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Narcissistic and Antisocial Personality Disorders

A sense of entitlement and callous disregard for the rights and feelings of others are the captivating, irritating, and sometimes frightening behaviors that introduce us to individuals with these personality disorders. How can these people be so sensitive to criticism and humiliation? Why do they act with such rage when they don't get what they want? Where is their empathy-if they had any to begin with-for the plight of others? How can a democratic, wealthy, and educated country appear to be a breeding ground for such self-centered, cold, aloof, unpleasant, and in some cases, very dangerous individuals? This presentation will explore the current state of the science in our diagnostic understanding and treatment of narcissistic and antisocial individuals, with a particular emphasis on differential issues, gender, psychotherapy, psychoanalysis, medication, psychopathy, dangerousness, and risk management.

Workshop Content

The DSM-IV-TR diagnoses of NPD and ASPD
Measuring degrees of psychopathy
Psychological testing, interviewing, and independent data
Psychotherapy and psychoanalysis
Medication and risk management
The grandiose self and identification with the aggressor
Countertransference reactions
Resistances to treatment, and when not to treat
The primary or severe psychopath

Workshop Objectives
List the diagnostic criteria for NPD and ASPD as listed in the DSM
Describe which psychological tests work best for these two personality disorders
Analyze the possible pitfalls of doing psychotherapy with a narcissistic personality disordered patient
Identify the typical countertransference reactions seen when working with this population

Presented by

Reid Meloy, PhD, ABPP
Reid Meloy, PhD, ABPPDr. Meloy is a board-certified forensic psychologist (ABPP) who consults on criminal and civil cases throughout the U.S. and Europe. He is a clinical professor of psychiatry at the University of California, San Diego, School of Medicine, and a faculty member of the San Diego Psychoanalytic Center. He is a fellow of the American Academy of Forensic Sciences and is past president of the American Academy of Forensic Psychology. He has received a number of awards and honors, including the first National Achievement Award in 1998 from the Association of Threat Assessment Professionals. He was the Yochelson Visiting Scholar at Yale University in March, 2015, and Visiting Scholar at the Psychiatric University Hospital Zurich—originally the Burgholzli Clinic--in May, 2018. Dr. Meloy has authored or co-authored over two hundred fifty papers published in peer-reviewed psychiatric and psychological journals, and has authored, co-authored or edited thirteen books. He has been consulting, researching and writing about personality disorder, psychopathy, stalking, narcissism, criminality, mental disorder, and targeted violence for the past thirty years. His first book, The Psychopathic Mind (Aronson, 1988), was an integration of the biological and psychodynamic understanding of psychopathy. His co-edited book with Drs. Hoffmann and Sheridan, Stalking, Threatening and Attacking Public Figures (Oxford University Press, 2008), led to a commissioned study for the National Academy of Sciences on threats toward public figures published in 2011 (www.nap.edu). The first edition of the International Handbook of Threat Assessment was published in 2014, and the second edition in 2021 (Oxford University Press). Dr. Stephen White and he created the WAVR-21 V3 (www.wavr21.com), a structured professional judgment instrument for targeted workplace and campus violence. Dr. Meloy has been a consultant to the Behavioral Analysis Units, FBI, Quantico, for the past twenty years, and is the originator and developer of the TRAP-18 (Terrorist Radicalization Assessment Protocol, mhs.com). He was a member of the Fixated Research Group for the United Kingdom’s Home Office concerning threats to the Royal Family and British political figures, and is a consulting member of Work Trauma Services, Inc., headquartered in San Francisco, and Team Psychology and Security in Darmstadt, Germany. He was also a founding associate editor of the Journal of Threat Assessment and Management.