Early behavior in ASPD Have early history of behavioral problems conduct do

Early behavior in aspd have early history of

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Early behavior in ASPD Have early history of behavioral problems, conduct d/o Come from fams with inconsistent parental discipline Fam have history of criminal behavior Neuro contributions to ASPD Prevailing neurobio theories Underarousal hypothesis: cortical arousal is too low Normal life doesn't give the stimulation that they want; need criminal behaviors to stimulate them to that point Fearlessness hypothesis: psychopaths fail to respond with fear to danger cues Amygdala (fear response)= less reaction to fearful stimuli than a normal person Cortical immaturity hypothesis: Cerebral cortex is not fully developed
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Treatment Few seek treatment on their own Antisocial behavior is predictive of poor prognosis, even in children Better prognosis if they seek treatment on their own; not as good when they’re forced to get treatment; ie incarceration Emphasis is placed on prevention and rehabilitation Often incarceration is the only viable alternative→ best bc we don't have good treatments Psychopathy Incorporates affective/personality traits to a greater degree Most meet criteria for ASPD but most ASPD aren't psychopaths Hare Psychopathology checklist Glibness/superficial charm Grandiose sense of self-worth (belief your desires are more impt than everyone else) Need for stimulations, proneness to boredom Pathological lying cunning/manipulative Lack of remorse/guilt Shallow affect Parasitic lifestyle Poor behavior controls Promiscuous sexual behavior Early behavior probs Lack of realistic, long term plans Impulsivity and irresponsibility Not bolded are some of the traits that help with business/sales, etc so it’s not a very good indicator of psychopathology...can be beneficial. Drop off of criminal behavior in psychopaths at 40ish years old...could be because they aren’t getting caught, maybe because they’re actually getting better, or they just don't make it to 40s bc of mortality rates Cluster B: Borderline PD Clinical features Unstable moods and relationships Impulsivity, fear of abandonment, coupled w a very poor self-image self -mutilation and suicidal gestures Cutting: people do it to convert psychological pain to physical pain as a form of relief Some will just say they want to die just to manipulate other people Emotional and relationship volatility Hella mood swings→ i loooooove you to I haaaatee you in like .2 secs Most common personality d/o in psychiatric settings
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High comorbidity Causes Runs in fam: genetics? Early trauma and abuse Splitting: to see people as all good or all bad Diagnosis 75% women...gender bias? Treatment options Few good treatment outcome studies Antidepressant meds provide some short term relief First deal w suicidal thoughts, then focus on relationships and manipulations, and then on social skills Dialectical behavior therapy is the most promising psychosocial approach Cluster B: Histrionic PD Clinical features Super dramatic, sensational, and sexually provocative Need to be center of attention; will steal attention from everyone Perceived as shallow Thinks everything is super important Causes Unknown Female variant of antisocial personality? → gender dist is
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  • Spring '08
  • ?
  • Borderline personality disorder, Antisocial personality disorder, Narcissistic personality disorder, Avoidant personality disorder, impulsivity

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