A Narcissist, Sociopath, and Psychopath at Work A Differential
Analysis
A Narcissist, Sociopath, and Psychopath at WorkA Differential
AnalysisChristine Hammond, LMHC
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A narcissist, sociopath, or psychopathIs He.
Is Bill Cosby a.NarcissistSociopathPsychopath
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ObjectivesDefine narcissism, anti-social, sociopath, and
psychopath.Distinguish using real life examples.Discuss behavior at
work. Describe impact on family and victims.Due Diligence for
therapists.
ObjectivesDefine narcissism, anti-social, sociopath, and
psychopath.Distinguish using real life examples.Discuss behavior at
work. Describe impact on family and victims.Due Diligence for
therapists.
3
Which is Real?
Which is Real?Move away from the idea that all psychopaths look
like Hannibal Lecter.4
Goal To education professionals in identifying sociopathic and
psychopathic behaviors because an increase in narcissism may also
lead to increase in sociopathy and psychopathy.
GoalTo education professionals in identifying sociopathic and
psychopathic behaviors because an increase in narcissism may also
lead to increase in sociopathy and psychopathy.
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Part 1Define narcissism, anti-social, sociopath, and
psychopath.
Part 1Define narcissism, anti-social, sociopath, and
psychopath.
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Narcissistic Personality DisorderExaggerates
achievementsFantasies of successRequires excessive admirationSense
of entitlementBelieves others are enviousArrogant
Narcissistic Personality Disorder
Grandiose sense of self-importance Fantasies of unlimited
success or powerBelieves they are "special" Requires excessive
admirationSense of entitlementTakes advantage of others Lacks
empathyBelieves others are envious of themArrogant
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Anti-Social Personality DisorderCriminal behaviorLies, deceives,
and manipulatesAggression towards othersDisregards safety
Irresponsible
Anti-social Personality Disorder
Violation of others rights since 15Criminal arrestsLying,
deception, and manipulationImpulsive behaviorEngages in
fightingDisregards safety of self and othersIrresponsibility Lack
of remorse 18 years old
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SociopathUntruthful and insincereLack of remorse Poor judgment
Threatens suicideHighly sexualNo life plan
Sociopath Definition from Harvey Cleckley, The Mask of
Insanity:CharmingUnreliabilityUntruthfulness Lack of remorse Poor
judgment Incapacity for loveNo insightUnresponsiveSuicide threats
rarely carried outSex life impersonalFailure to follow any life
plan9
PsychopathPathological lyingCunning/manipulativeProne to
boredomParasitic lifestyleCriminal behaviorPromiscuous
Psychopath Definition from Hare Psychopathy Checklist: Facet 1:
Interpersonal Glibnesspathological lyingcunning/manipulativeFacet
2: Affective Lack of remorseemotionally shallowFacet 3: Lifestyle
Prone to boredomparasitic lifestyleFacet 4: Antisocial Criminal
behaviorOther items - Promiscuous sexual behavior
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Differential Chart
HighlightsOrigin socio environment/abuse; psycho
born/malfunction in brainPopulation anti-1 in 100; socio- 1 in 25;
psycho- 1 in 30Morality Lack of conscienceImpulsivity none for
psychoAbuse narc-random; socio-impulsive;
psycho-calculatedVocations narc- high profile; socio-steady are
hard; psycho-faade
Group exercise:Pare and shareWhich client is easiest and hardest
for you to identify?11
Part 2Distinguish using real life examples.
Part 2Distinguish using real life examples.
Disclaimers: Speak of males only because don't know enough
femalesWhite collar crimes only - not an expert in criminology nor
profiling
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Female Psychopaths Do Exist
Charlize Theron in Monster (2003) portrays true story of a
Florida serial killer named Aileen Wuornas who was executed
2002.
Victims of serial killer Aileen Wuornos:
Richard Mallory, 51, body found in Volusia County. David Spears,
43, Winter Garden. His nude body was found along Highway 19.Charles
Carskaddon, 40, died of nine bullets in his chest and abdomen.Troy
Burress, 50, Ocala. Found along State Road 19 in Marion County.
Charles "Dick" Humphreys, 56, retired Air Force major, former
police chief and Florida state child abuse investigator. He had
been shot six times. Walter Jeno Antonio, 62. His nearly nude body
was found in Dixie County. Peter Siems, 65. His car was found in
Orange Springs. His body was never found. 13
PhilScottNealCharlieReal or Composite
Are they real or composite?
2 are real, 2 are composite
Can you guess?14
Phil the Psychopath
Killed animalsAbused by fatherCreates false
sympathyThreatensManipulativeAbuses medications
Phil the Psychopath
Killed animalsAbused by fatherCreates false
sympathyThreatensManipulativeAbuses medications
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Scott the SociopathStole moneySmooth talkerChameleonLied about
occupationNeeds coverSeductive
Scott the Sociopath
Stole moneySmooth talkerChameleonLied about occupationNeeds
coverSeductive
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Neal the NarcissistIntimidating stareBulliesVery
competitiveSuccessfulBrags about moneyNeeds admiration
Neal the Narcissist
Intimidating stareBulliesVery competitiveSuccessfulBrags about
moneyNeeds admiration
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Charlie the ChildThreatens harmExpelled from schoolsRequires
constant attentionNo filterLies without regard
Charlie the Child
Threatens harmExpelled from schoolsRequires constant attentionNo
filterLies without regard
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Part 3Discuss behavior at work.
Part 3
Discuss behavior at work.19
Neal the NarcissistTalks about selfBulliesNeeds
admirationUsually industriousHigh profile positions
Neal the Narcissist
Talks about selfBulliesNeeds admirationUsually industriousHigh
profile positions
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Scott the SociopathLies about accomplishmentsBlames othersUses
appearanceUnnecessary risksLoose job descriptions
Scott the Sociopath
Lies about accomplishmentsBlames othersUses
appearanceUnnecessary risksLoose job descriptions
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Phil the Psychopath
Perfect resumeDestabilizes environmentUndermines
authorityDefiant of rulesAny vocation
Phil the Psychopath
Perfect resumeDestabilizes environmentUndermines
authorityDefiant of rulesAny vocation
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Part 4Describe impact on family and victims.
Part 4
Describe impact on family and victims.23
Ten Tips for Victims
Ten Tips for VictimsName the type of abuse. Abuse can be
emotional, physical, mental, verbal, financial, sexual and
spiritual. Diagnosis the behavior. Recognize their patterns.
Strategize. Think of this as a game of chess. Set boundaries.
Rather the boundaries are for the victim. Have an exit plan. Tell a
close friend or relative. Move away if possible. Be reflective. New
relationships need to be checked. 24
7 Ways a Person Can Be
AbusedPhysicalMentalVerbalEmotionalFinancialSexualSpiritual
7 Ways a Person Can Be Abused
PhysicalMentalVerbalEmotionalFinancialSexualSpiritual25
Part 5Due Diligence for therapists.
Part 5
Due diligence for therapists.26
Analyze This
Analyze This
1999 gangster comedy movieBilly Crystal plays psychiatristRobert
De Niro plays mob boss who has developed panic attacksSeeks out
help from psychiatristLanguage in clip is strong but consistent
with psychopathsListen for Billy Crystals question.Same question we
as therapists need to ask
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Patient Kills Psychiatrist in Murder-Suicide (2011, VA)
Police: Cleaver-wielding Man Kills Psychologist (2008, NY)
Patient Admits Killing Psychiatrist, Police Say (2006, MD)
Therapists Killed by Patient
July 2011, Dr. Mark Lawrence, 71, Psychiatrist, killed by a
patient in a murder-suicide. Shot in his home office of McLean,
Virginia by Barbara Newman, 62 when she showed up for her
appointment. February 2008, Kathryn Faughey, 56, Psychologist was
attacked and murdered with a meat cleaver by David Terloff, 39 in
her upper East Side Manhattan office. Dr. Kent Schinbach, a
colleague and psychiatrist in the same office, attempted to help
her but was serious wounded in the face and neck. September 2006,
Wayne S. Fenton, 53, Psychiatrist, was beaten and killed by his
patient, Vitali A. Davydov, 19. 28
Safeguards for Therapists
Safeguards for Therapists
Obtain psychologic testing confirming the type of personality
disorder. What do they want from therapy? Hint: It is not about
healing. Set unspoken, basic, and personal goals for the sessions
such as gaining trust. Ask for a signed release to speak with
family members. Take notes on everything, especially the stories.
Expect to be lied to on a regular basis even about small and
insignificant matters. Do no harm. This is not about harm to the
client; rather it is about whom the client might harm. Listen, ask
questions and offer no advice. Emotional detachment is essential.
Do not allow emotions of empathy to cloud judgement. Don't take
intimidating personally. Have limits already established.
Therapists can fire clients. Be careful about disclosing personal
information. Be safe by having a co-worker on alert. Talk to
another therapist. 29
Which was real or composite?
Which was real or composite?30
Questions & AnswersResources
GrowWithChristine.com
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LifeWorks Office.
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