antisocial personality disorder
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Etiology
- child abuse or harsh punishment in childhood may be risk factor[2]
Clinical manifestations
- also see personality disorder
- 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
More general terms
References
- ↑ Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
- ↑ Jump up to: 2.0 2.1 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