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Antisocial
personality disorder (abbreviated APD or ASPD) is a
psychiatric diagnosis in the DSM-IV-TR recognisable
by the disordered individual's disregard for social
rules and norms, impulsive behaviour, and indifference
to the rights and feelings of others. |
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Attention
Deficit Hyperactivity Disorder Mental Health
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Antisocial Personality Disorder (or APD as it is sometimes known)
is a condition in which people show a persistent disregard for the
law and the rights of other people. Sufferers of antisocial personality
disorder may tend to lie, steal and have trouble fulfilling job
or parenting responsibilities. Society will sometimes use the sociopath
and psychopath to describe someone with antisocial personality disorder.
Personality disorders such as APD are not illnesses in a strict
sense as they do not disrupt emotional, intellectual, or perceptual
functioning. However, those with personality disorders suffer a
life that is not positive, proactive, or fulfilling. Not surprisingly,
personality disorders are also associated with failures to reach
potential.
Early adolescence is
a critical time for the development of antisocial personality disorder
with people who have grown up in an abusive or neglectful environment
thought to be at higher risk of suffering antisocial personality
disorder. High levels of antisocial behaviour are considered a clinical
disorder. Young children may exhibit hostility towards authority
and as a result be diagnosed with oppositional defiant disorder.
Older children may lie, steal, or engage in violent behaviours leading
towards a diagnosis of conduct disorder. A minority of children
with conduct disorder whose behaviour doesn’t improve as they
mature will go on to develop adult antisocial personality disorder.
Although the diagnosis is limited to those persons over eighteen
years of age, adults who suffer from the disorder were usually typically
demonstrated behavioural problems as identified above well before
the age of 15. The individual often displays a pattern of lying,
truancy, delinquency, substance abuse, running away from home and
may have difficulty with the law Men are affected by antisocial
personality disorder at a rate three times more than women; with
the affliction much more prevalent in the prison population than
in the general population.
Antisocial personality disorder is a chronic condition.
It represents one of the most difficult personality disorders to
treat, however, psychotherapy and some medications may help alleviate
symptoms. In many cases, the symptoms of antisocial personality
disorder decrease as the person reaches middle age.
SYMPTOMS
The signs and symptoms include:
1. Lack of concern regarding the rules of society and societal expectations.
2. Repeated violations of the rights of others.
3. Unlawful behaviour.
4. Lack of regard for honesty and the truth
5. Neglecting or abusing children.
6. Inability to hold down employment
7. Frequent changes of job through quitting and / or being terminated
8. Tendencies toward physical aggression and extreme irritability.
9. Being deceitful, as indicated by repeated lying, use of aliases,
or conning others for personal profit or pleasure
When diagnosing Antisocial Personality Disorder, it is usual to
find that the characteristics of the person themselves don’t
regard their behaviour as problematic.
Antisocial personality disorder, demonstrated by adolescents, may
be diagnosed by a family physician or paediatrician or school counsellor.
As an adult, social workers, psychiatrists or psychologist may diagnose
the condition. Diagnosis in a child requires a comprehensive evaluation
of the child that will ideally include interviews with the child
and parents, a full social and medical history, review of educational
records, a cognitive evaluation, and a psychiatric exam.
A variety of methods and techniques are employed to deliver social
skills training however effective methods are systemic therapies
which address communication skills among the whole family, peer
or social groups. These approaches have proven successful best they
entail actually developing (or redeveloping) positive relationships
between the child or adolescent and other people. Methods used in
social skills training include modelling, role-playing, corrective
feedback and reinforcement systems.
• Antisocial Personality Disorder: Lack of regard for the
moral or legal standards in the local culture, marked inability
to get along with others or abide by societal rules. Sometimes called
psychopaths or sociopaths.
• Avoidant Personality Disorder: Marked social inhibition,
feelings of inadequacy, and extremely sensitive to criticism.
• Borderline Personality Disorder: Lack of one's own identity,
with rapid changes in mood, intense unstable interpersonal relationships,
marked impulsively, instability in affect and in self image.
• Dependent Personality Disorder: Extreme need of other people,
to a point where the person is unable to make any decisions or take
an independent stand on his or her own. Fear of separation and submissive
behaviour. Marked lack of decisiveness and self-confidence.
• Histrionic Personality Disorder: Exaggerated and often inappropriate
displays of emotional reactions, approaching theatricality, in everyday
behaviour. Sudden and rapidly shifting emotion expressions.
• Narcissistic Personality Disorder: Behaviour or a fantasy
of grandiosity, a lack of empathy, a need to be admired by others,
an inability to see the viewpoints of others, and hypersensitive
to the opinions of others.
• Obsessive-Compulsive Personality Disorder: Characterized
by perfectionism and inflexibility; preoccupation with uncontrollable
patterns of thought and action.
• Paranoid Personality Disorder: Marked distrust of others,
including the belief, without reason, that others are exploiting,
harming, or trying to deceive him or her; lack of trust; belief
of others' betrayal; belief in hidden meanings; unforgiving and
grudge holding.
• Schizoid Personality Disorder: Primarily characterized by
a very limited range of emotion, both in expression of and experiencing;
indifferent to social relationships.
• Schizotypal Personality Disorder: Peculiarities of thinking,
odd beliefs, and eccentricities of appearance, behaviour, interpersonal
style, and thought (e.g., belief in psychic phenomena and having
magical powers).
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