CLUSTER B TOOLKIT/PPTX.

ASPD) Multisystemic Therapy- What is it? (Timmons-Mitchell et al. )

F-centered, C-based approach

Targets M systems (Family, peers, school, neighborhood, etc.)

Designed for A adolescents and young adults

Identifies P environment factors and promotes P behaviors

Family, community, multiple, antisocial, problematic, prosocial

ASPD) Nature of relationship between distress tolerance & Antisocial Personality DO (Daughters et al)

strong link between L distress tolerance (DT) and Antisocial Personality Disorder (ASPD)

Low DT = inability to manage F, B, or D

Those with ASPD quit S tasks early → poor P when under distress

Suggests that poor E regulation contributes to I and antisocial behavior

low, frustration, boredom, discomfort, stressful, persistence, emotion, impulsive

ASPD) Difference between Psychopathy & ASPD (Glenn, Johnson & Raine)

ASPD = B patterns --

- R breaking, I, A

PSYCHOPATHY = emotional/interpersonal traits

-C, C, M

psychopathy and substance use can W antisocial behavior, but

involve distinct N mechanisms

behavioral, rule, impulsivity, aggression, charm, callousness, manipulativeness, worsen, neural

ASPD) Genetic Etiology of ASPD (Glenn, Johnson & Raine)

• G factors, accounting for 50% of the variance in antisocial behavior, including the S-# gene, may influence I and C control.

• B differences observed include

  reduced activity in the P

  cortex and T deficits in

  individuals who are violent or

  deprived.

Genetic, SNAP-25, impulsivity, cognitive, Brain, prefrontal, thalamic

ASPD) Environmental Etiology of ASPD (Glenn, Johnson & Raine)

• A or N parenting, along

  with poor S, can lead to

  childhood abuse, D

  attachment, and early psychosocial

  D.

• Excessive T exposure has been linked

  to later antisocial behavior.

• Genes and environment are I;

  antisocial parents pass on both G

  risks and a harsh E.

Antisocial, neglectful, supervision, disorganized, deprivation, TV, intertwined, genetic, environment

ASPD) Comorbidity/Subtypes Etiology of ASPD (Glenn, Johnson & Raine)

• S use, A, and

P can intensify ASPD

symptoms

• ASPD can be broken into

S, including psychopathic

and N-psychopathic variants

• They also describe C

with anxiety, depression, bipolar

disorder, and borderline

personality disorder

Substance, anxiety, psychopathy, subtypes, non, comorbidity

ASPD) Early environmental risks for Antisocial PD (Cohen et al)

-Most established early environmental risks for antisocial and violent behavior are P, childhood M or N, and combination of parents/family social dynamic, along with G (p. 109)

-ASP symptoms include problems with understanding and E with others, which is a skill that usually occurs during infancy

E risks → Poor S skills, M patterns → Emotional and
I problems → Unrealistic and non C-centric life goals → More V expression and higher risk of consequent arrests

poverty, maltreatment, neglect, genetics, empathizing, Environmental, social, misbehavior, interpersonal, community, violent

BPD) 5 Variables that differentiated BPD and control group (Helgeland & Torgersen)

1. A

2. N

3. EI,

4. PP

5. having few P factors

abuse, neglect, environmental instability, paternal psychopathology, protective

BPD) Environmental Instability and BPD (Helgeland & Torgersen)

❖ Excessive A
❖ Parental hindrance of a child striving
for I & S
❖ Parental lack of E

Developmental antecedents of BPD:
❖ T experiences (sexual &
physical A)
❖ Histories of prolonged early
S and loss through
parental loss & illness

aggression, independence, separation, empathy, Traumatic, abuse, separation

BPD) Protective factors and BPD (Helgeland & Torgersen)

Environmental instability and lower score
on protective factors such as A talents, superior
S performance, above average I skills,
and T in other areas were found to be independent P of BPD diagnosis.

artistic, school, intellectual, talents, predictors

NPD) Parenting Styles & Narcissistic PD (Horton)

parenting characterized by I and P is associated w B vulnerable and grandiose,

parental O = higher scores on G
lack of parental W = higher V Narc. risk,
emotional over-C parents/C = linked w V

indulgence, permissiveness, both, overvaluation, grandiose, warmth, vulnerable, controlling, coldness, vulnerable

NPD) Difference between grandiose narcissism and vulnerable narcissism (Reed-Knight & Fisher)

• Grandiose ⟶ L affective instability, H self-esteem and
  E behavior

  • (i.e. O narcissism)

• Vulnerable ⟶ H levels of negative emotionality/mood and
  symptoms of A

  • (i.e. C narcissism)

low, high, externalizing, overt, high, anxiety, covert

NPD) How authors dealt with feelings envy and entitlement in client with NPD (Reed-Knight & Fisher)

D practices

1. Practiced M - recognize and A the E as they arise

   1. Contingency clarifications highlight negative effects of resulting
      maladaptive behavior

2. Engage in O action ⟶ acting “opposite” to urges that are maladaptive

   e.g. Cheating ⟶ Practicing gratitude

3. Engaged in activities she E to reduce V to N emotion

DBT, mindfulness, accept, emotions, opposite, enjoyed, vulnerability, negative

ASPD Exclusive trait

exploitation

ASPD Most Important Missing Piece

Honor/Integrity

ASPD Fundamental Pattern

Agreement violations

ASPD view of the world

dog eat dog

ASPD view of themselves

superior

ASPD view of others

suckers

ASPD deals with the world by

exploitive opportunism

BPD) exclusive trait

Changeability/Instability

BPD) Most Important “Missing Piece”

Consistence/proportionality

BPD) Fundamental Pattern

Love, then hate, then love, hate

BPD) View of the World

Rejecting & hurtful

BPD) View ofThemselves

Vulnerable & Worthless

BPD) View of Others

Angels or Devils

BPD) Deals with the World by

Emotional Justification

HPD) Exclusive Trait

Expressiveness

HPD) Most Important “Missing Piece”

Shame

HPD) Fundamental Pattern

Attention seeking/emotional coercion

HPD) View of the World

Impressionistic

HPD) View ofThemselves

Appealing & deserving

HPD) View of Others

Admirers and servants

HPD) Deals with the World by

Performing

NPD) Exclusive Trait

Self- Aggrandizement

NPD) Most Important“Missing Piece”

Equality

NPD) Fundamental Pattern

Arrogant and demeaning contempt

NPD) View of the World

Exists to serve them

NPD) View ofThemselves

Special/exempt

NPD) View of Others

Inferior Underlings

NPD) Deals with the World by

Image management and rage