Psychopathy and Personality Disorders

Symptoms of psychopathy

• lack of care for others

• more collected and charming

• emotional deficits

Triarchic Model of Psychopathy

1. Disinhibition: impulsiveness, hostility, difficult emotional regulation

2. Boldness: dominance, social assurance, emotional resilience, venturesomeness

3. Meanness: deficient empathy, contempt toward others, exploitativeness, cruelty

Schizoid

detachment from social relationships and restricted range of emotional expression

Narcissistic

• exaggerated self-esteem

• extremely self-centered; gets angry when ego is threatened

• lack of empathy

• initially comes across as charming and confident

Antisocial

• lying, deception, manipulation

• impulsive/irresponsible behaviors

• criminal behaviors

• irritability and aggression

• lack of remorse/regard for other’s safety

Avoidant

• want acceptance and affection

• hypersensitivity to negative evaluation

• social inhibition (behavior is restrained/altered around others for fear of judgement)

• feelings of inadequacy

Borderline

• unstable interpersonal relationships and self-image

• extreme mood swings triggered by others

• deep fear of abandonment

• splitting

Ego-syntonic

being largely comfortable with oneself and one’s characteristic manner of behaving, feeling, and relating to others

Ego-syntonic personality disorders

• schizoid

• antisocial

• narcissistic

• histrionic

• paranoid

Personality disorders currently listed in the DSM-5

• antisocial

• avoidant

• borderline

• dependent

• histrionic

• narcissistic

• obsessive-compulsive

• paranoid

• schizoid

• schizotypal

Purpose of the DSM (Diagnostic and Statistical Manual of Mental Disorders)

provides a common language and standard criteria for the classification and diagnosis of mental disorders

Historical etiological theories of mental illness

1. Supernatural

2. Somatogenic

3. Psychogenic

Current model of mental illness and human behavior

biopsychosocial model