Showing posts with label Personality disorder. Show all posts
Showing posts with label Personality disorder. Show all posts

Sunday, November 28, 2010

The Difference Between a Sociopath and a Psychopath

As I was cruising around the internet doing some research, I found this little tidbit that I thought might be good information for some.  There are a few terms that seem to get thrown around to mean the same thing and they are not.  There is a category of behaviors that falls under the DSM - IV grouping of personality disorders called Anti-social.  Under this heading there are several different qualifications and I thought it might be helpful to understand the difference between a few of them.  Word of Caution: You may be tempted to relate these sociopath characteristics to your unreasonable friends, family and folks. However, only an expert and learned individual can diagnose a person as a sociopath. Hence, refrain from jumping to conclusions. 
Difference Between Sociopath and Psychopath

There are very few differentiations between sociopaths and psychopaths. There are many medical dictionaries that consider them synonymous. Both, sociopaths and psychopaths are involved in antisocial behavior that is related to extreme violence. Though psychiatrists group sociopaths and psychopaths together, criminologists have given some difference between sociopaths and psychopaths.
Behavior of a Sociopath
Behavior of a Psychopath
Sociopaths are very disorganized people
Psychopaths are obsessively organized people
Sociopaths cannot maintain normal relationships with their family, friends and co-workers
Psychopaths tend to have normal relationships with the people around them and are even able to take care of old parents and get married.
Sociopaths are not able to maintain a steady employment or house.
Psychopaths are very successful career-wise . Their ability to organize makes them very likable and trustworthy among people. Psychopaths tend to understand the emotions of others, but they themselves do not feel any emotions. Thus, it is very easy for them to manipulate people with emotional games.
Sociopaths are found living at the periphery of the society. A study carried out with the homeless people of New York as subjects, showed that most of them were sociopaths.
Psychopaths are found living in large apartments and houses and cannot be distinguished from normal people.
Sociopaths are very erratic and unplanned with their acts of extreme violence. There inability to plan ahead and be organized, makes them leave trails of clues. This makes it very easy to identify and zero-in on them.
Psychopaths tend to plan for years before they carry out their act of violence. They plan every single detail of their crime and ensure that they remain undetected. This organized and detailed planning makes it very difficult to catch them.


Sociopaths tend to see their victim as an instrument to be used for personal gains. They try to dominate others and humiliate their victims. They have no qualms lying and it becomes very difficult for them to be truthful. This, makes them believe falsely about their own greatness and powers. It is seen that they can easily pass a lie detector test. They have problems keeping friends, show cruelty towards people and even animals, etc. They have no problems when they play havoc in the lives of others and break their dreams. They do not feel guilty about their act, instead play the blame game and make others responsible for their acts committed. They tend to have promiscuity, involved in child sexual abuse, rape and indulge in sexual acting out of all types. They tend to change their image very often and their life story so convincingly that it helps them avoid prosecution. 
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Truly scary stuff....I believe that I have had a few individuals who had many of the characteristics listed here walk through the doors of my office and they are definitely a force to be reckoned with.  As human beings, we are used to dealing with a population who has self imposed boundaries.  We innately trust that people will just not do certain things but when those boundaries disappear, it can be very frightening.  It's similar to the trust that we have that our home is safe if we lock the doors, yet all it would take for a robber to get in would be to break a window.  We live behind the illusion that no one will do that, yet someone who has no boundaries and no conscience would have no problem doing that kind of thing.  For the most part, these types of individuals have no place in our society, yet 1% of the population is dealing with these kinds of disorders.  Women who marry this type of individual spend their lives trying to figure out what is wrong and often pay a very high price for doing that.

For those who ask the question, "Can they be helped?"   The answer is not often.  There are people in our society who have dedicated their lives to helping individuals with these kinds of disorders, but the most common obstacle is that the disorder itself causes them to believe that they are OK and the rest of the world is out of order.  They are superior and the rest of us are flawed....therefore they do not need help.  There are a few who have recognized that they need help, and once that happens it is a long, tenuous journey to a manageable life.  

Friday, February 26, 2010

Obsessive Compulsive Personality Disorder

In the realm of personality disorders, the DSM-IV TR lists a total of nine. Some of them are well known and some of them are not. The ones that most people are familiar with are the anti-social types which are commonly called serial killers or psychopaths. Narcissistic and Borderline Personality disorders are becoming more well known in our day and age as well. However, there is another disorder that is worth noting, considering the perfectionism that is becoming so standard within our culture. The one I am speaking of is Obsessive Compulsive Personality Disorder.
There are no personality disorders that are ever diagnosed in children, however personality disorders are characterized as being pervasive over the lifetime. What that means is that even though the disorder may be recognized in its total extent once the person is 18 or older, in my opinion, when you look back over the person's early life as a child or adolescent, there are indicators there that can point toward these disorders in later life. For example, no psychologist or counselor would look at a child who abuses animals, mistreats insects etc and say they are serial killers, that would be inappropriate. However, when you look back over the lives of known serial killers, you will more than likely find that type of behavior. Individuals who are diagnosed with Borderline Personality Disorder usually have childhoods that are filled with problematic behavior, exaggeration and mis-perception, but it needs to develop over time in order to see the course develop. It is the same way with OCPD. The person with this disorder is very rigid, preoccupied with rules and is unable to engage in the spirit or principle of a thing...they only see the rule. That doesn't mean that every child who is preoccupied with cleanliness and rules is going to grow up with this disorder, but it can mean that parents should pay attention to this behavior and do their best to bring a sense of balance to their child's life.
Mentalhealth.com puts it this way:
"Obsessive-Compulsive Personality Disorder is a condition characterized by a chronic preoccupation with rules, orderliness, and control. This disorder is only diagnosed when these behaviors become persistent and disabling. The individual with this disorder often becomes upset when control is lost. The individual then either emotionally withdraws from these situations, or becomes very angry. The individual usually expresses affection in a highly controlled or stilted fashion and may be very uncomfortable in the presence of others who are emotionally expressive. The person often has difficulty expressing tender feelings, and rarely pays compliments.
Complications:
The individual's chronic preoccupation with rules, orderliness, and control seems to prevent many of the complications (e.g., drug abuse, reckless sex, financial irresponsibility) that are common to some other personality disorders. Occupationally, the individual tends to be a high achiever with an excessive devotion to work. However, inflexibility, perfectionism, preoccupation with detail, and inability to delegate work may seriously interfere with the individual's ability to complete a given task. The individual experiences occupational difficulties when confronted with new situations that demand flexibility and compromise."
OCPD differs from Obsessive Compulsive disorder in the following ways:
1. OCD is an illness with symptoms that change in severity over time, while OCPD reflects an overly rigid personality style that does not change much over a person’s lifetime.
2. OCPD is not associated with the obsessions and compulsions that are so prominent in OCD. Although people with OCD and OCPD might both carry out repetitive behaviors, the underlying motive is very different. While someone with OCD might repeatedly write out lists or organize items around the home to keep a catastrophe from taking place, someone with OCPD would be more likely to do these activities to increase their efficiency or productivity.
3. While people with OCD usually want to get rid of their symptoms, it is not uncommon for people with OCPD to see nothing wrong with their behavior and to feel that “other people” are the problem. Likewise, although people with OCD will usually seek help for the distress caused by their obsession or compulsions, individuals with OCPD will usually seek treatment because of conflict between themselves and family and friends related to their need to have others conform to their way of doing things.
4. People with OCPD often have very rigid views on “right versus wrong,” and this rigidity may extend to spending habits; people with OCPD are often described as miserly. Neither of these is a defining characteristic of OCD.
5. In comparison to those with OCD, people with OCPD tend to be more ruled by perfectionism and have a higher need for order and control in both their personal and professional lives. It is not uncommon for individuals with OCPD to become irritated by others who do not value order, perfectionism and exactness to the same extent that they do. Because of this perfectionism, it is not uncommon for people with OCPD to be overly devoted to work.
(comparison taken from http://ocd.about.com/od/diagnosis/f/OCD_OCPDFAQ.htm)
This particular disorder can be categorized in a nutshell by understanding that people with OCPD live entirely in their heads, often to avoid the pain of life that is seen as out of control. They are preoccupied with excellence, perfection and production, to the extent that the feelings of those around them are insignificant. Their connection to their hearts has been mostly cut off which gets in the way of deep, intimate relationships. As with most of the personality disorders, feelings are "done" rather than "felt". Often, individuals who are Christians come into counseling because they don't understand why their relationship with God seems so distant. They view others who seem to be able to hear God speak to them, feel His presence and have a productive prayer life and may wonder why they can't "do that".
When you look at the world with the understanding of OCPD, you may see some different things. This is often a very lonely existence, made up by working harder and harder at production and excellence. The question then begs to be asked, does our society...the one which places SO MUCH emphasis on beauty, perfection and success...does it create and feed disorders such as this? What do you think?