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March 04, 2009

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Jenelle

I'm curious as to how interpersonal intrusiveness compares to narcissism and anti-social personality disorder? Seems to me that there may be overlap, but perhaps I'm missing a key distinction. As well, how prevalent is it? My understanding with anti-social personality disorder that is so prevalent among offenders as to render it basically useless in distinguishing who requires what type of therapy.

Jeremiah Dwyer

Janelle,

Walters' description of the "lifestyle crimninal" overlaps in some ways with both antisocial ersonality disorders, and psychopathy (which can be viewed, on a basic level, as a combination of ASPD and aggressive narcissism). The descripters I've been reviewing in these threads would be characteristics for many such offenders. I guess one can look at interpersonal intrusiveness, irresponsibility, etc. as charactertistics (or symptoms) of the problem.

ASPD is a diagnosis based mostly on behavioral symptoms anyway, so these types of descripters would fall in line with the DSM's thinking about offenders with that diagnosis. Psychopathy breaks downs into four factors at this point, with the ASPD stuff comprising one of the factors. However, the interpersonal intrusiveness stuff would be evident on several of Hare's checklist items, such as multiple partners.

As far as the utility of the ASPD diagnosis, I think you are correct, especially the further up the security level you go, in terms of corrections. I don't have of the data in front of me, but my guess is that a diagnosis of ASPD at a minimum security camp would be distinctive - at a penitentiary, it would be like saying they are breathing. At the penitentiry level, psychopathy appears to become the more diagnostic consideration. I think Hare suggested that 75% of penitentiary guys are ASPD (your point), but only 25% score in the high range on the psychopathy checklist...

Jenelle

I had heard 70% with ASPD, that would be comparable. I just hadn't actually seen any data, so I was wondering if it was valid.

On a broader note, I think it's interesting to see how different researchers & clinicians make similar observations and conceptualize them in varying ways. I guess really it can be both interesting and difficult to manage in terms of the literature (studies would be much more comparable if consistent terminology was used by all, but alas, it often isn't the case).

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