Deck 15: Treating Clients With Severe Antisocial Behavior and Psychopathy

Question 1

How do the criteria for diagnosing Antisocial Personality Disorder differ from the criteria for diagnosing psychopathy using the PCL-R, 2nd Edition?

Answer 1

No Answer

Question 2

Explain why the prevalence rate of justice-involved people suffering from APD and psychopathy is far higher than with the general public.

Answer 2

No Answer

Question 3

What are dimensions of psychopathy according to the four-factor model and the six-dimensional model?

Answer 3

No Answer

Question 4

Specifically address why it is more challenging to intervene with psychopathic and severely antisocial clients than with less serious offending clients.

Question 5

Should the principles of risk, need, and responsivity be applied to psychopathic individuals?

Question 6

Why might it be more effective to intervene in Factor 2 characteristics of psychopaths than in Factor 1 characteristics?

Question 7

What special skills must correctional staff have in working with severely antisocial clients to be successful?

Question 8

Most correctional clients can be considered "severely antisocial." -------------------------------

Question 9

"Severely antisocial" refers to people who are diagnosed with Antisocial Personality Disorder (APD) according to the DSM-5 (American Psychiatric Association, 2013) or who are diagnosed with psychopathy according to a reliable and valid assessment instrument, such as the Psychopathy Checklist-Revised: Second Edition (PCL-R, 2^nd ed.) (Hare, 2003)

Question 10

The DSM-5 lists APD and psychopathy as completely distinct disorders with different diagnostic criteria

Question 11

Diagnostic criteria for APD primarily center on antisocial and offending behavior

Question 12

The lifetime prevalence of APD in the prison system is less than that of the general population

Question 13

Women are twice as likely to be diagnosed with APD, and the likelihood of being diagnosed increases with age for both men and women

Question 14

Psychopathy is frequently viewed as either a four-factor model, or a six dimensional model

Question 15

The Psychopathy Checklist-Revised is the most common measure of psychopathic personality traits in APD

Question 16

The PCL-R 2^nd edition includes 40 items, and has a total maximum score of 80 points

Question 17

The four-factor model consists of four facets, including (1) Factor 1, Facet 1: Interpersonal; (2) Factor 1, Facet 2: Affective; (3) Factor 2, Facet 3: Lifestyle, and (4) Factor 2, Facet 4: Antisocial

Question 18

Most interventions have been successful with this population when targeting the risk factors for antisocial personality characteristics of psychopaths (e.g. superficial charm, grandiose sense of self-worth, pathological lying, conning/manipulative, etc.), rather than risk factors for violence

Question 19

Research has pointed to structural and functional impairment in the temporal lobes and hippocampus of the brain as key correlates of psychopathy

Question 20

Building trust and rapport with justice-involved clients with psychopathy requires the same techniques as doing so with less seriously antisocial clients

Question 21

Harris and Rice's advice for building safe rapport with clients with psychopathy includes never taking a psychopathic client's word at face value

Question 22

There is preliminary evidence supporting the efficacy of treatment interventions for severely antisocial clients when they focus on reducing future violence and offending

Question 23

The term "severely antisocial" refers to clients who are diagnosed with which two disorders?

A) Multiple Personality Disorder and Psychopathy
B) Borderline Personality Disorder and Substance Abuse Disorder
C) Antisocial Personality Disorder and Psychopathy
D) Antisocial Personality Disorder and Borderline Personality Disorder

Question 24

Which of the following is not a component to managing severely antisocial clients within correctional institutions?

A) diagnosis
B) solitary confinement
C) supervision
D) treatment

Question 25

Severely antisocial Individuals are often characterized by all but which of the following?

A) callousness
B) emotionally manipulative
C) unable to function in public places
D) physically aggressive

Question 26

The DSM-5 indicates that prevalence rates of APD are between ____ to ____ of the general population.

A) 0.2%; 3.3%
B) 1.2%; 5.5%
C) 10.2%; 15.6%
D) 20.2%; 25.3%

Question 27

Which of the following is not a high risk population for having a higher prevalence of APD?

A) males with alcohol use disorder
B) patients from substance abuse clinics
C) incarcerated people
D) all of the above are high risk populations

Question 28

The vast majority of research on psychopathy has been conducted with _________ offending populations.

A) African American
B) Caucasian
C) Asian
D) Hispanic

Question 29

Which of the following is not an assessment tool used in the diagnosis and treatment of severely antisocial clients?

A) Psychopathy Checklist-Revised
B) Inventory of Psychopathic Traits
C) Violence Risk Appraisal Guide
D) Historical-Clinical Risk 20

Question 30

_________ is the assessment tool that is used most frequently.

A) Psychopathy Checklist-Revised
B) Inventory of Psychopathic Traits
C) Structured Clinical Interview for Personality Disorders
D) Antisocial Personality Questionnaire

Question 31

Which of the following is not a facet of the four-factor model of psychopathy?

A) relational
B) affective
C) lifestyle
D) antisocial

Question 32

Which of the following is a domain of the six dimensional model of psychopathy?

A) attachment
B) cognitive
C) emotional
D) all of the above

Question 33

Which of the following is not a diagnostic criterion of APD?

A) impulsivity
B) reckless disregard for the safety of others
C) depressed mood
D) lack of remorse

Question 34

Which of the following is an item from the Psychopathy Checklist-Revised: Second edition?

A) grandiose sense of self worth
B) parasitic lifestyle
C) offending versatility
D) all of the above

Question 35

Most interventions have been successful with severely antisocial populations when they focus on the ________ dimensions of psychopathy.

A) social deviance
B) interpersonal
C) affective
D) emotional

Question 36

Which neuropsychological deficit has not been cited as a correlate of psychopathy?

A) impairment in the frontal lobe
B) impairment in the prefrontal cortex
C) dysfunction in the amygdala
D) impairment in the occipital lobe

Question 37

Personality characteristics of severely antisocial clients present challenges for which component of treatment?

A) administering pharmaceutical treatment
B) creating a therapeutic alliance
C) providing skills training
D) encouraging present centered thinking

Question 38

Which of the following is not a component of Harris and Rice's Advice for Building Safe Rapport with Clients with Psychopaths?

A) Never take a psychopathic client's word at face value.
B) Reputation matters.
C) Beware of flattery.
D) all of these are components

Question 39

Any intervention that might take place with severely antisocial clients should be ___________ in nature.

A) cognitive-behavioral
B) family-oriented
C) psychoanalytic
D) group-focused

Question 40

Intervention for psychopathic sex offending clients should also include which type of strategy?

A) interpersonal-therapy
B) relapse prevention
C) socialization
D) incapacitation

Question 41

Treatment of psychopathy can be conducted in a group setting under all but which of the following conditions?

A) A proportion of the participants must be non-psychopathic.
B) Entry to the group must be open.
C) The group must contain an equal amount of males and females.
D) Individuals who are further along in the stages of change must serve as learning models for those in earlier stages.

Question 42

The bottom line for correctional counselors and staff working with severely antisocial populations is that ___________ and ___________ are required to create safe and effective interventions.

A) incapacitation; solitary confinement
B) group therapy; work programs
C) careful clinical training; supervision
D) medical training; and certification