Antisocial case study PDF

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Case Studies: Individuals will be assigned a case study from the case study textbook. This is an opportunity to apply the knowledge from the various disorders to the case study. There is a Case Study Format that needs to be used for this assignment. This assignment will be due on the Sunday at the e...

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Junhan An February 3, 2019 Case study 1. Case The client is a 22-year-old single man who self-admitted to inpatient hospital. The client reported he felt depressed and planned on jumping off the bridge. The client stated he could not do it because he lacked “courage”. The client has a long list of criminal records from petty theft to robbery. According to the client’s mother, he has been in and out of penitentiaries and spent his last couple of years with multiple women through hitch hiking. The client failed to conform to social norms and presented deceitful, impulsive, reckless, irresponsible, and remorseless behaviors. The client’s behavior does not seem to be deterred by any sense of shame, remorse, or self-interest. The client initially stated his interest towards treatment, but disappeared from the treatment scene. The client stole one of the physician’s vehicle and ran off. The client is unable to receive treatment at this hospital due his impulsive and hoodwink act. 2. Diagnosis: Antisocial Personality Disorder, severe, ongoing a. Repeatedly performing acts that are grounds for arrest. The client developed a habit of stealing since first grade. The pilfering progressed through his adulthood. b. Deceitfulness. The client married a woman in order to perform sexual intercourse. c. Impulsivity: The client ran off from the hospital d. Reckless: The client often engage in dangerous, risky and potentially self-damaging activities with little thought to the consequence for himself. The client would join gangs and would be the one to perform the mischievous acts. e. Evidence of conduct disorder with onset before the age of 15 years and is currently over the age of 18 years. 3. Medical Conditions None 4. Psychological and Environmental problems: “LIST” Problem related to primary support group including family circumstances. - The client’s antisocial behaviors should have been identified early in his childhood. The client presented conduct disorder like symptoms, initially stealing parent’s valuables to make a small profit for himself. The parents did not react properly and failed to get him help at an early stage. (More detailed discussion in the model) 5. Model Cognitive Behavior Model The parents were aware of his conduct disorder behaviors since the client was in first grade. The parents found him stealing their jewelry and only scolded him. When the behavior continued they beat him and eventually locked their valuables away. The mistake in this behavior the improper operant conditioning. There was no reward or any proper punishment to the client’s behavior. The final reinforcement was to lock their belongings away, but that may have been a negative type of reinforcement. It forced the client to look for a different way to express his

interest in stealing. Punishment is only punishment if it stops the behavior. 6. Cultural Aspect None 7. Medication None 8. Treatment No treatment in the text. 9. Challenges Finding an effect treatment for antisocial personality disorder is challenging. Cognitive Behavioral therapy might be able to help the client’s stealing behavior, but the client is severely incompliant and not present at the hospital anymore. 10. Prognosis Adults with antisocial personality disorder often do not make any progress towards treatment. Adults who often begin a criminal career as teenagers, significantly reduce their level of criminal activity after age 40. This may be the single greatest hope for the client. The reason for this shift remains unclear. The client is incompliant, and ran away from the hospital. Bleak affair. 11. Clinical Observations: No additional information needed. 12. Deviance, Distress, Dysfunction and Danger Deviance- failed to conform to social norms and presented deceitful behaviors. Distress- According to the client it is his “sick” mother who is not sick. Dysfunction- Unable to conform to social norms and keep a job. Danger- Impulsive, reckless, irresponsible, and remorseless behaviors can sentence him to jail for life or homicide. 13. FOUR-FRONT APPROACH TO FUNCTIONING a. The client is deficient in understanding the consequences of his action. b. The client is deceitful and is able to lie without remorse to get out of all situations. c. The client has slow autonomic nervous system arousal. Lacks the experienced constructive levels of fear or the learn from negative experiences. d. None....