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Antisocial Personality Disorder Multi-Axial Diagnosis

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I have the following case study to diagnose. I am sure it is 301.7 Antisocial Personality Disorder. But often there are other disorders that accompany this. Any thoughts or suggestions that I may have overlooked would be appreciated.

Gary grew up in a family that consisted of his father, mother, and an older brother. He indicated that there was not much closeness in his family. He was always left to fend for himself and got in trouble very early. Despite being bright, he received poor grades in school because he "wasn't interested". At the age of 14 he was sent to a youth correctional center for stealing a car and was at the reform school for 18 months. Almost immediately after being released, he started burglarizing.

When Gary was 20, he was sent to Oregon State Penitentiary for 18 months for burglary and robbery. In prison, Gary gained a reputation for brutality to other inmates and was known as "the enforcer" and "hammerhead". He tattooed obscene words and pictures on the backs and forearms of ineffectual and disliked inmates. After release, he committed armed robbery several times within the next month. He was sent back to the penitentiary and was transferred to a federal prison.

Gary met a woman after being released from prison which was reportedly the first close relationship that he had ever had. Gary indicated that he did not know how to respond to her for any length of time because he was used to violence and fighting. In his words, he was thoughtless in the way he treated her. Her two children reportedly bugged him and sometimes he would get angry and slap them because they were too noisy.

Two months later, Gary pulled up near a gas station and told the man at the service station to give him all of his money. He then took him to the bathroom and shot him. Gary stated that, "The guy didn't give me any trouble, but I just felt like I had to do it".

Axis I ?
Axis II 301.7 Antisocial Personality Disorder
Axis III None
Axis IV ?
Axis V GAF = 50 (current)

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Solution Preview

Dear Student,

Hi and thank you for using BrainMass. In this particular problem you are being asked to review a case and then use your knowledge of the DSM IV so far to identify disorders according to how they stack up in terms of their characteristics. Yes, you are right in that it sounds that Gary appears to have APD, a condition that leads to social deviance. The solution below takes this into account but also provides a background on criminality. The outline is as follows:

1. Theories of crime - background.
2. AXIS 1 & 2 - as it registers.
3. AXIS 3 & 4 - same as above.
4. AXIS 5/GAF

I hope this helps. You can also use the listed resources to further explore the topic.

Sincerely,
AE 105878/Xenia Jones
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Theories of Crime

The subject in mind, Gary, is an ex-convict, a proven criminal as a burglar and a robber. There are 3 theories that attempt to explain criminality - psychological models; sociological models; and biological models. They are all theories but they differ in that they attempt to explain the cause of criminal behavior. But then again, when the psychology, the social environment and the biology of the individual is such ...

Solution Summary

The solution provides information, assistance and advise to help the student complete the task (see above) of undertaking a case study diagnosis under the topic of Antisocial Personality disorder. A suggested outline is presented and key information and arguments are provided a complete multiaxial diagnosis. Resources are listed for further exploration of the topic.

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See Also This Related BrainMass Solution

Psychopathology: Personality Disorder

Case Study - Personality Disorders

Chaotic lifestyles, chronic life interruptions, fractured support systems, and frayed identities collectively describe some of the characteristics of individuals who suffer with personality disorders. Individuals with personality disorders are similar to children navigating through life confused and unsure. Even when surrounded by family and friends, individuals who suffer with personality disorders may feel isolated and alone. As a future professional in the field of psychology, assigning a diagnosis of personality disorder may be very complex.

For this Application, review the case study in the Learning Resources. Consider important client characteristics for developing an Axis I and II diagnosis. Think about your rationale for assigning a particular diagnosis on the basis of the DSM-IV-TR.

An Axis I and II diagnosis of the client in the case study.
An explanation of your rationale for assigning these diagnoses on the basis of the DSM-IV-TR.
An explanation of what other information you may need about the client to make an accurate diagnosis

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