Case report: the mask of sanity
- Author:
Chang-Cortez Maria Lourdes
;
Vazquez-Genuino Anna Josefina
- Publication Type:Journal Article
- MeSH:
Human;
Male;
Adult;
ANTISOCIAL PERSONALITY DISORDER
- From:
The Philippine Journal of Psychiatry
2003;28(2):30-36
- CountryPhilippines
- Language:English
-
Abstract:
The antisocial personality seems unable to learn from his experiences that he continues to repeat his impulsive behavior even if it leads to legal prosecution. The antisocial personality cannot fully realize that what he does is actually socially unacceptable or dangerous, or that he has any responsibility to society to control his behavior. Quite often he cannot stop himself or control his unconscious impulses regardless of his supposed good intentions and the impending punishment to be inflicted upon him. RR, a 31 -year old male from Metro Manila has been in and out of jail because of multiple robberies. He was referred for psychiatric evaluation due to difficulty sleeping, restlessness, hallucinations and delusions of persecution. During therapy RR was deceitful, manipulative and without insight or remorse for his wrongdoing. He rationalized his stealing, cheating, gambling, hurting or killing of people and substance abuse. RR came to the sessions only upon court order without any intention to change or conform to societys laws and despite a confrontational stance, remained in denial, rationalized his actions and gained no insight.
