3. Objectives
• Define narcissism, anti-social, sociopath, and
psychopath.
• Distinguish using real life examples.
• Discuss behavior at work.
• Describe impact on family and victims.
• Due Diligence for therapists.
4.
5. To education professionals in
identifying sociopathic and
psychopathic behaviors because an
increase in narcissism may also lead to
increase in sociopathy and
psychopathy.
6.
7. • Exaggerates achievements
• Fantasies of success
• Requires excessive admiration
• Sense of entitlement
• Believes others are envious
• Arrogant
8. • Criminal behavior
• Lies, deceives, and
manipulates
• Aggression towards others
• Disregards safety
• Irresponsible
9. • Untruthful and insincere
• Lack of remorse
• Poor judgment
• Threatens suicide
• Highly sexual
• No life plan
Objectives
Define narcissism, anti-social, sociopath, and psychopath.
Distinguish using real life examples.
Discuss behavior at work.
Describe impact on family and victims.
Due Diligence for therapists.
Which is Real?
Move away from the idea that all psychopaths look like Hannibal Lecter.
Goal
To education professionals in identifying sociopathic and psychopathic behaviors because an increase in narcissism may also lead to increase in sociopathy and psychopathy.
Part 1
Define narcissism, anti-social, sociopath, and psychopath.
Narcissistic Personality Disorder
Grandiose sense of self-importance
Fantasies of unlimited success or power
Believes they are "special"
Requires excessive admiration
Sense of entitlement
Takes advantage of others
Lacks empathy
Believes others are envious of them
Arrogant
Anti-social Personality Disorder
Violation of others rights since 15
Criminal arrests
Lying, deception, and manipulation
Impulsive behavior
Engages in fighting
Disregards safety of self and others
Irresponsibility
Lack of remorse
18 years old
Sociopath Definition from Harvey Cleckley, The Mask of Insanity:
Charming
Unreliability
Untruthfulness
Lack of remorse
Poor judgment
Incapacity for love
No insight
Unresponsive
Suicide threats rarely carried out
Sex life impersonal
Failure to follow any life plan
Psychopath Definition from Hare Psychopathy Checklist:
Facet 1: Interpersonal –
Glibness
pathological lying
cunning/manipulative
Facet 2: Affective –
Lack of remorse
emotionally shallow
Facet 3: Lifestyle –
Prone to boredom
parasitic lifestyle
Facet 4: Antisocial – Criminal behavior
Other items - Promiscuous sexual behavior
Highlights
Origin – socio – environment/abuse; psycho – born/malfunction in brain
Population – anti-1 in 100; socio- 1 in 25; psycho- 1 in 30
Morality – Lack of conscience
Impulsivity – none for psycho
Abuse – narc-random; socio-impulsive; psycho-calculated
Vocations – narc- high profile; socio-steady are hard; psycho-façade
Group exercise:
Pare and share
Which client is easiest and hardest for you to identify?
Part 2
Distinguish using real life examples.
Disclaimers:
Speak of males only because don't know enough females
White collar crimes only - not an expert in criminology nor profiling
Victims of serial killer Aileen Wuornos:
Richard Mallory, 51, body found in Volusia County.
David Spears, 43, Winter Garden. His nude body was found along Highway 19.
Charles Carskaddon, 40, died of nine bullets in his chest and abdomen.
Troy Burress, 50, Ocala. Found along State Road 19 in Marion County.
Charles "Dick" Humphreys, 56, retired Air Force major, former police chief and Florida state child abuse investigator. He had been shot six times.
Walter Jeno Antonio, 62. His nearly nude body was found in Dixie County.
Peter Siems, 65. His car was found in Orange Springs. His body was never found.
Are they real or composite?
2 are real, 2 are composite
Can you guess?
Phil the Psychopath
Killed animals
Abused by father
Creates false sympathy
Threatens
Manipulative
Abuses medications
Scott the Sociopath
Stole money
Smooth talker
Chameleon
Lied about occupation
Needs cover
Seductive
Neal the Narcissist
Intimidating stare
Bullies
Very competitive
Successful
Brags about money
Needs admiration
Charlie the Child
Threatens harm
Expelled from schools
Requires constant attention
No filter
Lies without regard
Part 3
Discuss behavior at work.
Neal the Narcissist
Talks about self
Bullies
Needs admiration
Usually industrious
High profile positions
Scott the Sociopath
Lies about accomplishments
Blames others
Uses appearance
Unnecessary risks
Loose job descriptions
Phil the Psychopath
Perfect resume
Destabilizes environment
Undermines authority
Defiant of rules
Any vocation
Part 4
Describe impact on family and victims.
Ten Tips for Victims
Name the type of abuse. Abuse can be emotional, physical, mental, verbal, financial, sexual and spiritual.
Diagnosis the behavior.
Recognize their patterns.
Strategize. Think of this as a game of chess.
Set boundaries. Rather the boundaries are for the victim.
Have an exit plan.
Tell a close friend or relative.
Move away if possible.
Be reflective.
New relationships need to be checked.
7 Ways a Person Can Be Abused
Physical
Mental
Verbal
Emotional
Financial
Sexual
Spiritual
Part 5
Due diligence for therapists.
Analyze This
1999 gangster comedy movie
Billy Crystal plays psychiatrist
Robert De Niro plays mob boss who has developed panic attacks
Seeks out help from psychiatrist
Language in clip is strong but consistent with psychopaths
Listen for Billy Crystal’s question….
Same question we as therapists need to ask
Therapists Killed by Patient
July 2011, Dr. Mark Lawrence, 71, Psychiatrist, killed by a patient in a murder-suicide. Shot in his home office of McLean, Virginia by Barbara Newman, 62 when she showed up for her appointment.
February 2008, Kathryn Faughey, 56, Psychologist was attacked and murdered with a meat cleaver by David Terloff, 39 in her upper East Side Manhattan office. Dr. Kent Schinbach, a colleague and psychiatrist in the same office, attempted to help her but was serious wounded in the face and neck.
September 2006, Wayne S. Fenton, 53, Psychiatrist, was beaten and killed by his patient, Vitali A. Davydov, 19.
Safeguards for Therapists
Obtain psychologic testing confirming the type of personality disorder.
What do they want from therapy? Hint: It is not about healing.
Set unspoken, basic, and personal goals for the sessions such as gaining trust.
Ask for a signed release to speak with family members.
Take notes on everything, especially the stories.
Expect to be lied to on a regular basis even about small and insignificant matters.
Do no harm. This is not about harm to the client; rather it is about whom the client might harm.
Listen, ask questions and offer no advice.
Emotional detachment is essential. Do not allow emotions of empathy to cloud judgement.
Don't take intimidating personally.
Have limits already established. Therapists can fire clients.
Be careful about disclosing personal information.
Be safe by having a co-worker on alert.
Talk to another therapist.
