible predisposing/precipitating factors?
  • Does this man seem remorseful when describing his
    offending?
  • What differences do you see between this clip and
    the one shown previously?

11
Party full of People exhibiting Personality
Disorders
  • What type of personality disorder does each
    person at the party show?
  • What does this exercise show about stereotyping?
  • You might know some people like this can you
    explain the continuim approach to personality?

12
Possible Diagnosis of People at the Party
  • Donna Histrionic Personality Disorder
  • William Schizotypal Personality Disorder
  • Sherry Borderline PD
  • Winston Narcissistic PD
  • Peter Obsessive Compulsive PD
  • Doreen Paranoid PD
  • Margie Avoidant PD
  • Harold Schizoid PD

13
Case Blood is Thicker Than Water
  • Dependent PD described as lacking self
    confidence and self reliance, passively allow
    other to take responsibility of decisions for
    them, intense need to be taken care of, feel
    uncomfortable when alone, preocupied with fears
    of being left alone to take care of themselves,
    unable to make demands on others.

14
Case Blood is Thicker than Water
  • In what way is this person expriencing social or
    occupational disruptions in functioning?
  • What about this set of symptoms is pervasive,
    longstanding and inflexible?
  • Is it causing the person emotional distress?
  • Does his behaviour deviate from what is expected
    in your culture?

15
Case The Workaholic
  • Compulsive PD perfectionist, preoccupied with
    details, rules and schedules, often pay so much
    attention that they fail to finish projects, work
    rather than pleasure orientated, have difficulty
    making decisions and allocating time in case they
    make a mistake, stubborn and demanding, serious,
    rigid, formal and inflexible, usually miserly or
    stingy, cant throw things away.

16
Case - Workaholic
  • In what way is this person expriencing social or
    occupational disruptions in functioning?
  • What about this set of symptoms is pervasive,
    longstanding and inflexible?
  • Is it causing the person emotional distress?
  • Does his behaviour deviate from what is expected
    in your culture?
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