Antisocial Personality Disorder

Individuals with antisocial personality disorder generally lead their lives in ways that are contrary to the rules accepted in the society. It is seen that they exhibit behaviors that are considered criminal by the law (Öztürk, Uluşahin, 2016).

The behaviors exhibited by people with antisocial personality disorder are seen as behaviors that are wrong or should not be done within the framework of both social values ​​and laws. Examples of behaviors such as lying behavior, stealing behavior, frequently running away from home, wanting to have random sexual intercourse, and material and moral exploitation of their social environment and family can be given as examples. (Öztürk, Uluşahin, 2016).

The diagnosis of antisocial personality disorder can be made after the age of 18, and the individual can be diagnosed with conduct disorder before reaching the age of 18 (Öztürk, Uluşahin, 2016).

When the content of the DSM-5 Diagnostic Criteria Reference Manual is examined, Antisocial Personality Disorder is handled by being included in cluster B under the title of Personality Disorders.

The diagnostic criteria of this disorder are examined under four items. These diagnostic criteria can be summarized as follows.

  1. At the age of fifteen and beyond, the person exhibits at least three of the items listed below, and should also have a behavioral pattern and story that does not care about the rights and freedoms of those around him, and is insensitive to written and unwritten rules (American Psychiatric Association, 2013).

  1. He has to act contrary to the requirements of the behaviors that require him to do it legally or to refrain from doing it, and as a result of repeating these behaviors, he should get into legal trouble again. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).

  2. It is observed that the person generally distorts the truth in different ways (Öztürk, Uluşahin, 2016), (Öztürk, Uluşahin, 2016). If we give an example of these behaviors, the behavior of using the name by changing it in different places and times (using a temporary name), defrauding the people around him with illegal ways and methods that are not accepted by the society in order to get what he wants are shown. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).

  3. Acting without thinking about the consequences of the behavior or acting without calculating, living an impulsive lifestyle (American Psychiatric Association, 2013).

  4. Being frequently involved in arguments and fights that result in physical violence, not being bothered by usurping the rights of other individuals around them, being quite irritable and prone to attack at any time (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).

  5. It does not care about behaviors that will cause physical injury to itself and carry the risk of death, and it does not care about dangerous situations that may result in injury or death to other people. (American Psychiatric Association, 2013). (Öztürk, Uluşahin, 2016).

  6. The irresponsible state of the person dominates his whole life. (Öztürk, Uluşahin, 2016), (Nussbaum, 2013). For this reason, it is a common situation that the person cannot have a permanent job or an activity that will provide financial gain and income. Therefore, it can be observed that he does not pay the bills he has to pay, does not pay his rent and does not help his family for his living (Öztürk, Uluşahin, 2016) (American Psychiatric Association, 2013).

  7. Whether it is familiar or not, the person deliberately harms the people around him, steals something they have, or deliberately treats people badly (Öztürk, Uluşahin, 2016), (Nussbaum, 2013). It is also seen as an important detail that the person does not feel remorse or remorse after exhibiting these behaviors and tries to explain these behaviors with different excuses.

  1. The person must be over the age of 18. If younger than 18 years of age, the diagnosis of Conduct Disorder should be made instead of the diagnosis of Antisocial Personality Disorder. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).

  2. When the person’s life history is taken, there should be signs that show that he has a conduct disorder before the age of 15. (American Psychiatric Association, 2013). (Öztürk, Uluşahin, 2016).

  3. Behaviors that are against the rules accepted by the society should not have emerged only during the formation and development of Bipolar Mood Disorder or Schizophrenia. (American Psychiatric Association, 2013), (Öztürk, Uluşahin, 2016).

The possibility of confusing the diagnosis of Antisocial Personality Disorder and Narcissistic Personality Disorder should be considered. (Öztürk, Uluşahin, 2016). In the case of being between these two diagnoses, it will be useful to remember that the differential diagnosis is to show aggressive behavior and to have a history of conduct disorder in childhood. (Suer, 1998)

When Antisocial Personality Disorder and Narcissistic Personality Disorder are compared, aggressive behaviors and a history of conduct disorder in childhood are seen in Antisocial Personality Disorder, while aggressive behaviors and conduct disorders in childhood are not seen in Narcissistic Personality Disorder (Öztürk, Uluşahin, 2016).

When the DSM-5 Diagnostic Criteria Reference Manual and Mental Health and Disorders books are examined, the tendency to delinquency is one of the most emphasized symptoms at the point of diagnosing Antisocial Personality Disorder. In some cases, if the person complains about substance use, he may display some unlawful behaviors in order to obtain the substance he is addicted to and may have a tendency to crime. (Öztürk, Uluşahin, 2016). It would be correct to put the diagnoses of Antisocial Personality Disorder and Substance Addiction together, if the person has both substance addiction and committing a crime in order to obtain the substance to which he is addicted. In patients with this condition, delinquent behaviors are inevitable (Taymur and Türkçapar 2012).

Individuals with antisocial personality disorder generally commit crimes such as theft, pickpocketing, shooting, manipulation, collection of checks and promissory notes, extortion, extortion, drug dealing, and forming a gang. Individuals with antisocial personality disorder are likely to be discharged from the military because they do not comply with the military discipline rules and disrupt the current order. (Öztürk, Uluşahin, 2016).

Research on the causes of antisocial personality disorder usually focuses on biological and psycho-social causes. These research and observations refer to the family and the person’s whole life, including childhood. (Öztürk, Uluşahin, 2016).

It is possible for us to list some of the common characteristics of individuals with Antisocial Personality Disorder as follows. Individuals diagnosed with antisocial personality disorder are generally intelligent and talented, but it is not possible for them to work in long-term jobs due to their personality traits and behaviors. These people have crazy enthusiasm and their sense of responsibility is not as developed and mature as other people, which is one of the reasons why they cannot work in long-term jobs. Although their relations with people started with a sincere and warm attitude at the beginning, they end in a short time due to their selfish and non-responsible nature. They frequently use the rationalization defense mechanism to justify themselves. (Köroğlu, E., Bayraktar, S. (2011).

People diagnosed with antisocial personality disorder have ego deficiencies related to design and judgment due to impulsive behaviors. It is seen that the superego is not fully developed in these people. Sadomasochism, narcissism and depression are the accompanying conditions in these individuals who show aggression. They lack feelings of love and basic trust. (Öztürk, Uluşahin, 2016).

When the childhood periods of some individuals diagnosed with Antisocial Personality Disorder are examined, evidence or stories of being exposed to a physical abuse in their past can be found. This abuse story is thought to be related to the behavior and personality pattern exhibited in adulthood. (Öztürk, Uluşahin, 2016).

The point that Antisocial Personality Disorder can resemble some psychotic disorders and mood disorders is another point that Orhan Öztürk and Aylin Uluşahin consider important and especially point out. (Öztürk, Uluşahin, 2016).

Antisocial personality disorder is three times more common in men compared to women. In men, this situation causes visible and destructive consequences, and it is more easily noticed by the society and the fact that unlawful behavior can be seen immediately is more common than women. (Öztürk, Uluşahin, 2016).

Antisocial Personality Disorder may not manifest itself as highly negative behaviors that can be seen in the form of physical violence and angry attitudes in women as seen in men; on the contrary, it manifests itself with situations such as inability to establish a harmonious and positive relationship with other people, interruption in interpersonal relations and slander, and also as somatization disorder in girls’ childhood. It is important to consider these situations when comparing men and women. (Öztürk, Uluşahin, 2016).

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *