What Is Antisocial Personality Disorder (ASPD)?

  • a personality disorder/psychological mental illness that involves disregard for the rights or others, as well as impulsive, irresponsible and aggressive behaviour.

Incidence in the population

  • 3% in males and 1% in females. It is seen in 3% to 30% of psychiatric outpatients.
  • even higher in prisons (80-85%).
  • higher among patients in alcohol or other drug abuse treatment programs than in the general population.
  • For this diagnose to be given, an individual must be at least 18 years or age and have at least a few symptoms of conduct disorder.

Various forms of the disorder

  • Risk factors for Antisocial Personality Disorder
    • Substance abuse
    • Attention deficit hyperactivity disorder (ADHA)
    • Reading disorder

Causes

  • result of a combination of biologic or genetic and environmental factors.
    • there is no clear evidence of biological risk factors
    • The lack of response may cause antisocial individuals to be insensitive to others feelings, rights, and suffrage.
    • Some individuals may have particular genetic backgrounds.
    • sexual, physical, or emotional abuse, withdrawal or neglect, interaction with peers who are antisocial, and alcoholic or antisocial parents.

Symptoms

  • lack of obeying laws; evident by recurrence of crimes,
  • regular fraudulence in relationships;
    • lying or scamming others, and failure to think or plan ahead;
    • impulsivity.
    • Antisocial individuals demonstrate an irritable, angry, aggressive behaviour.

Prognosis

  • -Not very good because of two contributing factors:
    • Limited amount of insight into the systems
    • Negative consequences are often blamed on society.
    • Treatment options are limited.
    • Some research has found long term insight oriented therapy to be effective, but getting the individual to commit to this treatment is a major obstacle.
    • Impact on the sufferer and their family and/or those close to them
    • Sufferers do not express a particular desire to change themselves or suppress their impulses.
    • Many do not even know they are afflicted.
    • It is a cruel personality disorder which takes away nearly all the empathy from the victim and replaces it with an empty hole of hatred and arrogance.
    • A considerate and sympathetic behaviour towards the victims by family and friends is required.

Community resources

  • Personality Disorder Resource Centre on Queen Street West
  • the 211 Toronto Community Connection under Canadian Mental Health Association, Ontario and the Doctor’s Guide Congress Resource Centre (CRC).
  • CAMH’s (Centre for Addiction and Mental Health) main switchboard number is (416) 535-8501. For a mental health or addiction concern, one can call (416) 595-6111 (within Toronto) or 1-800-463-6273 (toll free).

Famous victims

  • Ted Bundy, brutal serial killer and law student, who portrayed the selection of the population with the antisocial personality disorder as a clan of heartless monsters.
  • Charles Manson is a convicted serial killer who has become an icon of evil.
  • He fits many of the criteria of antisocial personality disorder, including disregard for and violation of others’ rights, impulsivity, disregard for truth, and lack of remorse.

Other Relevant Information

  • No lab test has been found to be diagnostic of this disorder.
  • This disorder is more common among first-degree biological relatives of those with the disorder than in the general population.
  • Individuals with this disorder have an increased risk of dying prematurely by violent means (e.g., suicide, accidents, and homicide).

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