DIAGNOSTICS

DIAGNOSTICSESTABLISHED TOOLS AND RECENT ADVANCES

ANTISOCIAL PERSONALITY DISORDER

established tools and recent advances

ANTISOCIAL PERSONALITY DISORDER

MILEN SANTIAGO RAMOSCLINICAL PSYCHOLOGY… NEUROSCIENCE ….. CRIMINOLOGY

http://www.slideshare.net/MILENSRAMOS

CLINICAL HISTORY

developmental factors

CONDUCT DISORDER (CD)

OPPOSITIONAL DEFIANT DISORDER (ODD)

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) defines

the essential characteristics as "a persistent pattern of behavior in which the basic rights of others or major age-appropriate social norms are violated.“

Behaviors used to classify CD fall into the 4 main categories of (1) aggression toward people and animals; (2) destruction of property without aggression toward people or animals; (3) deceitfulness, lying, and theft; and (4) serious violations of rules.

Oppositional defiant disorder (ODD) is discriminated from CD based on the defiance of rules and argumentative verbal interactions involved in ODD

CD involves more deliberate aggression, destruction, deceit, and serious rule violations, such as staying out all night or chronic school truancy.

These children are more likely to develop adult antisocial personality disorder than individuals with the adolescent-onset type.

• paper and pencil

Hare Psychopathy

Checklist

Millon s Test

• projective Hand Test

PCLRFactor 1:

Personality "Aggressive narcissism“

Glibness/superficial charm Grandiose sense of self-worth Pathological lying Cunning/manipulative Lack of remorse or guilt Shallow affect (genuine emotion is short-lived and egocentric) Callousness; lack of empathy Failure to accept responsibility for own actions

PCLRFactor 2:

Case history "Socially deviant lifestyle".Need for stimulation/proneness to boredom Parasitic lifestyle Poor behavioral control Lack of realistic long-term goals Impulsivity Irresponsibility Juvenile delinquency Early behavior problems Revocation of conditional release

Traits not correlated with either factor

Promiscuous sexual behavior Many short-term marital relationships Criminal versatility Acquired behavioural sociopathy/sociological conditioning

(Item 21: a newly identified trait i.e. a person relying on sociological strategies and tricks to deceive)

Millon s Test

The test is modeled on four scales

14 Personality Disorder Scales

10 Clinical Syndrome Scales 5 Correction Scales: 3 Modifying Indices (which determine the patient's response style and can detect random responding); 2 Random Response Indicatiors

42 Grossman Personality Facet Scales (based on Seth Grossman's theories of personality and psychopathology)[

It is composed of 175 true-false questions that reportedly takes 25-30 minutes to complete. It was created by Theodore Millon, Carrie Millon, Roger Davis, and Seth Grossman.

HAND TEST

showed that frontal and temporal lobe abnormalities are associated with violent behaviour, such

that prefrontal deficits have been associated with behavioural disinhibition, increased risk taking,

and impulsivity, whereas the temporal lobes, among others, are involved in affect regulation and

sexual behaviour.

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Clinical & Comp CANTAB · EEG

Clinical & Comp CANTAB · EEG

A META-ANALYTIC REVIEW OF THERELATION BETWEEN ANTISOCIALBEHAVIOR AND NEUROPSYCHOLOGICALMEASURES OF EXECUTIVE FUNCTION

Alex B. Morgan and Scott O. LilienfeldEmory University

Clinical Psychology Review, Vol. 20, No. 1, pp. 113–136, 2000Copyright © 2000 Elsevier Science LtdPrinted in the USA. All rights reserved0272-7358/00/$–see front matter

PII S0272-7358(98)00096-8

• BRAIN FINGERPRINTING - P3 WAVE• HIGH RESOLUTION BRAIN SCANS PET, fMRI , SPECT

Neuroscience is the scientific study of the nervous system.[1] Traditionally, neuroscience has been seen as a branch of biology. However, it is currently an interdisciplinary science that collaborates with other fields such as chemistry, computer science, engineering, linguistics, mathematics, medicine and allied disciplines, philosophy, physics, and psychology. The term neurobiology is usually used interchangeably with the term neuroscience, although the former refers specifically to the biology of the nervous system, whereas the latter refers to the entire science of the nervous system

The scope of neuroscience has broadened to include different approaches used to study the molecular, cellular, developmental, structural, functional, evolutionary, computational, and medical aspects of the nervous system. The techniques used by neuroscientists have also expanded enormously, from molecular and cellular studies of individual nerve cells to imaging of sensory and motor tasks in the brain. Recent theoretical advances in neuroscience have also been aided by the study of neural networks.

The P3 Wave. Images of the crime cannot be concealed within cortices of the brain—there is no place to hide. Evidence stored in the brain will match evidence extracted at the crime scene. The pattern allows for a positive reading detected by waves occurring 300 milliseconds after a stimulus—The P3 Wave).

ERP Event-related-potential is the index for how the brain process meaningful events with the distinctive P3 paradigm as events known only to a perpetrator and outside his/her control.

P300

Impulsive and antisocial personality traits correlate with amphetamine-induced dopamine release (red and yellow) in the brain. Image by Buckholtz et al.

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