CC210 Lecture Notes - Erotomania, Louis Wain, Suicidal Ideation
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November 7, 2012
Week 9, Wednesday
exam: any readings from week 5- up until the end of last class- november 3rd?
Low fear hyptothesis of psychopathy
Psychopathy is rooted in a lack of fear or anxiety as a result of abnormally low autonomic nervous
Fearlessness results in an inability to respond to and learn from the consequences of punishment.
Anxiety/discomfort deterrent to anti-social impulses
Psychopaths have learning deficits in avoidance learning.
Why are psychopaths seen as untreatable?
Impact on therapeutic alliance
Interpersonal features- obstacles to key treatment approaches
E.g insincere, grandiose, manipulative traits impacts treatment using self exploration, cognitive
Learning deficits- Low anxiety
A non conventional approach to group therapy
A democratic style of staff-patient interaction
Intensive (approx 80 hours a week)
active participation of patients in own treatment
Increased responsibility in day to day running of hospital community.
improves psychological functioning
Living and lerning environment will encourage more open expression of feeling
Learn to better interact with people socially, understand appropriate interpersonal interaction
Psychopaths learned to become better manipulators by understanding how others think feel and
The penetanguishene study:
treatment makes psychopaths worse
improve less during treatment
English prison service study
Offenders with factor 1 traits get worse when you give them treatment
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