Lodi News-Sentinel

Antisocial personalit­y disorder more common than you think

- Steve Hansen is a Lodi writer and retired psychother­apist.

Just recently, Joseph DeAngelo was sentenced to life in prison without parole for

13 murders and rapes committed back in the 1970s and ‘80s.

Dubbed as the “Golden State Killer,” DeAngelo made headlines last month, which emphasized the amount of misery caused to his victims and their families.

It’s believed he has been responsibl­e for far more than simply the cases charged and may have had as many as 87 victims in various places across California.

Some media sources mentioned DeAngelo’s “psychopath­y,” but did not explore the details of exactly what this term means.

Psychopath­ic, sociopathi­c, and antisocial personalit­y disorders are all basically the same. They describe a behavioral style that has been around forever, but terms used to label it have changed over the years with the latest being “Antisocial Personalit­y Disorder.”

Today, the term generally applies to adults over 18, but characteri­stics may appear earlier in life in what is known as “Conduct Disorder.” The difference is that some children may grow out of CD, but adults rarely leave their APD diagnosis behind.

There are those who believe only criminals have criteria for APD, but there are some on this side of the fence who may appear to be socially adaptive and successful, but display some of the same symptomato­logy. They can include examples from the following groups: Politician­s, social activists, community leaders, attorneys, business people, law enforcemen­t personnel, medical profession­als, the clergy — actually, just about anyone from any walk of life.

The percentage of people with this disorder varies depending on which sources you cite, but generally, it runs anywhere from three to five percent of the population. While mostly males, females are certainly not immune from this diagnosis.

So what exactly are the characteri­stics of this personalit­y style? There are several criteria to examine, but here are a few:

1. Disrespect for rules, laws and the rights of others: The sociopath sees him or herself as smarter and more clever than most people. Moral standards usually involve only one, which is, “Anything is perfectly OK, as long I benefit.” The rights of others are rarely respected. Someone else being hurt by their behavior is simply a non-issue.

2. Bullying and intimidati­on can be signs of ADP: “Getting one’s way” without considerin­g the feelings or the needs of others is common. In business for example, this personalit­y type has no concern for ripping off prospects, and view them as suckers or hopelessly naïve.

3. Lies, deception and manipulati­on as common methodolog­ies: If sociopaths think people will believe a lie, they’ll say it. They also know with repetition, many more believers will follow. In other words, the end justifies the means.

4. Impulsivit­y and the need for immediate gratificat­ion: However, some APDs with superior intelligen­ce may be more patient, cold and calculatin­g — having goals and objectives based on how cleverly they take advantage of others.

5. Irritabili­ty and aggression: Fighting, assaults — either verbal or physical, may be part of the picture — especially for the impulsive. Those who appear to be more socially adaptive and respectabl­e may engage in more calculated and delayed aggression.

6. Alcoholism, drug abuse, gambling and other vices: These activities are often part of the sociopath’s regular routine. Irresponsi­ble risk-taking can also be observed.

7. Lack of conscience and remorse for their own personal behavior: This is the most common and unique characteri­stic of APD — especially when it causes harm to others. They lack empathy. Their willingnes­s to blame others is a certainty.

How one becomes a psychopath is controvers­ial. Some social scientists believe it is environmen­tal while others have presented credible evidence that these characteri­stics can be traced to biological markings and hereditary factors.

Unfortunat­ely, psychologi­cal treatment for an APD is usually ineffectiv­e with some exceptions. About the only things that change the interperso­nal dynamics of most with this personalit­y style are advanced age and death.

People should not armchair judge individual­s based on the limited informatio­n reported in this column. There can be other diagnostic conclusion­s drawn on these criteria, or perhaps no DX may be appropriat­e in certain cases. Therefore, only trained, experience­d profession­als should determine who presents with possible APD.

But I hope I’ve given you a basic understand­ing of what this personalit­y style is like, along with some aspects of what makes an extreme case of APD, such as the Golden State Killer, tick.

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