Narcissistic Personality Disorder
Provide a brief summary of your case scenario.
Scott was a prominent figure in the community. He was looked up to by members of his church. His peers adored him. He put dangerous criminal behind bars. As a young man he was in the military for 20 years. He was extremely put together. He wore nothing but the best suits, Gucci, Givenchy, or Armani. Shinny shoes, nail manicured, and face always shaved. He was married with 3 children. He thought they were just as good looking as he was. He was also a narcissist. He believes he was above the law. He would take bribes from other wealthy community leaders to sway outcomes of court cases. He was found guilty and sentenced to 7 years in prison. He was more upset about the uniform he had to wear then going to prison.
While in prison he became a recluse and feared he would be talked about and targeted by others. Scott believe he was superior to everyone else in prison. He thinks that he should be treated different than others. He believes he is to intelligent and no one is on his level. He thought others were stupid. He thought his brain was a computer and he was on an inland called inferior island. He would often talk about himself to others as their superior. He believes it was other people’s fault that he was in jail and he was the victim. He is aggressive towards others that don’t believe him when he speaks about his many accomplishment or don’t agree with him at all. He thinks that other people are out to get him for his intelligence. He started to seek out people who wants to learn from him and get educated by him and what he has to offer. Come to find out he was really manipulating people to do what he wanted them to do. If he is criticized for anything his behavior would become cold, insulting, threatening and enrage. He doesn’t think I the therapist can understand him because I too am not as accomplished as he is.
Describe the behaviors associated with narcissistic personality disorder that were shown in the case scenario.
Describe difficulties you may face while working with this inmate or offender.
Describe possible ways this inmate or offender may use manipulation in the correctional setting
Describe possible treatment interventions for this inmate or offender, as well as the pros and cons of each.
Possible treatment
Psychotherapy is a treatment that often helps many people with personality disorders.
Medication can help with the extreme highs this client has
Logotherapeutic therapy can also help.
Pros and Cons
Psychotherapy and Logotherapeutic therapy are time consuming and also take time to take effect which is a negative of them as treatment.
Medication can be long term or have side effects and usually has to be taken at the same time which can be negative.
Pros can be learning tools to help deal with the disorder for long term care.
Another pro is that the client will have relief of the symptoms faster if on medication. (Rogi ...
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Narcissistic Personality Disorder Provide a brief su.docx
1. Narcissistic Personality Disorder
Provide a brief summary of your case scenario.
Scott was a prominent figure in the community. He was looked
up to by members of his church. His peers adored him. He put
dangerous criminal behind bars. As a young man he was in the
military for 20 years. He was extremely put together. He wore
nothing but the best suits, Gucci, Givenchy, or Armani. Shinny
shoes, nail manicured, and face always shaved. He was married
with 3 children. He thought they were just as good looking as he
was. He was also a narcissist. He believes he was above the law.
He would take bribes from other wealthy community leaders to
sway outcomes of court cases. He was found guilty and
sentenced to 7 years in prison. He was more upset about the
uniform he had to wear then going to prison.
While in prison he became a recluse and feared he would be
talked about and targeted by others. Scott believe he was
superior to everyone else in prison. He thinks that he should be
treated different than others. He believes he is to intelligent and
no one is on his level. He thought others were stupid. He
thought his brain was a computer and he was on an inland called
inferior island. He would often talk about himself to others as
their superior. He believes it was other people’s fault that he
was in jail and he was the victim. He is aggressive towards
others that don’t believe him when he speaks about his many
accomplishment or don’t agree with him at all. He thinks that
other people are out to get him for his intelligence. He started
to seek out people who wants to learn from him and get
2. educated by him and what he has to offer. Come to find out he
was really manipulating people to do what he wanted them to
do. If he is criticized for anything his behavior would become
cold, insulting, threatening and enrage. He doesn’t think I the
therapist can understand him because I too am not as
accomplished as he is.
Describe the behaviors associated with narcissistic personality
disorder that were shown in the case scenario.
Describe difficulties you may face while working with this
inmate or offender.
Describe possible ways this inmate or offender may use
manipulation in the correctional setting
Describe possible treatment interventions for this inmate or
offender, as well as the pros and cons of each.
Possible treatment
Psychotherapy is a treatment that often helps many people with
personality disorders.
Medication can help with the extreme highs this client has
4. A. A pervasive pattern of grandiosity (in fantasy or behavior),
need for
admiration, and lack of empathy, beginning by early adulthood
and
present in a variety of contexts, as indicated by five (or more)
of the
following:
1. Has a grandiose sense of self-importance (e.g., exaggerates
achievements and talents, expects to be recognized as superior
without commensurate achievements).
2. Is preoccupied with fantasies of unlimited success, power,
brilliance, beauty, or ideal love.
3. Believes that he or she is “special” and unique and can only
be
understood by, or should associate with, other special or high-
status people (or institutions).
4. Requires excessive admiration.
5. Has a sense of entitlement, i.e., unreasonable expectations of
especially favorable treatment or automatic compliance with his
or her expectations.
6. Is interpersonally exploitative, i.e., takes advantage of others
to
5. achieve his or her own ends.
7. Lacks empathy: is unwilling to recognize or identify with the
feelings and needs of others.
The essential features of a personality disorder are impairments
in
personality (self and interpersonal) functioning and the presence
of
pathological personality traits. To diagnose narcissistic
personality
disorder, the following criteria must be met:
A. Significant impairments in personality functioning manifest
by:
1. Impairments in self functioning (a or b):
a. Identity: Excessive reference to others for self-definition
and self-esteem regulation; exaggerated self-appraisal
may be inflated or deflated, or vacillate between extremes;
emotional regulation mirrors fluctuations in self-esteem.
b. Self-direction: Goal-setting is based on gaining approval
from others; personal standards are unreasonably high in
order to see oneself as exceptional, or too low based on a
sense of entitlement; often unaware of own motivations.
AND
7. self-centeredness; firmly holding to the belief that one is
better than others; condescending toward others.
b. Attention seeking: Excessive attempts to attract and be
the focus of the attention of others; admiration seeking.
C. The impairments in personality functioning and the
individual‟s
personality trait expression are relatively stable across time and
consistent across situations.
D. The impairments in personality functioning and the
individual‟s
personality trait expression are not better understood as
normative
for the individual‟s developmental stage or socio-cultural
environment.
E. The impairments in personality functioning and the
individual‟s
personality trait expression are not solely due to the direct
physiological effects of a substance (e.g., a drug of abuse,
medication) or a general medical condition (e.g., severe head
trauma).
Obsessive-Compulsive Personality Disorder Obsessive-
Compulsive Personality Disorder
DSM-IV Criteria DSM-5 Criteria - Revised June 2011
8. A. A pervasive pattern of preoccupation with orderliness,
perfectionism,
and mental and interpersonal control, at the expense of
flexibility,
openness, and efficiency, beginning by early adulthood and
present
in a variety of contexts, as indicated by four (or more) of the
The essential features of a personality disorder are impairments
in
personality (self and interpersonal) functioning and the presence
of
pathological personality traits. To diagnose obsessive-
compulsive
personality disorder, the following criteria must be met:
A. Significant impairments in personality functioning manifest
by:
1. Impairments in self functioning (a or b):
a. Identity: Sense of self derived predominantly from work or
productivity; constricted experience and expression of
Narcissistic Personality Disorder
Provide a brief summary of your case scenario.
Judge Scott Donahue /57/ diagnosed with narcissistic
9. personality disorder
Scott was a prominent figure in the community. He was looked
up to by members of his church. His peers adored him. He put
dangerous criminal behind bars. As a young man he was in the
military for 20 years. He was extremely put together. He wore
nothing but the best suits, Gucci, Givenchy, or Armani. Shinny
shoes, nail manicured, and face always shaved. He was married
with 3 children. He thought they were just as good looking as he
was. He was also a narcissist. He believes he was above the law.
He would take bribes from other wealthy community leaders to
sway outcomes of court cases. He was found guilty and
sentenced to 7 years in prison. He was more upset about the
uniform he had to wear then going to prison.
While in prison he became a recluse and feared he would be
talked about and targeted by others. Scott believe he was
superior to everyone else in prison. He thinks that he should be
treated different than others. He believes he is to intelligent and
no one is on his level. He thought others were stupid. He
thought his brain was a computer and he was on an inland called
inferior island. He would often talk about himself to others as
their superior. He believes it was other people’s fault that he
was in jail and he was the victim. He is aggressive towards
others that don’t believe him when he speaks about his many
accomplishment or don’t agree with him at all. He thinks that
other people are out to get him for his intelligence. He started
to seek out people who wants to learn from him and get
educated by him and what he has to offer. Come to find out he
was really manipulating people to do what he wanted them to
do. If he is criticized for anything his behavior would become
cold, insulting, threatening and enrage. He doesn’t think I the
therapist can understand him because I too am not as
accomplished as he is.
Describe the behaviors associated with narcissistic personality
disorder that were shown in the case scenario.
10. SCOTTs personality traits
Thought he was superior to Everyone, even in prison.
Aggressive when no one believes or listens to him
Sam believed he was above the law.
Fears he will be targeted
Seeks others like himself to hang with and teach his ways.
Manipulations
Believes he should be treated different because he is the victim.
Dsm-5 characteristics
Exaggerated sense of self
Preoccupied with unrealistic images of power and success
Finds others inferior to them
Believe he or she is special and unique and requires excessive
admiration from others
Not very good at having empathy,
Not interested in trying to understand how other people feel just
make their beliefs known.
Narcissistic personality disorder is defined as an inflated sense
of self-importance, a lack of empathy for others, and a great
need for admiration. The hallmark definition of narcissistic
personality disorder is grandiosity – the exaggerated sense of
self-importance. NPD is also defined as a constant need for
admiration, and a lack of empathy, beginning by early
adulthood and present in a variety of contexts.
Judge Scott Donahue was a viewed a prominent Judge. Being
admired by the community the Judge was also taking bribes
from community members to persuade the results of the court
cases he presided over.
Donahue was known to wear nothing but the best of the best
clothes and was always well manicured. After his conviction for
bribery and a 7 year sentence, he only complained of the
hideous uniform he was made to wear.
11. While incarcerated, it was made known that Donahue felt he
was superior to everyone in prison and should be treated
differently. He also believed that it was other peoples fault that
he was incarcerated, and he was the victim. When Donahue told
others of his accomplishments and the ignored or didn’t believe
him, he exploded and became aggressive towards others. He
also rejected all forms of criticism from others and sought out
others who were to believed to be just like him. Scott Donahue
saw himself as a very successful man with a well put together
family.
According to the DSM-5, American Psychiatric Association.
(2013), Narcissistic Personality Disorder is described as the
following:
A belief that he or she is special and unique and can only be
understood by, or should associate with, other special or high-
status people or institutions
A need for excessive admiration
A sense of entitlement
Interpersonally exploitive behavior
A lack of empathy
Envy of others or a belief that others are envious of him or her
A demonstration of arrogant and haughty behaviors or attitudes
American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.).
https://doi.org/10.1176/appi.books.9780890425596
3
Describe difficulties you may face while working with this
inmate or offender.
12. Describe possible ways this inmate or offender may use
manipulation in the correctional setting
Seek weak inmates that look up to him and use them as pawns
for manipulation
Make up lies about oneself to make them self look superior to
others
belittle, criticize and judge other inmates
Use their charm to pressure people into giving them what they
want
Engage in showing off, name dropping and status boasting
Become difficult, confrontational and uncooperative
Exaggerate their talents or achievements
Play the victim and blame others for their actions
Exploit others
Describe possible treatment interventions for this inmate or
offender, as well as the pros and cons of each.
References
American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.).
13. https://doi.org/10.1176/appi.books.9780890425596
8
· Wk 1 - Personality Disorders Paper [due Mon]
Write 1,050- to 1,400-word paper describing the theories related
to personality disorders. Include the following:
Describe the general symptoms of three types of personality
disorders.
Personality is described as, “the characteristics or blend of
characteristics that make a person unique.” (Weinberg, Gould,
1999)
Weinburg, R.S & Gould, D.S. (1999) Personality and Sport.
Foundations of Sport and Exercise Psychology 25-46
Persons suffering from personality disorders, schizophrenia,
bipolar affective disorder, aggression, depression, adjustment
disorders, and sexual disorders such as paraphilias are prone to
criminal behavior, according to “Psychiatric Illness Associated
with Criminality,” by William H. Wilson, MD, and Kathleen A.
Trott, MD (www.emedicine.com/med/topic3485.htm).
·
· Explain the theories behind the etiology of these personality
disorders.
St. Thomas Aquinas believed that a natural law was based on
people’s tendency to do good. Cesare Beccaria believed that
people choose all behavior and criminal choices can be
controlled by fear of punishment.
1. Quite a large number of studies have looked at the genetic
14. factors associated with Schizotypal Personality Disorder. From
theses studies we have learned that Schizotypal Personality
Disorder tends to be more frequent in families where at least
one family member has been previously diagnosed with
Schizophrenia (Coccaro & Siever, 2005)
2. Other family studies have revealed impulsive aggression
tends to run in families of people diagnosed with Borderline
Personality Disorder, again suggesting a genetic origin for this
behavioral tendency (Coccaro & Siever, 2005).
3. While family studies may suggest the genetic transmission of
particular behavioral tendencies, these research studies cannot
be easily designed to rule out the possibility that such
tendencies are transmitted through learning mechanisms. In
other words, children may learn to be aggressive simply by
observing other family members behaving that way. Thus, it
is important to look to alternative research methods in order to
tease apart genetic influence, from environmental influence.
4.
·
· Determine the relationship between these personality disorders
and criminal behavior.
References
Weinburg, R.S & Gould, D.S. (1999) Personality and Sport.
Foundations of Sport and Exercise Psychology 25-46
15. Wk 5 - Crime Show Analysis [due Mon]
Top of Form
Bottom of Form
Top of Form
Watch a TV show episode involving crime and personality
disorders. Examples of shows include Criminal
Minds, CSI, Law and Order, or something similar.
Write a 1,400- to 1,750-word analysis of the episode. Include
the following:
1. Summarize the episode you watched.
On the night of February 19, 1998, Sarah Danlin was in a bar
celebrating Mardi Gras with friends. A man began flirting with
her eventually luring her away from her friends to an empty
room where he and a friend raped her. When Sarah reported the
crime to detectives LaMontagne Sr. and J.R. Smith, the
detectives disagreed on the credibility of the victim’s statement.
Shill, S (2007) Smith believed that the young Sarah was being
deceptive due to the fact that it was Mardi Gras and she has
many beads around her neck. Smith even said, “she was asking
for trouble”. Smith was protecting a rapist because he knew one
of the victim and was led to believe he was a “good kid”.
Following the rape, Sarah dropped out of medical school and
became obsessed with Jack the Ripper, a famous serial killer.
Targeting men, she would lure them away from the crowds by
seducing them with promises of sex. Once alone with the
victim, the suspect would slash their throats sometimes
eviscerating them as well as taking items from her victims.
Sarah also sent letters to the detectives with the heading,
“Yours Truly). “ Shill, S (2007) Sarah was believed to be
organized, calculating, and had maybe previously stalked the
victim before the murder. She may have identified with Jack the
16. Ripper because she believed she had lost her own identity issues
either by one traumatic event or over the course of her
childhood life. Sarah Danlin became a misandrist serial killer
because of the rape that was ignored and destroyed her life.
2. Outline the personality disorders that were present.
Personality is the way of thinking, feeling and behaving that
makes a person different from other people. An individual’s
personality is influenced by experiences, environment
(surroundings, life situations) and inherited characteristics. A
person’s personality typically stays the same over time. A
personality disorder is a way of thinking, feeling and behaving
that deviates from the expectations of the culture, causes
distress or problems functioning, and lasts over time.1 The
pattern of experience and behavior begins by late adolescence
or early adulthood and causes distress or problems in
functioning. Without treatment, personality disorders can be
long-lasting. The personality disorders present in Sarah Danlin
is Narcissistic Personality Disorder. Sarah believes she is doing
a service by punishing these men with murder because of their
sexual aggression.
3. Describe the symptoms of the personality disorders.
Narcissistic Personality Disorder as described in the DSM-5 as
a mental condition in which people have an inflated sense of
their own importance, a deep need for excessive attention and
admiration, troubled relationships, and a lack of empathy for
others. American Psychiatric Association. (2013). Other
Narcissistic qualities include, arrogant thinking, lack of
empathy for others, manipulative and selfish.
Narcissistic personality disorder: a pattern of need for
admiration and lack of empathy for others. A person with
narcissistic personality disorder may have a grandiose sense of
self-importance, a sense of entitlement, take advantage of others
or lack empathy.
17. Sarah had no empathy during the murders, enacting how she felt
about her own rape. After reporting her own rape and not
getting any results Sarah took matters into her own hand and
began vigilante killings. She believed she was ridding the world
of other rapist so that women would not have to suffer.
4. Describe possible treatment interventions for the criminal
displayed in the show.
5. Describe possible difficulties that may be faced during
treatment.
6. Address challenges the offender or offenders in the show
might reentering society after their incarceration.
7. Suggest steps that could be taken to reduce recidivism for the
offender or offenders.
Include a minimum of 3 sources.
References
Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition (DSM-5). American Psychiatric Association. (2013).