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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various names aspd previously known as | show 🗑
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is “psychopath” used in DSM-IV-TR? | show 🗑
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show | problems forming positive relations with others, violates social norms/values, deceitful, violent crimes with no remorse, impulsive, low tolerance for frustration, no concern for consequences of behavior, seek thrills, easily bored/restless
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show | superficial charm, grandiosity, tendency towards boredom, need stimulation, pathological lying, ability to be manipulative, lack of remorse, cold/callous, pleasure from humiliating others, insist on being seen as faultless, dogmatic in opinions
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Difference between DSM-IV-TR and Cleckley/Hare criteria | show 🗑
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show | more likely to have low levels of education, 80% are substance abusers, increased risk for suicide/violent death
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Most stable personality characteristic | show 🗑
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7 contributors to ASPD | show 🗑
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show | probably important pre-natally in organizing the fetal brain, but not so important on behavior in adolescence/adulthood
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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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show | MEDIC: maladaptive, enduring, deviates from cultural norms, inflexible, causes soc/occupational functioning
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Treatment of Personality Disorders | show 🗑
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show | ”weird” or odd-eccentric
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Cluster B description | show 🗑
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Cluster C description | show 🗑
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Atypical antipsychotics | show 🗑
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Lithium | show 🗑
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