Psych CASC / OSCE · General adult psychiatry — personality disorders
Explain ASPD, risk and treatment limits — CASC communication station
MRCPsych/FRANZCP-style communication station: explain ASPD without pejorative psychopathy collapse, outline honest treatment limits, emphasise substance and multi-agency work, clarify confidentiality limits when risk escalates, check understanding.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the community clinic. [1]
Candidate instructions. Explain antisocial personality disorder in clear language without stigma or collusion, carefully separate it from the word "psychopath," outline what treatment can and cannot do, emphasise substance use and practical goals, explain limits of confidentiality when others are at risk, and check understanding. The examiner plays the patient. [1][3]
References4ShowHide
- [1]Glenn AL, Johnson AK, Raine A Antisocial personality disorder: a current review Curr Psychiatry Rep, 2013.PMID 24249521
- [2]De Brito SA, Forth AE, Baskin-Sommers AR, et al. Psychopathy Nat Rev Dis Primers, 2021.PMID 34238935
- [3]Kendall T, Pilling S, Tyrer P, et al. Borderline and antisocial personality disorders: summary of NICE guidance BMJ, 2009.PMID 19176682
- [4]Khalifa NR, Gibbon S, Völlm BA, et al. Pharmacological interventions for antisocial personality disorder Cochrane Database Syst Rev, 2020.PMID 32880105