W11 Small Group Prep

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Dec 6, 2023

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W11 Small Group Gathering: Preparation Instructions Study the following resources and answer the corresponding questions. Antisocial Personality Disorder Case Study - Nate Question 1 Do you agree with Nate’s diagnosis of antisocial personality disorder? I do agree with Nate's diagnosis of antisocial personality disorder, as he follows quite a few of the diagnosis descriptions. Question 2 What symptoms of this disorder does he exhibit? - An ongoing pattern of ignoring and violating other people's rights - Tends to disregard social norms (including breaking the law) and other's feelings. - Shows little remorse for their wrongdoings and a lack of empathy for those that they hurt Question 3 Do you see Nate as responsible for his bad behavior? Why or why not? While he did not always have his parents around to try and teach him better about their jobs, they did their best to help and guide him, and nothing else pointed to an external reason for his behavior. While it may have been a psychological issue, he is still responsible for his behavior. Question 4 What changes in Nate’s environment might have led to a better outcome? - Having his parents around more often - Living closer to others - Getting a personal psychologist for him instead of just a family psychologist Question 5 How would you approach treatment for Nate if you were his therapist? BYU-Idaho PSYCH 342

- Biological perspective - medicine to boost serotonin - Psychological perspective - schema therapy - Humanistic Perspective - Person-centered therapy Question 6 Some traits of antisocial personality disorder are over-represented among powerful and successful people. Why might this be? What’s the difference between them and Nate? This may be because many of these people ended up manipulating their way to the top with no remorse for the injury they caused to get there, physical or not. The difference between them and Nate is the amount of control they have over their disorder, and they can control it to the point where it works for them but does not get them into trouble. Borderline Case Study - Jennifer Question 1 What symptoms of BPD do you see in Jennifer? Other disorders? - An ongoing pattern of rapidly shifting and unstable relationships - Tries desperately to avoid abandonment - She has difficulty controlling their anger. - Behaves impulsively (including threats of self-harm) - She shows a few signs of dependent personality disorder with her fear of being alone, along with her clinginess. This is not super strong, though Question 2 What challenges might a therapist face working with Jennifer? - Working through the constantly changing strong feelings of greatness and despair that would constitute an unstable - Her impulsive behavior - Parasuicidal behavior Question 3 Jennifer is dealing with some very legitimate suffering. How might she be making it difficult for others to respond with ordinary empathy and generosity? He ends up with a massive scene about what she is going through, which tends to scare people off as they are unsure how to approach her to help. The constant change from euphoria to extreme sadness can make it difficult for people to understand how to help her. She might also take ordinary empathy and generosity BYU-Idaho PSYCH 342

and become incredibly attached to that person so as not to lose those things, which inevitably causes her to lose them. Question 4 How might Jennifer’s family and social background contribute to her disorder(s)? - She never had a constant father figure, and some of the ones that she did have were abusive. While this is already quite a lot, her mother constantly took the side of her stepfather, leaving her feeling alone. Her father never showing up and consistently making excuses for why could also contribute to her disorder. - Jennifer lived in a volatile household financially and love-wise, so she never had a constant in her life MARSHA LINEHAN - Strategies for Emotion Regulation (Links to an external site.) Question 1 Dr. Linehan described a number of strategies for helping clients with emotion regulation:  1) Identify the emotion  2) Vulnerability Factor (did you sleep, eat, etc.)  3) Prompting event (problem solving w/ what happened right before)  4) Check the facts (challenge problematic interpretations of the situation) What are some examples from the case study where Jennifer could have used one of these strategies? The most helpful thing for Jennifer would be to check the facts (challenging problematic interpretations of the situation). Jennifer continually took almost every situation and created a superb reason for why she needed it and why it had to be in her life, like a boyfriend or friend. If she took her problematic interpretation of her relationships and stepped back to see that they had not developed as far as she thought they had, she could continue to work on those relationships at an average pace. Question 2 Which strategies could Jennifer have used? Jennifer could have honestly used any of these strategies. There were times throughout her entire life when each one would have come in handy in helping her better regulate her emotions. Question 3 How might she learn some of these strategies? BYU-Idaho PSYCH 342

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The best way for Jennifer to learn these strategies is by working with someone else on them. It can be challenging to try and spot these problems on her own, but if she has a therapist or friend willing to help, she could work through the strategies with that outside perspective. BYU-Idaho PSYCH 342

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