Lab 10: Personality Disorders

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• Lab 10 Personality Disorders

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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

• 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

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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

• 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

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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

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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

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Hares PCL-R cont.

• Additional Items
• Promiscuous sexual behaviour
• Many short-term marital relationships
• Criminal versatility

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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?

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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

• 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

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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.

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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

• 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.

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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?