COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
• They often meet the criteria for other Cluster
B Personality Disorders such as Borderline,
Histrionic, and Narcissistic PDO’s.
• The likelihood of developing ASP in Adult
Life is increased dramatically if the individual
experienced an early onset of Conduct
Disorder (before the age of 10 years) and
accompanying ADHD .
• Child abuse or neglect, unstable or
erratic parenting, or inconsistent
parental discipline may increase the
likelihood that Conduct Disorder will
evolve into ASP.
Theories of Etiology
• Heredity and Environment
• “Abnormal Brain”/Neurological Impairment
• Decreased activity in the Autonomic
Nervous System
• Lower Arousal Levels
• Developmental Impairments
Antisocial Personality
Disordered Offender
• The ASP disordered offender generally
responds negatively to traditional engagement
techniques, disrupts treatment efforts, and has a
higher rate of recidivism.
• They have higher rates of co-occurring SUD
• There is a pervasive pattern of disregard for and
violation of the rights of others (DSM IV, 1994)
Cont’d
• ASP’s know the difference between right
and wrong, however they do not care.
• Over 43% of the prison population has
ASP
• Some have all the traits of ASP, childhood
onset of conduct disorder, and more
bizarre behavioral characteristics which
enter the realm of psychopathy (as
measured by the Hare Psychopathy
Checklist-R).
Cont’d
• Clinical, Correctional, and Psychosocial
(Psychiatric) Rehabilitation approaches
may have to address the dynamics of
power, social disdain, impulsivity, and
eroticized violence (sexual sadism).
• ASP’s do not respect rules or social norms
but they can learn to abide by them if there
is a perception that something is in it for
me
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