VG: Les de psykiatriske rapportene om Breivik http://www.vg.no/nyheter/innenriks/22-j ... vurdering/
VG: TERRORANGREPET 22.JULI: http://www.vg.no/nyheter/innenriks/22-juli/
Professori Ulrik Fredrik M a l t
Breivik interrupt Malt (day 33 in court) Breivik interrupt Malt http://www.youtube.com/watch?v=npbtkL3E1LQ (0:39)
VG: http://www.vg.no/nyheter/innenriks/22-j ... d=10073817 (etc.)
HANS RUSTAD (Document.no): Ulrik Fredrik Malt første del http://www.document.no/2012/06/ulrik-fr ... orste-del/
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Breivik-type psychopathology
The severity of Breivik-type psychopathology goes like this
(I C D-1 0; m i l d -> s e v e r e):
1) F60.8 Narcissistic personality disorder (criminally sane) ->
2) F60.2 Dissocial Pesonality disorder ["psychopathy"] (criminally sane) ->
3) F60.0 Paranoid personality disorder [fanatic] (criminally sane) ->
"Border-line"/ between: Breivik?
4) F22.0 Delusional disorder [paranoia], grandiose type (criminally insane) ->
5) F20.0 Paranoid schizophrenia (criminally insane)
1) Diagnosis by Aspaas & Tørrissen (12.4.2012) [right]
2) Diagnosis by Aspaas & Tørrissen (12.4.2012) [wrong]
The "right" diagnosis (from their point of view) could be Paranoid personality disorder [fanatic]
3) Probably the "right" diagnosis.
4) Probably the "right" diagnosis; proposal by Luukkonen 10.10.2011; Malt? 8.6.2012
5) (Main) diagnosis by Hysby & Sørheimin (29.11.2011) [probably wrong]
The "right" diagnosis (from their point of view) could be Delusional disorder [paranoia], grandiose type
"D i s t a n c e s"
(5 Sch) __ (4 Par)(3 PaP) __ (2 Psyk) __ (1 Nar)
+ p s y c h o p a t h o l o g y (o r d i n a l scale) -
<--------------------------------------------------------------------
[b]A) The distance (and the difference) between 1 and 5 is "immense".
B) 2 ("Psychopathy") is wrong-
C) The distance between 3 and 4 is not necessarily very large, because the
paranoid personality disorder includes narcissistic and often also psychotic elements
and can be a precursor to the very paranoid psychosis.
D i a g n o s t i c s
1) F60.8 Narcissistic personality disorder
In narcissistic personality disorder person's primary (healthy) narscissism is w e a k (lack of self-esteem etc.) with
strong compensatory secondary narcissism - illustrions of beeing superior, requires excessive admiration etc. - which
are core manifestations of this disorder. (The opposite would be depressive disorder.) - In DSM-IV-TR (2000) narcissistic
personality disorder belongs to the cluster B (dramatic, emotional or erratic).
- Breivik has strong (compensatory and pathological) narcissistic features, but in regard of the diagnosis this category -
alone - is far too "weak" for Breivik.
2) F60.2 dissocial personality disorder ("psychopathy") (cluster B) is ruled out because of G4,
"There must be evidence that the deviation is stable and of long duration, having its onset in late childhood or adolescence".
- Gestalt of Breivik's personality is not psychopathic.
Luukkonen: Breivik vain pseudo-pykopaattinen (7.1.2012) http://perttiluukkonen.puheenvuoro.uusi ... ychopathic
Luukkonen: ASPD vrt. psykopatia - tautiluokitukset vrt. Hare: erityisesti psykopatian käsite (31.5.2012)
http://perttiluukkonen.puheenvuoro.uusi ... t-vrt-hare
3) F60.0 Paranoid personality disorder
In paranoid personality disorder person's primary narcissism is weak (like in the narcissistic personality disorder), and
he has pervasive distrust and suspiciousnes of others. Often he reads hidden meanings, and direct paranoid ideation
may occur. But as a rule (as opposed to true paranoic) he reacts positively to reality confrontations and don't go mad.
- In DSM-IV-TR paranoid personality disorder belongs to the cluster A (odd or eccentric).
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"Border-line"/ between: Breiviks's position? Perhaps he has been and/or is psychotic but is, however, criminally
sane. But this costellation is impossble according to Norwegian law; psychotic is criminally insane, and a "causal"
factor is not needed.
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4) F22.0 Delusional disorder, paranoia vera
In paranoia person has persistent pseudo-logically constructed non-bizarre delusions - mostly of persecution or of grandeur
(the paranoiac prophet or inventor) - (without concomitant hallucination of schizohprenia type). In other aspects personality
can be quite intact. Essential thing (as opposed to paranoid personality disorder) is that reality confrontation to idée fix
often works in a wrong way, verifying - not falsifying - the delusion!
Luukkonen: Paranoia vera vs. (paranoid) schizophrenia - with forensic vignettes http://perttiluukkonen.puheenvuoro.uusi ... vinjetteja
5) F20.0 Paranoid schizophrenia
In paranoid schizophrenia person has relatively stable non-bizarre and bizarre delusions, which may be accompanied by hallucinations,
frequently of persecution but also other forms, e.g. of jealously, exalted birth, Messianic mission etc.).
10.6.2012
Pertti L u u k k o n e n
Lic.Phil., ex-forensic psychologist
Helsinki
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