Antisocial Personality Disorder

personality disorders; It is a mental health condition that affects a person’s thinking, perceiving and feeling processes or relationships with other people.

Individuals with antisocial personality disorder do not conform to the norms of society and have misleading and intimidating attitudes in their relationships. These people, who are also thoughtless about the rights of others, may engage in criminal activities. They do not feel sorry for their behavior that has caused harm as a result of such a situation. These people can act on their impulses as well as be reckless and show violence. Antisocial personality disorder is more common in men than women.

Individuals with antisocial personality disorder are generally manipulative and do not care about other people’s feelings.

Like other personality disorders, antisocial personality disorder is a spectrum disorder. In other words, the behavior of the individual with this disorder can be seen as occasional bad behavior, as well as repeated violations of the rules and committing serious crimes.

Psychopaths are generally thought to have one of the most severe forms of antisocial personality disorder.

An individual with antisocial personality disorder may form a close relationship with another person. However, in long-term relationships, there is usually abuse or indifference, varying in severity.

Individuals with personality disorders can be good players when necessary and may lie in order to maintain their existing relationships. Some individuals with antisocial personality disorder have no purpose other than the pleasure they derive from deceiving or hurting other people.

People with antisocial personality disorder do not care about other people other than themselves. Even though they can understand other people’s feelings, they feel no shame or guilt for the pain they cause. Instead, they can use the knowledge they have about the weaknesses of others to their advantage or engage in manipulative behaviors.

Individuals with this personality disorder do not take responsibility for things that happen to them and prefer to blame others when things go wrong. Many individuals with this disorder suffer because they have a self-defeating nature and because others do not enjoy shared and satisfying relationships.

Individuals with antisocial personality disorder are likely to have chronic boredom or aggression, psychosomatic symptoms, pathological gambling addiction, alcohol and drug addiction, and mood or anxiety disorders. They also have a higher risk of committing suicide. Many individuals with this disorder have experienced various behavioral disorders and attention deficit during childhood.

He thinks that antisocial personality disorder is caused by many factors together. It should not be thought that every individual who exhibits the characteristics characteristic of the disorder has antisocial personality disorder.

Causes of Antisocial Personality Disorder

Environmental factors: A complex family life affects the development of antisocial personality disorder, especially in the absence of a parent or adult to be a role model. This disorder is also more common in non-supportive communities despite positive behaviors. In some cases, environmental factors may also include factors that support sociopathic behaviors.

Genetic or biological factors: It is also seen that antisocial personality traits can be inherited. Researchers have determined that some psychological reactions of individuals with antisocial personality disorder are more common in these individuals. For example, they are less responsive to stress and show fewer signs of nervousness than the average person in the face of the stressful situation. In addition, it is seen that the startle reflexes of these people, which are shown uncontrollably against loud sounds, are weaker. This relative insensitivity may prevent them from learning the reward and punishment system.

Brain anatomy: The frontal lab region, which controls judgment and planning in the brain, varies in individuals with antisocial personality disorder. Some studies have revealed that the brain structure that drives violent behavior varies in these individuals. It is possible for the individual with changes in the brain structure to have difficulty in controlling his impulses and to show aggressive behavior. Neurobiologists cannot say anything about differences in brain structure as the definitive cause of antisocial personality disorder.

Symptoms of Antisocial Personality Disorder

  • exploiting, manipulating or violating the rights of others

  • No worry, remorse, or remorse for the suffering of others

  • Ignoring normal social behavior and acting irresponsibly

  • Difficulty maintaining long-term relationships

  • Unable to control anger

  • Not feeling guilty and not learning from mistakes

  • blaming others for life’s problems

  • breaking the law often

Individuals with antisocial personality disorder usually have a history of behavioral disorders such as not going to school, committing a crime or using drugs in their childhood.

Effects of Antisocial Personality Disorder

Criminality is the core feature of antisocial personality disorder. Individuals with antisocial personality disorder have a higher risk of committing crimes and going to jail at some point in their lives.

Males with antisocial personality disorder are 3 to 5 times more likely to abuse alcohol and substance use than individuals without the disorder. In addition, these people are at risk of dying at an early age due to their reckless behavior and suicide.

It is possible for individuals with antisocial personality disorder to have problems in their relationships and to be unemployed and homeless in adulthood.

Diagnosis of Antisocial Personality Disorder

A person diagnosed with antisocial personality disorder usually has a history of conduct disorder before the age of 15.

The diagnosis of antisocial personality disorder is made after some rigorous psychological evaluations.

To be diagnosed, a person must be older than 18 years of age and meet at least 3 of the following criteria:

  • breaking the rules frequently

  • constantly lying

  • Acting on impulses or being unable to plan

  • Being negligent about their own or others’ safety

  • Being constantly irresponsible

  • be devoid of remorse

The above signs should not be part of a schizophrenic or manic episode, but should be part of the person’s everyday personality.

These behaviors usually reach their peak in late adolescence and early 20s. By the age of 40, improvement can be seen.

Treatment of Antisocial Personality Disorder

Speech therapy is often recommended for the treatment of personality disorders. In this therapy, the person tries to better understand their thoughts, feelings and behaviors by talking to the therapist.

Antisocial personality disorder was previously thought to be a lifelong disorder. However, it is possible to control and treat the disorder with therapy and treatments.

Studies show that behavior in antisocial personality disorder can be improved with therapy, but some basic characteristics such as lack of empathy are permanent.

Antisocial personality disorder is one of the most difficult personality disorders to treat. An individual with this disorder may not be willing to seek treatment and may only begin therapy in cases such as court orders.

Treatment of a person with antisocial personality disorder is based on age, the person’s history, and alcohol and substance abuse. Family members and friends are actively involved in the decision to treat the individual with this disorder.

  • speech therapy

Behavioral cognitive therapy is sometimes used to treat antisocial personality disorder. The goal of speech therapy is to help the person change the way they think and behave.

Mentalization-based therapy is a variation of talk therapy and is becoming more widely used in the treatment of antisocial personality disorder. Here, the therapist encourages the person to consider their way of thinking and see how their mental state influences their behavior.

  • Medication

There is little evidence that medication is beneficial in the treatment of antisocial personality disorder. However, in some cases, it may be beneficial for the person to use antipsychotic and antidepressant drugs.

In some cases, the use of carbamazepine and lithium for the aggressiveness and reckless behaviors of the individual with antisocial personality disorder can help to control the symptoms. In addition, the use of selective serotonin reuptake inhibitors (SSRIs) can help control anger and personality disorder symptoms.

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