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Running Head: CLINICIANS’ JUDGMENTS OF CLINICAL UTILITY - page 28 / 41

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antisocial PD researchers surveyed by Lynam and Widiger (2001) as being very low on the conscientiousness facets of dutifulness, self-discipline, and deliberation.

The finding that Ted was considered to be a prototypic case of antisocial personality disorder by 80% of the clinicians is illustrative of a common problem with the categorical method of diagnosis.  “There is a tendency, once having categorized, to exaggerate the similarity among nonidentical stimuli by overlooking within-group variability, discounting disconfirming evidence, and focusing on stereotypic examples” (Cantor & Genero, 1986, p. 235). In contrast, the  FFM dimensional profile of Ted includes his antisocial personality traits (e.g., duplicity, exploitation, callousness, & aggression from the domain of antagonism), it includes maladaptive traits not represented within the antisocial criterion set (e.g., low anxiousness, arrogance, and even his glib charm as indicated by low-self consciousness), and it includes normal or adaptive personality traits not included anywhere within DSM-IV (e.g, his assertiveness, competence, order, and achievement striving).

The clinicians’ perception of Ted as a prototypic case of antisocial PD might reflect the fact that he is one of the most well known and heinous cases of antisocial personality disorder, involving vicious and brutal rapes and murders of at least 36 women.  These ferocious crimes were clearly facilitated, at least in part, by his personality traits but perhaps it should be considered that they might also represent additional psychopathology beyond a personality disorder. Ted has been described by some biographers (e.g., Rule, 2001) as having significant paraphilic impulses as an adolescent, including quite a few episodes of voyeurism (e.g., surreptitiously peeping into the windows of females in his neighborhood) and even more wicked

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