Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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Predisposing Factors to Antisocial 1. Personality DisorderPhysiological a. b. of families of individuals with antisocial personality show report that they are undaunted by punishment and gener-develop a bullying attitude toward other children. Parents Geneticsand would become furious when awaiting a bottle or a that the child displayed temper tantrums from infancy children with behavior disorders to clinics often report sonality is more common among fisition to antisocial personality. Parents who bring their relatives of those with the disorder than among the gen-eral population (APA, 2000). Twin and adoptive studies have implicated the role of genetics in antisocial personal-ity disorder (Skodol & Gunderson, 2008). These studies ment in the newborn may be signifihigher numbers of relatives with antisocial personality or alcoholism than are found in the general population. Ad-ditional studies have shown that children of parents with antisocial behavior are more likely to be diagnosed as an-tisocial personality, even when they are separated at birth from their biological parents and reared by individuals without the disorder.diaper change. As these children mature, they commonly Te m p e ra m e n t.. The DSM-IV-TRCharacteristics associated with tempera- reports that antisocial per-Personality Disorders cant in the predispo- rst-degree biological ●^295

2 2506_Ch16_275-309.indd 0295 506 Ch 16 275 - 309 .indd 2. 0 295 Psychosocial a. ally quite unmanageable. They are daring and foolhardy to be a critical predisposing factor in the development of antisocial personality disorder. Separation due to parental del i nquenc y appears to be more h igh ly cor related w it h t he disorder than is parental loss from other causes. The pres-in their willingness to chance physical harm, and they ence or intermittent appearance of inconsistent impulsive parents, not the loss of a consistent parent, is environmen-tally Theories of Family Dynamics. seem unaffected by pain.order frequently arises from a chaotic home environment. Parental deprivation during the fi Studies have shown that individuals with antisocial per-to function appropriately. Finally, it engenders rage in the in childhood. The abuse contributes to the development of sonality disorder often have been severely physically abused for behavior. Second, it may result in injury to the child’s central nervous system, thereby impairing the child’s ability antisocial behavior in several ways. First, it provides a model most damaging. Antisocial personality dis- rst 5 years of life appears 1 10/1/10 9:37:01 AM 0 / 1 / 10 9 : 37 : 01 AM

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