Written By: Robert R. Cassman, LPCC-S, NCC, CCMHC
Antisocial personality disorder is a lifelong psychological condition in which people do not show much empathy for others. These “sociopaths” tend to show no evidence of a conscience. These individuals tend to only look after themselves and do so at the expense of others. They are master manipulators and as a result, hurt others in the process. Some may think “antisocial” means they prefer to be by themselves and don’t like to be in social situations. This is not true. They are not shy individuals. They are people who have no need for true relationships. When they see others, they see opportunity to take advantage, to exploit. When they ever do something for another individual, there is always a catch to it. They will want something in return. They like to have power and control over others. Some politicians can fit this description!
Unlike other disorders, a personality disorder is one that pervades all aspects of our lives. It is present when we are at work, at play, lying in bed, in the shower, talking with our boss, or any other time. Because it is part of the personality, it affects everything. Most people will not be diagnosed with a personality disorder until they are adults.
Males are overwhelmingly more likely to be diagnosed with antisocial personality disorder than are females. Those who come from dysfunctional families, especially with alcoholic members, are at a greater risk for the development of this disorder. About 3% of the entire population may have this disorder. Males before the age of 15 may display petty criminal behavior, hurt animals, bully classmates, and experiment with drugs. They may be described as heartless, cynical, distrustful, charming, arrogant, and impulsive.
People with antisocial personality disorder have self-serving but unhealthy patterns of thinking. They believe they are always right no matter what. They will justify their actions. Even if it appears they are wrong, they will try to get out of taking responsibility for it and even try to make others feel guilty. The abusive husband blaming his victim is the obvious example. In the rare instance in which they admit fault, they will only do so if the consequences of their behavior can be minimized and the behaviors of others can be maximized.
Most people with antisocial personality disorder will not seek treatment on their own. They are usually court-ordered or pressure by a wife or other relative. Due to an outburst, even their boss can send them to therapy.
It is not true that these individuals can’t be helped. Not all people with antisocial personality disorder are psychopathic serial killers. In therapy, these individuals can learn to monitors themselves for faulty ways of thinking, emotional cues, and practice new and healthy responses. Coping skills to address impulsive and aggressive behaviors have also been shown to be effective. Finally, learning what society sees as appropriate in different situations and then practices those behaviors has also shown some promise.