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Psychopathy and Other Disorders (Personality Disorders)

Psychopathy and Other Disorders (Personality Disorders) - I...

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January 30, 2012 I. Psychopathy and Other Disorders: Differential Diagnosis a. Dissociative Identity Disorder (Multiple Personality) vs. Psychopathy a.i. E.g., Billy Milligan vs. Kenneth Bianchi (“Hillside Strangler”), John Gacy a.ii. DSM-IV diagnostic symptoms: a.ii.1. Presence of two or more distinct identities or personality states a.ii.2. Identities/states alternate in controlling behavior a.ii.2.a. Absorption: being completely engrossed and being unaware of outside environment a.ii.3. Inability to recall important personal information, not explainable by ordinary forgetfulness a.ii.3.a. Lapses in memory from one state to another a.ii.4. Not due to direct physiological effect of a substance or a general medical condition a.iii. Psychopathic killers do report experience II. Psychopathy and DSM-IV Personality Disorders a. Clinical Disorders (Axis I) and Personality Disorders (Axis II) a.i. Personality Disorders a.i.1. Cluster A (odd or eccentric disorders) a.i.1.a. Paranoid personality disorder a.i.1.a.i. Characterized by irrational suspicions and mistrust of others a.i.1.a.ii. Want to make connections but very anxious a.i.1.b. Schizoid personality disorder a.i.1.b.i. Lack of interest in social relationships, seeing no point in sharing time with others, anhedonia, introspection a.i.1.b.ii. More comfortable being alone a.i.1.c. Schizotypal personality disorder a.i.1.c.i. Characterized by odd behavior or thinking a.i.1.c.ii. Maybe having visions or “magical” thinking a.i.2. Cluster B (dramatic, emotional, or erratic disorders) a.i.2.a. Antisocial personality disorder a.i.2.a.i. A pervasive disregard for the law and the rights of others a.i.2.b. Borderline personality disorder a.i.2.b.i. Extreme “black and white” thinking, instability in relationships, self-image, identity and behavior a.i.2.c. Histrionic personality disorder a.i.2.c.i. Pervasive attention-seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions a.i.2.d. Narcissistic personality disorder a.i.2.d.i. A pervasive pattern of grandiosity, need for admiration, and a lack of empathy a.i.3. Cluster C (anxious or fearful disorders) a.i.3.a. Avoidant personality disorder a.i.3.b. Dependent personality disorder a.i.3.c. Obsessive-compulsive personality disorder b. Psychopathy and DSM-IV Personality Disorders b.i. PDs in cluster b (“dramatic, erratic”) relate most to psychopathy as defined by the PCL-R b.ii. Narcissistic PD (more common in men) and Histrionic PD (more common in women) relate to PCL-R Factor 1 (emotional-interpersonal features) b.iii. Antisocial PD (more common in men) and Borderline PD (more common in women) relate more to PCL-R Factor 2 (behavioral deviance features)
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c. Antisocial Personality Disorder vs. Psychopathy c.i. Antisocial PD behaviors Psychopathy c.i.1. Lack of remorse ------------ Factor 1 c.i.2. Deceitfulness --------------- Factor 1 c.i.3. Impulsivity ----------------- Factor 2 c.i.4.
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  • Spring '12
  • ChristopherPatrick
  • Borderline personality disorder, Antisocial personality disorder, Histrionic personality disorder, Psychopathy

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Psychopathy and Other Disorders (Personality Disorders) - I...

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