Identifying Antisocial Personality Disorder
Can you identify the behaviors associated with Antisocial Personality Disorder? In previous installments of this series, Dr. Phil talked about Narcissistic and Borderline Personality disorders. In this week’s episode, he addresses the “granddaddy” of them all: Antisocial Personality Disorder.
“This has parts of the other two, but now it's weaponized, and it's weaponized with you as the target,” says Dr. Phil. “I'm going to tell you how to spot them, how to see the red flags, so you know when they're coming and have a coping strategy for what to do when they get there.”
This series addresses mental health disorders; how to recognize it, establish boundaries, and how to coexist with those in your life who may have it with tools and guidelines that can help minimize damage to oneself and loved ones.
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People with antisocial personality disorder characteristically act out their conflicts and ignore normal rules of social behavior. These individuals are impulsive, irresponsible, and callous. Typically, the antisocial personality has a history of legal difficulties, belligerent and irresponsible behavior, aggressive and even violent relationships. They show no respect for other people and feel no remorse about the effects of their behavior on others. These people ware at high risk for substance abuse, especially alcoholism, since it helps them to relieve tension, irritability and boredom.
(Source: Mental Health America)
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I want you to have current information. I'm not asking you to diagnose people. I want you to say, "bingo, red flag. I need to be cautious about this." - Dr. Phil
What Is Antisocial Personality Disorder
A. There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following: having hurt, mistreated, or stolen from another.
1. Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest.
2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
5. Reckless disregard for safety of self or others.
6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
7. Lack of remorse, as indicated by being indifferent to or rationalizing.
The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. To diagnose antisocial personality disorder, the following criteria must be met:
A. Significant impairments in personality functioning manifest by:
1. Impairments in self functioning (a or b):
a. Identity: Ego-centrism; self-esteem derived from personal gain, power, or pleasure.
b. Self-direction: Goal-setting based on personal gratification; absence of prosocial internal standards associated with failure to conform to lawful or culturally normative ethical behavior.
AND
2. Impairments in interpersonal functioning (a or b):
a. Empathy: Lack of concern for feelings, needs, or suffering of others; lack of remorse after hurting or mistreating another.
b. Intimacy: Incapacity for mutually intimate relationships, as exploitation is a primary means of relating to others, including by deceit and coercion; use of dominance or intimidation to control others.
B. The individual is at least age 18 years.
C. There is evidence of Conduct Disorder with onset before age 15 years.
D. The occurrence of antisocial behavior is not exclusively during the course of Schizophrenia or a Manic Episode.
(Source DSM 5)
Resources:
Surrounded by Idiots: Do you ever think you’re the only one making any sense? Or tried to reason with your partner with disastrous results? Do long, rambling answers drive you crazy? Or does your colleague’s abrasive manner rub you the wrong way?
Surrounded by Idiots is an international phenomenon, selling over 1.5 million copies worldwide. It offers a simple, yet ground-breaking method for assessing the personalities of people we communicate with – in and out of the office – based on four personality types (Red, Blue, Green and Yellow), and provides insights into how we can adjust the way we speak and share information.
I'm OK, You're Not OK: Experiences of Having a Loved One with a Personality Disorder: Does it ever feel like someone in your family drains you dry? Does it feel like no matter what you do, or how much, it will never be right or enough? Whether the person is your parent, child, spouse, or sibling, this priceless new guide by Linda S. Budd, PhD, will help to find ways to break the cycle you’re currently in. This groundbreaking new book discusses what it’s like to have a loved one with a personality disorder and enlightens us to the games that those with such disorders play. Although they think it’s for survival, oftentimes, sufferers of personality disorders utilize triangulation, projection, and “no talk” that can quickly become part of a family system and impact everyone involved.