Search
antisocial personality disorder
Etiology:
- child abuse or harsh punishment in childhood may be risk factor [2]
Clinical manifestations:
- disregard for social norms
- disregard for the law
- lack of conscious
- lack of empathy for others
- reckless &/or criminal behaviors
- elderly:
- frequent remission of antisocial behaviors
- less aggression & impulsivity
Management:
- assess for & treat mood lability, depression, anxiety, substance abuse
- consistent, structured approach with well-defined boundaries to contain unacceptable behaviors
- team approach with a common plan (teamwork)
- behavioral contracts to address recurrent unacceptable behaviors
- resort to higher level of care if management ineffective
- do not personalize aggressive behavior directed towards staff
- all staff opportunities to vent
General
cluster B personality disorder
References
- Geriatric Review Syllabus, 7th edition
Parada JT et al (eds)
American Geriatrics Society, 2010
- Afifi TO, Fortier J, Sareen J et al.
Associations of harsh physical punishment and child maltreatment in
childhood with antisocial behaviors in adulthood.
JAMA Netw Open 2019 Jan 4; 2:e187374
Not indexed in PubMed
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2722572