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Old 11-28-2003, 01:26 PM   #16
wolf
lobber of scimitars
 
Join Date: Jul 2001
Location: Phila Burbs
Posts: 20,774
I'm about to bust the curve on your survey.

Since you are making gender a significant variable, I'm female. I am not a psych student. I have a BA in Geography and Planning, and an MA in Clinical Psychology. I work in the crisis/commitment office of an inpatient psychiatric hospital.

What makes my response different from most is this ... it's based on practical experience, not a review of the literature, or a layman's interpretation of your study question.

Here you go ...

First off, damn few people have "more than one personality disorder". Usually it's one per customer on Axis II. I rarely see "Mixed Personality Disorder" these days, occasionally "Personality Disorder, NOS" when a doc is being kind and doesn't want to hang the full "Borderline" tag on some 18 year old. Many antisocials are narcissistic, but that's more diagnostic of the antisocial personality disorder rather than qualifying the person for a second diagnosis.

You can't treat personality disorders. They are hard, fast, written in stone.

No amount of treatment is going to cause change to the ingrained personality characteristics of people who carry wallets with chains which attach them to their belts (this accessory is nearly mandatory for A-SPD), whether or not it's a requirement of their probation.

Probabtion requires that these same people not drink or use drugs. That doesn't work either. Getting these same folks in front of a shrink even once every other week ain't gonna happen. Most of them would prefer to do their time rather than sit in an office and have some fancyass prick say "ummm-hummm" and stroke his beard. (and yes, that's a real answer). Doing time is easy in comparison.

As far as your question regarding Oppositional Defiant Disorder, I don't read the literature so I don't know that such a link to Antisocial Personality has been clearly identified. I see a lot of Oppositional Defiant Disorder kids, most of them don't become antisocial adults. They all, however, do need a damn good spanking and major limit setting. (Yep. blaming the parents. Refrigerator mothers do NOT cause schizophrenia, but wishy-washy parents raise out of control kids.)

(as far as the ODD question, unless you're going for a PhD thesis, the question seems far too broad for just a class paper.)
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