ASPD Paper
ASPD Paper
ASPD Paper
Brief Pathophysiology
Anti-social personality disorder (ASPD) is a behavior that patients display involving the
following: irresponsibility, exploitation, and a lack of guilt when impinging on others rights
(Townsend, 2011). People who are afflicted by this generally disregard others rights and are
highly manipulative as a means of gaining something (Townsend, 2011). Individuals with ASPD
normally have a low threshold for frustration and dislike it when they are impeded from
obtaining whatever gratifies their wants (Townsend 2011). Should someone or something get in
the way of their desires, those afflicted by ASPD are likely to become enraged and spiteful
(Townsend, 2011). It is only when they obtain their wants that they are seen to be joyous or
amiable (Townsend, 2011). It is believed that genetics plays a role in this disorder as inferred
from twin and adoption case studies (Townsend, 2011). At the biological level, it has been
considered theorized that irregularities in serotonin regulation within the hippocampus is a
probable cause (Townsend, 2011). Furthermore, it is possible that acquired abnormalities or
deviations in development may lead to dysfunction of the prefrontal brain and cause lower
autonomic activity associated with ASPD (Townsend, 2011).
Incidence
It is estimated that approximately 3% of men and 1% of woman are affected by ASPD
within the United States (Townsend, 2011). From this one can infer that it is a fairly uncommon
disorder. It has been noted, as previously stated, that there is some genetic influence for ASPD
considering children with parents with ASPD are likely to have it even when adopted
(Townsend, 2011). ASPD is also more common among individuals of low socioeconomic class
(Townsend, 2011). It is especially prevalent in urban areas that are considered excessively
underprivileged (Townsend, 2011).
Population Affected
In terms of the population that is affected by ASPD, children who suffer from:
maltreatment, lack of bonding, bullying, depression, or anxiety are more likely to display ASPD
symptoms (Krastins, Francis, Field, & Carr, 2014). Out of these, it is primarily corporal abuse,
childhood neglect, and bullying that has the greatest impact on the probability that a child will
suffer from ASPD later on in life (Krastins et al, 2014). Furthermore, it can be noted that males
are more likely than their female counterparts to acquire ASPD (Krastins et al, 2014). Finally, it
is the younger population that suffers from this disorder (Krastins et al, 2014).
Ethnocultural Assessment/ Tools
In the selected film, We Need to Talk About Kevin, Kevin is a character with ASPD.
Kevin is an American adolescent living in a small American town. His primary language is
English. Kevin attends the 11th grade at a local high school and is unemployed. Kevin lives with
his father, mother, and sister. His religion is atheism.
Theory
Sigmund Freud established five stages of personality development. A deviation or
fixation in one of the stages can result in maladaptive patterns of coping or maladaptive
personality traits in adulthood (Townsend, 2011). The oral stage begins at birth until 18 months
of age. The goal of the oral stage is immediate gratification of needs and the focus of energy is
the mouth. The anal stage continues from 18 months to three years old, with the goal of
indepenence and control, focusing largely on excretory functions. Kevin, the main character,
seems to be stuck in the anal stage, using soiling himself as a way to punish his motherand
amuse himself. The phallic stage is from three to six years of age, focusing on the genital organs
and development of sexual identity. Freud states the Oedipus complex occurs in the phallic stage,
which occurred with kevin when he killed his father with a bow and arrow. The Oedipus
complex is childs unconscious desire to eliminate the parent of the same gender and to possess
the parent of the opposite gender for himself or herself (Townsend, 2011). During the latency
stage, from six to 12 years of age, sexuality is repressed and focus is on relationships with same
gender peers. The last of Freuds personality developmental stages is the genital stage, from 1320 years old. The genital stage focuses on relationships with memebers of the opposite sex and
preparing to find a mate. Freud believes adulthood personality is developed through these five
stages of psychosocial development. The first five years of life are highlighted in importance
because characteristics developed in this time are most likely to result into adulthood personality
traits and adaption patterns.
References
Townsend, M. C. (2011). Essentials of psychiatric mental health nursing, concepts of care in
evidence-based practice. (5th ed.). Philadelphia, PA: F.A. Davis Company.
Krastins, A., Francis, A. P., Field, A. M., & Carr, S. N. (2014). Childhood Predictors of
Adulthood Antisocial Personality Disorder Symptomatology. Australian Psychologist,
49(3), 142-150. doi:10.1111/ap.12048