Antisocial Personality Disorder

1
Antisocial Personality Disorder

• Labels
• Manie sans delire
• Sociopathy
• psychopathy

2
Antisocial PD

• Psychopathy
• Superficial charm
• Grandiose sense of self
• Proneness to boredom
• Pathological lying
• Manipulative
• Lack of remorse
• Hare (1991)

• Antisocial PD
• Disregard for violation of rights of others
• Failure to conform to social norms/laws
• Deceitfulness
• Impulsivity
• Irritability/aggression
• Consistent irresponsibility

3
Antisocial PD

• Etiology
• Genetic contributions
• Gene-environment interaction (Cadoret et al,
  1995)
• Eysenck and Eysenck (1978)
• Concordance rate
• Monozygotic 55
• Dizygotic 13

4
Antisocial PD

• Etiology
• Neurobiological contributions
• Underarousal hypothesis
• Yerkes-Dodson Curve
• Low-frequency theta waves
• Cortical immaturity hypothesis
• Fearlessness hypothesis
• higher threshold for experiencing fear than
  others
• Behavioral inhibition system

5
Antisocial PD

• Psychosocial contributions
• Failure to abandon an unattainable goal
• Newman et al (1987)

6
New Treatment

• Borderline PD
• Dialectical behavior therapy (DBT)
• Based on CBT treatment
• Skills training