antisocial personality disorder
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| show | 1. Cluster A (odd-eccentric), 2. Cluster B (dramatic-emotional), 3. Cluster C (anxious-fearful)
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| show | paranoid, schizoid, schizotypal
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| 4 Cluster B Personality Disorders | show 🗑
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| 3 Cluster C Personality Disorders | show 🗑
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| show | moral insanity, psychopathic, psychopath
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| show | no
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| key features of ASPD per DSM-IV-TR | show 🗑
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| Cleckley/Hare criteria for dx of ASPD | show 🗑
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| Difference between DSM-IV-TR and Cleckley/Hare criteria | show 🗑
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| Typical ASPD characteristics | show 🗑
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| show | tendency to engage in antisocial behaviors. Many show this behavior in childhood (conduct disorder). Antisocial tendencies tend to diminish with age if only started in teens.
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| show | genetics, pre-natal testosterone, low serotonin, ADHD, deficits in executive functions of the brain, low arousability, social-cognitive (inconsistent parenting, assume others are aggressive towards them)
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| role of testosterone | show 🗑
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| serotonin | show 🗑
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| show | ability to concentrate, abstract reasoning and concept formation, ability to anticipate/plan, self-monitor, ability to shift from maladaptive to adaptive patterns of behavior
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| show | deficits in frontal and temporal lobes
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| role of arousability in ASPD | show 🗑
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| show | physical abuse, inconsistent parenting alternating between neglect and hostility/violence
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| show | born w/ bio dispositions or into sociocltrl contexts that put at risk for AS beh> early aggrssn leads to dscpln, coldness, & conflict w/ othrs>academic/soc prblms> dvant peer grps, see wrld as hstl, dfends aggressively>>dvlp hx of neg intractions w/ othrs
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| show | No, they are prone to blaming others for their situations. Do not accept responsibility for their actions. As such, many clinicians don’t think psychotherapy will be effective.
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| show | 1. Controlling anger and impulsive behavior. 2. Try to increase the person’s empathy for their effects on others.
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| show | lithium & atypical antipsychotics. Effectiveness of SSRIs is being researched.
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| Characteristics of Personality Disorders | show 🗑
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| show | psychotherapy is the mainstay, pharmacotherapy reserved for cases w/ comorbid mood, anxiety, or psychotic disorders
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| show | ”weird” or odd-eccentric
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| Cluster B description | show 🗑
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| show | ”worried and wimpy” or anxious-fearful
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| Atypical antipsychotics | show 🗑
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| show | mood stabilizer, used for acute mania, prophylaxis in bipoloar, and augments depression tx; side fx: thirst, polyuria, tremor, nausea, seizures; toxicity: ataxia, dysarthira, delirium; therapeutic range: 0.5-1.5mEq/L
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