anti social persobality disorder:noticing behavioral problems occuring after the age of 15 PSYCHOPATHY:more specific n inludes more of an interpersonal components,attitude u have of relating to others, -a person with anti-social disoders can be diagnosed by having 3 behavioral problemsin ds5 it does not have to include lack of remorse for psychopathy-> this is not a requirement DSM is morefocused on the behaviors, psychopathy is a better predictor of violence of refending or revolving door phenomena, better indicator if someone behaves inappropiatly, -psychopathy is not a diagnoses on dms-> its more of a dimentional construct, n if they score high on psychopahty they are likely to have anti-social personal disoders, n not all anti-social personality disoders have high psychppahty levels,-can do clinical interviews n ask follow up questions (sociopath n psycopath used interchangeably) -smaller amount of people are psychopath n few people have anti-personality disoders-high rates or suv=bstance abuse, suicide atempts n completions (ehith anti-personality disorders n psychopahty) -anti n psychopath is inadequte conscous developement or imature developemnt, irresponsible n impulsivebehavior (dont know love, hard for them to experience) n common traits to exploit others (so good at seeming unsincere)-people who have personality disorders dont neceraly have psychopath or lack remorse n guilt, sociopath as scarier type of breed causal factors: genetic influces, hisoty of crminal ofenders in family they have an increased risk of being diagnosedwith it, n have genes are particularly importatn, also experience abuse or maltreatment puts u at increased risks, -have less triat anxiety, less anxious in general n by having a lack of anniety their actions will not be impared, feel less fear, -they are slower to have a conditioned response n less startled n not as vigiliant, less acivity in the amygdula -requires a pattenrn in childhood history, conduct disoders (people are argue that is a predictor of anti-personality disoders) fighting, bullying, crutely disoders, acording to the DSM the behavior must have been before the age of 15-parent psychopathy: employmenr,eduaction n occupation, stress event, divorce/transitions, neighbeohood nschool, which can leas to ineffctive parenting might associate with deviant peers, -socio factors, gentic factors,

-Biological treamtnes: no way to get rid of anti-personality disorder (sedate people with this problem) -problem is that they dont want to take medicine because they dont care of violating norms (medicationsdo not work) - treatments include cognitve behavioral treatments: take perspactive of other, to have them understand how their actions affect others, change their attitudes regarding the calliousness of their bahviors. -we also have combid with substance abuse, -we have high rates of drop out, they repeat th same behavior in different situa

tions event though they learned betterbehavior in the theraphy sessions.

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multiple personality disoders is called -> associated

CHAPTER 11 variations of subtance abuse -general guidelines, substace use -low to moderate use of a subtance that does not impar Axis 4 fucntioning, -substance intoxication )acute afffects of substance use, immediate effectd-frquent use, psychological dependendce -pattens of reapeated attempts to sotp but cant, u take in larger amounts or for longer than intended , -time investmets to obtains (spending lots of times in hangovers , effecs of the drugs, who is going to be ur source, where are u going ot get it) -continue use despite it nega effects( continued use even though it might conditon worse) spending all resouces on it-important activities are given up or reduced -tolerance -withdralw(goes into craving mode, needing the susbtance) might get tremors, swaety n hallucinaltions -if u have one of these then its enought to classify substance abuse (falire to fullfill mmajor role obligations, physically hazardous) legal rpoblems, social or intrpersonal problems (cause impariment in a single domain) -slide 15-short term effect s (intoxication) -long-term consequnces disrupetions of relatiosnhi[ps, multiple health problems, memory impairment, fetal damage (for pregnant women), injury or premature death-FAS (mental retardation, impared cognitve abilities, facial deformities) in the first trimester -people with aloholism a life-span shorter of 10 years -lifetime prevelance for dependednce in the us 13.4% (CHECK)-MORE THAN 27% OF ACOHOL ABUSESER SUFERE FROM AT LEAST ONE COESITINGS DISODERS (PERSONALITY DISORDERS, ANXIETY DISODERS-in dependece, more in men (men 6.9, n 2.6 (women)) -native american have higher rates of alcohl rates n dependence, have higher rates than latinos, black n whites-asians have the lowest rates, -it high enough levels it will reduce judment, has cognitive impariment -at lower levels of alcohols stimulates pleasre areas on the brain, at higher levels it appears to impair cognitive levels -has stimulant effect at lower levels -use of alcohol interferes the abilities with natrutions, pattenr of malnutriation, sevral stomach problems who are excessivedrinkers-slide 22 (people are different, dont recognize who they are, they dont take care of themselves, beign irresponsible, are sign n pattern of chornic alcohol users)