Bệnh nhân rối loạn nhân cách chống đối xã hội có thể xuất hiện thường đầy màu sắc và quyến rũ, lôi cuốn và Đòi vàng. Trong mọi trường hợp, một công ty, nononsense cách tiếp cận với thiết lập giới hạn cần thiết thường xuyên IS. Hãy cẩn thận nên bác sĩ lâm sàng, tuy nhiên, | 224 CASE FILES PSYCHIATRY Interviewing Tips Patients with antisocial personality disorder can often appear colorful and seductive or manipulative and demanding. In all instances a firm nononsense approach with frequent limit setting is necessary. Clinicians should be careful however not to allow themselves to become punitive because of their anger over the patient s antisocial behavior and lack of remorse. Treatment The treatment of antisocial personality disorder is difficult at best and is generally focused on reducing impulsive or aggressive behaviors and antisocial acts rather than on a cure. Selective serotonin reuptake inhibitors SSRIs mood stabilizers and propranolol have shown promise in reducing aggressive symptoms. Socially based interventions such as a group therapy with individuals with the same diagnosis are considered helpful because patients reduce the amount of rationalization and evasion shown by others in the group because they recognize the patterns. Psychodynamic psychotherapy has been singularly unhelpful in these patients. Comprehension Questions fWiich of the following diaịgiostic tests can be used to help confinn a clinical impression of antisocial personality disorder A. Urine toxicology screening B. Dexamethasone suppression test C. Lumbar puncture D. Electroencephalogram EEG E. Wechsler intelligence test tn wléch of ttac ronovìng fIiu ss doos ttac dragm of cntisociid perr sonality disorder belong A. Cluster A B. Cluster B C. Cluster C D. Cluster D E. Cluster E CLINICAL CASES 225 A 39-vcar-old man with antisocial personality c isc rc c r. incarcerated for life aftes musdertcg r mac hrc r muiettude cf ccmreta ecmpirtctc cves the ecusce cf cevesri years. Yearly phycteri examtcrttccc ceves chcw acythtcg phycteriiy wsccg wtth htm. yet he ecmpirtcc cf r variety cf rehec acd prtcc ceuscicgte cymptcmc acd grctsctceecetcri dtctsecc. He dcec cct ecjcy the ttme he cpecdc tc the jati c inficma-y. Whteh cf the fciicwtcg tc the mcct .
