tailieunhanh - Báo cáo y học: " The 'antisocial' person: an insight in to biology, classification and current evidence on treatmen"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: The 'antisocial' person: an insight in to biology, classification and current evidence on treatment. | Rodrigo et al. Annals of General Psychiatry 2010 9 31 http content 9 1 31 REVIEW ANNALS OF GENERAL PSYCHIATRY Open Access The antisocial person an insight in to biology classification and current evidence on treatment Chaturaka Rodrigo 1 Senaka Rajapakse2 and Gamini Jayananda1 Abstract Background This review analyses and summarises the recent advances in understanding the neurobiology of violence and empathy taxonomical issues on defining personality disorders characterised by disregard for social norms evidence for efficacy of different treatment modalities and ethical implications in defining at-risk individuals for preventive interventions. Methods PubMed was searched with the keywords antisocial personality disorder dissocial personality disorder and psychopathy . The search was limited to articles published in English over the last 10 years 1999 to 2009 Results Both diagnostic manuals used in modern psychiatry the Diagnostic and Statistical Manual published by the American Psychiatric Association and the International Classification of Diseases published by the World Health Organization identify a personality disorder sharing similar traits. It is termed antisocial personality disorder in the diagnostic and statistical manual and dissocial personality disorder in the International Classification of Diseases. However some authors query the ability of the existing manuals to identify a special category termed psychopathy which in their opinion deserves special attention. On treatment-related issues many psychological and behavioural therapies have shown success rates ranging from 25 to 62 in different cohorts. Multisystemic therapy and cognitive behaviour therapy have been proven efficacious in many trials. There is no substantial evidence for the efficacy of pharmacological therapy. Currently the emphasis is on early identification and prevention of antisocial behaviour despite the ethical implications of defining at-risk .

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