Antisocial Personality Disorder

.. mistreated or stolen from others; * must be older than 18 to be diagnosed with it * must be evidence of a conduct disorder before the age of 15 * antisocial behavior doesn’t occur only during the course of schizophrenia or manic episodes of bipolar illness Anti-Social Personality Disorder is found in as much as 75% of the prison population. Alcohol is a contributing cause or consequence of being antisocial. People that are both antisocial and alcoholic are prone to violent behavior. Not every antisocial becomes a criminal. An antisocial person’s disorder peaks between the ages of 24 and 44 and drops off sharply after that.

After the age of 30 the sociopath fights less and performs less crime but the illness can persist into the ages of between 60 and 70 but after 30 are less likely to be in trouble with the law. In a sociopaths in their thirties will continue to have problems such as unstable relationships, substance abuse, impulsiveness, poor temper control and failure to honor financial obligations. In our population 3% men have Anti-Social Personality Disorder and 1% women in the overall population have it. The ratio of men to women is 4 to 1. Identical twins are several times more likely to have a personality disorder compared to fraternal twins.

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A genetic link strongest in anti-social disorder has a pattern of irresponsible behavior 5 times more common amongst close relatives of anti-social men than in the general population. Some people with a genetic link to alcoholism have a genetic link to anti-social personality disorder too. Male relatives of people with Somatization Disorder have a higher incidence of anti-social personality disorder ( somatization – begins in the teens to twenties and consists of chronic physical problems and complaints). Sociopaths with a history of substance abuse and criminal behavior fit Manchausen Syndrome (Manchausen is the extreme type of factitious disorder which symptoms are lying, falsification and pathological lying). Sociopaths also have a tendency to have a non-psychiatric condition that is called malingering which is the production of grossly exaggerated symptoms for a specific illness or problem for the purpose of winning legal action or things like committing insurance fraud or basically anything they have to lie to get. The sociopath is a bundle of problems that could come from any part of life and they are very hard to handle.

If a person is diagnosed with Anti-Social Personality Disorder is very hard to treat and there is no cure for their behavior. Because the disorder remits in the thirties, it tends to be less obvious. Those that are forced into psychotherapy cannot tolerate the intimacy of the required therapy.The therapist has to focus on enhancing strength, channel the sensation of seeking actions on people into more positive socially responsible behaviors and to teach practical ways in dealing with every day frustration. Medications are not recommended in the treatment of sociopath but drugs can diminish the violent episodes. People with Anti-Social Personality Disorder also have Attention Deficit Hyperactivity Disorder and stimulants are used to treat that such as Ritalin.

There are no long term results to study of this approach of using stimulants but they should not be prescribed unless the person is specifically diagnosed with ADHD and has not responded to other medication. The use of drugs cannot be abused and should be closely monitored. Those that are convicted of crimes are usually incarcerated. Some sociopaths may be able to instead of a jail term choose a residential facility that has counseling but there is a high drop out rate in those facilities. Another alternative to jail for the adolescents with delinquent behavior and are in trouble with the law are wilderness programs that are designed to be like Outward Bound.The camps much like that in the T.V. show Neon Rider provide difficult and dangerous challenges that would keep their minds busy. The success of the wilderness camps is not quite clear.

There is a disorder called Borderline that is often misdiagnosed as Anti-Social Personality Disorder which is quite similar to it. Borderline Disorder is a little bit more aggressive than Antisocial. Characteristics of Borderline Disorder Violating the rights of others and age appropriate societal norms or rules with at least three of the following in the past 6 months and one in the last 12 Aggression to People and Animals; 1. often bullying, threatening, or intimidating others; 2. often iniating fights; 3. use of a weapon that can cause serious physical harm to others (bat , brick, broken bottle, gun, knife); 4. physical cruelty to people and animals; 5.

stealing in a confrontation with victim ( mugging, purse snatching, extortion, armed robbery); 6. forcing someone into sexual activity; 7. Destruction of Property – deliberate fire setting with intention to cause serious damage; 8. deliberate destruction of other’s property in other ways; 9. Deceitfulness or Theft-breaking into someone’s house, car, building; 10. frequent lying to get goods, favors and avoid obligations; 11.

stealing items of non-trivial value without confronting the victim, forgery, shoplifting; 12. Serious Violation of the Rules- often staying out all night dispite parental rules that begin before the age of 13; 13. running away from home at least twice (once not returning for a lengthy period); 14. frequent truancy from school, significant impairment in functioning socially at school or work in individuals 18 or older but symptoms don’t meet criteria for Anti – Social Disorder. The diagnoses of a sociopath is extremely difficult because they have so many mental problems to contend with the complete diagnoses might not occur. The possibility of being diagnosed with something similar to being a sociopath is quite great and this point should be stressed with relationship between Borderline and Anti-Social Disorder.

The inability to diagnose and treat properly leads me to believe that there is not a clear solution as to how the general population should react and treat these severely troubled people. This is a disorder that blinds the emotions and actions the sociopath which in no way is their fault for having it. Although the disorder is not the given sociopath’s fault there is no real place for a sociopath in our society. Because sociopaths hurt us, I believe that once diagnosed with the disorder that all sociopaths should be sent to some kind of controlled colony that would run like a normal city or town except all it’s residents would be sociopaths. I come to this solution as almost a way to remove them from society and treat the people in a way to. By having sociopaths colonized together with all the parts of a normal society it would be good for them because the only people the could hurt or manipulate would be their fellow sociopath.

The sociopath would be constantly bored with average person and sometimes causing them to hurt the average person when if they were caused to interact with fellow sociopaths it would keep them interested because it is not as easy to manipulate or con. The possibility of violence in my colony is great but the sociopaths would not mind because it is in their personality and it would serve us better if they killed or hurt each other rather than us. In closing the sociopath is so hard to deal with we should make strides to control their behavior in public. — Psychology Essays.


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