Antisocial personality disorder a Flashcards
“Antisocial personality disorder
is a type of chronic mental
condition in which a person’s ways of thinking, perceiving
situations and relating to others are dysfunctional — and
destructive.
People with antisocial personality disorder
typically
have no regard for right and wrong and often
disregard the rights, wishes and feelings of others
Antisocial personality disorder signs and symptoms may
include:
Disregard for right and wrong
Persistent lying or deceit to exploit others
Using charm or wit to manipulate others for personal gain or
for sheer personal pleasure
Intense egocentrism, sense of superiority and exhibitionism
Recurring difficulties with the law
Repeatedly violating the rights of others by the use of
intimidation, dishonesty and misrepresentation
Child abuse or neglect
Hostility, significant irritability, agitation, impulsiveness,
aggression or violence
Lack of empathy for others and lack of remorse about harming
others
Unnecessary risk-taking or dangerous behaviors
Poor or abusive relationships
Irresponsible work behavior
Failure to learn from the negative consequences of behavior
People with antisocial personality tend
They may often violate the law, landing in
frequent trouble, yet they show no guilt or remorse. They may
lie, behave violently or impulsively, and have problems with
drug and alcohol use. These characteristics typically make
people with antisocial personality disorder unable to fulfil
responsibilities related to family, work or school
Nurses who have worked with people who have personality disorders have reported the following reactions:
Apprehension – Anxiety – Dislike – Inconsistency of Care Intense Feelings
Apprehension –
constant
crises and emotional intensity
puts them ‘on edge’
Anxiety –
due to
unpredictable, stressful or
manipulative behaviours
Dislike –
due to the person’s difficulties with relationships, their company may be unpleasant, leading to avoidance
Inconsistency of Care
taff
may try to avoid or appease
the person, leading to ‘staff
splitting’ and conflict
Intense Feelings
staff report their own intense feelings (positive and negative) towards the person – ‘buttons pushed’, making it difficult to maintain professional distance and therapeutic relationship
Personality disorders are thought to be caused
by a
combination of genetic and environmental influences. Some
people may have genes that make them vulnerable to
developing personality disorder — and life situations may
trigger its development
To be diagnosed with antisocial personality disorder
a
person must meet the symptom criteria in the latest
Diagnostic and Statistical Manual of Mental Disorders
(DSM)