Antisocial Personality Disorder: Causes, Effects, Treatment

Antisocial temperament perturb Causes, Effects, TreatmentAntisocial constitution DisorderCrystal FulpAntisocial genius Disorder spirit roughnesss impact me truly people in society, but are understood by few. nature perturbs are defined as a deeply ingrained, maladaptive and circumstantial problem insidengs or pattern. Such problem patterns typically manifest themselves by early adolescence and capture an impairing impact on the persons process in life with a particular emphasis on the impact that such derangements arrive on their relationships and quality of life (Comer, 2014). There are a total of ten temper disquiets that have been categorized into three distinct clusters. Disorders under the first cluster (cluster A) are said to be odd personality disorders because they cause people to give behaviors that can be seen as odd or eccentric. Disorders listed under the second cluster (cluster B) are said to be dramatic personality disorders because they cause people to salute excessively dramatic, emotional, or aggressive behaviors. Disorders listed under the final cluster (cluster C) are said to be anxious(predicate) personality disorders because they cause people to behave in overly anxious or fearful ways (Comer, 2014).All ten of the personality disorders can be devastating, but the dramatic personality disorders are marked by behaviors that are overly dramatic, emotional, and/or aggressive. The dramatic personality disorders are much comm just now diagnosed than any other personality disorder. However, the antisocial personality and borderline personality disorders have gained much circumspection from researchers because the actions of those diagnosed tend to effect more people (Comer, 2014). The remainder of this raillery give cover the Antisocial Personality Disorder in detail. The disorder ordain be defined along with the most common symptom configurations, which will lead to a discussion rough the historical and current etiolog ical causes of the disorder. The final portion of the discussion will cover treatment modalities.Definition of Disorder Symptom ConfigurationAntisocial personality disorder is defined as exhibiting a pervasive pattern of behavior where someone disregards and violates the rights of others (APA 2013). This disorder can only be diagnosed if the patient/client exhibits behaviors that satisfy certain criterion. The criterion used to diagnose this disorder is as followsSource (APA, 2013)The essential feature of Antisocial Personality Disorder is exhibiting a complete disregard for the rights of others that lead to a violation of the aforementioned rights (APA, 2013). People with Antisocial personality disorder are very unprofitable and manipulative. They will go to extravagant lengths in order to control others or get them to do what it is they want them to do. These people in like manner exhibit an inability to throw ahead and a lack a example conscience. Simply put, these people d o non feel remorse if their actions cause any harm or discomfort to other people. They tend to rationalize their behaviors by saying, They were stupid for doing that, so they de dishd what they got or something similar (Comer, 2014). People with this disorder may alike exhibit consistent irresponsible behaviors such as failing to obtain and keep employment, paying child support, paying off debts, or even appropriately care for themselves or others (including their own children or spouses). Its important to note that these behaviors must not be confused with the antisocial behaviors exclusive to schizophrenic disorder or bipolar disorder (APA, 2014).Its also common for people who suffer from this disorder to be more possible to exhibit criminal behavior than others. In fact, a study pitch that at to the lowest degree thirty percent of incarcerated individuals exhibit symptoms consistent with Antisocial Personality Disorder (Comer, 2014). They are also much more in all likeliho od to abuse alcohol or other controlled substances. In fact, people with Antisocial Personality Disorder are much more likely to record in risky behaviors than the aver suppurate population (Comer, 2014)Antisocial Personality Disorder A Case ExampleIt can be hard to imagine what this disorder would look like in the real world. Imagine a twenty-two yr old man named Jacob. Jacob is currently serving a five year sentence in a minimum security penitentiary for assault and felony larceny. Jacob has a long disciplinary record both inside and outside of the prison. Since hes been incarcerated hes been involved in numerous physical altercations and is known to be irritable and prone to exhibiting aggressive behavior when its not appropriate. Hes also been cited for possessing drugs and alcohol inside the prison (Black, 1999 Comer, 2014 Oliviera-Souz et al., 2008).Jacob is being referred to the prison psychologist because of his most recent offense. In the past month he has been found gui lty of an assault during which he beat a fellow inmate with a lunch tray. When the psychologist asked Jacob why he reacted that way he said, He shouldnt have been in my way. He got what he deserved. Jacob didnt exhibit any guilt or remorse for what he had done. Fallowing this discussion Jacob told the psychologist about his actions as a teenager. Jacob admitted to being involved in criminal activities and consuming alcohol while underage. He also admitted to breaking into places and selling controlled substances. He went on to talk about how he used to hurt animals. When asked if he felt bad about it he responded that he didnt and viewed it as more of a game than anything else (Black, 1999 Comer, 2014 Oliviera-Souz et al., 2008). everyplace the next few months, the psychologist notices that Jacob often acts without thinking of the consequences and treats his criminality as a game of wit. Hes also highly irresponsible and lacks a moral conscience as indicated by his past and yield c rimes. The psychologist concludes that Jacob is exhibiting behaviors consistent with Antisocial Personality Disorder and refers to him to the prisons treatment program (Black, 1999 Comer, 2014 Oliviera-Souz et al., 2008).Causes of Antisocial Personality DisorderGeneral Information about CausesThere doesnt seem to be a single cause of Antisocial Personality Disorder. In fact, in that respect seem to be many different possibilities presented from many different angles, especially in relations to genetics and certain environmental factors. For the sake of time, this discussion will focus on the behavioral/cognitive and biological perspectives on this disorder. However, it seems important to note that lower socioeconomic status has been cor link up with the development of this disorder (APA, 2013). greens Biological PerspectivesGenetics plays an important role in the development of Antisocial Personal Disorder. People who had parents who were diagnosed with Antisocial Personality Disor der are much more likely to develop the disorder themselves (APA, 2013). Researchers have also found serotonin levels to be correlated with Antisocial Personality Disorder (Black, 2014). However, this finding really isnt that surprising when one considers that significantly lower serotonin levels have been found in regards to other psychological disorders such as depression (Comer, 2014).Behavior/cognitive Causes of Antisocial Personality DisorderThere are many possible behavioral causes of Antisocial Personality disorder. However, behavioral researchers believe that there is a correlation coefficient between antisocial personality behaviors and modeling. Simply put, these researchers believe that children can learn antisocial behaviors from their parents (Comer, 2014). After all, children learn from watching the people around them and then imitating that behavior (as indicated by Banduras Social Learning Theory). Furthermore, researchers have also found a correlation between antiso cial behaviors and people who had lived in violent households. It has been found that children who lived in households where violence and attack was a common occurrence are more likely to exhibit antisocial behaviors than children who didnt grow up in violent and/aggressive households. Children who lived with parents who abused alcohol and/or controlled substances have also been found to be more likely to exhibit antisocial behaviors (Black, 2014). Its also important to note that child abuse has been correlated with the development of antisocial personality disorder. Simply put, children who are abused are much more likely to exhibit antisocial behaviors than children who werent abused (Black, 2014). This research indicates that parental modeling and disturbed or volatile environments could be connected with the development of Antisocial Personality Disorder.Cognitive theorists point to societys individualism and egocentrism as a possible cause. People with Antisocial Personality D isorder have attitudes that continually trivialize the needs of others (Elwood et al., 2004). There is an argument among cognitive researchers that these attitudes are much more prevalent in society than people believe them to be (Comer, 2014). derivative Diagnosis Considerations for Antisocial Personality DisorderPersonality TraitsPeople with Antisocial Personality Disorder exhibit very specific personality traits. These personality traits serve to aid them achieve their ends at whatever cost as they are only concerned with their own wants/needs. People with this disorder have been known to exhibit a complete lack of empathy (APA, 2013). They may also be callous and cynical. People with this disorder may also have an inflated or peremptory self appraisal along with being cocky and opinionated. These people tend to have a superficial charm that draws people and can appear to be very intelligent and informed to others (APA, 2013)Ages and Populations EffectedIn order to be diagnosed with Antisocial Personality Disorder one must be at least eighteen years of age, however, antisocial behaviors consistent with conduct disorders must be present prior to fifteen years of age. Antisocial behaviors consistent with conducts disorders include aggression towards people or animals, theft, deceitfulness, destruction of property, or rule violations (APA, 2013). These behaviors violate the social norms of adolescences aged fifteen and under and as such a report of such behaviors is required to diagnose someone with Antisocial Personality Disorder. This disorder typically develops by late adolescence or early adulthood. One interesting phenomena related to this disorder is that the symptoms usually even out by forty years of age. That would mean that this disorder begins to develop in ones adolescence, peek in their mid-twenties and thirties, and decrease in intensity by age forty. Its also important to note that men are much more likely to be diagnosed with this disorder t han women (APA, 2013).Dual Diagnosis PatternsDiagnosing Antisocial Personality Disorder can be very tricky under the best circumstances. A diagnosis is only given to someone who is at least eighteen years of age and has a history of behaviors indicative of conduct disorders. In the solution that an adult doesnt meet the criteria to be diagnosed with Antisocial Personality Disorder they may be diagnosed with a conduct disorder (APA, 2013).Diagnosing this disorder is make even more difficult when substance abuse is involved. In these cases, a diagnosis is only given if there is a history of antisocial behaviors in the client/patients adolescence and childhood. If both the substance abuse and the antisocial personality behaviors existed together in childhood then its necessary to estimate the client/patient for both substance abuse disorder and antisocial personality disorder (APA, 2013).Clinicians should also keep in mind that the features of Antisocial Personality Disorder are simi lar to that of Schizophrenia and Bipolar Disorder. This diagnosis can only be given if the antisocial behaviors arent exclusive to either schizophrenia or bipolar disorder. To that end, the criterion for this disorder can be easily confused with other disorders, so its important to pay close attention to the patients history (or lack thereof) of antisocial behaviors (APA, 2013).Treatment Modalities for Antisocial Personality DisorderTreating personality disorders can be very difficult to do. In relation to Antisocial Personality Disorder the available treatments range from being completely ineffective to only moderately effective, this doesnt result in an overly positive prognosis (Comer, 2014). There are currently three treatments available for this disorder. One form of treatment is medications. Certain therapies have also been shown to be slightly effective in treating this disorder, specifically cognitive-behavior therapy (CBT) and psychotherapy (Comer, 2014). use medications t o treat any psychological disorder is a trial and error process at best. Using psychotropic drugs to treat Antisocial Personality Disorder is no different. At this point, the Food and Drug Administration (ADA) has not approved any drug to be used to treat this disorder specifically (Mayo Clinic, 2013). However, psychiatrists have found that some drugs can help alleviate the symptoms of this disorder. These drugs tend to be the atypical (newer) antipsychotic drugs. These drugs have been found to be moderately effective in some clients/patients (Comer, 2014).Psychotherapy, otherwise known as talk therapy can also be used to help treat this disorder however, this treatment approach isnt effective in all situation and patients/clients. In fact, this treatment approach will only be effective if the patient/client realizes and/or admits that they contribute to their own problems. This type of therapy can be administered in a clinical one-on-one setting or in a group setting (Mayo Clinic, 2013).Cognitive-Behavior Therapy (CBT) has been shown to be moderately effective in the treatment of Antisocial Personality Disorder (Hoermann, Zupannick, Dombeck, 2014). Cognitive/behavior theorists implore that the only way to change dysfunctional behavior is to change the dysfunctional musical theme behind it. After all, according to cognitive-behavior theories ones cognitions lead to their behaviors be them good or bad. CBT not only focuses on changing dysfunctional thoughts, but it also seeks to challenge the dysfunctional core beliefs underlying their dysfunctional thought patterns (Hoermann, Zupannick, Dombeck, 2014). CBT therapists work with people on accurately interpreting the world around them and then changing or redirecting dysfunctional thought patterns (Hoermann, Zupannick, Dombeck, 2014). For people with Antisocial Personality Disorder, CBT would involve trying to help these patients/clients develop impulse control and a moral conscience (Comer, 2014).The proble m with treating this disorder is that the people who have it arent very likely to seek treatment out for themselves because they dont see their behavior as a problem (Comer, 2014). In fact, most people with this disorder that are in treatment originally went to see a mental health professional for a different reason entirely. There are also a large number of people with this disorder who dont receive treatment until compel to by the criminal justice system as a part of their probation/parole or incarceration programs (Comer, 2014).Antisocial Personality Disorder ConstructAntisocial Personality Disorder is one of the most normally researched personality disorders, but there is still much to be discovered (Comer, 2014). For instance, the DSM-V states that the symptoms of this disorder tend to level out by forty years of age (APA, 2013). Why does that occur? Do certain neurochemicals, such as serotonin behave differently by age forty?The DSM-V also states that the criminality present in those with this disorder can sometimes be confused with normal criminal behavior (criminal behavior not associated with this disorder specifically). Other than the criterion listed, what criterion can clinicians use to help differentiate the two? This may be my own point of view only, but the criterion used to diagnose this disorder seems convoluted and easily confused with the criterion for other mental disorders (APA, 2013).ConclusionAntisocial Personality Disorder is a very serious personality disorder that can have devastating consequences for those who have it. This disorder makes it hard to do basic things, such as form and maintain healthy relationships and stay at heart the boundaries of both society and the law (APA, 2014). Unfortunately, most people dont realize that its a problem until they are either incarcerated or forced into treatment by judges. Even then most people dont consider it to be a problem and the disorder in everyday is made difficult to treat because of the personality traits and attitudes of the people who have it (Comer, 2014). What is clear is that more research needs to be done in the hope that supercharge research can uncover a more suitable treatment method that will greatly increase the quality of life for people who have this disorder.ReferencesAmerican Psychiatric Association, American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders DSM-5. Washington, D.C American Psychiatric Association.Black,D.W., Larson,C.L. (1999). Bad boys, bad men Confronting antisocial personality disorder. New York Oxford University Press.Black,D. (2014). What Causes Antisocial Personality Disorder? RetrievedApril15, 2014, from http//psychcentral.com/lib/what-causes-antisocial-personality-disorder/000652Comer,R.J. (2014). Abnormal psychology. New York, NY Worth Pub.Elwood,C.E., Poythress,N.G., Douglas,K.S. (2004). Evaluation of the Hare P-SCAN in a non-clinical population. Personality and Individual Diff erences. doi10.1016/S0191-8869(03)00156-9Hoermann,S., Zupannick,C., Dombeck,M. (2005). Cognitive-Behavioral Therapy for Personality Disorders (CBT). RetrievedApril15, 2014, from http//sevencounties.org/poc/view_doc.php?type=docid=41578cn=8Mayo Clinic (2013, April 12). Antisocial personality disorder Treatments and drugs. RetrievedApril15, 2014, from http//www.mayoclinic.org/diseases-conditions/antisocial-personality-disorder/basics/treatment/con-20027920Oliveira-Souza,R.D., Moll,J., Igncio,F.A., Hare,R.D. (2008). Psychopathy in a Civil Psychiatric Outpatient Sample. miserable Justice and Behavior, 35(4). doi10.1177/0093854807310853