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Type 1 Sociopath - When Difficult People Are More Than Just Difficult People

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P. A. Speers

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“There presently exist three recognized conceptualizations of the antisocial construct: antisocial personality disorder (ASPD) as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013), dissocial personality disorder in the International Classification of Diseases (ICD-10; World Health Organization, 1992), and psychopathy as formalized by Hare with the Psychopathy Checklist—Revised (PCL-R; Hare, 2003). A conundrum for therapists is that these conceptualizations are overlapping but not identical, emphasizing different symptom clusters. The DSM-5 emphasizes the overt conduct of the patient through a criteria set that includes criminal behavior, lying, reckless and impulsive behavior, aggression, and irresponsibility in the areas of work and finances. In contrast, the criteria set for dissocial personality disorder is less focused on conduct and includes a mixture of cognitive signs (e.g., a tendency to blame others, an attitude of irresponsibility), affective signs (e.g., callousness, inability to feel guilt, low frustration tolerance), and interpersonal signs (e.g., tendency to form relationships but not maintain them). The signs and symptoms of psychopathy are more complex and are an almost equal blend of the conduct and interpersonal/affective aspects of functioning. The two higher-order factors of the PCL-R reflect this blend. Factor 1, Interpersonal/Affective, includes signs such as superficial charm, pathological lying, manipulation, grandiosity, lack of remorse and empathy, and shallow affect. Factor 2, Lifestyle/Antisocial, includes thrill seeking, impulsivity, irresponsibility, varied criminal activity, and disinhibited behavior (Hare & Neumann, 2008). Psychopathy can be regarded as the most severe of the three disorders. Patients with psychopathy would be expected to also meet criteria for ASPD or dissocial personality disorder, but not everyone diagnosed with ASPD or dissocial personality disorder will have psychopathy (Hare, 1996; Ogloff, 2006). As noted by Ogloff (2006), the distinctions among the three antisocial conceptualizations are such that findings based on one diagnostic group are not necessarily applicable to the others and produce different prevalence rates in justice-involved populations. Adding a further layer of complexity, therapists will encounter patients who possess a mixture of features from all three diagnostic systems rather than a prototypical presentation of any one disorder.”

PsychopathyCognitive TherapyAntisocial Personality DisorderDissocial Personality DisorderPersonality Disorders Aaron Beck
Book:Cognitive Therapy of Personality Disorders
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“The cardinal feature of antisocial personality disorder is an incapacity for experiencing genuine inner guilt and the associated lack of concern for others. Individuals with antisocial personality display a predominantly narcissistic orientation in which even the seeming islands of devotion hide selfish motives. They have an excessive sensitivity to displeasure, an 'addiction to novelty,' and a highly cynical view of the world. Their self-concept is that of a victim and an exception to ordinary social rules.”

Antisocial Personality DisorderAddiction To NoveltyLack Of ConcernNarcissism Cynical
Book:Quest for Answers: A Primer of Understanding and Treating Severe Personality Disorders
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“As I have shown in many previous chapters, individual differences in intelligence matter in work, school, and everyday life, and these differences have important consequences. One consequence is that people have difficulty imagining what the thought process is like for someone whose IQ is more than about 10 or 15 points away from their own (Detterman, 2014). This causes problems when people at one IQ level make judgments of or recommendations to people whose IQ is very different from their own because people project their level of competence onto others. This is a special form of what is called the psychologist’s fallacy (a term first coined by James, 1890, p.196), which is the tendency of a person to assume that others think and act more-or-less the way that they do. Ironically, highly intelligent people are one of the groups most susceptible to this blind spot in their thinking.2 Bright people tend to believe that everyone thinks and solves problems as well as they do, and this can have important consequences when high-IQ people deal with other segments of the population. 2 Another group that is highly susceptible to the psychologist’s fallacy is people with antisocial personality disorder, which is characterized by (among other behaviors) a willingness to take advantage of others, a propensity to break rules and laws, and a lack of remorse for hurting others. People with this disorder are sometimes genuinely surprised that other people do not have their same lack of morality and empathy towards others.”

Antisocial Personality DisorderPsychologist S Fallacy
Book:In the Know: Debunking 35 Myths about Human Intelligence
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