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    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook156 pages2 hours

    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Anti-Social Personality Disorder, Diagnosis and Treatment and Related Diseases
    An antisocial personality disorder should be related to an anti-social condition but surprisingly it is more about criminal, delinquents and heartless people!

    Antisocial personality disorder is a mental disorder in which a person has a chronic pattern of manipulating, exploiting, or violating the rights of others without remorse.
    This form of behavior is often criminal in nature.
    Impulsive and criminal behavior is frequent.
    Those with ASPD often has an impaired moral conscience and make decisions driven purely by their own desires without improving the needs or negative effects of their actions on others.
    People with anti-social personality disorder (ASPD) can be witty, charming, and fun to be around but they also lie and exploit others.
    Studies indicate that the average intelligence of anti-social personalities is higher than the normal.
    Anti-social personalities do have a superficial charm.
    They can be attentive and cunning and have an instinctive ability to:
    1.Quickly observe and analyze others,
    2.Determine their needs and preferences, and
    3.Present it in a manner to facilitate manipulation and exploitation.
    They are able to hurt and use other people in this manner, without remorse, guilt, shame or regret.
    To be anti-social is to be against society: against regulations, normal behaviors, laws and acceptable behavior.
    Modern diagnostic systems regard ASPD to involve two related disorders:
    1. A "psychopath" is someone whose harmful actions toward others are likely to indicate calculation, manipulation and cunning.
    They also are likely not to feel emotion and pretend empathy for others.
    They can be deceivingly charismatic and charming.
    Psychopathy is normally genetically based
    2. By contrast, "sociopaths" are more likely to form attachments to others but still do not regard social norms.
    They are likely to be more impulsive, haphazard, and readily agitated than people with psychopathy.
    Sociopathy has roots in environmental causes.
    Causes
    Anti-social Personality Disorder is a result of a genetic predisposition and the environment
    Symptoms
    People with ASPD may often do:
    1.Lie, steal, con, and exploit others
    2.Act rashly
    3.Be angry, vain, and arrogant
    4.Fight or assault other people
    5.Break the law
    Diagnosis
    Anti-social personality disorder is diagnosed from a psychological evaluation
    The diagnosis cannot be made until age 18
    Diagnosis is based on criteria from DSM-5 or ICD-10
    Treatment
    The treatment of Anti-social personality disorder is one of the most difficult.
    People with this disorder normally do not look for treatment on their own.
    They normally only start therapy when required to by a criminal court.
    Behavioral treatments, such as those that recompense proper behavior and have negative after effects for illegal behavior, may help in some people
    Talk therapy may also be useful.
    People with an anti-social personality who have other co-morbid disorders, such as a mood or substance use disorder, are often treated for those disorders as well
    When treatment is searched for, behavioral therapy or psychotherapy in individual or group situations may assist.
    Doctors occasionally give certain psychiatric medicines like mood stabilizers or some atypical anti-psychotics to treat symptoms like impulsive aggression.
    A definite form of CBT (Cognitive Behavioral Therapy) termed CSC (Cognitive Self Change) has reported marginal success at changing the behavior of violent people, both antisocial and otherwise
    Persons with ASPD may face incarceration as a result of:
    1.Their criminal actions,
    2.Premature death
    3.Loss of assets

    TABLE OF CONTENT
    Introduction
    Chapter 1 Anti-Social Personality Disorder
    Chapter 2 Causes
    Chapter 3 S

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 15, 2018
    ISBN9780463298251
    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      It was a good read, but I felt too much of the book abruptly became devoted to Autism, which personally, was not the topic I was interested in.

    Book preview

    Anti-Social Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Anti-Social

    Personality Disorder,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2018 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Anti-Social Personality Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What The patient Need to Treat Anti-Social Personality Disorder)

    This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Anti-social personality disorder

    An antisocial personality disorder should be related to an anti-social condition but surprisingly it is more about criminal, delinquents and heartless people!

    What is Anti-social personality disorder?

    Antisocial personality disorder is a mental disorder in which a person has a chronic pattern of manipulating, exploiting, or violating the rights of others without remorse.

    This form of behavior is often criminal in nature.

    Impulsive and criminal behavior is frequent.

    Those with ASPD often has an impaired moral conscience and make decisions driven purely by their own desires without improving the needs or negative effects of their actions on others.

    People with anti-social personality disorder (ASPD) can be witty, charming, and fun to be around but they also lie and exploit others.

    Studies indicate that the average intelligence of anti-social personalities is higher than the normal.

    Anti-social personalities do have a superficial charm.

    They can be attentive and cunning and have an instinctive ability to:

    1. Quickly observe and analyze others,

    2. Determine their needs and preferences, and

    3. Present it in a manner to facilitate manipulation and exploitation.

    They are able to hurt and use other people in this manner, without remorse, guilt, shame or regret.

    To be anti-social is to be against society: against regulations, normal behaviors, laws and acceptable behavior.

    Patients with Anti-social Personality Disorder are likely to be charismatic, attractive, and very good at obtaining sympathy from others; often describing themselves as the victim of injustice.

    ASPD makes anti-social personality people uncaring for others.

    Someone with the disorder may function rashly, destructively, and dangerously without feeling guilty when their actions hurt other people.

    Modern diagnostic systems regard ASPD to involve two related but not identical disorders:

    1. A psychopath is someone whose harmful actions toward others are likely to indicate calculation, manipulation and cunning.

    They also are likely not to feel emotion and imitate (rather than have) empathy for others.

    They can be deceivingly charismatic and charming.

    Psychopathy is normally genetically based

    2. By contrast, sociopaths are more likely to form attachments to others but still do not regard social norms.

    They are likely to be more impulsive, haphazard, and readily agitated than people with psychopathy.

    Sociopathy has roots in environmental causes.

    ASPD is not frequent, involving just 0.6% of the population

    What are the causes of Anti-social personality disorder?

    Causes

    The definite cause of this disorder is not known.

    A person's genes and other factors, such as child abuse, may be factors to developing this disorder.

    People with an anti-social or alcoholic parent are at higher risk.

    Anti-social personality disorder involves more men than women.

    Experts do not know for sure what are the causes for it but genetics and other biological factors are thought to have a part (particularly in psychopathy), as can growing up in a traumatic or abusive environment (particularly in sociopathy).

    Brain deficiencies and injuries during formative years may also be linked to ASPD.

    Possibly since people with ASPD often break the law, a lot of prisoners have ASPD.

    As high a proportion of 47% of male inmates and 21% of female inmates have the disorder.

    Setting fires and animal cruelty during childhood are often observed in the development of anti-social personality.

    Some doctors believe that psychopathic personality (psychopathy) is a similar but a more severe disorder.

    Risk Factors

    1. Having a first degree biological relative with ASPD, and

    2. Being a male.

    Whether the cause of Anti-social Personality Disorder is mainly genetic or a product of social learning and other environmental factors has been widely debated by behavioral scientists.

    There are signs that Anti-social Personality Disorder is a result of a genetic predisposition in that the person is born without a conscience.

    There is presence for neuroanatomical differences in anti-social personalities.

    A rs-fMRI (resting state functional Magnetic Resonance Imaging) study of n=480 adjusted antisocial persons showed uncoupled connections in areas of the frontal and parietal lobes which are linked with attention, self regulation, the capability to control oneself, and resolve conflicts .

    It was observed that physiological and anatomical deficits seen in the frontal/parietal areas, and the cerebellum often seen in patients with ASPD, may be responsible for the:

    1. Chronic low arousal,

    2. High impulsivity,

    3. Lack of conscience,

    4. Callousness, and

    5. Decision-making problems.

    There is also proof that environmental factors, such as internalizing messages from antisocial peers or parents are at present in Anti-social Personality Disorder.

    Co-morbidity

    Anti-social Personality Disorder is co-morbid with substance abuse disorder, and other personality disorders.

    What are the symptoms of Anti-social personality disorder?

    Symptoms

    People with ASPD

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