Antisocial Personality Disorder

Dissocial / Antisocial Personality Disorder

Rule breaking, angry, contemptuous

Information about Antisocial Personality Disorder – its presentation, symptoms and treatment.

Antisocial Personality Disorder 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:

Empathy, Sociability

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:

  • Psychopathy
  • Conduct Disorder/ ADHD
  • Substance Misuse disorders
Antisocial personality disorder

I am a loner, strong, independent

Beliefs about self

Others are vulnerable and there to be exploited

Beliefs about others

The world is a threatening place

Beliefs about the world

Connor was bought up by his mother, who remarried when he was 5.  He describes how he feels that he was never wanted by his mother and that he was seen as a bad reminder of her old life.  At school he was disruptive and found it hard to concentrate, being expelled at age 7 for attempting to set fire to the gym.  He started to use alcohol and cannabis at age 10 with friends when they would steal from back gardens and cars to get money.  Connor was seen as the ‘ring leader’. 

As he grew older he started to deal drugs, and would become involved in robberies and steal cars.  He said he did this for the ‘buzz’ rather than for money.  He is involved with a local gang and has convictions for GBH, having spent time in prison.  Connor has had a number of girlfriends, often at the same time, but is controlling and aggressive within these meaning they do not last long.   He has tried to work, but finds it boring and gets angry quickly when ‘told what to do’.

example presentation

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 this.

Guidelines state that medication should focus be used to treat associated problems, including depression and anxiety. However, medication is not routinely used for Antisocial Personality Disorder

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