Table 34 GRADE evidence summary for group-based cognitive and behavioural intervention for offenders. Group-based cognitive and behavioural interventions were found to provide a modest effect on re-offending RR 0.
People with antisocial personality disorder who seek care do so for other problems such as marital discord, alcohol or drug abuse or suicidal thoughts. Family members or the courts may send some people with ASP to a mental health counselor for evaluation.
People with ASP often appear to have poor insight and may reject the diagnosis or deny their symptoms. People with antisocial personality who seek help or are referred can be offered evaluation and treatment as outpatients.
Patients can be offered an array of services, including neuropsychological assessment, individual psychotherapy, medication management, and family or marital counseling. Unless the person risks harming himself or others, hospital care is not needed.
In fact, people with ASP can be disruptive in inpatient units — for example, becoming belligerent when their demands are unmet or using manipulation to gain favors.
Psychotherapy for people with ASP should focus on helping the individual understand the nature and consequences of his disorder so he can be helped to control his behavior.
Exploratory or insight-oriented forms of psychotherapy are generally not helpful to people with ASP. Cognitive therapy for Antisocial Personality disorders and criminal behaviro Cognitive therapy — first developed to help patients with depression — has recently been applied to ASP. The patient who submits to therapy only to avoid a jail term is not intent on improving.
Therapy must be more than a means by which the antisocial tries to elude the consequences of his behavior. Because people antisocial personality tend to blame others, have a low tolerance for frustration, are impulsive and rarely form trusting relationships, working with these individuals is difficult.
People with ASP often lack the motivation to improve and are notoriously poor self-observers. They simply do not see themselves as others do. Therapists must be aware of their own feelings and remain vigilant to prevent their emotional responses to their patients from disrupting the therapy process.
The best treatment prospects come with professionals well versed in ASP, who can anticipate their emotions and present an attitude of acceptance without moralizing. Several drugs, however, have been shown to reduce aggression, a common problem for many antisocials.
The best-documented medication is lithium carbonate, which has been found to reduce anger, threatening behavior and combativeness among prisoners. More recently, the drug was shown to reduce behaviors such as bullying, fighting and temper outbursts in aggressive children.
Phenytoin Dilantinan anticonvulsant, has also been shown to reduce impulsive aggression in prison settings.
Other drugs have been used to treat aggression primarily in brain-injured or mentally retarded patients. These include carbamazepine, valproate, propranolol, buspirone and trazodone.
Antipsychotic medications also have been studied in similar populations. They may deter aggression, but potentially induce irreversible side effects.
Tranquilizers from the benzodiazepine class should not be used to treat people with ASP because they are potentially addictive and may lead to loss of behavioral control.
Mood disorders are some of the most common conditions accompanying ASP and are among the more treatable. For reasons that remain unknown, depressed patients with personality disorders tend to not respond as well to antidepressant medication as depressed patients without personality disorders.
Antisocials with bipolar disorder may respond to lithium carbonate, carbamazepine or valproate, which can help stabilize moods and may lessen antisocial behavior as well.
Stimulant medication can be used to reduce symptoms of attention deficit disordera condition that can compound the aggression and impulsivity that may accompany ASP.
Stimulants must be considered judiciously because they can be addictive. Uncontrollable and dangerous forms of sexual behavior may be targeted by injections of medroxyprogesterone acetate, a synthetic hormone that reduces testosterone levels.
Addiction and Family Counseling Alcohol and drug abuse present major barriers for treatment of a person with underlying ASP.PSYCHOLOGICAL FACTORS UNDERLYING CRIMINAL BEHAVIOR Melitta Schmideberg, M.D. Dr. Schmideberg is Psychiatrist to The Institute for the Scientific.
Although antisocial personality disorder is considered lifelong, in some people, certain symptoms — particularly destructive and criminal behavior — may decrease over time. But it's not clear whether this decrease is a result of aging or an increased awareness of the consequences of antisocial behavior.
Antisocial Personality Disorders and Criminal Behavior Words Jan 7th, 10 Pages Although laws differ from jurisdiction to jurisdiction, this mental health condition may be grounds for a defense against criminal charges provided an accurate and timely diagnosis of the disorder is made.
Personality Disorders and Criminal Behaviro Essay. Amber ZonaMidterm Essay Race and CrimeMarch 6, Personality Disorders and Criminal Behavior There are many recent findings that there are correlations between criminal behavior and certain personality disorders - Personality Disorders and Criminal Behaviro Essay introduction.
Personality Disorders and Criminal Behaviro Essay Race and Crime March 6, Personality Disorders and Criminal Behavior There are many recent findings that there are correlations between criminal behavior and certain personality disorders. Less commonly, Lyme disease, sarcoidosis, syphilis, or a vitamin deficiency causes personality and behavior changes.
Evaluation During the initial evaluation, doctors try to determine whether symptoms are due to a mental or physical disorder.