128-412: Antisocial personality disorder , often abbreviated to ASPD, is a mental disorder defined by a chronic pattern of behavior that disregards the rights and well-being of others. People with ASPD often exhibit behavior that conflicts with social norms, leading to issues with interpersonal relationships, employment, and legal matters. The condition generally manifests in childhood or early adolescence, with
256-416: A World Happiness Report has been published. Happiness is evaluated, as in "How happy are you with your life as a whole?", and in emotional reports, as in "How happy are you now?," and people seem able to use happiness as appropriate in these verbal contexts. Using these measures, the report identifies the countries with the highest levels of happiness. In subjective well-being measures, the primary distinction
384-615: A mental illness , a mental health condition , or a psychiatric disability , is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context . Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting . There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder
512-513: A "fuzzy prototype " that can never be precisely defined, or conversely that the concept always involves a mixture of scientific facts and subjective value judgments. Although the diagnostic categories are referred to as 'disorders', they are presented as medical diseases, but are not validated in the same way as most medical diagnoses. Some neurologists argue that classification will only be reliable and valid when based on neurobiological features rather than clinical interview, while others suggest that
640-456: A SUD than those without ASPD. This population also faces increased risks for mood disorders, including a fourfold likelihood of experiencing major depressive disorder , as well as heightened risks for suicidal ideation and behaviors. Anxiety disorders , particularly post-traumatic stress disorder (PTSD) and social anxiety disorder , are also common comorbidities, affecting up to 50% of individuals with ASPD. These comorbidities often exacerbate
768-455: A Swedish philosopher and phenomenological researcher, posited that the perception of time affects the change in focus throughout life. In early adulthood, most view life optimistically, looking to the future and seeing an entire life ahead of them. Those that fall into the middle life, see that life has passed behind them as well as seeing more life ahead. Those in older adulthood often see their lives as behind them. This shift in perspective causes
896-657: A baby's stress system on high alert. An environment of intermittent care punctuated by total abandonment may be the worst of all worlds for a child." Parenting styles can directly affect how children experience and develop in their youth, and can have an impact on a child's diagnosis of ASPD. The four parenting styles demonstrate the main approaches to raising children and their outcomes that lead into adulthood. Authoritarian - Authoritarian parenting styles involve stricter rules than any other parenting style, with greater consequences if rules are disobeyed. Authoritarian parents set high expectations for their children that may cause
1024-460: A category for enduring personality change after a catastrophic experience or psychiatric illness. If an inability to sufficiently adjust to life circumstances begins within three months of a particular event or situation, and ends within six months after the stressor stops or is eliminated, it may instead be classed as an adjustment disorder . There is an emerging consensus that personality disorders, similar to personality traits in general, incorporate
1152-442: A category of relational disorder , where the diagnosis is of a relationship rather than on any one individual in that relationship. The relationship may be between children and their parents, between couples, or others. There already exists, under the category of psychosis, a diagnosis of shared psychotic disorder where two or more individuals share a particular delusion because of their close relationship with each other. There are
1280-545: A childhood precursor to this disorder. Compared to the adolescent-onset subtype, the childhood-onset subtype tends to have a worse treatment outcome, especially if callous and unemotional traits are present. The main text of fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) defines antisocial personality disorder as being characterized by at least three of the following traits: Mental disorder A mental disorder , also referred to as
1408-418: A combination and interaction of genetics and environmental influences . People with an antisocial or alcoholic parent are considered to be at higher risk of developing ASPD. Fire-setting and cruelty to animals during childhood are also linked to the development of an antisocial personality disorder, along with being more common in males and among incarcerated populations. Although the causes listed correlate to
SECTION 10
#17327802513531536-594: A consequence of their tendency towards addiction. In addition, sufferers are more likely to abuse substances or develop an addiction at a young age. Due to ASPD being associated with higher levels of impulsivity, suicidality , and irresponsible behavior , the condition is correlated with heightened levels of aggressive behavior, domestic violence , illegal drug use, pervasive anger, and violent crimes. This behavior typically has negative effects on their education, relationships, and/or employment. Alongside this, sexual behaviors of risk such as having multiple sexual partners in
1664-545: A diagnosis. Services for mental disorders are usually based in psychiatric hospitals , outpatient clinics , or in the community , Treatments are provided by mental health professionals. Common treatment options are psychotherapy or psychiatric medication , while lifestyle changes, social interventions, peer support , and self-help are also options. In a minority of cases, there may be involuntary detention or treatment . Prevention programs have been shown to reduce depression. In 2019, common mental disorders around
1792-440: A dimension or spectrum of mood, is subject to some scientific debate. Patterns of belief, language use and perception of reality can become dysregulated (e.g., delusions , thought disorder , hallucinations ). Psychotic disorders in this domain include schizophrenia , and delusional disorder . Schizoaffective disorder is a category used for individuals showing aspects of both schizophrenia and affective disorders. Schizotypy
1920-482: A disorder, it generally needs to cause dysfunction. Most international clinical documents use the term mental "disorder", while "illness" is also common. It has been noted that using the term "mental" (i.e., of the mind ) is not necessarily meant to imply separateness from the brain or body . According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV ), published in 1994,
2048-427: A disorder. Obsessive–compulsive disorder can sometimes involve an inability to resist certain acts but is classed separately as being primarily an anxiety disorder. Substance use disorder : This disorder refers to the use of drugs (legal or illegal, including alcohol ) that persists despite significant problems or harm related to its use. Substance dependence and substance abuse fall under this umbrella category in
2176-595: A disruption of the standard development of the central nervous system , which can generate a release of hormones that can change normal patterns of development. One of the neurotransmitters that has been discussed in individuals with ASPD is serotonin, also known as 5HT. A meta-analysis of 20 studies found significantly lower 5-HIAA levels (indicating lower serotonin levels), especially in those who are younger than 30 years of age. While it has been shown that lower levels of serotonin may be associated with ASPD, there has also been evidence that decreased serotonin function
2304-403: A dysfunction in the individual. DSM-IV predicates the definition with caveats, stating that, as in the case with many medical terms, mental disorder "lacks a consistent operational definition that covers all situations", noting that different levels of abstraction can be used for medical definitions, including pathology, symptomology, deviance from a normal range, or etiology, and that the same
2432-600: A façade of superficial charm , others do so through intimidation and violence. Individuals with antisocial personality disorder may deliberately show irresponsibility, have difficulty acknowledging their faults and/or attempt to redirect attention away from harmful behaviors. ASPD presents high comorbidity rates with various psychiatric conditions, particularly substance use and mood disorder . Individuals diagnosed with ASPD are significantly more prone to develop substance use disorder (SUDs), with studies showing that they are approximately 13 times more likely to be diagnosed with
2560-399: A few anxiety disorders tend to appear in childhood. Some other anxiety disorders, substance disorders, and mood disorders emerge later in the mid-teens. Symptoms of schizophrenia typically manifest from late adolescence to early twenties. The likely course and outcome of mental disorders vary and are dependent on numerous factors related to the disorder itself, the individual as a whole, and
2688-673: A high rate of associated conduct problems and a tendency for symptoms to peak in late adolescence and early adulthood . The prognosis for ASPD is complex, with high variability in outcomes. Individuals with severe ASPD symptoms may have difficulty forming stable relationships, maintaining employment, and avoiding criminal behavior, resulting in higher rates of divorce, unemployment, homelessness, and incarceration. In extreme cases, ASPD may lead to violent or criminal behaviors, often escalating in early adulthood. Research indicates that individuals with ASPD have an elevated risk of suicide , particularly those who also engage in substance misuse or have
SECTION 20
#17327802513532816-546: A history of incarceration. Additionally, children raised by parents with ASPD may be at greater risk of delinquency and mental health issues themselves. Although ASPD is a persistent and often lifelong condition, symptoms may diminish over time, particularly after age 40, though only a small percentage of individuals experience significant improvement. Many individuals with ASPD have co-occurring issues such as substance use disorders , mood disorders , or other personality disorder . Research on pharmacological treatment for ASPD
2944-474: A lot of evidence to support this idea that happiness is affected in some way by genetics. In a 2016 study, Michael Minkov and Michael Harris Bond found that a gene by the name of SLC6A4 was not a good predictor of happiness level in humans. On the other hand, there have been many studies that have found genetics to be a key part in predicting and understanding happiness in humans. In a review article discussing many studies on genetics and happiness, they discussed
3072-449: A mental disorder is a psychological syndrome or pattern that is associated with distress (e.g., via a painful symptom ), disability (impairment in one or more important areas of functioning), increased risk of death, or causes a significant loss of autonomy; however, it excludes normal responses such as the grief from loss of a loved one and also excludes deviant behavior for political, religious, or societal reasons not arising from
3200-416: A mixture of acute dysfunctional behaviors that may resolve in short periods, and maladaptive temperamental traits that are more enduring. Furthermore, there are also non-categorical schemes that rate all individuals via a profile of different dimensions of personality without a symptom-based cutoff from normal personality variation, for example through schemes based on dimensional models. An eating disorder
3328-505: A number of uncommon psychiatric syndromes , which are often named after the person who first described them, such as Capgras syndrome , De Clerambault syndrome , Othello syndrome , Ganser syndrome , Cotard delusion , and Ekbom syndrome , and additional disorders such as the Couvade syndrome and Geschwind syndrome . The onset of psychiatric disorders usually occurs from childhood to early adulthood. Impulse-control disorders and
3456-524: A pattern of disregard for the rights of others, with potential overlap in traits associated with psychopathy and sociopathy . Due to tendencies toward recklessness and impulsivity, patients with ASPD are at a higher risk of drug and alcohol abuse. ASPD is the personality disorder most likely to be associated with addiction. Individuals with ASPD are at a higher risk of illegal drug usage, blood-borne diseases , HIV , shorter periods of abstinence , misuse of oral administrations , and compulsive gambling as
3584-487: A perfectly intact theory of mind , or the ability to understand one's mental state, but have an impaired ability to understand how another individual may be affected by an aggressive action. These factors might contribute to aggressive and criminal behavior as well as empathy deficits. Despite this, they may be adept at social cognition , or the ability to process and store information about other people, which can contribute to an increased ability to manipulate others. ASPD
3712-477: A person feels more whole, alive, self-sufficient, and yet a part of the world. This is similar to the flow concept of Mihály Csíkszentmihályi . The concept of flow is the idea that after our basic needs are met we can achieve greater happiness by altering our consciousness by becoming so engaged in a task that we lose our sense of time. Our intense focus causes us to forget any other issues, which in return promotes positive emotions. Erich Fromm said "Happiness
3840-680: A person's happiness. From abstract: "A friend who lives within a mile (about 1.6 km) and who becomes happy increases the probability that a person is happy by 25%." Various writers, including Camus and Tolle , have written that the act of searching or seeking for happiness is incompatible with being happy. John Stuart Mill believed that for the great majority of people happiness is best achieved en passant, rather than striving for it directly. This meant no self-consciousness, scrutiny, self-interrogation, dwelling on, thinking about, imagining or questioning on one's happiness. Then, if otherwise fortunately circumstanced, one would "inhale happiness with
3968-509: A predisposition of ASPD and interact with other delinquent children are likely to later be diagnosed with ASPD. Research into genetic associations in antisocial personality disorder suggests that ASPD has some or even a strong genetic basis. The prevalence of ASPD is higher in people related to someone with the disorder. Twin studies , which are designed to discern between genetic and environmental effects, have reported significant genetic influences on antisocial behavior and conduct disorder. In
Antisocial personality disorder - Misplaced Pages Continue
4096-421: A psychiatrist must ignore; and in his words, "play it safe". While antisocial personality disorder is a mental disorder diagnosed in adulthood, it has its precedent in childhood. The DSM-5's criteria for ASPD require that the individual have conduct problems evident by the age of 15. Persistent antisocial behavior, as well as a lack of regard for others in childhood and adolescence, is known as conduct disorder and
4224-697: A separate axis II in the case of the DSM-IV. A number of different personality disorders are listed, including those sometimes classed as eccentric , such as paranoid , schizoid and schizotypal personality disorders; types that have described as dramatic or emotional, such as antisocial , borderline , histrionic or narcissistic personality disorders; and those sometimes classed as fear-related, such as anxious-avoidant , dependent , or obsessive–compulsive personality disorders. Personality disorders, in general, are defined as emerging in childhood, or at least by adolescence or early adulthood. The ICD also has
4352-414: A severe psychiatric disability. Disability in this context may or may not involve such things as: In terms of total disability-adjusted life years (DALYs), which is an estimate of how many years of life are lost due to premature death or to being in a state of poor health and disability, psychiatric disabilities rank amongst the most disabling conditions. Unipolar (also known as Major) depressive disorder
4480-521: A shift in the pursuit of happiness from more tactile, object based happiness, to social and relational based happiness. Maslow's hierarchy of needs is a pyramid depicting the levels of human needs, psychological, and physical. When a human being ascends the steps of the pyramid, self-actualization is reached. Beyond the routine of needs fulfillment, Maslow envisioned moments of extraordinary experience, known as peak experiences , profound moments of love, understanding, happiness, or rapture, during which
4608-491: A short period of time, seeing prostitutes , inconsistent use of condoms , trading sex for drugs, and frequent unprotected sex are also common. Patients with ASPD have been documented to describe emotions with ambivalence and experience heightened states of emotional coldness and detachment. Individuals with ASPD, or who display antisocial behavior, may often experience chronic boredom . They may experience emotions such as happiness and fear less clearly than others. It
4736-543: A sleep center for analysis, during which doctors ask for a detailed sleep history and sleep records. Doctors also use actigraphs and polysomnography . Doctors will do a multiple sleep latency test, which measures how long it takes a person to fall asleep. Sleep apnea, when breathing repeatedly stops and starts during sleep, can be a serious sleep disorder. Three types of sleep apnea include obstructive sleep apnea , central sleep apnea , and complex sleep apnea . Sleep apnea can be diagnosed at home or with polysomnography at
4864-644: A sleep center. An ear, nose, and throat doctor may further help with the sleeping habits. Sexual disorders include dyspareunia and various kinds of paraphilia (sexual arousal to objects, situations, or individuals that are considered abnormal or harmful to the person or others). Impulse control disorder : People who are abnormally unable to resist certain urges or impulses that could be harmful to themselves or others, may be classified as having an impulse control disorder, and disorders such as kleptomania (stealing) or pyromania (fire-setting). Various behavioral addictions, such as gambling addiction, may be classed as
4992-455: A very similar definition. The terms "mental breakdown" or "nervous breakdown" may be used by the general population to mean a mental disorder. The terms "nervous breakdown" and "mental breakdown" have not been formally defined through a medical diagnostic system such as the DSM-5 or ICD-10 and are nearly absent from scientific literature regarding mental illness. Although "nervous breakdown"
5120-481: A virtue to be considered a key strength in the field of positive psychology it must meet the demands of 12 criteria, namely ubiquity (cross-cultural), fulfilling, morally valued, does not diminish others, be a nonfelicitous opposite (have a clear antonym that is negative), traitlike, measurable, distinct, have paragons (distinctly show up in individuals' behaviors), have prodigies (show up in youth), be selectively absent (distinctly does not show up in some individuals), and
5248-946: A whole." People have been trying to measure happiness for centuries. In 1780, the English utilitarian philosopher Jeremy Bentham proposed that as happiness was the primary goal of humans, it should be measured as a way of determining how well the government was performing. Today, happiness is typically measured using self-report surveys. Self-reporting is prone to cognitive biases and other sources of errors, such as peak–end rule . Studies show that memories of felt emotions can be inaccurate. Affective forecasting research shows that people are poor predictors of their future emotions, including how happy they will be. Happiness economists are not overly concerned with philosophical and methodological issues and continue to use questionaries to measure average happiness of populations. Several scales have been developed to measure happiness: Since 2012,
Antisocial personality disorder - Misplaced Pages Continue
5376-486: Is anxiety or fear that interferes with normal functioning may be classified as an anxiety disorder. Commonly recognized categories include specific phobias , generalized anxiety disorder , social anxiety disorder , panic disorder , agoraphobia , obsessive–compulsive disorder and post-traumatic stress disorder . Other affective (emotion/mood) processes can also become disordered. Mood disorder involving unusually intense and sustained sadness, melancholia, or despair
5504-462: Is insomnia , which is described as difficulty falling and/or staying asleep. Other sleep disorders include narcolepsy , sleep apnea , REM sleep behavior disorder , chronic sleep deprivation , and restless leg syndrome . Narcolepsy is a condition of extreme tendencies to fall asleep whenever and wherever. People with narcolepsy feel refreshed after their random sleep, but eventually get sleepy again. Narcolepsy diagnosis requires an overnight stay at
5632-463: Is a category used for individuals showing some of the characteristics associated with schizophrenia, but without meeting cutoff criteria. Personality —the fundamental characteristics of a person that influence thoughts and behaviors across situations and time—may be considered disordered if judged to be abnormally rigid and maladaptive . Although treated separately by some, the commonly used categorical schemes include them as mental disorders, albeit on
5760-422: Is a nervous breakdown. But that term has vanished from medicine, although not from the way we speak.... The nervous patients of yesteryear are the depressives of today. That is the bad news.... There is a deeper illness that drives depression and the symptoms of mood. We can call this deeper illness something else, or invent a neologism, but we need to get the discussion off depression and onto this deeper disorder in
5888-477: Is a serious mental health condition that involves an unhealthy relationship with food and body image. They can cause severe physical and psychological problems. Eating disorders involve disproportionate concern in matters of food and weight. Categories of disorder in this area include anorexia nervosa , bulimia nervosa , exercise bulimia or binge eating disorder . Sleep disorders are associated with disruption to normal sleep patterns. A common sleep disorder
6016-465: Is affected by life circumstances and situation, and a remaining 40 percent of happiness is subject to self-control. When discussing genetics and their effects on individuals it is important to first understand that genetics do not predict behavior. It is possible for genes to increase the likelihood of individuals being happier compared to others, but they do not 100 percent predict behavior. At this point in scientific research, it has been hard to find
6144-555: Is also a significant correlation with parental overprotection and people who develop ASPD. Studies have shown that non-abused (especially in childhood) individuals are less likely to develop ASPD. Those with ASPD may have experienced any of the following forms of childhood trauma or abuse: physical or sexual abuse, neglect, coercion, abandonment or separation from caregivers, violence in a community, acts of terror, bullying, or life-threatening incidents. Some symptoms can mimic other forms of mental illness, such as: The comorbidity rate of
6272-428: Is also possible that they may experience emotions such as anger and frustration more frequently and clearly than other emotions. People with ASPD may have a limited capacity for empathy and can be more interested in benefiting themselves than avoiding harm to others. They may have no regard for morals , social norms, or the rights of others. People with ASPD can have difficulty beginning or sustaining relationships. It
6400-527: Is an old diagnosis involving somatic complaints as well as fatigue and low spirits/depression, which is officially recognized by the ICD-10 but no longer by the DSM-IV. Factitious disorders are diagnosed where symptoms are thought to be reported for personal gain. Symptoms are often deliberately produced or feigned, and may relate to either symptoms in the individual or in someone close to them, particularly people they care for. There are attempts to introduce
6528-508: Is between cognitive life evaluations and emotional reports. The UK began to measure national well-being in 2012, following Bhutan , which had already been measuring gross national happiness . Academic economists and international economic organizations are arguing for and developing multi-dimensional dashboards which combine subjective and objective indicators to provide a more direct and explicit assessment of human wellbeing. There are many different contributors to adult wellbeing, such as
SECTION 50
#17327802513536656-439: Is closely linked to well-being and overall life satisfaction. Studies have shown that individuals who experience higher levels of happiness tend to have better physical and mental health, stronger social relationships, and greater resilience in the face of adversity. The pursuit of happiness has been a central theme in philosophy and psychology for centuries. While there is no single, universally accepted definition of happiness, it
6784-442: Is common for the interpersonal relationships of someone with ASPD to revolve around the exploitation and abuse of others. People with ASPD may display arrogance , think lowly and negatively of others, have limited remorse for their harmful actions, and have a callous attitude toward those they have harmed. People with ASPD can have difficulty mentalizing , or interpreting the mental state of others. Alternately, they may display
6912-622: Is counteracted by cortisol , which facilitates the cognitive control of impulsive tendencies. Arson and the destruction of others' property are also behaviors commonly associated with ASPD. Alongside other conduct problems, many people with ASPD had conduct disorder in their youth, characterized by a pervasive pattern of violent, criminal, defiant, and anti-social behavior. Although behaviors vary by degree, individuals with this personality disorder have been known to exploit others in harmful ways for their own gain or pleasure, and frequently manipulate and deceive other people. While some do so with
7040-552: Is generally understood to be a state of mind characterized by positive emotions, a sense of purpose, and a feeling of fulfillment. "Happiness" is subject to debate on usage and meaning, and on possible differences in understanding by culture. The word is mostly used in relation to two factors: Some usages can include both of these factors. Subjective well-being (swb) includes measures of current experience (emotions, moods , and feelings) and of life satisfaction . For instance Sonja Lyubomirsky has described happiness as "
7168-472: Is highly correlated with impulsiveness and aggression across a number of different experimental paradigms. Impulsivity is not only linked with irregularities in 5HT metabolism but may be the most essential psychopathological aspect linked with such dysfunction. Correspondingly, the DSM classifies "impulsivity or failure to plan ahead" and "irritability and aggressiveness" as two of seven sub-criteria in category A of
7296-455: Is highly prevalent among prisoners. People with ASPD tend to be convicted more, receive longer sentences, and are more likely to be charged with almost any crime , with assault and other violent crimes being the most common charges. Those who have committed violent crimes tend to have higher levels of testosterone than the average person, also contributing to the higher likelihood for men to be diagnosed with ASPD. The effect of testosterone
7424-456: Is known as major depression (also known as unipolar or clinical depression). Milder, but still prolonged depression, can be diagnosed as dysthymia . Bipolar disorder (also known as manic depression) involves abnormally "high" or pressured mood states, known as mania or hypomania , alternating with normal or depressed moods. The extent to which unipolar and bipolar mood phenomena represent distinct categories of disorder, or mix and merge along
7552-470: Is known as the "adolescent-onset type" and occurs when conduct disorder develops after the age of 10 years. Compared to the childhood-onset type, less impairment in various cognitive and emotional functions are present, and the adolescent-onset variety may remit by adulthood. In addition to this differentiation, the DSM-5 provides a specifier for a callous and unemotional interpersonal style, which reflects characteristics seen in psychopathy and are believed to be
7680-427: Is known as the "childhood-onset type" and occurs when conduct disorder symptoms are present before the age of 10. This course is often linked to a more persistent life course and more pervasive behaviors, and children in this group express greater levels of ADHD symptoms, neuropsychological deficits, more academic problems, increased family dysfunction, and higher likelihood of aggression and violence. The second course
7808-414: Is limited, with no medications approved specifically for the disorder. However, certain psychiatric medications, including antipsychotics , antidepressants , and mood stabilizers , may help manage symptoms like aggression and impulsivity in some cases, or treat co-occurring disorders. The diagnostic criteria and understanding of ASPD have evolved significantly over time. Early diagnostic manuals, such as
SECTION 60
#17327802513537936-399: Is not rigorously defined, surveys of laypersons suggest that the term refers to a specific acute time-limited reactive disorder involving symptoms such as anxiety or depression, usually precipitated by external stressors . Many health experts today refer to a nervous breakdown as a mental health crisis . In addition to the concept of mental disorder, some people have argued for a return to
8064-603: Is one aspect of mental health . The causes of mental disorders are often unclear. Theories incorporate findings from a range of fields. Disorders may be associated with particular regions or functions of the brain. Disorders are usually diagnosed or assessed by a mental health professional , such as a clinical psychologist , psychiatrist , psychiatric nurse, or clinical social worker , using various methods such as psychometric tests , but often relying on observation and questioning. Cultural and religious beliefs, as well as social norms , should be taken into account when making
8192-536: Is still considered an open question if the anatomical abnormality causes the psychological and behavioral abnormality, or vice versa. Cavum septi pellucidi (CSP) is a marker for limbic neural maldevelopment, and its presence has been loosely associated with certain mental disorders, such as schizophrenia and post-traumatic stress disorder . One study found that those with CSP had significantly higher levels of antisocial personality, psychopathy, arrests and convictions compared with controls. Many studies suggest that
8320-449: Is still plausible. The World Health Organization (WHO) concluded that the long-term studies' findings converged with others in "relieving patients, carers and clinicians of the chronicity paradigm which dominated thinking throughout much of the 20th century." A follow-up study by Tohen and coworkers revealed that around half of people initially diagnosed with bipolar disorder achieve symptomatic recovery (no longer meeting criteria for
8448-433: Is supported by some institutions. Numerous short-term self-help interventions have been developed and demonstrated to improve happiness. A person's level of subjective well-being is determined by many different factors and social influences prove to be a strong one. Results from the famous Framingham Heart Study indicate that friends three degrees of separation away (that is, friends of friends of friends) can affect
8576-639: Is that genetic, psychological, and environmental factors all contribute to the development or progression of mental disorders. Different risk factors may be present at different ages, with risk occurring as early as during prenatal period. Happiness Happiness is a complex and multifaceted emotion that encompasses a range of positive feelings, from contentment to intense joy. It is often associated with positive life experiences, such as achieving goals, spending time with loved ones, or engaging in enjoyable activities. However, happiness can also arise spontaneously, without any apparent external cause. Happiness
8704-534: Is the indication that man has found the answer to the problem of human existence: the productive realization of his potentialities and thus, simultaneously, being one with the world and preserving the integrity of his self. In spending his energy productively he increases his powers, he „burns without being consumed."" Self-determination theory relates intrinsic motivation to three needs: competence , autonomy , and relatedness . Competence refers to an individual's ability to be effective in their interactions with
8832-453: Is the precursor of ASPD. About 25–40% of youths with conduct disorder will be diagnosed with ASPD in adulthood. Conduct disorder (CD) is a disorder diagnosed in childhood that parallels the characteristics found in ASPD. It is characterized by a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated by the child. Children with
8960-399: Is the rate of failure when diagnosing ASPD. He contends that the possibility of diagnosing and coercing a patient into prescribing medication to someone without ASPD, but is diagnosed with ASPD, could be potentially disastrous. But the possibility of not diagnosing ASPD and seeing a patient go untreated because of a lack of sufficient evidence of cultural or environmental influences is something
9088-747: Is the third leading cause of disability worldwide, of any condition mental or physical, accounting for 65.5 million years lost. The first systematic description of global disability arising in youth, in 2011, found that among 10- to 24-year-olds nearly half of all disability (current and as estimated to continue) was due to psychiatric disabilities, including substance use disorders and conditions involving self-harm . Second to this were accidental injuries (mainly traffic collisions) accounting for 12 percent of disability, followed by communicable diseases at 10 percent. The psychiatric disabilities associated with most disabilities in high-income countries were unipolar major depression (20%) and alcohol use disorder (11%). In
9216-421: Is thought to lead to underdevelopment of the part of the child's brain that deals with emotion, empathy, and ability to connect to other humans on an emotional level. According to Dr. Bruce Perry in his book The Boy Who Was Raised as a Dog, "the infant's developing brain needs to be patterned, repetitive stimuli to develop properly. Spastic, unpredictable relief from fear, loneliness, discomfort, and hunger keeps
9344-661: Is true for mental disorders, so that sometimes one type of definition is appropriate and sometimes another, depending on the situation. In 2013, the American Psychiatric Association (APA) redefined mental disorders in the DSM-5 as "a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning." The final draft of ICD-11 contains
9472-1104: The state of things ." The idea of motivational hedonism is the theory that pleasure is the aim for human life. Since 2000 the field of positive psychology , which focuses on the study of happiness and human flourishing rather than maladjusted behavior or illness, expanded drastically in terms of scientific publications. It has produced many different views on causes of happiness, and on factors that correlate with happiness, such as positive social interactions with family and friends. These factors include six key virtues: 1. Wisdom and knowledge, which includes creativity, curiosity, love of learning and open-mindedness. 2. Courage, which includes bravery, persistence, integrity, and vitality. 3. Humanity, which includes love, kindness, and social intelligence. 4. Justice, which includes leadership, fairness, and loyalty. 5. Temperance, which includes self-regulation, prudence, forgiveness, humility, patience and modesty. 6. Transcendence, which includes religious/spirituality, hope, gratitude, appreciation of beauty and excellence, and humor. In order for
9600-457: The 2R and 3R alleles of the promoter region ) have associations with aggressive behavior in men. This association is also influenced by negative experiences early in life, with children possessing a low-activity variant (MAOA-L) who have experienced negative circumstances being more likely to develop antisocial behavior than those with the high-activity variant (MAOA-H). Even when environmental interactions (e.g. emotional abuse) are taken out of
9728-420: The DSM and ICD, some approaches are not based on identifying distinct categories of disorder using dichotomous symptom profiles intended to separate the abnormal from the normal. There is significant scientific debate about the relative merits of categorical versus such non-categorical (or hybrid) schemes, also known as continuum or dimensional models. A spectrum approach may incorporate elements of both. In
9856-514: The DSM-I in 1952, described “sociopathic personality disturbance” as involving a range of antisocial behaviors linked to societal and environmental factors. Subsequent editions of the DSM have refined the diagnosis, eventually distinguishing ASPD in the DSM-III (1980) with a more structured checklist of observable behaviors. Current definitions in the DSM-5 align with the clinical description of ASPD as
9984-495: The DSM. Substance use disorder may be due to a pattern of compulsive and repetitive use of a drug that results in tolerance to its effects and withdrawal symptoms when use is reduced or stopped. Dissociative disorder : People with severe disturbances of their self-identity, memory, and general awareness of themselves and their surroundings may be classified as having these types of disorders, including depersonalization derealization disorder or dissociative identity disorder (which
10112-546: The Good Life" became the most popular course in the history of Yale University and was made available for free online to non-Yale students. Some commentators focus on the difference between the hedonistic tradition of seeking pleasant and avoiding unpleasant experiences, and the eudaimonic tradition of living life in a full and deeply satisfying way. Kahneman has said that ""When you look at what people want for themselves, how they pursue their goals, they seem more driven by
10240-523: The ICD). Popular labels such as psychopath (or sociopath) do not appear in the DSM or ICD but are linked by some to these diagnoses. Somatoform disorders may be diagnosed when there are problems that appear to originate in the body that are thought to be manifestations of a mental disorder. This includes somatization disorder and conversion disorder . There are also disorders of how a person perceives their body, such as body dysmorphic disorder . Neurasthenia
10368-411: The behavioral tendencies of many individuals with ASPD. While the rise reported may be in part a byproduct of the widening use (and abuse) of diagnostic techniques, given Eric Berne 's division between individuals with active and latent ASPD – the latter keeping themselves in check by attachment to an external source of control like the law, traditional standards, or religion – it has been suggested that
10496-683: The brain and body. That is the point. In eliminating the nervous breakdown, psychiatry has come close to having its own nervous breakdown. Nerves stand at the core of common mental illness, no matter how much we try to forget them. "Nervous breakdown" is a pseudo-medical term to describe a wealth of stress-related feelings and they are often made worse by the belief that there is a real phenomenon called "nervous breakdown". There are currently two widely established systems that classify mental disorders: Both of these list categories of disorder and provide standardized criteria for diagnosis. They have deliberately converged their codes in recent revisions so that
10624-1027: The children to later develop rebellious behavior, low self-esteem, aggression, and resentfulness. Permissive - Permissive parenting styles involve a more relaxed attitude towards rules that are less enforced than any other parenting style. Permissive parents tend to allow more freedom for children to make their own decisions which can lead to impulsivity, lack of self-control, and a lack of acknowledgment of boundaries later in life. Neglectful - Neglectful parenting styles tend to have little to no rules for children to follow, and may even withhold basic needs required for child development . Parents who display neglectful behavior are less involved than any other parenting style and can cause children to develop mental health issues, withdrawal from emotions, and delinquent behavior. Authoritative - Authoritative parenting styles involve guidelines and expectations as well as support and understanding. Authoritative parents tend to have more balance within their parenting style compared to
10752-424: The common findings. The author found an important factor that has affected scientist findings this being how happiness is measured. For example, in certain studies when subjective wellbeing is measured as a trait heredity is found to be higher, about 70 to 90 percent. In another study, 11,500 unrelated genotypes were studied, and the conclusion was the heritability was only 12 to 18 percent. Overall, this article found
10880-407: The common percent of heredity was about 20 to 50 percent. Theories on how to achieve happiness include "encountering unexpected positive events", "seeing a significant other", and "basking in the acceptance and praise of others". Some others believe that happiness is not solely derived from external, momentary pleasures. Research on positive psychology, well-being, eudaimonia and happiness, and
11008-438: The community help to ensure more positive behavior for children and an overall decrease in ASPD symptoms. ASPD is highly comorbid with emotional and physical abuse in childhood. Physical neglect also has a significant correlation to ASPD. The way a child bonds with its parents early in life is important. Poor parental bonding due to abuse or neglect puts children at greater risk for developing antisocial personality disorder. There
11136-427: The degree of happiness depends on economic and cultural factors that enable free choice in how people live their lives. Happiness also depends on religion in countries where free choice is constrained. Sigmund Freud said that all humans strive after happiness, but that the possibilities of achieving it are restricted because we "are so made that we can derive intense enjoyment only from a contrast and very little from
11264-427: The developmental period. Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion . The definition and classification of mental disorders are key issues for researchers as well as service providers and those who may be diagnosed. For a mental state to be classified as
11392-424: The diagnosis) within six weeks, and nearly all achieve it within two years, with nearly half regaining their prior occupational and residential status in that period. Less than half go on to experience a new episode of mania or major depression within the next two years. Some disorders may be very limited in their functional effects, while others may involve substantial disability and support needs. In this context,
11520-494: The diagnostic criteria of ASPD. Some studies have found a relationship between monoamine oxidase A and antisocial behavior, including conduct disorder and symptoms of adult ASPD, in maltreated children. Antisocial behavior may be related to a number of neurological defects, such as head trauma. Antisocial behavior is associated with decreased grey matter in the right lentiform nucleus , left insular , and frontopolar cortex . Increased volumes of grey matter have been observed in
11648-556: The differing ideological and practical perspectives need to be better integrated. The DSM and ICD approach remains under attack both because of the implied causality model and because some researchers believe it better to aim at underlying brain differences which can precede symptoms by many years. The high degree of comorbidity between disorders in categorical models such as the DSM and ICD have led some to propose dimensional models. Studying comorbidity between disorders have demonstrated two latent (unobserved) factors or dimensions in
11776-425: The disorder may also engage in substance use. CD is distinct from oppositional defiant disorder (ODD) in that children with ODD do not commit aggressive or antisocial acts against other people, animals, or property, though many children diagnosed with ODD are subsequently re-diagnosed with CD. Two developmental courses for CD have been identified based on the age at which the symptoms become present. The first course
11904-414: The disorder often display impulsive and aggressive behavior, may be callous and deceitful, may repeatedly engage in petty crime (such as stealing or vandalism), or get into fights with other children and adults. This behavior is typically persistent and may be difficult to deter with either threat or punishment. Attention deficit hyperactivity disorder (ADHD) is common in this population, and children with
12032-446: The distinction between joy and happiness is that "joy accompanies the process through and through, whereas happiness seems to be more strictly tied to the moment of achievement of the process... joy is not only a direct emotional response to an event that is embedded in our life-concerns but is also tightly bound to the present moment, whereas happiness presupposes an evaluative stance concerning one period of one's life or one's own life as
12160-500: The eastern Mediterranean region, it was unipolar major depression (12%) and schizophrenia (7%), and in Africa it was unipolar major depression (7%) and bipolar disorder (5%). Suicide, which is often attributed to some underlying mental disorder, is a leading cause of death among teenagers and adults under 35. There are an estimated 10 to 20 million non-fatal attempted suicides every year worldwide. The predominant view as of 2018
12288-499: The environment, autonomy refers to a person's flexibility in choice and decision making, and relatedness is the need to establish warm, close personal relationships. Ronald Inglehart has traced cross-national differences in the level of happiness based on data from the World Values Survey . He finds that the extent to which a society allows free choice has a major impact on happiness. When basic needs are satisfied,
12416-453: The equation, a small association between MAOA-L and aggressive and antisocial behavior remains. The gene that encodes for the serotonin transporter (SLC6A4), a gene that is heavily researched for its associations with other mental disorders, is another gene of interest in antisocial behavior and personality traits. Genetic association's studies have suggested that the short "S" allele is associated with impulsive antisocial behavior and ASPD in
12544-432: The erosion of collective standards may serve to release the individual with latent ASPD from their previously prosocial behavior. There is also a continuous debate as to the extent to which the legal system should be involved in the identification and admittance of patients with preliminary symptoms of ASPD. Controversial clinical psychiatrist Pierre-Édouard Carbonneau suggested that the problem with legal forced admittance
12672-595: The experience of joy, contentment, or positive well-being, combined with a sense that one's life is good, meaningful, and worthwhile. " Eudaimonia , is a Greek term variously translated as happiness, welfare, flourishing , and blessedness. Xavier Landes has proposed that happiness include measures of subjective wellbeing, mood and eudaimonia. These differing uses can give different results. Whereas Nordic countries often score highest on swb surveys , South American countries score higher on affect-based surveys of current positive life experiencing. The implied meaning of
12800-416: The following: Psychologist Robert Emmons has identified the centrality of goals in pursuing happiness. He found that when humans pursue meaningful projects and activities without primarily focusing on happiness, happiness often results as a by-product. Indicators of meaningfulness predict positive effects on life, while lack of meaning predicts negative states such as psychological distress. Emmons summarizes
12928-635: The four categories of meaning which have appeared throughout various studies. He proposes to call them WIST, or work, intimacy, spirituality, and transcendence. Throughout life, one's views of happiness and what brings happiness can evolve. In early and emerging adulthood many people focus on seeking happiness through friends, objects, and money. Middle aged-adults generally transition from searching for object-based happiness to looking for happiness in money and relationships. In older adulthood, people tend to focus more on personal peace and lasting relationships (ex. children, spouse, grandchildren). Antti Kauppinen,
13056-456: The globe include: depression , which affects about 264 million people; dementia , which affects about 50 million; bipolar disorder , which affects about 45 million; and schizophrenia and other psychoses , which affect about 20 million people. Neurodevelopmental disorders include attention deficit hyperactivity disorder (ADHD) , autism spectrum disorder (ASD) , and intellectual disability , of which onset occurs early in
13184-487: The inmate population. However, research into psychopathy find that the long "L" allele is associated with the Factor 1 traits of psychopathy, which describes its core affective (e.g. lack of empathy, fearlessness) and interpersonal (e.g. grandiosity, manipulativeness) personality disturbances. This is suggestive of two different forms of the disorder, one associated more with impulsive behavior and emotional dysregulation, and
13312-688: The internalizing-externalizing distinction, but also supports the formation of a third dimension of thought disorders such as schizophrenia. Biological evidence also supports the validity of the internalizing-externalizing structure of mental disorders, with twin and adoption studies supporting heritable factors for externalizing and internalizing disorders. A leading dimensional model is the Hierarchical Taxonomy of Psychopathology . There are many different categories of mental disorder, and many different facets of human behavior and personality that can become disordered. An anxiety disorder
13440-648: The manuals are often broadly comparable, although significant differences remain. Other classification schemes may be used in non-western cultures, for example, the Chinese Classification of Mental Disorders , and other manuals may be used by those of alternative theoretical persuasions, such as the Psychodynamic Diagnostic Manual . In general, mental disorders are classified separately from neurological disorders , learning disabilities or intellectual disability . Unlike
13568-566: The old-fashioned concept of nervous illness. In How Everyone Became Depressed: The Rise and Fall of the Nervous Breakdown (2013), Edward Shorter, a professor of psychiatry and the history of medicine, says: About half of them are depressed. Or at least that is the diagnosis that they got when they were put on antidepressants. ... They go to work but they are unhappy and uncomfortable; they are somewhat anxious; they are tired; they have various physical pains—and they tend to obsess about
13696-483: The other parenting styles, and parent in a way that lets children understand not only what the rules are, but why they are important. Individuals who were raised by authoritative parents tend to be more self-confident, responsible, successful, and have a greater chance of developing positive coping skills. Having a healthy, safe, stable/consistent, understanding, and attentive parenting style in an environment with positive role models and influences at home as well as out in
13824-495: The other with predatory aggression and affective disturbance. Various other gene candidates for ASPD have been identified by a genome-wide association study published in 2016. Several of these gene candidates are shared with attention-deficit hyperactivity disorder, with which ASPD is often comorbid. The study found that those who carry four mutations on chromosome 6 are 50% more likely to develop antisocial personality disorder than those who do not. Traumatic events can lead to
13952-503: The point that happiness judgements partly reflect the presence of salient constraints, and that fairness, autonomy, community and engagement are key aspects of happiness and wellbeing throughout the life course. Although these factors play a role in happiness, they do not all need to improve simultaneously to help one achieve an increase in happiness. Happiness has been found to be quite stable over time. As of 2016 , no evidence of happiness causing improved physical health has been found;
14080-490: The precursors to antisocial personality disorder. People that exhibit antisocial behavior tend to demonstrate decreased activity in the prefrontal cortex, and is more apparent in functional neuroimaging as opposed to structural neuroimaging. Some investigators have questioned whether the reduced volume in prefrontal regions is associated with antisocial personality disorder, or whether they result from co-morbid disorders, such as substance use disorder or childhood maltreatment. It
14208-490: The previously listed disorders with ASPD tend to be much higher. The sociocultural perspective of clinical psychology views disorders as influenced by cultural aspects; since cultural norms differ significantly, mental disorders (such as ASPD) are viewed differently. Robert D. Hare suggested that the rise in ASPD that has been reported in the United States may be linked to changes in cultural norms, serving to validate
14336-483: The problems of those with ASPD, leading to more severe symptoms, complex treatment needs, and poorer clinical outcomes. When combined with alcoholism , people may show frontal brain function deficits on neuropsychological tests greater than those associated with each condition. Alcohol use disorder is likely caused by lack of impulse and behavioral control exhibited by antisocial personality disorder patients. Personality disorders are generally believed to be caused by
14464-452: The public perception of the level of disability associated with mental disorders can change. Nevertheless, internationally, people report equal or greater disability from commonly occurring mental conditions than from commonly occurring physical conditions, particularly in their social roles and personal relationships. The proportion with access to professional help for mental disorders is far lower, however, even among those assessed as having
14592-534: The right fusiform gyrus, inferior parietal cortex, right cingulate gyrus , and post-central cortex. Intellectual and cognitive ability is often found to be impaired or reduced in the ASPD population. Contrary to stereotypes in popular culture of the "psychopathic genius", antisocial personality disorder is associated with reduced overall intelligence and specific reductions in individual aspects of cognitive ability. These deficits also occur in general-population samples of people with antisocial traits and in children with
14720-608: The risk of developing ASPD, one factor alone is unlikely to be the only cause associated with ASPD and relating to a listed cause does not necessarily mean that a person should identify or be identified as having ASPD. According to professor Emily Simonoff of the Institute of Psychiatry, Psychology and Neuroscience , there are many variables that are consistently connected to ASPD, such as: childhood hyperactivity and conduct disorder, criminality in adulthood, lower IQ scores, and reading problems. Additionally, children who grow up with
14848-414: The scientific and academic literature on the definition or classification of mental disorder, one extreme argues that it is entirely a matter of value judgements (including of what is normal ) while another proposes that it is or could be entirely objective and scientific (including by reference to statistical norms). Common hybrid views argue that the concept of mental disorder is objective even if only
14976-508: The search for satisfaction than the search for happiness." Viktor Frankl, a psychiatrist and prisoner in the Nazi concentration camps during World War II, noticed that those who lost hope soon died, while those who held to meaning and purpose tended to live on. Frankl observed that joy and misery had more to do with a person's perspective and choice than with their surroundings. Three key sources of meaning that he highlights in his writings include
15104-424: The social and home environment contribute to the development of ASPD. Parents of children with ASPD may display antisocial behavior themselves, which are then adopted by their children. A lack of parental stimulation and affection during early development can lead to high levels of cortisol with the absence of balancing hormones such as oxytocin . This disrupts and overloads the child's stress response systems, which
15232-466: The social environment. Some disorders may last a brief period of time, while others may be long-term in nature. All disorders can have a varied course. Long-term international studies of schizophrenia have found that over a half of individuals recover in terms of symptoms, and around a fifth to a third in terms of symptoms and functioning, with many requiring no medication. While some have serious difficulties and support needs for many years, "late" recovery
15360-426: The specific genes that may be involved, one gene that has shown particular promise in its correlation with ASPD is the gene that encodes for Monoamine oxidase A (MAO-A), an enzyme that breaks down monoamine neurotransmitters such as serotonin and norepinephrine . Various studies examining the gene's relationship to behavior have suggested that variants of the gene resulting in less MAO-A being produced (such as
15488-470: The stress of having to hide a condition in work or school, etc., by adverse effects of medications or other substances, or by mismatches between illness-related variations and demands for regularity. It is also the case that, while often being characterized in purely negative terms, some mental traits or states labeled as psychiatric disabilities can also involve above-average creativity, non- conformity , goal-striving, meticulousness, or empathy. In addition,
15616-428: The structure of mental disorders that are thought to possibly reflect etiological processes. These two dimensions reflect a distinction between internalizing disorders, such as mood or anxiety symptoms, and externalizing disorders such as behavioral or substance use symptoms. A single general factor of psychopathology, similar to the g factor for intelligence, has been empirically supported. The p factor model supports
15744-420: The terms psychiatric disability and psychological disability are sometimes used instead of mental disorder . The degree of ability or disability may vary over time and across different life domains. Furthermore, psychiatric disability has been linked to institutionalization , discrimination and social exclusion as well as to the inherent effects of disorders. Alternatively, functioning may be affected by
15872-653: The theories of Diener, Ryff, Keyes, and Seligmann covers a broad range of levels and topics, including "the biological, personal, relational, institutional, cultural, and global dimensions of life." The psychiatrist George Vaillant and the director of longitudinal Study of Adult Development at Harvard University Robert J. Waldinger found that those who were happiest and healthier reported strong interpersonal relationships. Research showed that adequate sleep contributes to well-being. Good mental health and good relationships contribute more to happiness than income does. In 2018, Laurie R. Santos course titled " Psychology and
16000-552: The topic is being researched at the Lee Kum Sheung Center for Health and Happiness at the Harvard T.H. Chan School of Public Health . A positive relationship has been suggested between the volume of the brain's gray matter in the right precuneus area and one's subjective happiness score. Sonja Lyubomirsky has estimated that 50 percent of a given human's happiness level could be genetically determined, 10 percent
16128-449: The whole business. There is a term for what they have, and it is a good old-fashioned term that has gone out of use. They have nerves or a nervous illness. It is an illness not just of mind or brain, but a disorder of the entire body. ... We have a package here of five symptoms—mild depression, some anxiety, fatigue, somatic pains, and obsessive thinking. ... We have had nervous illness for centuries. When you are too nervous to function ... it
16256-423: The word may vary depending on context, qualifying happiness as a polyseme and a fuzzy concept . A further issue is when measurement is made; appraisal of a level of happiness at the time of the experience may be different from appraisal via memory at a later date. Some users accept these issues, but continue to use the word because of its convening power. German philosophy professor Michela Summa says that
16384-687: Was previously referred to as multiple personality disorder or "split personality"). Cognitive disorder : These affect cognitive abilities, including learning and memory. This category includes delirium and mild and major neurocognitive disorder (previously termed dementia ). Developmental disorder : These disorders initially occur in childhood. Some examples include autism spectrum disorder, oppositional defiant disorder and conduct disorder , and attention deficit hyperactivity disorder (ADHD), which may continue into adulthood. Conduct disorder, if continuing into adulthood, may be diagnosed as antisocial personality disorder (dissocial personality disorder in
#352647