Midterm 2 Flashcards
(169 cards)
Psycothopy descriptive words
Callousness, remorselessness, irresponsibility, and aggressiveness
Issues with the DSM-III and DSM-III-R
Overemphasizes symptoms related to delinquent and criminal behavior and under emphasizes symptoms related to interpersonal and affective deficits
50-80% of correctional offender and forensic psychiatric patients are diagnosed as having antisocial personality disorder, a finding that appears to make the diagnosis synonymous with serious criminality
The content of antisocial personality disorder are inconsistent with clinical traditions in North America and with contemporary clinical practice in the rest of the world
Even after new studies, what is wrong with the DSM-IV
No improvement has been made in the content-related validity of the diagnostic criteria for antisocial personality disorder in the DSM-IV
The DSM-IV’s criteria for antisocial personality disorder in their current form were not evaluated in the field trial, nothing is known about their reliability or validity
Antisocial personality disorder, one of the major findings
ASPD has high rates of comorbidity with many psychiatric disorders, in particular, with substance use and other addictive disorders
Among individuals who abuse substances,
ASPD May be asssociated with poor treatment outcome and high-risk behavior such as needle sharing, although the evidence is somewhat mixed
PCL-R
Symptom construct rating scale, designed to be completed by expert evaluators on the basis of a clinical interview and a review of case history information
Advantages to the PCL-R compared to the DSM-IV ASPD criteria
1) the content of the PCL-R is more consistent with the traditional clinical construct of psychopathy,
2) it yields both dimensional and categorical measures of psychopathy
3) research indicates that the PCL-R has good reliability and validity “state of the art…both clinically and in research use”
Innocence project (Guest Lecture)
US organization around wrongful conviction. Clients who proclaim innocence for a long time
Section 696 (Guest Lecture)
Application for a review by minster of justice, submit case and explain how a miscarriage of justie occured
(Some cases take very long and are very painful)
In most cases for a defence attorney, you will not go to (Guest Lecture)
trial (Court) as its significantly cheaper and less risky
NCRD (Guest Lecture)
Insanity defence (I thought i was in a video game and murdered fourteen people)
Psychopathy, assessed using the PCL-R, was the best single predictor of what?
Future violence
The psychopathy checklist and PCL-R were originally intended for use with …
adult male offender in Canada (However it is also useful in the USA and England, and with male juvenile delinquents and female offenders)
Using the PCL-R with noncriminals
One study questioned the usefulness of the ASPD diagnoses in individuals with substance abuse disorders
Psychopathy may be more useful than ASPD in understanding substance use (One author argues)
Another study with Stanford and colleagues used the PCL-R in their investigation of impulse control problems in adolescent psychiatric patients.
Why is it wrong to use the PCl-R on noncriminals?
Several items on the PCL-R are scored n the basis of formal criminal records and are not applicable in the evaluation of noncriminals
Individuals with ASPD appear to be …
generally hyperesponsive to emotional stimuli, both verbal and nonverbal
Description of someone with psychopathy (psychopath)
Predators who charm, manipulate, and ruthlessly plows their way through life
- lack in conscience and feelings for others
- selfish
- violate social norms
- no guilt
(Doesn’t feel emotions that most people do)
Manie sans delire (started with this guy)
Insanity without delusion
Noticed some of his patients were mad or crazy, but wouldn’t have delusions or hallucinations
Mask of sanity
Hervey Cleckley believed in the consciousness man living under a mask of normality
(Able to put up a front that they were a normal person, but in the core they were monsters)
Sociopathic personality disturbance
Failure to adhere to societal norms that could harm others (DSM-I)
(Crime was created, people were not born evil but society made them evil)
Antisocial personality
Grossly selfish, callous, lack of huilt (DSM-II) - list of problematic behaviours
(Anti society view)
Antisocial personality disorder
(DSM-III and IV) “Basically unsocialized”
Someone engages in crime, impulsive, reckless
Psychopathy
(PCL) Affective and behavioural components
Differences between some common terms
Psychopathy: Behavioural and affective components (PCl asses traits, assessed on a continuum)
Antisocial personality disorder: Behavioural components (DSM-5 asses behaviours)(Inability to control impulses, lack of social morals)
Sociopathy: “Anti-society” view, individuals is a product of the environment.