This personality disorder is characterized by irresponsibility, inability to feel guilt or remorse for actions that harm others, frequent conflicts with people and social institutions, the tendency to blame others and not learn from mistakes, low frustration tolerance, and other behaviors that indicate a deficiency in socialization. Less-precise labels psychopathic personality, psychopath, and sociopath are often used as synonyms. Symptoms: Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. Impulsivity or failure to plan ahead Irritability and aggressiveness, as indicated by repeated physical fights or assaults. Reckless disregard for safety of self or others. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. Lack of remorse, as indicated by being indifferent or rationalizing hurt, mistreated, or stolen from another. Treatment Considerations: We are born with a genetically determined temperament that will continually influence our behaviors throughout life. Understanding of personality disorders and how it affects your life is important -- increased awareness does not lead to radical change but rather to a smoothing of the rough edges and a greater ease of going with their natural flow. To either change or learn how to work with and around personality disorders will require large doses of honesty, hard work, humility, and courage. Change, if it happens at all, will come from the passage of time, natural maturation, external structure, getting off drugs, and painful life experiences. Individuals tend to be very resistant to change until they run out of steam and hormones, usually in their forties or fifties. Information and or Criteria summarized from: American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association.
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