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
Perfect resume Destabilizes environment Undermines authority Defiant of rules Any vocation
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
Due diligence for therapists.
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.
Which was real or composite?
A narcissist, sociopath, and psychopath at work
A Narcissist, Sociopath, and
Psychopath at Work…
A Differential Analysis
Christine Hammond, LMHC
• Define narcissism, anti-social, sociopath, and
• Distinguish using real life examples.
• Discuss behavior at work.
• Describe impact on family and victims.
• Due Diligence for therapists.
To education professionals in
identifying sociopathic and
psychopathic behaviors because an
increase in narcissism may also lead to
increase in sociopathy and
• Exaggerates achievements
• Fantasies of success
• Requires excessive admiration
• Sense of entitlement
• Believes others are envious
• Criminal behavior
• Lies, deceives, and
• Aggression towards others
• Disregards safety
• Untruthful and insincere
• Lack of remorse
• Poor judgment
• Threatens suicide
• Highly sexual
• No life plan