Lecture 10

Question 1

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Answer 1

NPD;
GP: 0-6,2%
Forensic: 27.7%
Higher in men than woman (50-75%)

ASPD
GP: 0.2-3.3
Forensic; 30%
More men than woman

Question 2

Types of narcissism

Answer 2

Grandiose
- dominant
- Self-assured
- Immodest
- Exhibition
- Aggression

Vulnerable (BPD ish)
- Introversion
- Negative emotion
- Hostile
- Need for recognition
- Egocentric

Question 3

Narcissist pathways

Answer 3

Admiration;
- Assertive self-enhancement (self-promotion)
- Striving for uniqueness+grandiose fantasies show charmingness in social dynamics, leading to social potency (ego-boost

Rivalry:
- Antagonistic self-protection (Self-defense)
- Striving for supremacy and aggressiveness lead to devaluation, then creates social conflict (ego-threat)

Question 4

Psychopathy factor 1

Answer 4

Affective/interpersonal
- Affective: lack of guilt/remorse, emotionally shallow, callous, failure to accept responsibility
- Interpersonal: Glibness/superficial charm, grandiose, pathological lying, conning/manipulating

Question 5

Psychopathy factor 2

Answer 5

Antisocial/lifestyle
- Antisocial: Poor behavioural control, early behaviour problems, juvenile delinquency, revocation of conditional release
- Lifestyle: Need for stimulation, lack of realistic long term goals, parasitic lifestyle, impulsive, irresponsible

Question 6

Diagnosis

Answer 6

Need for secondary source of info
- eg criminal records, info from family

Psychopathy checklist
20 item scale. betw 26-30 = psycho

Dimensional approach

Question 7

Therapy difficulties

Answer 7

Unlikely to come by themselves
TBS, high dropout
Externalize blame and are manipulative, difficult clients

Question 8

treatment

Answer 8

Very complicated to learn empathy

• important that it’s tailored to the persons needs
• Treatment for BPD often used
• Good signs: Taking responsibility and varied emotional responses