ANTISOCIAL PERSONALITY DISORDER

ANTISOCIAL PERSONALITY DISORDER - ANTISOCIAL PERSONALITY...

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ANTISOCIAL PERSONALITY DISORDER DSM-IV 301.7 Antisocial personality disorder “Sociopath”   and   “psychopath”   are   terms   often   used   to   describe   the   individual   with   antisocial  personality. As deceit and manipulation are central features of the disorder, it is extremely difficult to treat.  Imprisonment has been society’s major method for controlling the most dangerous behaviors. ETIOLOGICAL THEORIES Psychodynamics Psychodynamically, this individual remains fixed in an earlier level of development. Because of  parental   rejection   or indifference,   needs  for  satisfaction   and  security  remain  unmet,  and   the  ego  is  underdeveloped. Because of a lack of ego strength, behavior is id directed and results in the need for  immediate gratification. An immature supergo allows this individual to pursue gratification, regardless of  means and without experiencing feelings of guilt. Biological Genetic involvement has been implicated in studies that showed that individuals with antisocial  personality,   and   their   parents,   showed   excessive   EEG   abnormalities   when   these   examinations   were  conducted on both groups. Some research suggests that a variant of the D 4   dopamine receptor gene  (D 4 DR) appears more frequently in individuals who report high levels of “novelty seeking.” People scoring  high   on   this   characteristic   are   often   judged   to   be   excitable,   quick-tempered,   and   seek   out   thrilling  sensations / situations—features associated with antisocial personality disorder. However, no clear effect on  personality has been demonstrated at this time. (Despite genetic or environmental factors, sociopaths  choose their lifestyle; therefore, it is up to them to choose to change it.) Family Dynamics Family functioning has been implicated as an important factor in determining whether or not an  individual develops this disorder. The following circumstances may predispose to the disorder: absence of  parental discipline (teaching / guidance), extreme poverty, removal from the home, growing up without  parental figures of both sexes, erratic and inconsistent limit-setting, being “rescued” each time the person is  in trouble (never having to suffer the consequences of own behavior), and maternal deprivation. CLIENT ASSESSMENT DATA BASE Circulation Heart Rate:  Slight increase may be demonstrated when anticipating stress (correlates with electrodermal  responses indicating minimal anxiety) Ego Integrity Lacks motivation for change, often not seeking therapy voluntarily (unless client can no longer tolerate the 
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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ANTISOCIAL PERSONALITY DISORDER - ANTISOCIAL PERSONALITY...

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