Explain The Diagnostic Criteria For Antisocial Personality D ✓ Solved

Explain The Diagnostic Criteria Forantisocial Personality Dis

The assignment requires an explanation of the diagnostic criteria for Antisocial Personality Disorder (ASPD), evidence-based psychotherapy and psychopharmacologic treatment for the disorder, and a description of clinical features observed in a client that align with the DSM-5 criteria.

Diagnostic Criteria for Antisocial Personality Disorder

Antisocial Personality Disorder (ASPD) is characterized by a pervasive pattern of disregard for and violation of the rights of others. According to the DSM-5, the diagnostic criteria for ASPD include:

  • A history of conduct disorder before age 15.
  • Presence of adult antisocial behavior, as indicated by at least three of the following:
  • Failure to conform to social norms with respect to lawful behaviors.
  • Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
  • Impulsivity or failure to plan ahead.
  • Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
  • Reckless disregard for the safety of self or others.
  • Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
  • Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.
  • The individual must be at least 18 years old.
  • The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder.

Evidence-Based Psychotherapy and Psychopharmacologic Treatment

Effective treatment for ASPD often involves a combination of psychotherapy and pharmacological intervention. Evidence-based psychotherapies include:

  • Cognitive Behavioral Therapy (CBT): Focuses on changing maladaptive thought patterns and behaviors. This therapy enhances self-control and promotes better decision-making.
  • Dialectical Behavior Therapy (DBT): Emphasizes emotional regulation and interpersonal effectiveness. It is particularly beneficial for individuals with co-occurring disorders.
  • Schema Therapy: Addresses the underlying cognitive schemas that contribute to antisocial behaviors, helping clients understand their emotions and relationship patterns.

In terms of psychopharmacologic treatment, medications such as antidepressants, mood stabilizers, and atypical antipsychotics may be prescribed to manage symptoms related to impulsivity, irritability, and aggression. However, it’s essential to note that no medication is specifically approved for the treatment of ASPD.

Clinical Features and Alignment with DSM-5 Criteria

When evaluating a client for ASPD, several clinical features may be observed. For instance, the client may exhibit a pattern of deceitfulness as evidenced by a history of lying or manipulative behaviors in various situations. Additionally, the client may display impulsivity, engaging in risky behaviors without considering the consequences. Repeated physical fights or assaults may also be present, highlighting irritability and aggressiveness.

For example, a client might present with a criminal record indicating a history of theft and altercations. These behaviors align well with the DSM-5 criteria, which require evidence of conduct disorder before the age of 15 and the presence of at least three adult antisocial behaviors.

Conclusion

In summary, the diagnostic criteria for Antisocial Personality Disorder include a range of behaviors that signify a disregard for the rights of others. Treatment typically involves both psychotherapy and pharmacological approaches aimed at managing symptoms. Observed clinical features in clients can provide valuable insights into their potential diagnosis, aligning closely with the established DSM-5 criteria.

References

  • American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
  • Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
  • Gabbard, G. O. (Ed.). (2014). Gabbard’s treatments of psychiatric disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Perry, J. C., Presniak, M. D., & Olson, T. R. (2014). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders. In Gabbard’s treatments of psychiatric disorders (5th ed.).
  • Black, D. W., & McCormick, B. (2016). Antisocial personality disorder. In J. C. Norcross (Ed.), Psychotherapy relationships that work (pp. 437–446). New York, NY: Oxford University Press.
  • Frick, P. J., & Viding, E. (2009). Antisocial behavior from a developmental perspective. Annual Review of Psychology, 60, 259-275.
  • Hare, R. D. (2003). The Hare Psychopathy Checklist-Revised (2nd ed.). Toronto, ON: Multi-Health Systems.
  • Johnson, D. N., & Szwed, M. (2017). Antisocial personality disorder: A comprehensive review. Journal of Psychological Research, 12(3), 100-113.
  • Duberstein, P. R., & Conwell, Y. (2008). Intervention strategies for suicide prevention in the elderly: A systematic review. American Journal of Geriatric Psychiatry, 16(11), 917-927.

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