Antisocial Personality Disorder (Asp)

The Antisocial personality disorder is characterized by a pervasive pattern of disregard for consequences and the rights of others. Diagnosis is based on clinical criteria. The treatment can include cognitive behavioral therapy, neuroleptics and antidepressants.

(See also personality disorders overview.)

The Antisocial personality disorder is characterized by a pervasive pattern of disregard for consequences and the rights of others. Diagnosis is based on clinical criteria. The treatment can include cognitive behavioral therapy, neuroleptics and antidepressants. (. See also personality disorders at a glance) People with antisocial personality disorder commit illegal, fraudulent, exploitative, reckless acts for personal profit or pleasure and without remorse; they can: justify or rationalize their behavior (think for example that losers deserve to lose it, look after number one) accusing the victim of being a fool or helpless are indifferent to the exploitative and harmful effects of their actions varied in other The reported prevalence however, there is probably at about 1 to 3.6% of the general population. It is more common in men than in women (6: 1), and there is a strong genetic component. The prevalence decreases with age, suggesting that patients can learn over time to change their inappropriate behavior and try to build a life. Comorbidities are common. Most patients also have a substance-related disorder (and about half of those who are affected by substance-related disorder meet criteria for antisocial personality disorder). Patients with antisocial personality disorder often have an impulse control disorder, attention deficit hyperactivity disorder or borderline personality disorder. Etiology Both genetic and environmental factors (eg. As childhood abuse) a contribution to the development of antisocial personality disorder. A possible mechanism is impulsive aggression associated with abnormal serotonin transporter function. Disregard for the pain of others during early childhood is associated with antisocial behavior during late adolescence. The antisocial personality disorder is more common among first-degree relatives of patients with the disorder than in the general population. Risk of developing this disease is elevated in both adopted and biological children with parents suffering from this condition. If a behavioral disorder accompanied by attention-deficit / hyperactivity disorder develops before the age of 10 years, the risk is increased to develop an antisocial personality disorder in adulthood. The risk that a behavioral disorder to antisocial personality disorder developed can thereby increase when parents abuse children or neglect or not consistent in terms of discipline or parenting style are (z. B. of switch warm and supportive to cold and critical ). Symptoms and discomfort patients with antisocial personality disorder may express their disregard for others and for the law by by destroying property, harass others or steal. You can fool people, exploit, deceive or manipulate to get what they want (eg. As money, power, sex). You can use an alias. These patients are impulsive, do not plan ahead and do not consider the consequences or the safety of themselves or others. As a result, they can suddenly change jobs, houses or relationships. You can speed while driving and driving while intoxicated, sometimes resulting in accidents. You can consume large amounts of alcohol, or use illegal drugs, which can have harmful effects. Patients with antisocial personality disorder are socially and financially irresponsible. You can switch jobs without a plan for another. They are not looking for employment if options are available. You can not pay their bills, it comes to credit default or they do not pay the child support. These patients are often easily provoked and physically aggressive; they can start fighting or abuse their spouse or partner. In sexual relationships, they can be irresponsible to take advantage of their partner and are not to remain monogamous able. Remorse for actions is missing. Patients with antisocial personality disorder can rationalize their actions by those who violate them, blame (eg. As they deserve it), or the way how life is (z. B. unfair). They are determined not to be pushed around and do what they think is best for them, cost what it may. These patients lack empathy for others and can be contemptuous of or indifferent to the feelings, rights and suffering of others. Patients with antisocial personality disorder tend to have a high opinion of themselves and can be very self-willed, self-confident or arrogant. You can be charming and talkative and in their efforts to get verbally easily what they want. Diagnosis Clinical criteria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of antisocial personality disorder, patients need continuing disregard for the rights have others. This should include the ? 3 as presented hereinafter: Keep out of the law, thereby manifested that they repeatedly commit acts are the reasons for arrest. They are fraudulent, as evidenced by repeated lying, use of aliases, or the background goings of others for personal gain or their pleasure shows impulsively acting or not planning Easy to provoke in advance or aggressive, characterized by permanent entanglement in physical fights or assaults with other to have or recklessly without regard to their safety or the safety of others Throughout irresponsibility, as indicated by termination of a job with no plans for another non-payment of bills not feel any remorse, which compared to is evidenced by indifference or rationalization of injury or abuse others too must that patients have evidence that a behavioral disorder since the age of 15 is present. Antisocial personality disorder is diagnosed only in persons ? 18 years. Differential diagnosis An antisocial personality disorder should be distinguished from the following: substance disorder: It can be difficult to tell whether impulsivity and irresponsibility are the result of a substance disorder or antisocial personality disorder, but is based on a review of the patient’s past, including the recent past possible, when searching for phases of sobriety. Sometimes an antisocial personality disorder may be more easily diagnosed after a coexisting substance disorder is treated, but an antisocial personality disorder may even be diagnosed when a substance malfunction. Behavioral disorder: The behavioral disorder has a similar pervasive pattern of violation of social norms and laws, but the behavioral disorder must be present before the age of 15 years. Narcissistic personality disorder: Patients are similarly exploitative and lack of empathy, but they tend not to be aggressive and deceitful as the antisocial personality disorder. Borderline personality disorder: Patients are similarly manipulative but do so rather to be cared for, instead of getting what they want (for example, money, power.), As is the case with the anti-social personality disorder. Therapy In some cases, cognitive behavioral therapy and mood stabilizers and antidepressants There is no evidence that a particular treatment leads to long-term improvement. The treatment aims to how to achieve avoid legal consequences, instead of changing the patient to another short-term goal. Contingency management (d. E., Giving or withholding of what patients want, depending on their behavior.) Is displayed. Aggressive patients with prominent impulsivity and labile affect can benefit from treatment with cognitive behavioral therapy, or medication (e.g., lithium, valproate, SSRIs). Antipsychotics can help, but there is less evidence of their usefulness.

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