Personality Couch

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex distinctions between antisocial personality and psychopathy, delving into historical terminology, key theories, and nuanced subtypes. This episode offers a deep dive into dark personality traits and how they differ.

⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️

Chapters
00:00 Intro & History of Antisocial vs Psychopathy
        00:36 Psychopath and Sociopath Defined
        01:54 Cleckley’s Mask of Sanity
03:21 Psychodynamic Theory on Psychopathy vs Antisocial
04:17 The DSM on Psychopathy vs Antisocial
04:35 Michael Stone’s Negative Personality Spectrum
         05:15 Level 1: Negative Personalities
         05:41 Level 2: Narcissistic & Paranoid Personality Disorders
         07:10 Level 3: Malignant Narcissism
         08:43 Level 4: Antisocial Personality Disorder
         09:28 Level 5: Psychopathy
         10:20 Level 6: Sadistic Personality
12:32 Robert Hare's Psychopathy Checklist
13:54 Hare’s Psychopathy Checklist vs DSM Antisocial 
17:20 Millon’s Theory on Psychopathy
         19:30 Spineless Psychopath
         19:43 Unprincipled Psychopath (Narcissistic Core) 
         19:51 Disingenuous Psychopath (Histrionic Core)
         21:13 Risk-Taking Psychopath (Histrionic & Antisocial Features)
         21:26 Covetous Psychopath (Antisocial Core)
         21:57 Malignant Psychopath (Paranoid Core)
         22:10 Abrasive Psychopath (Negativistic & Paranoid Features)
         22:21 Explosive Psychopath (Sadistic Core, Borderline Features)
         22:58 Malevolent Psychopath (Paranoid & Sadistic Features)
         23:34 Tyrannical Psychopath (Negativistic & Sadistic Features)
24:19 Our Thoughts
27:14 Summary & Conclusion

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the passive-parasitic and aggressive subtypes from history before jumping into Dr. Theodore Millon’s 6 subtypes. At the mild level, we look at: the Covetously Aggrandizing & Disaffected Aggrandizing Antisocials. At the moderate level, we explore the Risk-Taking Devious and Reputation-Defending Devious Antisocials. At the severe/disordered level, we discuss the Nomadic & Malevolent Antisocial Subtypes. We end with our thoughts and opinions about the line for disorder and explain why the antisocial personality is so challenging to understand. 

⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️

Chapters
0:00 Intro to Antisocial’s Historical Names
02:16 Are antisocials born or made (psychopath vs sociopath)? 
03:14 Passive-parasitic and Aggressive Antisocials
04:32 What is a Normal Antisocial Personality?
          04:40 The Adventurer
          05:45 The Unconventional Antisocial  
08:28 Intro to Millon’s 6 Subtypes
08:48 Mild Level: Aggrandizing Antisocial
          09:59 Does Dominance Fill an Inner Void?
          10:52 The Covetously Aggrandizing Antisocial 
          11:22 Criminal Behavior at the Mild Level
          15:11 The Disaffected Aggrandizing Antisocial
          17:06 Proneness to Addiction
          18:11 Proneness to Infidelity
          19:02 Contrasting the Mild Types
20:25 Moderate Level: The Devious Antisocial
          21:39 Risk-Taking Devious (Histrionic & Turbulent Features)
          25:56 Reputation-Defending Antisocial (Narcissistic & Sadistic Features)
          27:24 Proneness to Criminal Behavior 
          28:02 Relationship & Work Challenges
          29:17 What Are They Defending?
31:17 Severe Level: Antisocial Personality Disorder
          31:45 Nomadic Antisocial (Schizoid & Avoidant Features)
          33:18 Doom & Invincibility Focus
          36:54 Malevolent Antisocial (Sadistic & Paranoid Features)
41:49 Our Thoughts & Opinions
43:46 Summary & Conclusion

🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the complex inner world of antisocial personality disorder, challenging the traditional DSM view and exploring psychoanalytic theory to uncover the internal processes behind antisocial behaviors. This episode is essential for clinicians, students, and anyone interested in understanding the motivations and defenses of antisocial individuals. ⚠️Note: this podcast does not constitute a professional relationship. If you're in need of professional help, please seek out appropriate resources in your area. ⚠️

Chapters
00:00 Intro & Limitations of Antisocial in DSM
02:48 Causes of Antisocial Personality
     03:30 Genetic Studies
     05:21 Environmental Studies
07:34 Attachment & Antisocial Personality
12:23 Inside the Antisocial’s Psyche: 
     12:29 Depression & Emptiness
     14:55 Shame & Self-Importance
17:09 Defense Mechanisms in the Antisocial
     17:42 Omnipotent Control
     20:54 Projective Identification
     21:49 Dissociation 
     23:26 Acting Out 
26:34 Biological & Neuropsychological Processes of Antisocials 
28:37 Perverse & Distorted Sexuality in Antisocials
30:07 Summary & Conclusion

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack some of our difficulties understanding antisocial personality disorder in how it combines psychology, morality, philosophy, and societal judgment. We focus on: where’s the line for disorder; how can we diagnose without judgment; and what does this personality look like when it’s not disordered? We pull from historical examples of antisocial types in specialized roles and also hypothesize that America might have transitioned from a narcissistic nation to an antisocial one. 

🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  

Chapters
00:00 Introduction to Antisocial Personality & DSM Problems
02:46 Antisocial Personality Defined in the PDM
07:02 Where’s the Disorder Line?
17:29 Other Dark & Criminal Personalities
21:08 Morality & Antisocial Traits in Specialized Professions
23:37 Are We An Antisocial Society in America?
30:43 Are Antisocials Treatable?
34:37 Holding Empathy & Accountability for Antisocials
40:00 Closing Quote

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) begin our much-awaited series on antisocial personality disorder! In the DSM, antisocial personality is the only diagnosis that includes law-breaking as a criterion. But surely all criminals can’t have the same personality, right? In this episode, we break down its stigmatized history while sharing our thoughts and opinions about the DSM’s limitations. We take a critical look at each of the DSM’s 7 criteria, while also discussing the overlap with other disorders like narcissism, psychopathy, and the sadistic personality. 

🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  

Chapters
00:00 Introduction & History of Antisocial Personality Disorder
05:21 DSM Criteria for Antisocial Personality Disorder
     07:06: Criterion 1: Unlawful Behavior
     09:32: Criterion 2: Deceitfulness & Manipulation  
     12:49 Criterion 3: Impulsivity 
     15:27 Criterion 4: Irritability & Aggression
     16:21 Criterion 5: Disregard for Safety
     17:44 Criterion 6: Irresponsibility  
     20:08 Criterion 7: Lack of Remorse
21:42 Antisocial Personality & Aging
25:05 Our Critiques & Thoughts