The conduct disorder Personality is characteristic of children and adolescents who indulge in behaviors that violate social norms. These children and adolescents can become juvenile offenders, engage in drugs, and continue these behaviors when they grow up.
In fact, long-term studies show that many adults with antisocial personality disorder develop Conduct Disorder in childhood. This probability is higher if the child has Conduct Disorder and Attention Deficit Disorder.
An important difference between antisocial and conduct disorder is that lack of remorse is included in the former, while the former does not include.
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Conduct personality disorder is characterized by a persistent disregard for morals, social norms, and the rights and feelings of others.
Children and adolescents with this disorder manipulate and deceive other people through superficial wit and charm or through intimidation and violence. They can display arrogance and think negatively of others, and lack remorse for their harmful actions.
Irresponsibility is a central feature of this disorder: they may have difficulty maintaining stable employment and meeting their social and financial obligations.
They are often impulsive and reckless, not considering or ignoring the consequences of their actions, potentially endangering their own safety and that of others. They are frequently aggressive and hostile and may seek provocation.
These people are prone to substance abuse and addiction. This leads to conflicts with the law and criminal offenses..
Attachments and emotional ties are weak, and interpersonal relationships often revolve around manipulation, exploitation, and abuse of others. Although they generally have no trouble building relationships, they may find it difficult to maintain them..
Relationships with family members and relatives are often strained due to their behavior and the problems they frequent.
Conduct personality disorder affects more men than women. Both genetics and traumatic childhood experiences such as child abuse or neglect are believed to play an important role in developing it..
A person with this disorder will often have grown up in difficult family circumstances. One or both parents can abuse alcohol, and conflicts between parents are common. As a result of these problems, social services may become involved in the care of the child..
Studies in families, twins, and adopted children suggest that there is a genetic influence on conduct disorder.
However, genetic factors can be important only in the presence of certain environmental influences. Alternatively, environmental influences are only important in the presence of genetic influences.
An environmental factor is for example a deficiency in early and quality contact, either with biological or adoptive parents..
It seems clear that a brain injury would not explain why people become psychopaths or criminals..
According to the theory of under-arousal, dissocial children and adolescents have abnormally low levels of cortical arousal.
According to the audacity hypothesis, dissocial children and adolescents have a higher threshold for experiencing fear than most people.
Although little is known about the environmental factors that play a direct role in the origin of this disorder.
Adoption Study Evidence Strongly Suggests Shared Environmental Factors Matter.
Children with conduct disorder often come from homes with inconsistent parental discipline. However, it is not known whether this lack of discipline directly generates conduct disorder. It is possible that parents have a genetic vulnerability.
The forms that the dissocial behaviors of children and adolescents take change as they grow.
Clinical knowledge and empirical reports suggest that antisocial behavior rates decrease after 40 years of age.
The integral model supports a shortened version of a complex system.
According to this model, biological, psychological and cultural factors contribute to conduct disorder. For example:
People with this disorder rarely recognize the need for treatment. In fact, this personality disorder is considered one of the most difficult to treat..
Due to their low capacity for remorse, people with this disorder lack sufficient motivation to receive treatment and do not see the costs associated with their antisocial acts..
Some additional issues that can simulate remorse rather than truly commit to change, can be seductively charming and dishonest, and can manipulate the practitioner during treatment.
The recommended treatment for a person with Conduct Personality Disorder will depend on their circumstances, taking into account factors such as age, history, and whether there are associated problems, such as alcoholism or drug addiction..
The person's family and friends often play an active role in making decisions about treatment. In some cases, social services may also get involved.
Cognitive behavioral therapy (CBT) is sometimes used to treat Conduct Personality Disorder. It is a therapy that aims to help a person manage their problems by changing the way they think and behave.
Therapists who work with people with the disorder may have negative feelings towards patients with a history of aggressive, exploitative, and abusive behaviors..
Rather than trying to develop empathy and a sense of awareness in these individuals, therapeutic techniques focus on making rational and objective arguments against repeating past mistakes..
These approaches would focus on the tangible and objective value of prosocial behavior and on refraining from antisocial behavior. However, the impulsive and aggressive nature of people with this disorder can limit the effectiveness of even this form of therapy..
The use of drugs to treat antisocial personality disorder has been poorly researched and no drugs have been approved by the FDA..
Psychotropic drugs such as antipsychotics, antidepressants, and mood stabilizers can be used to control symptoms such as aggressiveness and impulsivity, as well as treat other disorders that may coexist.
The most common treatment strategy for children is parent preparation and training.
They are taught to recognize behavior problems early and to use rewards and privileges to reduce problem behaviors and encourage social ones.
In some programs these problems are addressed earlier to avoid difficulties arising; in preschool programs, teaching parents good educational skills is combined with a wide variety of supports for families with social and economic difficulties.
An obstacle to prevention is the difficulty of finding good methods to identify children at risk of developing conduct disorder.
The diagnosis and treatment of comorbid states is also a priority; depression is often associated with conduct disorder.
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