Co-occurring Disorders, Antisocial Personality Disorder, and Criminal Offending
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- Опубликовано: 19 окт 2024
- This video answers the question: What's the relationship between co-occurring disorders, antisocial personality, and criminal offending. A co-occurring disorder is when there's a presentation that has both, a substance use disorder and a mental disorder. Now, there can be several substance use disorders and several mental disorders, but at least one of each of those categories has to be in the presentation for it to qualify as a co-occurring disorder. We know that co-occurring disorders are fairly common with major mood disorders and we also know that co-occurring disorders are fairly common involving personality disorders, including antisocial personality. Now, criminal offending has been linked to co-occurring disorders. We know that the prevalence of co-occurring disorders in prison populations and forensic populations is somewhere between 70 and 80%. We also know there's an association between co-occurring disorders and violence increased likelihood of being incarcerated and increased criminal recidivism. Now, the association between mental disorders in general and violence is actually fairly low. It's a weak association, we know that for specific mental disorders there is a higher risk of violence but, we also know that when substance use disorder is combined with mental disorders that increases the risk of violence quite a bit. Now why does this occur? Well, there are many theories about substance use disorders and violence. One is that the use of substances including other effects like intoxication and withdrawal may exacerbate mental health symptoms. Also, we know that intoxication is a major risk factor for violence. Another theory is that disinhibition plays a part. With substance use there's oftentimes increased disinhibition so, this would be an increase in impulsive behaviors and we know that this has a link to criminal offending, specifically violent offending. Can we quantify this risk of violence with mental disorders? Actually, the prevalence of violent behavior in individuals without any mental disorder is just over 2%. With substance use disorders alone it's just under 20%, and with co-occurring disorders it's around 22%. So, quite a large difference between the without mental disorder group and the substance use disorder and co-occurring disorder group. Now again, this is really just an association between these categories and violence. It doesn't mean that there's causality. There may be other factors that cause both the offending and the disorders. Now specifically talking about co-occurring disorder that involves antisocial personality disorder, we know that there are particular risks with this combination but, first I'll briefly go over antisocial personality disorder. With antisocial personality disorder we see seven symptoms in the symptom criteria: repeatedly violating society's norms so, engaging a behavior that could be grounds for arrest, deceitfulness, impulsivity, irritability and aggression, a disregard for the safety of self and others, being irresponsible, and a lack of remorse. Now, we know that when we look at co-occurring disorders together with antisocial personality this is linked to more offending than just co-occurring disorders alone. Also, we know the combination of co-occurring disorder and antisocial personality is more prevalent than substance use disorder with any other mental disorder, including any other personality disorder.
Ogloff, J. R. P., Talevski, D., Lemphers, A., Wood, M., & Simmons, M. (2015). Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services. Psychiatric Rehabilitation Journal, 38(1), 16-23.
Hi Dr. Todd I really enjoy watching your videos, they are very informative. I am also a scholar-practitioner. I’m currently working towards my doctorate degree in clinical psychology. In addition I created my own channel Psych Chat with Nikki so clinicians like us can help educate and spread awareness. Thank you for being a huge inspiration 💜
I will subscribe. I am an amatuer Psychology student.
I like to try to use Psychology. To connect with, Medical workers.
I read, a General Certificate in Secondary Education book suitable for students aged under 16.
Or of course mature students.
I see Psychology as a difficult subject necessary linked to not offending.
The employers are probably exclusively the government.
And, I believe it's not completely correct. It's a game to be played and the rules can't be guessed as the conclusions are incorrect and biased by faith.
And prejudice, plus political goals. Also, I think that there's a kind of racism, misunderstanding of poverty and different cultures.
I did not fully understand the last sentence of your first paragraph. Are you specifically referring to co-occurring disorder as ASPD and substance abuse? Can you clarify the last sentence of that paragraph ? I listened a few times and I get hung up in that sentence. Your videos have been extremely interesting and enlightening. Please continue making them. Also, might I suggest making some videos using examples even if they are hypothetical. We all do not have PHD level IQ's. Some of us are trying to undetstand family members or co-workers etc.. and are not students or clinicians.
I have a relative who seems to have mild- moderate characteristics of ASPD an BPD as a result of neglect, abuse, and spending years in a foreign orphanage. As he has come of age there is some substance abuse also. He is working with a therapist experienced in cognitive behavioral therapy experienced and in working with conduct disorder. Do you consider this a good type of therapy? There has been no incidents or arrests but much irresponsibility, deceit, irritability, and a bit of glamorizing of the "gangsta" lifestyle. I see some authentic remorse and some level of empathy. I am thinking BPD is actually the core problem. The most dramatic incidents seem to be related to having some minor theft or deceitfulness discovered or feeling bad about accidentally breaking someone else's property. It seems like it involves some kind if shame or guilt. Also, the person is a very concrete thinker, not able to always grasp more abstract concepts.
4Veritas hello I would like to provide some feedback if that’s okay. Based on the information you provided it may be worthwhile to explore trauma specific interventions like EMDR. CBT is a great intervention, but it is not beneficial for everyone. We can do our best to help restructure maladaptive thoughts, but the trauma may still be contributing to the substance use. Those are my thoughts as a psychotherapist. But I do welcome feedback from others. I also started my own channel if you are interested, Psych Chat with Nikki. I wish you all the best 💜
How old is this relative? These disorders are exceedingly complex. If said person is still in their youth. It would exclude concrete diagnosis of a personality disorder.
great vid as always
Can substance use disorder on its own cause symptom manifestations similar to ASPD?
In my experience, I would say yes it can.
Would you consider making a video on this topic? I would definitely be interested in a deeper dive on the way substance abuse disorder could potentially mimic ASPD.
Is it possible to have dual disorder with anxious personality and anti social. Is it necessary to have early history of conduct disorder or legal offenses to diagnose anti social personality disorder. How do you know if someone has offended before but not caught, under the radar , like Ted Bundy.
Scary so hard to stop the cycle
hey dr grande i know this is old video and i hope you see this comment because i've been curious and seeking an answer from someone with a degree in psychology instead of an old thesis paper or reddit/quora haha. Can schizophrenia likely be comorbid with antisocial personality disorder or is it a long shot. I've heard some things about manson/kazynscki being schizophrenic and having such disorder. Really confusing findings from google. Well hope you see this keep making awesome videos man!
There are some studies which have found evidence that Antisocial personality disorder is more common in people with schizophrenia. There's strong evidence that in some people, Antisocial personality disorder is closely linked to ADHD, which is interesting because there's also Increasing evidence that ADHD, autism, Bi polar and Schizophrenia have common genetic roots. If you have one of them, you're a more likely to have one of the others. My guess is that in future, we'll have a much greater understanding of how things like antisocial personality disorder are actually more genetic, and that antisocial personality will be found to be largely caused by those same genes that caused ADHD, autism, bi polar and schizophrenia.
I love these videos
My ex I feel like he is anti social and a malignant narcissist . He been in out my life for 11years he beating me up , cheated on me , used and abused me so much and I’m so tired now . He in jail now for violating order of protection and I want to know is it over yet ? Will he leave me alone . This is very violent man , he shit his step daddy six times , he broken my jaw , black my eyes and recently came to my job and beat me up I was so scared. I didn’t press charges but the cops still arrested him .. anyways he got o on that case cuz he was threaten me not to come to court so they dismiss the case and I went in isolation and he hasn’t stop messing with me yet And that was made me get a order of protection against him and he fighting that and we have no kids together , not married no property or non of that together so why won’t he jus give my order of protection. And on top of that he violated it by kept calling me and harassing me so now he lock up since sept 26 and I’m scared wen he gets out he Attack me ? Am I overreacting ? He from Chicago and we still out here and these guys out here has no conscience . I have kids and I’m the only child and I truly dnt want to die in the hands of a man
If you watch Dr. Grandes videos involving ASPD in an incarceration setting. The male prevalence of ASPD within these settings is high. Your situation is complex. On a basic level I would avoid providing stimulus of any form to the abuse cycle.
Big Mike what do u mean my situation basic ? Explain ursslf becuz I’m truly scared for me and my kids life
Anti Social Personality Disorder, is perhaps a myth.
The disorder, is a bit annoying as presented. In, a book I read about GCSE Psychology. I think it's based on biblical superstition.
That, a bad tree can only produce bad fruit.
I think brain damage, should be considered. From blows, mainly to the front of the head. Like in Boxing.
I don't like the way folks try to seperate themselves from offenders. It's interesting that the substance misuse, seems to be most strongly linked to violence.
There's no proof that having AsPD means brain damage, there's also a difference between having AsPD and being a criminal, and AsPD didn't originate from biblical texts.
@@differentcloth2829 Sure, but. I believe that folks are kind of cushioned from reality here in the U.K.
I find it hard to believe the stuff about people with Anti Social Personality Disorder having a different brain.
Plus, if there's really a genetic cause, as it's implied in saying:
'Antisocial behaviour, is caused by different shaped brains' Plus, the misunderstanding of drunkenness!
So, I am curious to know who you are and wondering about studies done on personality disorders.
I got the impression from reading General Certificate in Secondary Education books.
Plus, an A/S level book, that a certain Jewish women was very influential in British Psychology. I wonder what studies back up this type of thing.
@@MrRobertFarrI'm in the UK. I am wondering what on earth you're talking about. Personality disorders are nothing whatsoever to do with biblical texts. There is increasing evidence that some of them may have genetic causes - for e smoke, antisocial personality disorder is often comorbid with ADHD, which also has a strong genetic component and is passed down families. Cluster A personality disorders are often comorbid with schizophrenia and autism, which are also usually generically inherited.
LIE HAVING THIS IS GOOD