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Lab 10: Personality Disorders

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

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Lab 10: Personality Disorders

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  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, don’t learn from mistakes, no empathy or consideration of others, acts for the thrill of it. • Similar but inflated elements of APD diagnosis

  7. Hare’s 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. Hare’s 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. Hare’s 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 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?

  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, can’t 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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