Antisocial Personality Disorders and Public Protection Orders in New Zealand

Author(s):  
Jeanne Snelling ◽  
John McMillan
QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Saad Mohamed ◽  
Nesreen Mohammed Mohsen ◽  
Lobna AbuBakr Ismail ◽  
Ayat Ullah Mazloum Mahmoud

Abstract Background The magnitude of the problem of substance use in Egypt has been growing lately. Substance use disorders have been associated with depression and suicide, as well as impulsivity and specific personality traits. Suicide is closely linked to the substances use. Therefore it is very important to confirm the factors that affect the possibility of suicide. Aim of the Work This study aimed at evaluating suicide risk and its correlation with each of personality disorders and severity of addiction in a sample of 72 tramadol addicts from outpatient clinic of Institute of psychaitry Ain Shams University hospitals. Patients and Methods This is a descriptive Cross sectional study conducted in outpatient clinic of Institute of psychaitry Ain Shams University hospital. The present study aimed at analyzing the demographic data of 72 tramadol addicts, over six months period from January 2018 to August 2019. The severity of the addiction problem among those patients was assessed using Addiction Severity Index (ASI), suicidal probability was assessed using suicide probability scale (SPS), Structured Clinical Interview for DSM-VI Axis II (SCID-II) for assessing personality disorders and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I). Results The results showed that 32 (44.44%) of the patients had a risk of suicide probability. Also there was a statistically significant difference between risk of suicidal probability and personality disorders especially antisocial personality. It was found that the need for more power for work and pleasurable effects were the most risk factors for tramadol addiction. Conclusion Suicide probability was found to be (44.44%) among the studied tramadol addicts. The risk of suicide probability among them was found to be significant in each of the following: antisocial personality disorder, longer duration of addiction, being single and positive family history of addiction. Attention should be paid to include the assessment of suicidal risk as part of routine assessment of addicts.


2003 ◽  
Vol 92 (1) ◽  
pp. 27-34 ◽  
Author(s):  
I. Alex Rubino ◽  
Bianca Pezzarossa ◽  
Alberto Siracusano

Patterns of adaptation to conflict were explored with the Serial Color-Word Test, and personality disorders were assessed by means of the Coolidge Axis II Inventory in a group of 76 nonpsychotic women volunteers in the age range 18–50 yr. ( M = 29.1 yr., SD = 8.3), who attended a psychiatric outpatients unit. Forward multiple regression analyses were performed to investigate whether patterns of adaptation were associated with personality disorders. 10 out of 13 personality scales, as measured by the Coolidge Axis II Inventory, were significantly predicted by adaptive variables. Some predictors were positive and others were negative. The variable RAD was a negative predictor of avoidant and dependent personalities. And a positive predictor of Extraversion, Aggressive personality, and Antisocial personality; this finding suggests that RAD may represent the regulative counterpart of a continuum from passive Introversion to aggressive extraversion. The results encourage further research on non-trait laboratory correlates of personality disorders.


2018 ◽  
Vol 24 (4) ◽  
pp. 680-693 ◽  
Author(s):  
Gerry Byrne ◽  
Michelle Sleed ◽  
Nick Midgley ◽  
Pasco Fearon ◽  
Clare Mein ◽  
...  

This article introduces an innovative mentalization-based treatment (MBT) parenting intervention for families where children are at risk of maltreatment. The Lighthouse MBT Parenting Programme aims to prevent child maltreatment by promoting sensitive caregiving in parents. The programme is designed to enhance parents’ capacity for curiosity about their child’s inner world, to help parents ‘see’ (understand) their children clearly, to make sense of misunderstandings in their relationship with their child and to help parents inhibit harmful responses in those moments of misunderstanding and to repair the relationship when harmed. The programme is an adaptation of MBT for borderline and antisocial personality disorders, with a particular focus on attachment and child development. Its strength is in engaging hard to reach parents, who typically do not benefit from parenting programmes. The findings of the pilot evaluation suggest that the programme may be effective in improving parenting confidence and sensitivity and that parents valued the programme and the changes it had helped them to bring about.


2018 ◽  
pp. 281-286
Author(s):  
S. Nassir Ghaemi

The diagnosis and treatment of personality are probed. Some DSM definitions are viewed as either invalid (narcissistic personality disorder) or related to other conditions (schizotypal personality). Instead, DSM-based personality “disorders” are seen as psychoanalytic speculations, with weak empirical support, except for borderline personality and antisocial personality. Other aspects of personality are best understood as traits, rather than “disorders,” or as symptomatic changes that are acute and occur lower in the hierarchy of diagnosis than mood or psychotic states, and are caused by the latter. The common report of purported comorbidity is seen as an overestimation, with personality changes often being part of other conditions. Symptomatic treatment is seen to be questionable in benefit over risk, both for dopamine blockers and for SRIs.


2019 ◽  
Vol 33 (1) ◽  
pp. 22-48 ◽  
Author(s):  
Ashley L. Watts ◽  
Madeline G. Nagel ◽  
Robert D. Latzman ◽  
Scott O. Lilienfeld

We examined the relations between: (1) narcissism, psychopathy, DSM-5 personality disorder symptom counts; and (2) paraphilic interests among undergraduates (N = 608). Base rates of paraphilic interests were appreciable. The disinhibition and meanness features of psychopathy and the entitlement and exploitativeness features of narcissism were robustly associated with paraphilic interests, particularly sexual sadism, whereas the boldness features of narcissism and psychopathy were essentially unrelated to these interests. Narcissism and psychopathy features typically manifested the most pronounced relations with paraphilic interests, although antisocial personality disorder features were also strong predictors. By and large, these relations were comparable across gender. Lastly, there was no evidence that erotophilia mediated the relations between the narcissism and psychopathy features and paraphilic interests, most likely because erotophilia was generally unrelated to paraphilic interests. Relative to other dimensions of personality disorders, facets of meanness and disinhibition from psychopathy and entitlement/exploitativeness facets from narcissism were most associated with paraphilic interests.


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