ASPD Flashcards
1
Q
DSM
A
Disregard for and violation of rights of others. 3 om
- Failure to conform to social norms
- Deceitfulness, lying, conning
- Impulsivity/failure to plan ahead
- Irritability and aggressive
- Reckless disregard for safety of self/others
- Consistent irresponsibility
- Lack of remorse
At least 18
Evidence of conduct before 15
2
Q
Callous-unemotional traits
A
A sign/risk-factor for development of ASPD. Predicting the gun carrying frequency and lack of fear/empathy.
Contribute to the effort to clarify differences between AS personalities and psychopathy. (don’t appear in AS wo psychopathic traits)
3
Q
Countertransference
A
- Overestimation of the patients capacity to use treatment
- Tendency to regard themselves capable of treating the untreatable
- Disbelief; denial that someone is that disturbed
- Collusion; Corrupte, in turn committing illegal act or unethical behaviour to ‘help’ the patient.
- Difficulty accepting they are different than them, which they’ll try to work around by playing their therapist
4
Q
Treatment
A
Near impossible
3 predictors of better outcome, comorbid:
Anxiety
depression
Treatable psychotic diagnosis.
Focus on:
Principle of agency, insight into faulty thought processes.
Holding them accountable for their actions. They’re not the victim
5
Q
therapists Guidelines
A
- Be extremely wary in outpatient setting
- Psychotherapy doesn’t work for psychopaths
- Must accept if treatment is not recommended (prone to overestimate who’ll respond to therapy)
- No legal complications (pending court actions, real reason of seeking help)
- Always have 2nd opinion
- No treatment unless you feel safe
- No expectations
- be wary of countertransference
6
Q
therapists Guidelines
A
- Be extremely wary in outpatient setting
- Psychotherapy doesn’t work for psychopaths
- Must accept if treatment is not recommended (prone to overestimate who’ll respond to therapy)
- No legal complications (pending court actions, real reason of seeking help)
- Always have 2nd opinion
- No treatment unless you feel safe
- No expectations
- be wary of countertransference
