Individuals with antisocial personality disorder generally lead their lives in ways that are contrary to the rules accepted in the society. It is seen that they exhibit behaviors that are considered criminal by the law (Öztürk, Uluşahin, 2016). Examples of behaviors such as lying behavior, stealing behavior, frequently running away from home, wanting to have random sexual intercourse, and material and moral exploitation of their social environment and family can be given as examples. (Öztürk, Uluşahin, 2016).
Antisocial personality disorder can be diagnosed after the age of 18 and the individual can be diagnosed with conduct disorder before turning 18 (Öztürk, Uluşahin, 2016).
DSM- 5 Diagnostic Criteria When the content of the Reference Manual is examined, Antisocial Personality Disorder is discussed under the heading of Personality Disorders by being included in cluster B.
The diagnostic criteria of this disorder are examined under four items. It is possible to summarize these diagnostic criteria as follows.
The person exhibits at least three items from the items listed below during the age of fifteen and beyond, and at the same time, he does not care about the rights and freedoms of the people around him, Must have a behavior pattern and history that is insensitive to unwritten rules (American Psychiatric Association, 2013). As a result of his repetition, he should be in legal trouble again. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).
It is observed that people generally distort the truth in different ways (Öztürk, Uluşahin, 2016), (Öztürk, Uluşahin). , 2016). If we give an example of these behaviors, using the name by changing it in different places and times (using a temporary name), illegal ways and methods that are not accepted by the society in order to get what one wants, people around them. fraudulent behavior. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).
To act without thinking about the consequences of the behavior or to act without calculating, to live an impulsive lifestyle (American Psychiatric Association, 2013).
To frequently take part in arguments and fights that result in physical violence, not to be bothered by usurping the rights of others around her, to be quite irritable and prone to attack at any moment (Öztürk, Uluşahin, 2013). 2016), (American Psychiatric Association, 2013).
As it does not care about behaviors that will cause physical injury to itself and carry the risk of death, it does not care about dangerous situations that may result in injury or death to other people. (American Psychiatric Association, 2013). (Öztürk, Uluşahin, 2016).
The person's irresponsibility situation dominates his whole life. (Öztürk, Uluşahin, 2016), (Nussbaum, 2013). For this reason, it is a common situation that the person cannot have a permanent job or an activity that will provide financial gain and income. Therefore, it can be observed that he does not pay the bills he has to pay, does not pay the rent and does not help his family for his living (Öztürk, Uluşahin, 2016) (American Psychiatric Association, 2013).
Whether it is familiar or not. deliberately harming the individuals around them, stealing something they have, or deliberately treating people badly (Öztürk, Uluşahin, 2016), (Nussbaum, 2013). It is also seen as an important detail that the person does not feel remorse or remorse after exhibiting these behaviors and tries to explain these behaviors with different excuses.
The person must be over 18 years old. If younger than 18 years of age, the diagnosis of Conduct Disorder should be made instead of the diagnosis of Antisocial Personality Disorder. (Öztürk, Uluşahin, 2016), (American Psychiatric Association, 2013).
When the person's life history is taken, there should be symptoms showing that he has conduct disorder before the age of 15. (American Psychiatric Association, 2013). (Öztürk, Uluşahi n, 2016).
Behaviors that are against the rules accepted by the society should not have emerged only during the formation and development of Bipolar Mood Disorder or Schizophrenia. (American Psychiatric Association, 2013), (Öztürk, Uluşahin, 2016).
The possibility of confusing the diagnoses of Antisocial Personality Disorder and Narcissistic Personality Disorder should be considered. (Öztürk, Uluşahin, 2016). In the case of being between these two diagnoses, it will be useful to remember that the differential diagnosis is to show aggressive behavior and to have a history of conduct disorder in childhood. (Süer, 1998)
When Antisocial Personality Disorder and Narcissistic Personality Disorder are compared, aggressive behaviors and a history of conduct disorder in childhood are seen in Antisocial Personality Disorder, while aggressive behaviors and conduct disorders in childhood are not seen in Narcissistic Personality Disorder (Öztürk, Uluşahin, 2016). ).
When the DSM-5 Diagnostic Criteria Reference Manual and Mental Health and Disorders books are examined, the tendency to delinquency is one of the most emphasized symptoms at the point of diagnosing Antisocial Personality Disorder. In some cases, if the person complains about substance use, he may display some unlawful behaviors in order to obtain the substance he is addicted to and may have a tendency to crime. (Öztürk, Uluşahin, 2016). It would be correct to put the diagnoses of Antisocial Personality Disorder and Substance Addiction together if the person has both substance addiction and committing a crime in order to obtain the substance to which he is addicted. In patients with this condition, delinquent behaviors are inevitable (Taymur and Türkçapar 2012). They repeatedly commit crimes such as drug dealing and forming a gang. Individuals with antisocial personality disorder are likely to be discharged from the military because they do not comply with the military discipline rules and disrupt the current order. (Öztürk, Uluşahin, 2016).
On the causes of antisocial personality disorder In the researches made on the diseases, the biological and psycho-social causes are generally emphasized. These research and observations refer to the family and the person's whole life, including childhood. (Öztürk, Uluşahin, 2016).
It is possible for us to list some of the common characteristics of individuals with Antisocial Personality Disorder as follows. Individuals diagnosed with antisocial personality disorder are generally intelligent and talented, but it is not possible for them to work in long-term jobs due to their personality traits and behaviors. These people have crazy enthusiasm and their sense of responsibility is not as developed and mature as other people, which is one of the reasons why they cannot work in long-term jobs. Although their relations with people started with a sincere and warm attitude at the beginning, they end in a short time due to their selfish and non-responsible nature. They frequently use the rationalization defense mechanism to justify themselves. (Köroğlu, E., Bayraktar, S. (2011).
People diagnosed with antisocial personality disorder have ego deficiencies related to design and judgment due to impulsive behaviors. It is seen that the superego is not fully developed in these people. They are conditions accompanied by sadomasochism, narcissism and depression in individuals.They lack feelings of love and basic trust.(Öztürk, Uluşahin, 2016).
When the childhood periods of some individuals diagnosed with Antisocial Personality Disorder are examined, there is no evidence of physical abuse in their past. Evidence or stories can be found.This history of abuse is thought to be related to the behavior and personality pattern exhibited in adulthood (Öztürk, Uluşahin, 2016). It is a point that Aylin Uluşahin sees as important and especially points out. (Öztürk, Uluşahin, 2016).
When compared to women, antisocial personality disorder is seen three times more frequently in men. In men, this causes visible and devastating consequences and can be more easily recognized by society and is not legal. It is the case that the behaviors that are immediately noticeable are more common than women. (Öztürk, Uluşahin, 2016).
Antisocial Personality Disorder may not manifest itself as advanced negative behaviors that can be seen in women as in men, that is, in the form of a tendency to physical violence and angry attitudes; on the contrary, it manifests itself with situations such as inability to establish a harmonious and positive relationship with other people, interruption in interpersonal relations and slander, and also as somatization disorder in girls' childhood. It is important to consider these situations when comparing men and women. (Öztürk, Uluşahin, 2016).
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