Transcript Lab10PersonalityDiso..

Lab 10: Personality Disorders
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
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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?
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DSM IV Criteria Antisocial
Personality Disorder
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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
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.
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Criteria for Psychopathy
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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, don’t learn from mistakes, no empathy
or consideration of others, acts for the thrill of it.
Similar but inflated elements of APD diagnosis
Hare’s PCL-R item groupings
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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
Hare’s PCL-R cont…
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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
Hare’s PCL-R cont….
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Additional Items
Promiscuous sexual behaviour
Many short-term marital relationships
Criminal versatility
Video Clip #2: Antisocial
Personality Disorder
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What criteria does this person meet for APD?
What impact has this man’s 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?
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?
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Possible Diagnosis of People at
the Party
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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
Case: Blood is Thicker Than
Water
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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.
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?
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Case – The Workaholic
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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, can’t throw things away.
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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