Personality Couch

PC Ep 50: Antisocial Personality: Everything I Learned is Wrong

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack some of our difficulties understanding antisocial personality disorder in how it combines psychology, morality, philosophy, and societal judgment. We focus on: where’s the line for disorder; how can we diagnose without judgment; and what does this personality look like when it’s not disordered? We pull from historical examples of antisocial types in specialized roles and also hypothesize that America might have transitioned from a narcissistic nation to an antisocial one. 
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  
Chapters00:00 Introduction to Antisocial Personality & DSM Problems02:46 Antisocial Personality Defined in the PDM07:02 Where’s the Disorder Line?17:29 Other Dark & Criminal Personalities21:08 Morality & Antisocial Traits in Specialized Professions23:37 Are We An Antisocial Society in America?30:43 Are Antisocials Treatable?34:37 Holding Empathy & Accountability for Antisocials40:00 Closing Quote

Ep 49: Antisocial Personality: The DSM Trash Can Diagnosis for Criminals?

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) begin our much-awaited series on antisocial personality disorder! In the DSM, antisocial personality is the only diagnosis that includes law-breaking as a criterion. But surely all criminals can’t have the same personality, right? In this episode, we break down its stigmatized history while sharing our thoughts and opinions about the DSM’s limitations. We take a critical look at each of the DSM’s 7 criteria, while also discussing the overlap with other disorders like narcissism, psychopathy, and the sadistic personality. 
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  
Chapters00:00 Introduction & History of Antisocial Personality Disorder05:21 DSM Criteria for Antisocial Personality Disorder     07:06: Criterion 1: Unlawful Behavior     09:32: Criterion 2: Deceitfulness & Manipulation       12:49 Criterion 3: Impulsivity      15:27 Criterion 4: Irritability & Aggression     16:21 Criterion 5: Disregard for Safety     17:44 Criterion 6: Irresponsibility       20:08 Criterion 7: Lack of Remorse21:42 Antisocial Personality & Aging25:05 Our Critiques & Thoughts 

Ep. 48: The 4 Attachment Styles and Avoidant Personality

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack attachment and its relationship with avoidant personality disorder. We explore the four main attachment styles: secure, anxious, avoidant, and disorganized, discussing how these styles manifest in adult relationships. We highlight the nuances of avoidant personality disorder, suggesting that individuals may present as avoidantly attached but have underlying anxious tendencies. We end by discussing some interesting research on adult attachment and coregulation with a partner, suggesting that attachment is fluid and can change depending on the relationship homeostasis. 
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  
Chapters00:00 Intro to Attachment & Attachment Styles05:15 Secure Attachment06:08 Anxious Attachment09:08 Avoidant Attachment13:09 Disorganized Attachment 14:38 Attachment in Adulthood 16:54 Avoidant Personality Disorder and Attachment Dynamics22:22 Summary & Conclusion

Ep 47: Avoidant Personality | The 6 Subtypes

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into Avoidant Personality Disorder, exploring Dr. Theodore Millon's six subtypes. We discuss a few interesting historical names before jumping into the characteristics of mild (Anxiously & Imaginatively shy); moderate (Hypersensitively & Phobicly Reticent); and severe (Conflicted & Self-Deserting) subtypes. Our conversation also critiques Millon's work, questioning the distinctiveness of avoidant traits compared to other personality disorders, and we invite listeners/viewers to share their thoughts and opinions.
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  
Chapters00:00 Introduction & Historical Names05:18 Millon's Six Subtypes of Avoidant Personality5:38 Mild Type Overview      6:44 Anxiously Shy Type      9:14 Imaginatively Shy Type12:05 Moderate Level Overview      12:28 Hypersensitively Reticent Type      14:31 Phobicly Reticent Type16:55 Severe Level Overview      17:29 Conflicted Avoidant Type      19:40 Self-Deserting Avoidant Type22:21 Our Opinions About the Subtypes26:14 Summary & Conclusion

Ep. 46: Did the DSM Get it Wrong? | A New Perspective on Avoidant Personality

In this episode of the Personality Couch Podcast, licensed clinical psychologist Doc Bok unpacks the historical context of Avoidant Personality Disorder (APD), exploring the ongoing debate about its classification in the DSM. This episode discusses the contributions of Theodore Millon, the controversies that arose during the introduction of APD, and the implications of trauma and sociopolitical culture on personality development. The episode concludes with proposing alternative classification systems, including the Enneagram, the psychodynamic phobic character, and avoidant personality as a problematic trait versus a disorder. 
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org. Clinicians use the email listed on the website.  
Chapters00:00 Introduction to Avoidant Personality Disorder02:32 Millon, the DSM, and Controversy 05:47 The 1960s & Personality Development09:37 Avoidant Traits, Trauma, & Alternative Views18:08 Summary & Conclusion

Ep 45: Avoidant Personality | Schizoid's Close Cousin

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the DSM’s Avoidant Personality Disorder (AvPd), exploring its hotly debated history, the DSM criteria, and its overlap with social anxiety. We discuss the developmental aspects of AvPd, the challenges of low self-esteem with this disorder, and how it can cause problems in employment. We end with our own unfiltered thoughts on whether or not we think it should be a diagnosis, questioning the zeitgeist in which it was coined, the lack of historical research, and its overlap with multiple other personality disorders.  
🆘In need of psychodynamic therapy or a psychological evaluation? OR are you a provider stuck on a tricky case? To schedule with us, please visit the practice website and fill out the inquiry form! 👉https://www.questpsych.org/ (Clinicians use the email listed on the website.)
Chapters00:00 Intro, History, & Controversy03:42 Avoidant Personality Disorder: DSM       05:41 Social Inhibition and Fear of Criticism       08:14 Intimacy Issues and Fantasy        10:41 Self-Perception and Feelings of Inadequacy       14:49 Taking Risks and Employment Issues17:09 Developmental Implications of Avoidant Personality19:04 Avoidant Personality vs Social Anxiety24:29 Unfiltered Thoughts on Avoidant Personality Disorder35:10 Summary & Conclusion

Ep 44: The 3 Most Unstable Personalities | Schizotypal, Borderline, & Paranoid

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the 3 most unstable personality disorders: schizotypal, borderline, and paranoid. All 3 types are at risk of psychosis. We first discuss historical personality classifications of neurotic, psychotic, and borderline, highlighting that the borderline space between neurotic and psychotic is the most prone to instability. This borderline space is where schizotypal, borderline, and paranoid personalities sit. We discuss the risky traits of each personality, including cognitive slippage, emotional instability, and extreme rigidity. We also discuss some of our thoughts and experiences in diagnosing these rather tricky disorders!
🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/
Chapters
00:00 Intro & Psychodynamic Personality Organization      02:31 Neurotic Personality Organization      04:47 Psychotic Personality Organization      05:48 Borderline Personality Organization07:57 Schizotypal Personality & Instability      08:57 Why Personalities Are Unstable (according to Millon)      13:55 Personalities that Coexist with Schizotypal16:30 Borderline Personality & Instability      21:16 Personalities that Coexist with Borderline 23:18 Paranoid Personality & Instability      26:52 Personalities that Coexist with Paranoid30:18 Our Experiences with Diagnosing Unstable Personalities33:39 Summary & Conclusion

Ep 43: The 6 Schizotypal Subtypes Explained

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the 6 subtypes of schizotypal personality disorder, according to Dr. Theodore Millon. We outline Millon’s take on “structurally defective structures” as being at risk of falling apart into psychosis at all levels of functioning, with the most severe levels of schizotypal deteriorating into schizophrenia. We then discuss the characteristics of mild, moderate, and severe subtypes, specifically: Disengaged Eccentrics, Apprehensive Eccentrics, the Insipid Schizotypal, the Timorous Schizotypal, the Immobile Schizophrenic, and the Disorganized Schizophrenic. 
🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/
Chapters00:00 Intro & History of Schizotypal Subtypes02:45 Theodore Millon’s Theory on Schizotypal Personality07:00 The Mild Eccentric Level       08:21 Disengaged Eccentrics      09:39 Apprehensive Eccentrics10:48 The Moderate Schizotypal Level      11:57 Insipid Schizotypal      18:17 Timorous Schizotypal21:26 The Severe Schizophrenic Level       22:56 Immobile Schizophrenic       26:08 Disorganized Schizophrenic29:05 Summary & Conclusion 

Ep 42: The Almost Psychotic Personality | Schizotypal in the DSM

In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into the origins, diagnostic criteria, and oddities associated with schizotypal personality disorder and what it means to be almost psychotic, but not quite. We unpack idiosyncrasies and “cognitive slippage” of schizotypals that include odd speech patterns, suspiciousness, emotional expression, and social anxiety. This episode also highlights the importance of cultural context in diagnosis and not overpathologizing trends or religious norms. We also explore the overlap with and risk of schizophrenia in schizotypals, along with long-term implications of living in a quasi-psychotic cognitive space.
🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/
Chapters00:00 Intro & History of Schizotypal Personality 01:15 DSM Criteria Schizotypal Personality      02:59 Ideas of Reference     05:35 Odd Beliefs and Magical Thinking              08:18 Exploring Cultural Oddities vs Psychosis     11:05 Unusual Perceptual Experiences     12:44 Odd Thinking & Speech     17:45 Suspiciousness and Paranoia     18:34 Emotional Expression, Behavior, and Appearance     20:13 Lack of Close Relationships and Anxiety23:42 Schizotypal Differential Diagnosis24:46 Schizotypals’ Relationship to Schizophrenia29:33 Summary and Conclusion

Ep 41: The Schizophrenic Personality | Understanding Schizotypal & Schizotypy

In this episode of The Personality Couch, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the origins and nuances of schizotypal personality disorder, its genetic links to schizophrenia, and the clinical observations that define it. We discuss the evolution of the term 'schizotypal' in the DSM, the implications of schizotypy, and how environmental factors and social learning influence its development. We also uncover observable traits of schizotypal individuals, their social interactions, and self-concept, providing a comprehensive overview of this intriguing personality disorder that is not quite psychotic, but close.
🆘Are you a clinician stuck on a case? To schedule a consultation, please visit the practice website! 👉https://www.questpsych.org/
Chapters00:00 Intro & History of Schizotypal Personality 01:34 Genetic Research on Schizotypal05:17 Clinical Research on Schizotypal08:47 Schizotypal in the DSM09:29 Schizotypy and Borderline Personality Organization12:17 Schizotypy Defined14:32 Schizotaxia Defined17:39 Schizotypic Endophenotypes Explained19:57 When Schizotypy Manifests21:28 Observable Traits of Schizotypal Personality Disorder30:44 Summary and Conclusion