Two Shrinks Pod

31 - Finishing up our mini-series on Anti-Social Personality Disorder and psychopaths we thought we’d talk to our colleague Liz Daff about working as a forensic psychologist. That is, a psychologist who works in prisons or forensic settings with people convicted of crimes or about to go to trial. This interview was so interesting and gripping. It is for anyone fascinated by crime shows (Midsomers Murders anyone?) or wondered what it’d be like to work with someone convicted of a serious crime. Liz is completing her clinical and forensic training through Swinburne University and gives a great description of some of the challenges working in this area.

We of course finish of with ‘Things we came across’ which Liz joins us for, with a discussion on the lack of evidence base for parachutes, Amy talks about anti social personality disorder and Survivor (the tv show), Hunter meanwhile talks about the psychological processes behind why his honey, lemon, cloves and ginger drink helps with head colds (ie. the placebo effect).

Links:

Survivor (Amy) : https://www.tandfonline.com/doi/abs/10.1080/15205436.2011.567346

Parachutes (Liz) : https://www.bmj.com/content/327/7429/1459

Placebo effect (Hunter) : https://www.sciencedirect.com/science/article/pii/S0191886917304191

This episode we decided to continue on from pod 29 and chat more about psychopathy. Amy takes us through a discussion of how psychopathy does and does not manifest itself in children and adolescent. Spoiler – it does and doesn’t.
Hunter then talks (at length) about ‘successful’ or non-incarcerated psychopaths, think nasty politicians, corporate CEO, that kind of thing. At about 47 minutes we jump to a discussion about treatment of psychopaths and anti-social personality disorder which is really interesting. For TWCA Hunter ponders the number of Subway stores by country and talks about white-coat hypertension, whilst Amy finds comfort in knowing chimps fake laugh to improve social standing.

References:

The Handbook of Psychopathy – Christopher J. Patrick (Ed).
Psychopathy in children - http://psycnet.apa.org/record/2006-01001-020

Succcessful psychopath - http://psycnet.apa.org/record/2006-01001-023

TWCA

Subway stores: https://www.subway.com/en-US/ExploreOurWorld

White coat hypertension and personality: https://www.ncbi.nlm.nih.gov/pubmed/25186529

Aping expressions : https://www.ncbi.nlm.nih.gov/pubmed/21355640

This week on Two Shrinks Pod we're looking at the darker side of human nature. Hunter & Amy chat about the diagnosis of Anti-Social Personality Disorder, psychopaths and sociopaths. Lump Hannibal Lector and The Grinch (pre-heart growth) into the same camp and get nerdy over theory. We lighten things up at the end with a chat about the (perfectly normal) brain reasons Amy sees faces in things and blame Hunter's snacking on social influence. Join us next time for a chat about ASPD treatment!

Background reading:

Personality Disorders in Modern Life, 2nd Edn. Millon & colleagues
ASPD vs Psychopathy: Bartol & Bartol
Psychopathy & ASPD in an Australian sample, Ogloff et al - https://www.tandfonline.com/doi/full/10.1080/15228932.2016.1177281
Reoffending in Australian prison samples, the role of Psychopathy & APD -  http://journals.sagepub.com/doi/10.1177/0306624X16653193
Gender differences in ASPD - http://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0031681

Cases:

The Grinch - https://www.psychologyinaction.org/psychology-in-action-1/2013/10/31/personality-disorders-in-the-media 
Gary Gilmore – https://en.wikipedia.org/wiki/Gary_Gilmore
Harold Shipman - https://en.wikipedia.org/wiki/Harold_Shipman
https://www.telegraph.co.uk/news/7897767/Harold-Shipman-thought-he-was-boring-letters-show.html

TWCA

Seeing Jesus in toast - https://www.sciencedirect.com/science/article/pii/S0010945214000288
Channing tater - https://www.buzzfeed.com/lyapalater/potatoes-that-look-like-channing-tatum?utm_term=.hblmZYEev#.gpopYQezZ 
The Fitzroy Diaries – http://www.abc.net.au/radionational/features/the-fitzroy-diaries/
Chocolate ripple biscuits
Social snacking -  https://www.ncbi.nlm.nih.gov/pubmed/29154607

In this week's pod we chat with Chris Hayes, clinical psychologist and advanced schema therapist. Chris talks us through common schemas and modes in Narcissistic Personality Disorder, therapeutic approaches and the challenges of this work. He also answers our varied questions about schema therapy for personality issues. As always, we finish up with things we came across - Hunter chats about emotional expressions and the World Cup and Amy confirms that clowns are creepy. Was anyone questioning that? 

Recommended by Chris:

Scema therapy in practice - https://www.wiley.com/en-us/Schema+Therapy+in+Practice%3A+An+Introductory+Guide+to+the+Schema+Mode+Approach-p-9781119962854

Schema therapy: A practitioners guide - https://www.guilford.com/books/Schema-Therapy/Young-Klosko-Weishaar/9781593853723/reviews 

http://www.schematherapytraining.com/

TWCA:

World cup player portraits and world cup success https://www.sciencedirect.com/science/article/abs/pii/S0167487017307286

The Haka
https://www.youtube.com/watch?v=PptTeyYShdw

No such thing as a fish – Episode 221 World Cup
http://qi.com/podcast/

World cup road trip - https://itunes.apple.com/au/podcast/world-cup-road-trip/id1395793369?mt=2

Creepy clowns
https://psychlopaedia.org/society/republished/the-psychology-behind-why-clowns-creep-us-out/

This week we take a look at Narcissistic Personality Disorder (NPD) and answer our own burning questions: What is it like interacting with someone with NPD? How can you tell the difference between traits and diagnosable NPD? What are the theories about how it develops? And of course, which politicians meet criteria and what are the ethics of labelling them as such?

As always, we wrap up with Things We Came Across – Amy chats about why healthy food tastes better if you've prepared it yourself and Hunter chuckles about scanning salmon. Join us next time for an interview with a psychologist using schema therapy with clients with NPD!

NPD background reading - Diagnosis, theories on development and interpersonal experiences:

Personality Disorders in Modern Life, 2nd Edn. Millon & colleagues
Clinician's Guide to the Diagnosis and Treatment of Personality Disorders. Fox 

Alliance and the therapeutic relationship thanks to the work of Elsa Ronningstam and colleagues:

Alliance Building & NPD: https://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.21898
Empathy & NPD: http://psycnet.apa.org/record/2014-04665-001
Recent research in NPD: https://link.springer.com/article/10.1007/s40473-016-0060-y
Self-esteem & emotion regulation in NPD: https://bpded.biomedcentral.com/articles/10.1186/s40479-017-0054-8

Politicians:

Trump & NPD: https://www.statnews.com/2017/09/06/donald-trump-mental-illness-diagnosis/
Trump's bills: http://www.politifact.com/truth-o-meter/statements/2017/dec/29/donald-trump/has-donald-trump-signed-more-bills-anyone-no/ 
Kevin Rudd: https://www.smh.com.au/politics/federal/grandiose-narcissist-the-secret-diagnosis-that-helped-bring-down-kevin-rudd-20130909-2tfum.html

TWCA:

Does self-prepared food taste better? https://www.ncbi.nlm.nih.gov/pubmed/26690640
Scanning Salmon: https://www.wired.com/2009/09/fmrisalmon/
The Hospital Anxiety and Depression Scale (HADS) is dead, but like Elvis, there will still be citings: https://www.jpsychores.com/article/S0022-3999(12)00093-1/abstract

We're back after a short break with a discussion about DBT for BPD. Hunter takes us through the key components of Dialectical Behavior Therapy which is used to treat Borderline Personality Disorder and we chat about the processes and challenges of this work. The pod goes into the weeds of this treatment so to speak - it is a long conversation but stick with it as it is some really interesting parts. It should be of interest to anyone who is interested in learning about therapy, should be good for psychologists who don't know much about DBT and for anyone with loved ones who have BPD. The episode finishes up with a chat about music through the seasons and Hunter using research to rationalise his holiday butter consumption. Join us next time as we continue to talk about cluster B personality disorders.

Hunter's articles:

Dialectical Behavior Therapy (Linehan) - chapter in Clinical Handbook of Psychological Disorders : https://www.guilford.com/books/Clinical-Handbook-of-Psychological-Disorders/David-Barlow/9781462513260/reviews

Things we came across:

Seasonal music tastes - http://psycnet.apa.org/record/2017-11225-001

Holiday weight gain - https://www.ncbi.nlm.nih.gov/pubmed/26917053

The stupidly small podcast : https://itunes.apple.com/us/podcast/stupidly-small/id942390274?mt=2

This ep we are talking about Borderline Personality Disorder - one of the most interesting, challenging and controversial personality disorders. We chat about the symptoms, aetiology, controversies and issues in therapy when working with someone who has BPD. it was recorded at the same time as the last ep (Histrionic PD) and so it's essentially part two of our discussion about Histrionic and Borderline PDs so in the the reverse of last week Amy will be doing most of the talking. Hunter wraps this week up discussing some research on knitting - what's driving us to pick up the yarn? Join us next week for a discussion about BPD treatment.

Borderline Personality Disorder articles

DSM 5 diagnostic criteria - https://www.psychiatry.org/psychiatrists/practice/dsm

Developmental Trauma Disorder - www.traumacenter.org/products/pdf_files/preprint_dev_trauma_disorder.pdf

Aetiology = https://www.ncbi.nlm.nih.gov/pubmed/29182951 

I hate you don't leave me - A book on understanding BPD : https://psychcentral.com/lib/i-hate-you-dont-leave-me-understanding-the-borderline-personality/

Things we came across:

Knitting to prevent osteoarthritis - https://www.ncbi.nlm.nih.gov/pubmed/29444664

Motivations to knit among young women - http://journals.sagepub.com/doi/abs/10.1177/0887302X14564619?journalCode=ctra

This week we got a little carried away talking about cluster B personality disorders so instead of discussing two PDs we've split the episode in two and just talk about one. First up, Hunter talks us through Histrionic PD: what are the symptoms, how do clients with this disorder present and what do we know about the theoretical background? Amy wraps it up with a things we came across about aesthetic goosebumps, inspired by the great pod, Every Little Thing. Next week Amy will take us through Borderline Personality Disorder and Hunter will do TWCA. 

Hunter's resources:

General link on HPD https://www.psychologytoday.com/conditions/histrionic-personality-disorder

More specific reading on HPD : Personality Disorders in Modern Life. (2000). Millon & Davis. Wiley. 
If you google the title of this book there seems to be downloadable pdfs of it available at no cost.  

Amy's things we came across:
Aesthetic goosebumps https://www.researchgate.net/publication/232493918_On_Personality_and_Piloerection_Individual_Differences_in_Aesthetic_Chills_and_Other_Unusual_Aesthetic_Experiences

Every little thing - Why does music give us the chills?
https://www.gimletmedia.com/every-little-thing/why-does-music-give-us-the-chills#episode-player

Shawshank Redemption Ending
https://www.youtube.com/watch?v=zRBl0GPBm4o

This week we're back from our summer holiday & digging into personality disorders. Join us in the first episode of our mini series on personality disorders. We are starting off with Cluster A personality disorders, namely Schizoid, Paranoid and Schizotypal PDs. This cluster is known as the Odd & Eccentric cluster. We'll chat about the main features of each diagnosis, some theory, what it is like to work with clients who have traits or full blown PDs and the complexity of treatment. As always, we wrap up with things we came across: Amy talks about how a picture of a sun can make us tip more and Hunter is inspired by the Slow Burn podcast to talk about the Martha Mitchell effect.

Amy's articles/resources:

Paranoid Personality Disorder: https://guilfordjournals.com/doi/abs/10.1521/pedi_2012_26_055

Cluster A personality disorders in childhood:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992453/

Clinician's Guide to the Diagnosis and Treatment of Personality Disorders - Daniel Fox

Hunter's articles/resources:

Personality Disorders in Modern Life - Theodore Millon & Roger Davis

Things we came across:

Tipping: https://www.ncbi.nlm.nih.gov/pubmed/11026416

Martha Mitchell Effect: https://thepsychologist.bps.org.uk/volume-16/edition-8/beliefs-about-delusions

Slow burn podcast: http://www.slate.com/articles/slate_plus/watergate.html 

To kick off the new year, Hunter and Amy take a quick look at aviophobia. We talk about how a fear of flying develops and the way your sensitivity to body anxiety symptoms influences  fear. To wrap up, Hunter muses over why we (used to) send Christmas cards and Amy rants about the Tooth Fairy's inequitable behaviour. 

We are going to take a few weeks off at the start of January (2018) but will be back with new pods at the end of Jan so check your feed and make sure you follow us on twitter. 

Hunter's article:
Ways of acquiring flying phobia - https://www.ncbi.nlm.nih.gov/pubmed/26484616

Amy's article:
Anxiety sensitivity- 
https://www.researchgate.net/publication/49688562_The_moderational_role_of_anxiety_sensitivity_in_flight_phobia

Things we came across:
Christmas cards - https://www.ncbi.nlm.nih.gov/pubmed/26666577
Tooth fairy - https://www.mja.com.au/journal/2017/207/11/tooth-fairy-guilty-favouritism