14/12/2020
Antisocial personality disorder - Criteria's & Features
According to the DSM- 5, antisocial personality disorder is defined as [a] pervasive pattern of disregard for and violation of the rights of others occurring since the age 15 years, as indicated by three (or more) of the following:
Failure to conform to social norms concerning lawful behaviours, as indicated by repeatedly performing acts that are grounds for arrest.
Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
Impulsivity or failure to plan.
Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
Having no regard for the safety of self or others.
Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behaviour or honour financial obligations.
Lack of remorse, or inability to feel guilt, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another."
Many adults who have been diagnosed with antisocial personality disorder (ASPD) have a history of symptoms of conduct disorder before the age of 15 years. Additionally, impairments in both self-perception and interpersonal personalities are present as well as pathological traits. Symptoms tend to begin in adolescence or early adulthood and continue over many years. Other symptoms someone with Antisocial Personality Disorder may exhibit are:
Being very charming or witty in order to manipulate someone or get what they want
Exudes a sense of superiority or arrogance
Impulsive and prone to taking risks or engaging in dangerous behaviour with little regard to how it may affect others
Lack of empathy or feelings towards others or a situation
May display hostile, aggressive behaviour, or become violent
Being dishonest or lying to people
No regard or care for what is right or wrong
Being irresponsible
Inability to maintain healthy relationships
Lack of regard for rules or societal norms and may have a history of criminal behaviour
When someone is consistently exhibiting these symptoms, and there is cause for concern, you may wonder what's going on and seek medical help. After an initial conversation and a physical evaluation, the doctor may refer the patient to a mental health professional who will look at the following things in order to render a diagnosis of antisocial personality disorder (ASPD).
Significant impairments in self (identity or self-direction) and interpersonal (empathy or intimacy) functioning.
One or more pathological personality traits.
The impairments in personality are stable across time and consistent in situations.
The personality impairments are not better understood as a normative part of a developmental stage or social environment.
Substance use or a medical condition is not the only cause.
Once antisocial personality disorder has been diagnosed, the diagnostic evaluation moves on to determine the specific personality disorders. There are many different types of personality disorders listed in the DSM-5. Therefore, only a mental health professional who specializes in personality disorders can properly diagnose the illness and provide a treatment plan. Keep in mind that not all personality disorders require medication, and some can be treated using evidence-based therapies.