Psych 526 Exam 1 Study Guide Questions and Answer.
Personality disorder - an enduring pattern of inner experience and behavior that
deviates markedly from the expectations of the individual's culture
-this pattern is manifested in two or more of the following areas:
--cognition (ways of perceiving self/others)
--affectivity (emotional responses)
--interpersonal functioning
--impulse control
Psychopathy - antisocial personality construct
Impairments to ways you view and interact with the world
Can’t be diagnosed until after 18
Antisocial personality disorder - primarily defined by behavior
Behaviors imply personality traits
Majority of prisoners have this disorder
Main criteria: a pervasive pattern of disregard for and violation of the rights of others
occurring since age 15 (need to be adult)
Need 3 or more of the following:
1) Illegal behavior
2) Deceitfulness
3) Impulsivity
4) Aggressiveness
5) Reckless disregard for safety of self or others
6) Irresponsibility
7) Lack of remorse
Narcissistic personality disorder - main criteria: a pervasive patter of grandiosity (in
fantasy or behavior), need for admiration, and lack of empathy beginning by early
adulthood and present in a variety of contexts
Need at least 5 of the following:
1) Grandiose sense of self-importance
2) Preoccupied with fantasies of brilliance
3) Believes "special" and unique
4) Requires excessive admiration
5) Sense of entitlement
6) Interpersonally exploitative
7) Lacks empathy
8) Envious of others
9) Arrogant or haughty behaviors
-could be running companies, have routine and activity to their life
-may have some loving relationships (only if the other is reflecting back on them)
PCL-R - the gold standard for assessing psychopathy
, One of the most accurate diagnostic
Bleckley’s Criteria - 1) superficial charm and good "intelligence"
2) Absence of delusions and other signs of irrational thinking
3) Absence of "nervousness" or psychoneurotic manifestations
4) Unreliability
5) Untruthfulness and insincerity
6) Lack of remorse or shame
7) Inadequately motivated antisocial behavior
8) Poor judgment and failure to learn by experience
9) Pathological egocentricity and incapacity for love
10) General poverty in major affective reactions
11) Specific loss of insight
12) Unresponsiveness in general interpersonal relations
13) Fantastic and uninviting behavior with drink
14) Suicide rarely carried out
15) Sex life is impersonal, trivial, and poorly integrated
16) Failure to follow any life plan
PCL-R - clinical interview and collateral information
Having a few doesn't make high psychopathy
General population scores some points
20 items, on 0-2 scale per item
0-40 continuum, high psychopathy is 30+
Average inmate is 22 on PCL-R
Inter-rater reliability of 0.9 or better
Primary - interpersonal and affective
Secondary - lifestyle and antisocial
Interpersonal - glibness and superficial charm
Grandiose sense of self worth
Pathological lying
Conning-manipulative
Affective - lack of remorse or guilt
Shallow affect
Callous-lack of empathy
Failure to accept responsibility
Lifestyle - need for stimulation
Parasitic lifestyle
Lack of realistic long-term goals
Impulsivity
Irresponsibility
Personality disorder - an enduring pattern of inner experience and behavior that
deviates markedly from the expectations of the individual's culture
-this pattern is manifested in two or more of the following areas:
--cognition (ways of perceiving self/others)
--affectivity (emotional responses)
--interpersonal functioning
--impulse control
Psychopathy - antisocial personality construct
Impairments to ways you view and interact with the world
Can’t be diagnosed until after 18
Antisocial personality disorder - primarily defined by behavior
Behaviors imply personality traits
Majority of prisoners have this disorder
Main criteria: a pervasive pattern of disregard for and violation of the rights of others
occurring since age 15 (need to be adult)
Need 3 or more of the following:
1) Illegal behavior
2) Deceitfulness
3) Impulsivity
4) Aggressiveness
5) Reckless disregard for safety of self or others
6) Irresponsibility
7) Lack of remorse
Narcissistic personality disorder - main criteria: a pervasive patter of grandiosity (in
fantasy or behavior), need for admiration, and lack of empathy beginning by early
adulthood and present in a variety of contexts
Need at least 5 of the following:
1) Grandiose sense of self-importance
2) Preoccupied with fantasies of brilliance
3) Believes "special" and unique
4) Requires excessive admiration
5) Sense of entitlement
6) Interpersonally exploitative
7) Lacks empathy
8) Envious of others
9) Arrogant or haughty behaviors
-could be running companies, have routine and activity to their life
-may have some loving relationships (only if the other is reflecting back on them)
PCL-R - the gold standard for assessing psychopathy
, One of the most accurate diagnostic
Bleckley’s Criteria - 1) superficial charm and good "intelligence"
2) Absence of delusions and other signs of irrational thinking
3) Absence of "nervousness" or psychoneurotic manifestations
4) Unreliability
5) Untruthfulness and insincerity
6) Lack of remorse or shame
7) Inadequately motivated antisocial behavior
8) Poor judgment and failure to learn by experience
9) Pathological egocentricity and incapacity for love
10) General poverty in major affective reactions
11) Specific loss of insight
12) Unresponsiveness in general interpersonal relations
13) Fantastic and uninviting behavior with drink
14) Suicide rarely carried out
15) Sex life is impersonal, trivial, and poorly integrated
16) Failure to follow any life plan
PCL-R - clinical interview and collateral information
Having a few doesn't make high psychopathy
General population scores some points
20 items, on 0-2 scale per item
0-40 continuum, high psychopathy is 30+
Average inmate is 22 on PCL-R
Inter-rater reliability of 0.9 or better
Primary - interpersonal and affective
Secondary - lifestyle and antisocial
Interpersonal - glibness and superficial charm
Grandiose sense of self worth
Pathological lying
Conning-manipulative
Affective - lack of remorse or guilt
Shallow affect
Callous-lack of empathy
Failure to accept responsibility
Lifestyle - need for stimulation
Parasitic lifestyle
Lack of realistic long-term goals
Impulsivity
Irresponsibility
