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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 11 December 2019

Antisocial Personality Disorder

Trifu Simona, Iliescu Ioana Dorina, Mateescu Roxana Daniela, Trifu Antonia Ioana

University of Medicine and Pharmacy "Carol Davila" (Romania), University of Bucharest (Romania), Medical Military Institute (Romania)

journal of social and political sciences
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doi

10.31014/aior.1994.02.04.79

Pages: 509-515

Keywords: Antisocial Personality Disorder, Psychotic Decompensation, Heteroaggressive Potential, Dangerousness, Psychodynamic Functioning

Abstract

Motivation: Personality disorders are patterns from areas like cognitive, emotional, impulse-control and relationships with others; they are constant and lasting over time, non-functional, disturbed, which do not allow normal functioning in daily life. Personality disorders do not fit into the classic pattern of illness. They do not have a limited onset of time, a period of disease and then a cure following a treatment. Purpose: The paper presents a 46-year-old patient with frequent admission to psychiatry for an antisocial personality disorder, which presents a decompensation of psychotic intensity. Methods: admission to a psychiatric clinic, psychiatric evaluation, treatment with Rispen, Romparkin, Depakine, Levomepromazine, Anxiar, Diazepam, life situation management, social inquiry, psychological evaluation, presentation of psychotic phenomenology. Results: The present paper presents a patient with indices of cerebral micro-organicity, with poor school performance, with class repetitions and school dropout, subsequently developing behavioral disorders that have been structured into an antisocial personality disorder. The patient presented multiple acts of violence, conflicts with the law, about 14 criminal cases in progress, violence into the family and outside the family. Conclusions: There were both short-term hospitalizations for crisis management and long-term hospitalizations, which did not have a beneficial effect. The paper aims to expose the theoretical perspective on the pathology of antisocial personality disorder, with particularities for this case.

References

  1. American Psychiatric Association. (2013), Diagnostic and Statistical Manual of Mental Disorders: DSM-5 - fifth edition, Washington DC
  2. Bandelow, B., Wedekind, D. (2015). Possible role of a dysregulation of the endogenous opioid system in antsocial personality disorder. Human Psychopharmacology Clinical and Experimental, 30, 393-415. doi:10.1002/hup.2497
  3. Barnes, J.C., Boutwell, B.B. (2013). A demonstration of the generalizability of twin-based studies on antisocial behaviour. Behavioral Genetics, 43, 120-131. doi:10.1007/s10519-012-9580-8.
  4. Black, D.W. (2015). The Natural History of Antisocial Personality Disorder. Can J Psychiatry. 2015 Jul;60(7):309-14.
  5. Burt, S. A. și Klump, K. L. (2014). Prosocial peer affiliation suppresses genetic influences on non-aggressive antisocial behaviors during childhood. Psychological Medicine, 44, 821-830. doi:10.1017/S0033291713000974.
  6. Cleckley, H. (2015). The Mask of Sanity: An Attempt to Clarify Some Issues About the So-called Psychopathic Personality. Echo Point Books & Media.
  7. Dolan, M., Park, I. (2002). The neuropsychology of antisocial personality disorder. Psychological Medicine, 32, 417-427. doi:10.1017/S0033291702005378.
  8. Ficks, C. A., Waldman, I.D. (2014). Candidate genes for aggression and antisocial behavior: A meta-analysis of association studies of the 5HTTLPR and MAOA-uVNTR. Behavioral Genetics, 44, 427-444. doi:10.1007/s10519-014-9661-y.
  9. Jorev, M., Whittle, S., Murat, Y., Simmons, J.G. & Allen, N.B. (2014). The relationship between hippocampal asymmetry and temperament in adolescent borderline and antisocial personality pathology. Development and Psychopathology, 26, 275-285. doi:10.1017/S0954579413000886.
  10. Kernberg, O.F. (2004). Aggressivity, narcisism and self-destructiveness in the psychotherapeutic relationship: New developments in the psychology and psychotherapy of severe personality disorders. New Haven, CT: Yale University Press.
  11. Latvala, A., Kuja-Halkola, R., Langstrom, N. & Lichtenstein, P. (2015). Paternal antisocial behaviour and sons' cognitive ability. Psychological Science, 26, 78-88. doi:10.1177/0956797614555726.
  12. McWilliams, N. (2014). Diagnosticul psihanalitic: structuri de personalitate revelate in procesul clinic. București: Editura Fundației Generația.
  13. Meloy, J.R. (1988). The psychopathic mind: Origins, dynamics and treatment. Northvale, NJ: Jason Aronson.
  14. Paris, J., Chenard-Poirier, M.P., Biskin, R. (2013). Antisocial and borderline personality disorders revisited. Comprehensive Psychiatry, 54, 321-325.
  15. Reichborn-Kjennereud, T., Czajkowski, N., Ystrom, E., Aggen, H., Tambs, K., Neale, M. C., Kendler, K. S. (2015). A longitudinal twin study of borderline and antisocial personality disorder traits in early to middle adulthood. Psychological Medicine, 45, 3121-3131. doi:10.1017/S0033291715001117.
  16. Shaw, D.S., Hyde, L.W. & Brennan, L.M. (2012). Early predictors of boy’s antisocial trajectories. Development and Psychopathology, 24, 871-888. doi:10.1017/S0954579412000429
  17. Shi, Z., Bureau, J.F., Easterbrooks, A.M., Zhao, X. & Lyons-Ruth, K. (2012). Childhood maltreatment and prospectively observed quality of early care as predictors of antisocial personality disorder. Infant Mental Health Journal, 33, 55-69. doi:10.1002/imhj.20295
  18. Van den Bos, W., Vahl, P., Guroglu, B., van Nunspeet, F., Colins, O., Markus, M., Crone, E. A. (2014). Neural correlates of social decision-making in severily antisocial adolescents. Social Cognitive & Affective Neuroscience, 9, 2059-2066. doi:10.1093/scan/nsu003
  19. Verhulst, B., Neale, M.C. & Kendler, K.S. (2015). The heretability of alcohol use disorders: a meta-analysis of twin and adoption studies. Psychological Medicine, 45, 1061-1072. doi:10.1017/S0033291714002165.
  20. Werner, K.B., Few, L.R. & Bucholz, K.K. (2015). Epidemiology, Comorbidity, and Behavioral Genetics of Antisocial Personality Disorder and Psychopathy. Psychiatr Ann. 2015 Apr;45(4):195-199.
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