Session 9: ASPD (Antisocial)

Essential Feature:

D for and V of the R of others

Disregard, violation, rights

Prominent Features:
๏ D
๏ I
๏ A
๏ irritable
๏ excessively SR
๏ hostile; socially V
๏๏ callous
๏๏ C

deceitful, impulsive, aggressive, self-reliant, vindictive, charming

SELF-IMAGE

A ; unrealistically S

Autonomous, superior

VIEW OF OTHERS

S; “M, exploitive and inclined to
D” OR “W, V and available for domination”

Split, manipulative, dominate, weak, vulnerable,

View of Others
–transient, S, D
–based on U principle

superficial, disposable, utilitarian

ISSUES WITH AUTHORITY
C, oriented toward R breaking

contempt, rule

BEHAVIOR
‣ I (motor & cognitive)
‣ A
‣ T-seeking
‣ low F tolerance
‣ difficulty in delay of G
‣ “P stare”

impulsive, aggressive, thrill, frustration, gratification, predatory

AFFECT
‣ little M, subtlety or depth
‣ dominated by feelings of anger, B,
C and E
‣ sensitivity to S or humiliation
‣ experienced in relation to S only

moderation, boredom, contempt, exhilaration, shame, self

DEFENSES
–P
–A Out
–R

Projection, Acting, Rationalization

SELF-CREATED WORLD (ALTERED REALITY)
–– C > authenticity
–– Personal S

Control, superiority

Common Beliefs
–No One can T me what to do
–People A to be used and abused
–– What I want, I G

tell, ask, get

Protective Factors for drugs
‣‣ Personal S (if directed towards R effort)

strength, recovery

Risk Factors for drugs
‣ I
‣‣ Contempt for L & social N
‣‣ Need for high level of S
‣‣ Propensity for P pattern (A, mj, H, C)

Impulsivity, laws, norms, stimulation, polydrug, alcohol, heroin, cocaine

TREATMENT RECOMMENDATIONS
– Assessments of S
–– Frame change efforts in terms pertaining to F, success, mastery
–– Clinician: neutral, I and strong
–– U honesty in therapeutic alliance
–– Active direct C of denial or minimizations of antisocial behavior
–– Monitor all C reactions
–– Reframe as the “A personality”
–– include work with F
–– AA/NA (but with education/discussion
re: A behaviors & coping strategies)

safety, freedom, incorruptible, Uncompromising, confrontations, countertransference, adventurous, family, appropriate

TO AVOID IN TREATMENT
‣ Relaxing of B
‣ Minimize fears/threats to S
‣ Assume lack of involvement with criminal
J system means absence of criminal
B
‣ C/shame
‣ Reciprocate flirtations/I
attention

boundaries, safety, justice, behavior, Condemn, inappropriate