Dr Sanil Rege, Consultant Psychiatrist analyzes the psychologist testimonies in the Amber Heard vs Johnny Depp Trial.

The video covers the following:

MMPI

• The MMPI-2 is a 567 item, true/false self-report measure of a person’s psychological state. It has nine validity scales (or ‘lie’ scales), assessing for lying, defensiveness, faking good and faking bad and among others

Personality disorder definition

• An enduring disturbance characterized by problems in the functioning of aspects of the self (e.g., identity, self-worth, the accuracy of self-view, self-direction), and/or interpersonal dysfunction (e.g., ability to develop and maintain close and mutually satisfying relationships, ability to understand others’ perspectives and to manage conflict in relationships).

Borderline Personality Disorder (BPD)

• BPD has nine symptoms that span affective, interpersonal, and intrapersonal disturbances. Impairments in self-functioning and interpersonal functioning with pathological personality traits of negative affectivity, disinhibition and antagonism.
• Borderline Personality Disorder – DSM -5 and ICD -11 Diagnostic Criteria

Post Traumatic Stress Disorder (PTSD) 

1.Exposure to trauma

The person was exposed to death, threatened death, actual or threatened serious injury

• Direct exposure

• Witnessing the trauma

• Learning that a relative or close friend was exposed to a trauma

• Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics)

2.Intrusion and re-experiencing symptoms

3. Negative alterations in cognition and mood

4. Hyperarousal

5. Avoidance phenomenon

Post Traumatic Stress Disorder (PTSD) – A Primer on Neurobiology and Management

Post Traumatic Stress Disorder (PTSD) – Diagnostic Interview

Complex PTSD

• Complex PTSD occurs due to exposure to repeated or prolonged instances or multiple forms of interpersonal trauma, often occurring under circumstances where escape is not possible.
• Complex PTSD consists of PTSD + Disturbances of self-organization (DSO). The domains of DSO defined in the ICD-11 include (Cloitre et al. 2018):
• Emotional dysregulation
• Negative self-concept
• Interpersonal difficulties

Complex Post Traumatic Stress Disorder (cPTSD)- Impact of Childhood Trauma | Assessment and Management Principles

Trauma and BPD

• Adults diagnosed with BPD have been shown to be three times more likely than adults with other psychiatric or personality disorders to have experienced childhood maltreatment.

Psychodynamic concepts

• Repetition compulsion

• Splitting

• Idealisation – denigration

• Parentification

• Unmet needs