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Wilfrid Laurier University
Jennifer Lavoie

Psych November 7, 2012 Week 9, Wednesday exam: any readings from week 5- up until the end of last class- november 3 ?rd Low fear hyptothesis of psychopathy David Lykken Psychopathy is rooted in a lack of fear or anxiety as a result of abnormally low autonomic nervous system functioning 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? Emotional detachment Impact on therapeutic alliance Interpersonal features- obstacles to key treatment approaches E.g insincere, grandiose, manipulative traits impacts treatment using self exploration, cognitive confrontation. Learning deficits- Low anxiety therapeutic communities: Anon conventional approach to group therapy Ademocratic 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. General assumption: 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 Failed Modality: Psychopaths learned to become better manipulators by understanding how others think feel and empathize. Major studies: The penetanguishene study: treatment makes psychopaths worse saskatoon study: improve less during treatment English prison service study Offenders with factor 1 traits get worse when you give them treatment Kingston study: some psychopaths behave deceptively well in treatment. Skeem, Monahan, and Mulvey (2002) Past research: disciniplary problems, less motivation. Less program contact Hypothesis of Study More intensive treatment may be required to produce meaningful changes. Major finding: Psychopathic patients who received MORE treatment were 3 X LESS LIKELY to be violent when released from prison. Thus, psychopaths may be treatable. Mental Illness and Criminal Justice in Canada 1 in 5 canadians have a lifetime risk Diagnostic Categories schizophrenic 1% anxiety disorder 12% mood disorders 8% Eating disorders 3% Personality disorders 7% Umbrella Term Internal dysfunction causing a serious disturbance in thoughts, feelings, perceptions. Causing distress, discomfort. Sever enough to
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