Ep 51: A New Psychoanalysis of Antisocial Personality Disorder

Doc Bok, Doc Fish
Apr 7, 2026 32 min Personality Couch Podcast
Blog: Antisocial Personality - Outside the DSM


🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the complex inner world of antisocial personality disorder, challenging the traditional DSM view and exploring psychoanalytic theory to uncover the internal processes behind antisocial behaviors. This episode is essential for clinicians, students, and anyone interested in understanding the motivations and defenses of antisocial individuals. ⚠️Note: this podcast does not constitute a professional relationship. If you’re in need of professional help, please seek out appropriate resources in your area. ⚠️

Chapters

  • 00:00 Intro & Limitations of Antisocial in DSM
  • 02:48 Causes of Antisocial Personality
    • 03:30 Genetic Studies
    • 05:21 Environmental Studies
  • 07:34 Attachment & Antisocial Personality
  • 12:23 Inside the Antisocial’s Psyche
    • 12:29 Depression & Emptiness
    • 14:55 Shame & Self-Importance
  • 17:09 Defense Mechanisms in the Antisocial
    • 17:42 Omnipotent Control
    • 20:54 Projective Identification
    • 21:49 Dissociation
    • 23:26 Acting Out
  • 26:34 Biological & Neuropsychological Processes of Antisocials
  • 28:37 Perverse & Distorted Sexuality in Antisocials
  • 30:07 Summary & Conclusion

Additional Podcast References

Antisocial