Antisocial Personality Disorder
Rule breaking, angry, contemptuous
Information about Antisocial Personality Disorder – its presentation, symptoms and treatment.
Beliefs, emotions and behaviour:
A person with this personality will feel that they are entitled to break the rules. They may view others as easily manipulated and with contempt. They perceive themselves as better than others.
Missing Interpersonal Ability:
Such an individual is likely to show both instrumental and reactive (emotional) aggression and attempt to control others to do things for them. They are seen as lacking empathy and feel the need to be dominant over others. Creation of fear can be used as a mechanism to keep themselves safe. They are likely to have a criminal history with a range of crimes.
Antisocial Personality Disorder is linked to these other disorders:
- Conduct Disorder/ ADHD
- Substance Misuse disorders
I am a loner, strong, independentBeliefs about self
Others are vulnerable and there to be exploitedBeliefs about others
The world is a threatening placeBeliefs about the world
DSM V Criteria:
According to the DSM-5, the main criteria for ASPD are:
A. Disregard for and violation of others rights since age 15, as indicated by one of the seven sub features:
- Failure to obey laws and norms by engaging in behaviour which results in criminal arrest, or would warrant criminal arrest
- Lying, deception, and manipulation, for profit or self-amusement,
- Impulsive behaviour
- Irritability and aggression, manifested as frequently assaults others, or engages in fighting
- Blatantly disregards safety of self and others,
- A pattern of irresponsibility and
- Lack of remorse for actions
The other diagnostic Criterion are:
B. The person is at least age 18,
C. Conduct disorder was present by history before age 15
D. and the antisocial behaviour does not occur in the context of schizophrenia or bipolar disorder
Treatment for Antisocial Personality Disorder
The NICE guidelines for this disorder state that cognitive and behavioural therapies should be offered. These can include interventions that focus on impulsivity, interpersonal difficulties, substance misuse and antisocial behaviour. Therapies including mentalisation based therapy (MBT) and Schema therapy have also started to develop an evidence base for treating ASPD.
Guidelines state that medication should be used to treat associated problems, including depression and anxiety. However, medication is not routinely recommended for Antisocial Personality Disorder.