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Approaches in clinical psychology
Clinical psychology question
Clinical psychology question
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The PCL-R is a tool that enables a distinct group of psychologically abnormal offenders to be measured using a three point rating scale for twenty-two consistent behavioural characteristics. These characteristics have been underlying themes in an ongoing debate between psychiatrists on the definition and existence of psychopaths in discourse. While the literature takes no determinative stance, the psychopath has nonetheless become a distinct group in the binding legislation of the 1913 mental health Act. The PCL-R goes a step further than the act does to identify this group by not only suggesting that the “psychopath” is a statistically relevant group of criminals but Hare takes an objective approach that eliminates any likelihood of mental health practitioners and legal professionals to use this concept as a waste bucket for socially deviant crimes in the future.
The Psychopathy Checklist Revised (PCL-R) measures twenty-two behavioural characteristics or lack thereof that have been previously identified as the defining characteristics of a psychopath by Cleckley as well as other influential clinicians. Hare measures these characteristics on a three point scale ranging from 0-1. In addition Factors are used to group thematically similar behaviors. For instance, persons prone to boredom, whom share a lack of realistic long term plans, live a parasitic lifestyle and act on impulse, have been grouped together in Factor 1. Factor 2 measures those persons with a lack of remorse of guilt, failure to accept responsibility for own actions, a lack of sincerity/conning, egocentricity, glibness/superficial charm, drug or alcohol abuse which is not the direct cause of the antisocial behaviour, and callousness or lack of empathy. Factor 3 co...
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...ed on statistical variance. In today’s scientific world Hare is not wrong to want to establish an empirically significant and testable tool.
Thus, it is the PCL-R’s specificity which makes it such an effective tool. In comparison to the 1913 mental Health Act, the clinician now can receive a much clearer description of the psychopathic condition. A condition we know to exist based on an objective and universally consistent description of Hare’s key behavioural characteristics. The definition of this psychologically diverse group has progressed from unclear to empirically relevant thanks to Hare’s research. The PCL-R is the single most effective tool for diagnosing a psychopathic disorder. With clear, concise and unbiased confidence the PCL-R removes any opportunity for the term psychopath to be used as a waste-bucket for the misunderstood everyday deviant.
Psychopathy has fascinated the public for years due to the gruesome and evil portrayal it has received in the media. Psychopathy is defined in the DSM-III as a personality disorder characterized by enduring antisocial behavior, diminished empathy and remorse, and disinhibited or bold behavior (Patrick, Christopher, Fowles, Krueger, Rober, 2009). Psychopathy represents a cluster of different dimensions of personality found amongst the general population to varying degrees (Patrick et al, 2009). The diagnostic definition is meant to be applied to adults, however psychopathology can occur in children. Controversy surrounds the topic of childhood mental illness because the brain is not fully developed until the age of 18; thus allowing the possibility that symptoms are the result of growing up and will change. The triarchic model, formulated by Christopher J. Patrick, is the most commonly used model in diagnosing adult and childhood psychopathy. This model suggests that different conceptions of psychopathy emphasize three observable characteristics to varying degrees; boldness, disinhibition and meanness (Patrick, et al, 2009). Boldness is the first observable characteristic and is comprised of low fear including stress-tolerance, toleration of unfamiliarity and danger, and high self-confidence and social assertiveness. Disinhibition; characterized by poor impulse control including problems with planning and foresight, lacking affect and urge control, demand for immediate gratification, and poor behavioral restraints. Meanness is defined as lacking empathy and close attachments with others, disdain of close attachments, use of cruelty to gain empowerment, exploitative tendencies, defiance of authority, and destructive excitement seek...
Are psychopaths like Alice, “mad or bad?” (page 21). The question whether psychopaths are mentally ill or just a bad seed has caused much debate. Dr. Hare explains that the problem is not only labeling them mad or bad, but who deals with them. “Does the treatment or control of the psychopath rightly fall to mental health professionals or to the correctional system?” (page 21). Not only are professionals confused on how to classify psychopaths, but the media also creates confusion. Psychopath means mental illness and the media uses the word to classify someone as, “insane or crazy”, (page 22). Dr. Hare explains that even though psychopaths, “cannot be understood in terms of traditional views of mental illness”, they, “are not disoriented or out of touch with reality, nor do they experience the delusions, hallucinations, or intense subjective distress that characterize most other mental disorders…psychopaths are rational and aware of what they are doing and why.” (page 22). Most professionals use the term psychopath and sociopath as one in the same. Since DSM-III, antisocial personality disorder has been used in place of psychopath and sociopath. Philippe Pinel was the first psychiatrist describe a psychopath and Harvey Cleckley was one of the first successful publish a book describing a psychopath to the general public . Pinel used the term, “insanity without delirium”, (page 25). Cleckley wrote The Mask of Sanity, which influenced researchers in North America. Dr. Robert Hare explained that WWII was the first time clinicians felt a need to diagnosis people with psychopathy. Due to the draft, there was a need to weed out the people could disrupt or harm the military structure. Dr. Robert Hare realized how hard it was to identify a true psychopaths from rule breakers and developed the Psychopathy Checklist. This checklist is used world wide to help clinicians identify true
The Psychopath Test: A Journey Through the Madness Industry is a book by Jon Ronson, where he investigates the idea of psychopathy and the many individuals involved. Psychopathy is defined as “a person who is mentally ill, who does not care about other people, and who is usually dangerous or violent.” Ronson visited mental health professionals and psychopaths in order to determine the right way to control the diagnosis of mental health disorders. Throughout the novel, Ronson focuses on three main themes, which are the definition of madness, unnecessary mental diagnoses and the problem with confirmation bias.
Identifying the mystery of the psychopath can prove to help the them and the general public. Early awareness of the common psychopaths among us will reduce the impact on society. Further research is still needed to better help the psychopath and the general population.
The responsibility of psychopaths is a highly debated topic in the legal, philosophical, and neuroscientific fields. In the US, a person is responsible if they “have sufficient rational capacity” and “they are not acting under coercion” (Glenn & Raine 2014). The majority of the academic community believes that psychopaths’ responsibility is mitigated because of the profound cognitive and emotional deficits that lead to a reduced rational capacity. However, the public’s instinct is to hold psychopaths responsible for their crimes. What is it that gives us this instinctive reaction?
...res of the psychopaths and gives the reader various examples of these individuals playing out these characteristics in everyday life. A widely used checklist is provided so the reader can get a wide spanning view of what is accounted for when scoring a psychopath. This form of research is very important within the deceitfulness of this population; it allows the professional to ignore their words and examine their actions. Hare made it clear that it is not uncommon for there to be an emotional and verbal disconnect from their actions. With virtually no emotional functioning psychopaths feel no remorse for the offenses that they commit and it is very important that we work towards using the opportunities we have to study and assist these populations; not only for them but for ourselves.
Psychopathy is a mental disorder in which an individual manifests amoral and antisocial behavior, lack of ability to love or establish meaningful personal relationships, extreme egocentricity, failure to learn from experience, etc. Psychiatrist look for certain traits, of which there are five main ones, when trying
Description of offender’s psychological history and functioning at the time of the offence is based on statistical approach which involves the analysis of behavioural and other relevant information found at the scene of crime in order to infer ...
Walters G (2012). Psychopathy and Crime: Testing the Incremental Validity of PCL-R-Measured Psychopathy as a Predictor of General and Violent Recidivism. Law and Human Behavior.36(5), 404-412.
According to research, psychopathic behavior can take many forms not all of which are violent. Ultimately psychiatrists say that there are pieces of a brain’s emotional machinery missing. As a result making psychopaths lack empathy, guilt or the ability to simply sow remorse (180rule.com). In an interview with James Fallon, a neuroscientist and neuroanatomist, states that there isn’t an acceptable definition of the word, psychopaths and that some psychologists do not even recognize it as a syndrome (Flatow). The closest way to identify a psychopath is through the Psychopathy Checklist – Revised, commonly known as the PCL-R (Hare). This test is used to determine if an individual has a mid- psychopathic disturbance, moderate psychopathic disturbance or if they are psychopathic (Brinkley). The test is scored on a 3 point scale (0, 1, and 2) with the highest score being a 40 which denotes a prototypical psychopath (Hare). When an individual scores a 30 or above it will qualify the individu...
Psychopathy; the trait that truly distinguishes humans from ¨machines¨, emotionful to emotionless. Within the novel American Psycho by Bret Easton Ellis, one may logically assume that the protagonist, Patrick Bateman is indeed implied to be a psycho as the title suggests. However upon further analyzation, Bateman is revealed to be an unreliable narrator, he does not captivate the reader with all of his emotions verbally, for they are revealed through his actions. Bateman certainly does murder people, however, clinically murder doesn´t rule somebody to be a psychopath. Bateman feels no visible remorse for the victims he kills, because Bateman lives in an artificial hyperbole of a yuppie world where no love is shown, all relationships superficial.
Hare’s Psychopathy Checklist (PCL) (Hare, 1980, as cited in Bartol, 1999) and Psychopathy Checklist Revised (PCL-R) (Hare, 1991, as cited in Bartol) are widely recognised as a reliable method of measuring male psychopathy in criminal populations (Bartol). The PCL-R is a twenty-item checklist that is recognised to distinguish three areas of psychopathic traits: interpersonal deficits (how they interact with others); affective deficits (lack of feelings or emotion); and impulsive and criminal behavior (Lilienfeld & Arkowitz, 2007). Arguments have emerged regarding the ability of the PCL-R to differentiate between those who have extreme mental disorders that may be affecting results, and those who don’t (Howard, 1990, as cited in Bartol).
Psychopaths are defined as “an individual who lacks what in the eighteenth century was generally called moral
When Ronson wraps up his work in The Psychopath Test, a novel, he creates a theme of paranoia as he ventured into an industry of madness. He establishes his work’s meaning that any individual may appear normal, abnormal, or be a psychopath within. In other words, his theme follows the idea that life can be full of deceiving people. In order to convey his theme, he used four significant characters. They include himself as the narrator, David Shayler with Rachel North, and Robert Hare. These characters not only emphasize Ronson’s theme, but also help establish the purpose of his theme, which is to showcase that madness can be anywhere.
Throughout time there have been many controversies on what factors create a psychopath. There have been many stories and myths as to what caused an individual to be labeled as a psychopath. While some have argued that biological, social, domestic, and environmental aspects make a psychopath who they are, there is more to it than the naked eye meet. However these factors do not explain the difference between male and female offenders. While sex differences in psychopaths may be looked over, these sex differences range from the number of individuals classified as psychopaths, types of crimes, depth of corruption, and even the victims of these individuals.