Tutorial on PD

Question 1

most appropriate diagnosis for Sam?

Answer 1

antisocial + narcissistic disorder

Question 2

Why might use of self-report questionnaires be problematic in this situation?

Answer 2

• because they lie

- no insight

Question 3

DSM 5: PD are dimensional or categorical?

Answer 3

categorical approach

Question 4

DSM 5 includes dimensional approach– implications?

Answer 4

• Treatment becomes difficult
• Healthcare insurance becomes difficult= cause don’t have specific diagnosis
• Dimensionality and diagnosis— can’t be both— make it more dimensional or categorical
• Dimensionality= continuous

Question 5

Antisocial Personality Disorder (cluster b)

Answer 5

• disregard and violate the rights of others
• may be aggressive or destructive and may involve breaking laws or rules, deceit or theft.
• failure to conform to social norms– likely to get caught
• lie
• impulsive
• aggressive, physical
• there is evidence of conduct disorder

Question 6

Narcissistic Personality Disorder (cluster b)

Answer 6

• think they are super important
• demand and expect to be praised by others
• can’t appreciate other peoples opinions
• pervasive pattern of grandiosity
• need admiration, lack of empathy
• exaggerates achievements and talents
• preoccupied with fantasies of unlimited success, power, brilliance, beauty
• thinks that he or she is “special” and can only be understood by high-status people
• has a sense of entitlement
• exploitative– takes advantage of others
• lacks empathy
• often envious of others or believes that others are envious of you
• arrogant

Question 7

antisocial PD in DSM vs. Cleckley’s Psychopathy criteria

Answer 7

• DSM= more behavioural, observable measures, may have lost essence of “psychopathy”, which is= unobservable traits– so more reliable, but less valid
• so its possible to have APD, without having psychopathic traits
• emotional content not included in DSM 5
• unobservable traits= hard to measure
• Cleckley criteria= not necessarily for diagnosis