Hi, I'm Dr.
Tracey marks the psychiatrist and I make mental health education
videos today.
I'm talking about antisocial personality disorder.
When I first heard this name in medical school.
I thought it meant that you didn't like the socialize or
didn't like being around people but it's far from that antisocial
falls into the cluster B personalities.
There are three clusters cluster a is the personality types
that are odd or eccentric cluster B are dramatic.
Or erratic and cluster C are anxious or fearful.
Let's look at how its defined by the diagnostic and statistical
Manual of mental disorders.
Fifth edition.
Antisocial personality disorder is defined as a pervasive
pattern of disregard for the violation or the rights of others
occurring since age 15 as indicated by three or more of the
following one failure to conform to the social norms with
respect to lawful behaviors indicated by repeatedly performing
acts that are grounds for arrest.
This can be the person who always seems to be in trouble
with the law starting at an early age.
But they also May engage in behaviors that don't lead to
an arrest some examples of this Behavior would be destroying
property stealing or getting involved in illegal ways to
make money.
Even if you never get caught number two is deceitfulness
as By repeated lying use of aliases or conning others for
personal profit or pleasure.
My mom would call this person a flimflammer which were years.
I thought was just a southern term that she made up but it's
actually based on a 1967 movie called The flim-flam Man starring
the late George see Scott.
It's about a man who makes his living defrauding people with
these fake schemes that he sells them.
Well today instead of flimflammers.
We call them scammers and a lot of people will try and scam
you but with antisocial personality disorder, it's more than
running a scam for profit.
Your entire being is deceitful.
It's a lifestyle of lies and conning and the scamming is
not because it's the only way to feed your family you enjoy
taking from others.
It's like playing a video game where you gain Health points
when you damage someone number three is impulsivity or failure
to plan ahead.
This is a characteristic that is a part of many other disorders
like ADHD bipolar disorder and even anxious people can pull
the trigger on something before giving it enough thought
but with antisocial personality disorder, it takes on more
of a tonne of impulsive decisions that don't consider the
negative impact other people.
In fact, the decisions usually hurt others like suddenly
changing jobs or whimsically dropping a relationship or walking
away from an apartment.
So not paying the fee next is irritability and aggressiveness
as indicated by repeated physical fights or assaults.
This can look like frequent bar fights or domestic abuse
including child abuse.
There's many reasons a person can be violent to loved ones.
Sometimes it's learned behavior hurt people can hurt other
people. Sometimes it's anger out of control, especially if
the person is under the influence of drugs or alcohol, but
with antisocial personality, Leti because the person doesn't
give much weight to the pain of another person this kind
of aggression Canfield deserved.
So there's not a lot of remorse about beating a weaker person
because in their mind, it feels Justified because you didn't
do what I told you to do or you didn't you wouldn't stop
talking when I told you I was trying to watch television
number five is reckless disregard for the safety of self
or others some examples of this are speeding or driving while
Intoxicated with other people in the car leaving loaded Firearms
sitting around while Little Johnny and his friends are over
for a play date or having multiple sexual partners and not
telling them about your sexually transmitted disease number
6 consistent irresponsibility as indicated by repeated failure
to sustain consistent work Behavior or honor work obligations
examples of this are going long stretches without working
because you don't want to do work.
That's beneath you.
Even though you're behind on your child support payments.
The person may have several loan defaults.
I had someone who I interviewed tell me work is for Chumps.
Now that was a jail interview and you don't have to earn
a living in jail.
The last of the seven is lack of remorse as indicated by
being indifferent to or rationalizing having hurt mistreated
or stolen from another person this ties back to what I said
about justifying violence.
In this case all harm to others is Justified.
In fact, they may not even see it as harm.
So if I say something cruel that hurts your feelings and
makes you cry.
I blame you for being weak.
It's your problem that you can handle the truth.
Anyone can have any of these traits at any time.
But for the disorder you need at least three of them happening
concurrently. So if you got in a lot of fights when you were
being bullied as a teenager 10 years ago, and then you defaulted
on a loan two years ago and last week you impulsively quit
your job without having another one in place.
These three isolated things don't add up to antisocial personality
disorder. It's a lifestyle of doing these things but beneath
all of the behavior is a disregard for the feelings and rights
of others antisocial personality doesn't start as an adult
you have to be at least 18 years old for the diagnosis, but
there must be evidence.
Dance of conduct disorder before age 15 conduct disorder
is a childhood disorder where you have similar behavior of
rule-breaking aggression to people and animals property destruction
deceitfulness or theft you don't need to be diagnosed with
conduct disorder, but you need to have shown a pattern of
some of this Behavior as a child.
So antisocial personality disorder starts Brewing when you're
young how do you tell the difference between a an active
maybe even aggressive child and a budding antisocial the
childhood Behavior still have a cruelty aspect to them.
It's a different level of misbehavior to torture animals
and blatantly defy authority even a child who has the temperament
to want to test limits still has a basic need for approval
and love from their caregiver.
But with the conduct disorder child, their sensitivity to
approval is dialed down.
Indifference makes them unaffected by your negative reactions
to their behavior antisocial personality disorder is not
the same as psychopathy psychopathy is based on a construct
developed by Harvey.
Click Lee and Robert Hare.
The construct has mostly been used in criminal forensic populations
to predict future violence and future offending a full analysis
of the differences between the two is beyond the scope of
this video, but suffice it to say Say that psychopathy is
antisocial personality disorder plus some other things.
Most people with psychopathy are antisocial but research
shows that only a third of the people with antisocial personality
disorder meet the criteria for psychopathy one key difference
is based on a sub factor of the hare psychopathy checklist.
And that's a parasitic lifestyle of using others other aspects
of psychopathy that don't line up.
Well with antisocial is Having a glib superficial charm and
being very good at manipulating others and being eccentric
with antisocial personality.
There's a heavy emphasis on behavior that doesn't conform
to societal Norms with the additional attitude of being indifferent
to the needs of others, but psychopathy takes the interpersonal
exploitation to a higher level.
It's got more of a calculating predatory nature, too.
Ooh it the behavior that stems from psychopathy may or may
not come to the attention of legal authorities.
There's no specific treatment for antisocial personality
as most people with it.
Don't see that they have a problem.
But the good news is this is one of the disorders that tends
to burn out over time around the 40s the bad behavior tends
to slow down and the person can settle into this non-conformist
existence. That doesn't bother anybody they don't become.
Um gentle and kind they just stop offending people and that's
something if you want more on the personality disorders,
you can check out this playlist of my videos on other personalities.
See you next time.