Mad, bad or sad? The Psychology of Personality Disorders - Professor Glenn D Wilson
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- เผยแพร่เมื่อ 4 มิ.ย. 2024
- Personality disorders are a contentious issue in psychiatry. How many are there and how reliable is their diagnosis? Are we just medicalising bad behaviour and social inadequacy. How should medical and criminal justice sectors divide responsibility?
The transcript and downloadable versions of the lecture are available from the Gresham College website:
www.gresham.ac.uk/lectures-and...
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When he is referring to ADHD, we have a clear and concise testing method. RTSD Which tests for sustained reaction time variability, something unique to ADHD patients due to the much more rapid rate of dopamine reuptake in the frontal cortex.
Regarding the "distractibility " of ADHD; how about the poor content and irrelevance of the school material?
according to some of these posts- I am more convince that the worst kind of people to talk to are those who never worked in the field of mental health or done any research,, yet they have answers ! these people just talk off the top of their heads and believe me that is no psychology!
only on the first half of this video, and cant understand al of the negative feedback... he makes a good point (at least in the beginning). so many regular issues that arise in peoples lives are now being classified as mental illnesses. if diagnoses are thrown left and right, not only will people completely forget what normal struggles are, they will also never learn how to handle future issues that are inevitable. psychotherapy isn't needed for every step of your life. while i believe it can change a person's life, our age is slowing losing their abilty to 'self-sooth' and cope with daily issues that are just a part of life, and not a budding mental illness.
Well said
He points out a lot of very real problems when dealing with diagnosing mental conditions/illness/disorders... without making it sound like he thinks they are all phony. I do believe at times, diagnoses are used to placate patients and/or sell them drugs/services. Sometimes diagnoses give ppl an excuse to shove away personal responsibility or they are used as a criminal defense. HOWEVER these ARE real issues for many ppl and I like how he makes that clear and handles the issue delicately as to not offend or give the wrong impression.
.
Doctors don't live day-to-day with patients; neither do psychologists or even well-intending friends & family members. What we do know is that mental disorders are direct results from the pineal gland in the brain not producing enough serotonin. I won't get in to scientific stuff because I'm no doctor, but since mental disorders stem from brain injury or trauma, medication is one of only a few options we have for true, life-long help, and I'm grateful for them. Oh, & I've never been addicted. :)
A wonderful, clear and learned presentation on how mental and psychological disorders are categorized and treated, with the presenter wisely, I think, advocating the placing of such disorders on a continuum that extends from normal, healthy being on one extreme, to psychosis on the other pole.
Disease
noun
1. A disorder of structure or function in a human, animal, or plant, esp. one that produces specific signs or symptoms.
2. A particular quality, habit, or disposition regarded as adversely affecting a person or group of people.
Interesting lecture. Ty for posting...
you are a genius, my friend
Anti depressants like SSRIs are not addictive, it's called discontinuation syndrome. People do not crave them like other drugs.
greg provinski But they cause unfathamabol dependence. I get sick if i miss just one dose
AWESOME!
Sounds a little bit like Stephen Fry :D
Love that discourse. It's very educational and entertaining.
Greetz from Germany
I'm so glad this video is 4 years old. That comment about video games really didn't sit well with me XDD
He was presenting these as the ideas of others and chuckling in disagreement.
Labels are a form of abbreviation or a kind of pointer, however they have no intrinsic value.
The DSM V has been out for some time now so I recommend anyone curious about psychiatry to look at it rather than the DSM IV or DSM IV-R.
Smart man,
Interesting thoughts on certain traumatic life events precipitating personality disorders
Actually, elevated traits of the "dark triad" (consisting of narcissism, psychopathy and machiavellianism) have been shown to increase numbers of sexual encounters in male college students.
It might be true to say that women are attracted to men with some, but not all of those traits, with moderate elevations rather than excessive, pathological or clinically detectable elevations.
thanks
Makes a lot of sense
some people are so used with sugarcoating.. well ladies truths are bitter sometimes
Alien shape-shifting lizards? That sounds like psychopaths. I'd have to agree, the world is being run by a number of psychopaths.
In my experience as a physician, psychiatrists too often make patients worse through the mostly ineffective drugs they prescribe, such as Prozac...Zoloft, which are for the most part useless. I fear sending patients to psychiatrists. Usually, I send my patients to psychologists.
I would agree that a better system for diagnosing personality disorders would be beneficial. However, until that happens psychiatrists and other mental health providers still have to deal with patients with a cluster of symptoms (personality issues) that cause many individuals serious problems.
Yea we need to get back!
I found it interesting.
I have a problem with this lecturer. I'm sure he is intended well; perhaps his way of putting this information in to words isn't fair. I agree that there are far too many medications floating around out there due to people wanting a quick fix to a problem that is not psychological. That upsets me. But as a person who's been diagnosed with Bipolar Disorder, I've been stable on medications that don't cause me to lose sleep, gain weight, or sleep too much. Finding those meds took years...
he has now supplied another disorder to the already absurd dsm,,monotonous drone disorder,,,all this man has done is reiterate what we already know, would love to sit down with this chap and dig deeper to see if he was more than a narrator of retained information
It is just a recap of familiar topics with a dismissive, patronizing undertone. He might be talking about foot and mouth disease for all the affect it is likely to ever have to him personally.
Judging by the title, I think this fellow should have been a poet.
This dr is working for them
Best book about personality disorders and what is really happening in Gov. mental health- "Fraud in Mental Health" by the Therapist. I found it on kindle as an ebook.
does "bad" even really exist in this case? Some people are mad (old term for mentally psychotic/psychosis). Which is sad. It's not the victims' fault, they didn't cause it, they don't "want" it. You of all damn people should know that. 😒
Without implying that this makes any difference to you, the term "anankastic", mentioned in the ICD-10 list, is the greek word for "compulsive". Since psychology derived from ancient greek philosophy, maybe the term "anankastic" is describing the condition more accurately (even if it makes the term more difficult to remember).
nic lecture...
the causes of most mental illnesses can be attributed primarily to biological and genetic issues, and secondarily to environmental/situational factors.
So, like a doctor will prescribe insulin to an overweight diabetic and tell them to exercise more, a psychiatrist will prescribe an anti-depressant to a chronically depressed person who needs medication (in conjunction with talk therapy).
And the medication and treatments used will evolve as we learn more about the brain and its illnesses.
A good number of psychiatrists are also psychologists. My own doctor included; she focuses mainly on talk therapy and changing maladaptive behavior because she sees psychiatric medication as something that should be done *in addition to actual therapy*. Many mentally ill people NEED these medications because their illness runs in the family (meaning it's an actual defect in the brain, not a situational thing), they're at high risk of hurting themselves or others, etc. I'll agree that some (1/2)
Can someone suggest a relatively easy problem/puzzle for a test on psychology of personality disorders?
Borderline how is diagnosed? Can you tell someone as borderline disorder only asking a couple of questions? Are there grades of development in this disorder? How can you treat this? What is the difference between borderline disorder and the perspective of negative vs positive thinking in life?
Normal people will adequately adjust to their social environment. If a person is "different" and particularly, if that person is rejected by society, then the person is necessarily emotionally/mentally deficient. And whatever the cause or the reason, trespassers need to be restrained from trespassing upon other people's rights, otherwise the psychological and thus economical prejudices to society will be major.
if this video was from 2012, why's he reading statistics/#'s, facts from the 90's? 😕 He's right that it was harder for women in the past but mostly only when it comes to helping them deal with their periods & that crap. Women these days are still emotionally fucked. The rate of abused & killed women, went way up in 2016. But not much has changed at all to help them mentally (depression, etc), in some places it's much worse now. Of course in some countries it's better now a days but not by much.
Such a compassionate man, lol.
Actually, ICD 10 does not restrict diagnosis of ADHD to children. I only says that the behavioural signs of it must appear in childhood. Remember that the F-group in ICD 10 CH5 is: "Behavioural and emotional disorders with onset usually occurring in childhood and adolescence". Two words: ONSET and USUALLY. For hyperkinetic adults with no traceable behavioural history, a diagnosis of F90.9 Hyperkinetic syndrome NOS would be made.
Really? Please tell me where I can find the peer reviewed paper documenting you research into this matter...
DMV Vl,
Without conscience, Robert D Hare Phd
The disturbing world of the psychopaths among us
Who invited all this myopic rage to the comments section?
Also, you need to be aware that the audience at Gresham is mostly very interested lay people who are trying to learn more about the topics on offer through Gresham College's teaching schedules. As for professors and there being no rigorous academic criteria, had you been more thorough in your 'research', you would notice that most Gresham professors have PhDs in the fields in which they teach. The non-docs are otherwise highly qualified/experienced in their respective fields.
Not to mention when a person is melodramatic, They are goin through what I like to call Melodrampathetisism lol
There are some individuals that do horrible, evil, contemptuous acts on other human beings irrespective of the noted personality, psycho-social problems. It appears that whenever a human does acts of irresponsible violence against society, some of the public use terms like insane, incomprehensible, sick to describe these behaviors since they find it difficult to understand or comprehend some humans are capable of vile acts through their own choice. Some people choose to do evil & don't care.
Well, there are less PD in the ICD-10 mentioned, but schizotypal personality disorder is just called "schizotype disorder" and not a personality disorder there, but part of the schizophrenic spectrum. So it's just listed differently there.
And also the narcisstic personality disorder is getting diagnosed, just under the term: "personality disorder not otherwise stated" where any other personality disorder is getting diagnosed and the lable is just getting written behind that.
ses cool cette video
soy argentino.naci en argentina pero mi corazon esta en el Reino de los Cielos.con alla con toda la humanidad.con todos los paises de buena volutnad.DIos bendiga USA Y Britania.saludos!soy borderline!!!!abrazo y besos a todos!!!
How much kickback are you pocketing for those referrals?
is it completely normal for someone with AvPD & Pure-O to always feel suicidal when they fall in love? mind u i'm not taking about falling in love that's mutual. i mean, like when someone experiences Obsessive Love for someone whether they know the person very well or not. most girls i've liked, i fall madly in love with, even though i don't know them THAT well, and i know it's irrational, and ultimately i guess since i know it's not mutual, i fee like i'll never have true love & become suicidal
and isn't as advanced in the cures/treatments category as other, older fields.
And 2) these medications DO aim to treat the causes of mental illnesses. A lot of these illnesses (depression, schizophrenia etc.) are thought to be chemical imbalances. One theory about the cause of schizophrenia is that it's caused - or partly caused - by too much dopamine, so many antipsychotics act as a way to block that overflow of dopamine and reduce/eliminate symptoms. It's been shown that (3/4)
Your point about psychiatrists is a valid one, however, psychology doesn't even begin to fit the requirements of a scientific discipline. Psychiatry has come a long way in the past century and the DSM-5 will clear up some of the more questionable aspects such as personality disorders being judged relative to cultural norms/expectations. All this guy is doing is offering up his opinion as though his intuition is a good standard by which to measure the complexity of the human condition...
Frontal Lobe damage. A Question?
Does an individual become more intelligent because his F.L. no longer functions?
Does his brain compensate by enhancing his other functions. SPECIFICALLY his intelligence?
Without the F.L. he no longer has to concern himself with problems such as consequences or emotion. This gives his brain the chance to concentrate on the important factors in HIS life.
With added intelligence he can "imitate" any of the other personality traits we consider important such as charisma, charm or even intelligence.
The damage must occur early in life.
Punchdrunk individuals are not intelligent because the brain was damaged later in life. Stroke suvivors "learn" to use other parts of the brain, but do not become more intelligent.
We wonder at Avantes because of their abilities and yet these abilities are only there because they are using a small part of their brain without taxing the rest.
I am not a doctor and this is just my theory but I do suffer from a "Personality Disorder" and I have just given you the opportunity to ridicule my theory without thinking about what I have said seriously.
I know many psychologist who recommend their patients the use of medication. There are good honorable psychiatrists and good honorable psychologists, and as well there are bad of both.
Interesting, the guy speaks alot of sense. But some of the things he sights as within the variety of normal human behaviour, whilst I agree that they are, can still cause distress in peoples lives: different libidos of partners in an otherwise happy relationship for example. If addressing an issue like this makes both the partners happier then I'd say that's to the good even if it does entail a medical label.
Anyway, good video, thanks.
again smoking seems a target but i want to say that i smoked during my pregnency and my sister is a non smoker,curiously her children has adhd mine do not over all ,i have adhd and my sister is not and my parents was non somkers so smoking is not the probleme,our family dislike junk food and sugar things my parents got us sleep early as we do with our children (sister and me)over all we are a family that is very sportif so we do not fit his portrait of adhd but still we have,explain itif you can
ICD is International Classification of Diseases, not Disorders. ICD is not singularily on mental ailments. The Schizotypal Personality Disorder in DSM is a just a disorder, Schizotypal Disorder, the personality disorder is included within that grouping. By some it is called "Schizophrenia Light" (patients may use that term, hardly doctors) . But as far as I know the diagnoses represent more or less the same condition.
I think he's just saying that too many doctors diagnose patients willy-nilly with disorders as a quick fix when they don't actually issues severe enough that they stray from a "normal" individual.
lobotomy involves destruction of the frontal lobes of the brain by gaining access to it through the eye socket.
epilepsy is sometimes treated by removing a part of the brain (it is actually a very successful method of treating inborn epilepsy. Though the focus of epilepsy is usually located in the temporal lobe on one side of the brain.
OCD? obsessive compulsive desorder? I know that it develops as a result of epilepsy. But no one actually treats it using surgery.
it seems that in Ireland if something bad REALLY happens to you and causes heavy distress, instead of solving the issue, they send you to a psychiatrist, which acts like a court, where you have no defendant...(even if there are proofs!).
Obviously the psychiatrist appears to have the right to set an official diagnosis on the sole grounds of insinuations ( so then people are "officially" put out and cannot report the misdeeds to defend themselves).
Man, this guy needs a diagnosis and treatment more than the people he's talking about..!!
In what way? He explains it in a very precise manner.
umm personally I think it's outrageous that the Michael Douglas character is assumed to be a victim of st least less culpable that the Glenn Close character. He was happy yo betray his wife commit adultery did walk away. This indicates a pathological sense of entitlement, utter selfishness and arrogance and complete irresponsibility. These are all alloplastic defences. Both characters are narcissistic
I agree that his actions were morally wrong, no a man should not make vows, and then seek out affairs, but just because a man has an affair doesn't mean he deserves to die, or have his families life threatened. If you're calling it sensible that his actions of adultery deserve the death of he, his wife, and his child's rabbit would lead one to call that line of reasoning assumptive and fallacious.
and all of that seems so much less terrible than attempted murder and the boiling of a cat. Also, there's nothing
about adultery that in itself indicates pathological anything...in and of itself, without a deeper context...it's really just adultry and your projecting a hell of alot onto a fiction, 2 dimensional character.
adultery is actually quite narcissistic because you put your spouse and family at risk...just as this narcissistic man did
There's no doubt that borderline personality disorder can be more dangerous than your average narcissist. However, those with narcissistic personalities are dangerous, too. i.e. Donald Trump
btw, it was a bunny she boiled, not a cat. Hence the term bunny-boiler that was used to describe clingy females after the release of the movie.
He is the narc.. she has borderline personality disorder
Mad, bad or sad? no.
And If i oppose false ideas am i supposed to take profiles of schizophrenia? if that is the case it is bad. Right?
It's rather concerning to closely observe this man's facial expressions and what he finds humorous. His smiles and laughs suggest he has a very warped sense of what is funny, and what appears to be a lack of empathy for others.
I read from a post- It said this guys (psychologists), what they read is all fictions written by old time fiction readers. And that fiction results in fifty fifty.
yes! I have proofs!
it seems that in Ireland if something bad REALLY happens to you and causes heavy distress, instead of solving the issue, they send you to a psychiatrist, which acts like a court, where you have no defendant...(even if there are proofs!).
Obviously the psychiatrist appears to have the right to set an official diagnosis on the sole grounds of insinuations ( so then people are "officially" put out and cannot report the misdeeds to defend themselves).
Psychologists who are trained in Clinical or Counseling psychology are absolutely qualified to work with mental health... you must be thinking of pure research psychologists. Not only to psychologists work with mental health, but so do social workers and mental health counselors (masters level counseling psychology)
Mad, bad or sad? no. If i oppose false ideas am i supposed to take profiles of schizophrenia? if that is the case it is bad. Right?
doctors are just there to make money and are part of ''big pharma'', but those are the minority and you can't write off a whole profession based on those guys. Psychiatry is VERY difficult to master and the vast majority of these doctors spent those 12+ stress-filled years of study because they genuinely want to help people.
In regards to not treating the causes of mental illness, there are two things. 1) You have to understand that psychology as a whole is a relatively new field of study (1/2)
did I ever denied existence of ADHD sure autism and schizophrenia exists just as laziness honesty maybe deafness or blindness, but it is not a disease.
A cure for a witch-like woman. Burn at stake, he says laughing. Realy? Is it supposed to be a joke?
I think most psychiatrists are aware of the challenges and limitations of the current classification system. It is a problem labelling somebody for behaving disruptively, but I wonder if anybody paid any attention to the problems which arise by NOT labelling them. Not labelling a person means they will be considered "normal", hence they can go about behaving disruptively without incurring any consequences. Should we put all of them in jail and just called them "Naughty"? I don't know...
Incidentally, DSM IV-TR says the same about onset. This is not to be seen as a restriction of diagnosis only to children. For hyperkinetic adults with no traceable behavioural history, a diagnosis of 314.9 Attention-Deficit/Hyperactivity Disorder, Not Otherwise Specified would be made.
You spout off as if you're an authority on this but have you actually read ICD 10 Ch5 or DSM IV-TR properly? Because you make some glaringly errant assumptions in what things in them actually mean.
It was SCT which was categorised as "laziness" on the vid: not ADHD. Do pay attention...
@43 minutes: People who cause death by dangerous - or reckless - driving belong in prison. End of.
Oh. The chick with BPD wrecks his life? Maybe he shouldn't have been cheating in the first place. Glad you thought his cheating was so comical, doc.
Playing arbiter over other people for their supposed "moral failings" is very telling. BPD people can wreak havoc on people whose "moral failing" was e.g. not looking away quickly enough, so the BPD patient falls madly in "love" (i.e. what they wrongly _believe_ is love, not actual love).
chris.. so can non BPD.. people...of any age ...
for exampled alchoholics arent all BPD.. they wreck many lifes and lack the ability to love as you claim I cant really..its true its tough..but ive had many great long termed relationships..im a loyal friend..i served others in the mental health field not as high functioningas me ..mostly the elderly...and in group homed councelung developmentally delayed adults. ..such as yerself..lok..they werent so judgemental... enjoy your ability to love better than me. ...
jusy dont look me in the eyes please... i cant afford to fall in love with a bitch again right now...promised my girl..id keep faithfull...this time..lok.. i didnt promise her a thing...
So watcha wearing?! mom jeans... right... ?! 😎
lok..god bless
Nice, Skydog. Haha!! Keep faithful!! ;)
👍
Not that I'm accusing you but you didn't answer the question. The idea being that psychiatrists can be manipulated by drug companies to get more sales. More prescriptions, more sales. Are there any extraordinary or relatively high incentives for the psychiatrist compared to just sending a patient to the psychologist for talk therapy?
I can't believe you don't know psychologists are definitely qualified to deal with people with mental disorders, even severe mental disorders..
Dialectical behavioural therapy, for example, was developed by Marsha Linehan, a clinical psychologist, for the treatment of borderline PD. Psychiatrists had written off borderlines as unsalvageable until a psychologist proposed a methodology of treatment that is now the gold standard for treating borderline PD.
What he said was fairly unequivocal; "Sluggish Cognitive Tempo - which you might better understand as laziness." 10:01
3 people were perscribed tranquilizers
Prof Wilson is an extremely knowledgeable academic, I think that maybe this talk is aimed at mental health professionals. As a psychologist, I identify with the difficulties he describes. His comments about women may not be sexist, women are given some diagnoses more than men, while the reverse is true of other disorders. A well informed talk.
This is one of the most concise, global views to this mystery of behavior classification I have seen. They say with a narcissist to not pay attention to what they say, but what they do. Rather than have all these disorder classifications that appear on a continuum of symptomatic severity and often share co-morbidity, just simplify with mad, bad and sad. We should never use a label to get a criminal off or slander innocent people acting strangely under stress. A holistic approach combining bio-psycho-social elements along with accurate brain measurement would solve a lot of the guess work of pathology and progress of these so called diseases. I love the Bible as the ultimate authority for human behavior types. The law of God shows us who we are and it never changes, unlike the DSM. We are all diseased with sin, so disorder is in the blood. How we react to our inborn nature makes or breaks us. Who we are is what we do. The righteous are not those who never think evil, but consistently press toward the standard of higher morality with accountability for actions. The wicked are cunningly manipulative and destructive, for they constantly deceive themselves and will not change.
Ok if you think ADHD and SCT are real and life damaging shoudt ve also agg every trait to list of disease how about like stupidity gullibility, naiveness etc?
however I agree that if drugs can make your life better there is no need to suffer any one should be able yo use adhd drugs to enhance their focus if that is needed in some exam or other occasion.
Excuse me, but where in the world is homophobia punishable by imprisonment?
But is it the pure fact you are stating that most diseases are just poorly reviewed actions?
We know there are natural ways to solve these issues of mental psychoses, but not everybody can find the help he or she needs in the forest contemplating on a deity. I did see a counselor along with my psychiatrist which did help me understand my illness substantially & give me ways to not only rely on my meds. This lecturer, however, seems to be less compassionate and more out to get pharmaceutical companies. Not all doctors can fully understand a mental illness. ...
a shoplifting chef? I wanted Ted an you give me a freaking shoplifting chef???
The conspiracy theorists strategy: Cite two coinciding facts, offer no evidence that one is causing the other, and allow your audience to draw the (likely false) conclusion themselves. In this case, society at large has already done the work by already repeating the thesis ad nauseum: that higher occurrences of psychological disorders are the result of aggressive marketing by pharmaceutical companies.
Being a professor doesn't make you any less of a crackpot. We can see your tin foil hat, Dr.
lil bit of all...
What is he talking about...??
What if David Icke is right? He'll have the last laff.
I won't hold my breath.
"John Doe Versus Death"
Ted Bundy also had a long peacock finger - This is indicative of high testosterone levels, a person who tends to take risks, will point the finger at others instead of first looking at themselves.
simply i do not see reason why for example someone who is stupid impulsive or other kind of loser should be treated in a different way that one who lacks attention or cant focus..
ADHD is not a disease it is personal trait which may put you in disadvantage.
My God! This guy is so prejudiced!! This is the kind of doctor who don't understand the diseases they treat and allow their world view to distort the reality
+Denise Coelho (50 tons de consciência) Did you watch the entire video?
+Denise Coelho (50 tons de consciência) he lost my trust when he started about adhd
He believes biology-(sexual dimorphism) and special interest group play a larger role in personality disorder. Its diagnoses, and its treatment. He finds most of the current status of personality disorder and its treatment ironic and absurd when they have evolutionary and social economic origins. That doesn't make him prejudice, but skeptical.
OrphanPaper It's out of a book, because it's concise and structured, or did it sound text bookish, because I was summarizing the underlying premises within Glenn D Wilson's presentation? I suppose if that's to opaque a line of questioning then I'll plainly say that If I'm stating my interpretation of another's views then they're not mine, and therefore you have no room or good reason to criticize me for the view points held within my statements. They're not mine. The only thing you may have rational contention with is my interpretation. Nextly, "environmental habituated", and you just came up with that behaviorist classification system without a textbook, research paper, lecture, or article? Secondly, "it's all environmental habituated behavior from conception to death", so then your saying all human behavior is environmentally determined? In addition, " the only factor is if the subject has the intellect to reach beyond the pleasure principle" , So then no factor beyond intelligence determines human behavior? And so are you then therefore saying that intelligence is also an environmentally determined factor?
OrphanPaper If your so superior then prove it. Claims aren't worth salt either you present a valid argument, or stop posturing with pomp and fluff.