no shame
Introduction
Introduction Shamelessness is common in patients with antisocial personality disorder. Anti-social personality is also called mental illness or social morbidity, and virtue personality. Among the various types of personality disorders, antisocial personality disorder is the most important concern of psychologists and psychiatrists. In 1835, Prichard of Germany first proposed the diagnostic name "Kidde Mania". It points out that patients have abnormal changes in instinctive desires, hobbies, temperament, and moral cultivation, but there are no obstacles in intelligence, cognition or reasoning ability, and there is no delusion or hallucination. Later, the name of "Zhede mad" was gradually replaced by "anti-social personality", and now the narrow personality disorder refers to anti-social personality disorder.
Cause
Cause
The etiology and pathogenesis of morbid personality or antisocial personality disorder have not yet been elucidated. The following are relevant information:
1, genetic. The incidence of this disease in relatives is positively related to the blood relationship, that is, the closer the blood relationship is, the higher the incidence rate. There is data showing that the abnormal EEG rate of the parents is higher. Single-oval twins have a higher rate of coherence, EEG is similar, and the crime rate is higher than that of twins. Compared with the normal control group, the foster children of morbid personality have a higher incidence of morbid personality.
2, brain dysplasia. EEG examination confirmed that the brain of this type of personality is immature and may have brain damage. From the pathological psychology analysis, the patient's psychological behavior is naive, very immature, and is a pathological change of immature personality.
3. Family and social environment. Many surveys have shown that childhood trauma, disharmony and family relationships, bad family education methods and adverse social and environmental factors also play an important role in the pathogenesis. It is a well-established fact that human personality formation has great plasticity, especially in infants and children.
Examine
an examination
Related inspection
Blood routine EEG examination
Clinical symptoms of antisocial personality disorder (pathological personality):
1. Beginning in the early years, the personality is different, and it is generally clear in adolescence.
2, serious personality disorder, some aspects of personality are very prominent and excessively deformed development, does not meet social norms.
3, personality deviation is very stubborn and difficult to move, continuing throughout the adulthood, and may gradually ease in the later years. Drug treatment and general education measures have had little effect and are difficult to correct.
4, social and interpersonal relationship maladaptation, often have more serious anti-social behaviors, repeated attacks and repeated crimes, and ended in the end of the loss of others.
5, lack of "self-awareness" (medically known as "no self-awareness") for their personality disorder, so can not learn from the failure of life experience. Sometimes, although I can detect the difficulties caused by my personality problems, I can't effectively correct them with correct understanding.
6, the performance of long-lasting personality is not coordinated, but did not reach the stage of mental illness or neurosis.
7. Good intelligence and cognitive ability, no mental symptoms, mainly characterized by serious deviations in personality such as emotion, will and behavior.
8, the pursuit of novelty and psychological stimulation, often a driving force for patients with personality disorders, is also an abnormal psychological motivation that often leads to its anti-social behavior. In a nutshell, people with antisocial personality disorder have the characteristics of "seven nos": 1 no sense of social responsibility. 2 No morality. 3 no fear. 4 no guilt. 5 There is no psychological ability to control self-control. 6 No real or real feelings. 7 no repentance.
Diagnosis
Differential diagnosis
Uselessness: Common in retired elderly and endogenous depression patients. The retirement syndrome of the elderly is a complex psychological abnormal reaction, mainly in terms of emotions and behaviors. Patients with endogenous depression are often accompanied by strong self-blame, guilt, and uselessness, and look at their past, present and future in a negative attitude. The patient's mood is low, and it is not commensurate with the situation. It can be from sullen and unhappy to grief, and even a stupor state. In severe cases, psychotic symptoms such as hallucinations and delusions can occur. The mood is low for at least 2 weeks, during which at least four of the following symptoms are:
1. Losing interest in daily activities, no feeling of happiness.
2, the energy is obviously reduced, and the feeling of fatigue continues.
3. Mental retardation or agitation.
4, self-evaluation is too low, self-blame, guilty.
5, Lenovo is difficult, thinking ability is reduced.
6, repeatedly want to die, suicidal behavior.
7, insomnia or wake up early, or too much sleep.
8, loss of appetite or weight loss.
9, loss of libido.
Incompetence: It is common in adaptation disorders. The incidence of the disease is more than 1 to 3 months after the onset of stress events. The clinical symptoms of the patients vary greatly, mainly due to emotional and behavioral abnormalities. Adaptation disorder is caused by long-term stress or difficult situation, plus the patient's personality defects, causing emotional disorders such as troubles and depression, as well as maladaptive behaviors (such as withdrawal, inattention to hygiene, irregular life, etc.) and physiological dysfunction ( Chronic psychogenic disorders such as poor sleep, loss of appetite, etc., and impaired social function.
The sense of helplessness is the result of Dr. Wookes explanation of why the battered woman cannot take the initiative to terminate the violent marriage. The word helplessness was originally derived from a test by psychologist Martin Shaligwen in the 1960s. Patients develop self-incompetent strategies that ultimately lead to their efforts to avoid failure. They strive for unachievable goals, they delay work, or just complete tasks that are effortless. They are depressed and manifest themselves in the form of anger.
