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Dr. Reid Meloy is a diplomate in forensic psychology of the American Board of Professional Psychology, and consults on criminal and civil cases throughout the U.S. and Europe. He is a clinical professor of psychiatry at UC San Diego, School of Medicine; an adjunct professor at the University of San Diego School of Law; and a faculty member of the San Diego Psychoanalytic Institute. 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 numerous awards from various professional organizations and is president of Forensis, Inc., a non profit, public benefit corporation devoted to forensic psychiatric and psychological research (www.forensis.org). Dr. Meloy has authored or co-authored several hundred papers published in peer-reviewed psychiatric and psychological journals, and has authored, co-authored or edited ten books. His first book, The Psychopathic Mind (Aronson, 1988), was an integration of the biological and psychodynamic understanding of psychopathy, His most recent edited book, Stalking, Threatening and Attacking Public Figures (Oxford University Press, 2008) has received wide acclaim, and led to a commissioned study for the National Academy of Sciences on threats toward public figures. Dr. Stephen White and he created the WAVR-21 (Specialized Training Services, 2008), the first scientifically based structured professional judgment instrument for workplace violence assessment. Dr. Meloy is also a consultant to the counterintelligence division of the FBI and intermittently teaches at the Behavioral Analysis Units in Quantico. He is 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 also teaches for the Netherlands National Police. He has been a technical consultant to the television program CSI since its inception in 2001.
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 patients 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 continent 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/or antisocial patients, with a particular emphasis on differential diagnostic issues, testing, psychotherapy, psychoanalysis, medication, psychopathy, dangerousness, and risk management.
The DSM-IV-TR Diagnoses of NPD and ASPD
- Anxiety, Bonding, and Conscience (ABC) Differential Diagnosis
- Overt Behaviours, Internal States of Mind
The Coming Dimensionality of DSM V
- No More NPD, but Still in the USA
- Five Dimensions Instead of 10 Categories of PD
Measuring Degrees of Psychopathy - PCL:R and PCL:SV
- Categories vs. Dimensions
- Relationship to Aggressive Narcissism and Chronic Antisociality
Psychological Testing, Interviewing, and Independent Data
- Rorschach, MMPI-2, PAI, MCMI-III
- Collateral Sources, Interview Techniques
Psychotherapy and Psychoanalysis
- Treatment of Choice for Higher Functioning Narcissists
- Psychodynamic Psychotherapy Recent Meta-Analyses
Countertransference Reactions
- Autonomic Arousal in the Presence of Psychopathy
- Potential Prey to an "Intraspecies Predator”
- Counterphobic Denial; Devaluation of the Patient, Therapeutic Nihilism
- Identifcation with the Patient's Aggression and Hatred
Resistances to Treatment, and When Not to Treat
- No Attachments; Sadistic Behavior; No Conscience
- Fear for One's Safety in Patient's Presence
- Nurses, Psychiatrists, Clinical Psychologists, Social Workers
- Staff in Adult and Juvenile Forensic and/or Correctional Settings
- Intake, Crisis, and Front Line Mental Health Staff
- Attorneys, Crown Prosecutors, and Justice Staff
- Behavioural Analysis Law Enforcement Staff