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diagnosed condition among the personality disorders”, however, it was also stated that
2
treatment efforts are notoriously difficult . The authors then contradicted the belief of
many psychiatrists who believe that patients with ASPD are untreatable. The passage
then evolved into a description of how patients with ASPD are diagnosed. Overall,
patients are put through a psychological test known as the PCL-R that ranges from a
scale of 0 to a midpoint of 30 and above. Those who score in the range of 20-29 are
considered to have moderate psychopathy; while those who range 30 and above
psychopathy level, based on this system, some patients have a better response to
treatment.
1
Meloy, Reid. “Dr. Reid Meloy Biography.” Dr. Reid Meloy, 2018, drreidmeloy.com/
2
eloy, Reid, and Jessica Yakeley. Gabbard’s Treatments of Psychiatric Disorders. 5th ed.,
M
American Psychiatric Publishing, 2014.
In contradiction to what is believed it was stated that only 1 out of every 3
prisoners suffer from severe psychopathy and they receive a significantly poorer
treatment prognosis than other patients with lower levels of ASPD (Gabbard’s
Treatments of Psychiatric Disorders, 1016). This issue has risen due to the false belief
that these patients are incurable. However, several following studies proved that long
individual psychotherapy several times a week is effective. In a future study, it was also
demonstrated that treatment in psychopathic youths was more promising than in
adults: 6/8 young patients showed treatment benefits in comparison to the ⅜ adult
treatments to patients with ASPD. This list included difficulty in finding appropriate
My reaction to this chapter in the book was that it was impressive to learn about
the diagnosis method for patients with ASPD and that it is shocking to hear about the
difficult reality that it is to treat people with this condition. I think it is incredible to
imagine the vulnerability of both the patients and the therapists themselves. Not only is
it complex to find a suitable treatment for an individual with ASPD, but the therapist may
patients.
This issue is important to today’s world because there is a large number of
people who are imprisoned for reasons that include: violent conduct, substance abuse,
robbery, etc. According to the Pew Research Center, about 2.2 million people in the
3
United States are incarcerated in 2016 . I f these prisoners experience a moderate level
of ASPD along with other conditions such as anxiety or depression, then their situation
worsens and leads to a complicated treatment. Many people who find themselves in this
situation cannot help but fall into the depth of crime. Similarly, if the prisoners are
diagnosed with a high level of psychopathy, they pose a danger for the public,
themselves, and their therapists. It would be ideal to treat these patients at a young age
symptoms and side effects; it also gave me the awareness of how a person with this
condition may appear. I believe this chapter holds credibility because it was written by
people who focus on forensic psychology and apply their knowledge towards criminality
and mental disorders. In addition, I believe this piece was well put together because it
contained subtitles, charts, and definitions with examples that helped the reader
people who wish to gain a better understanding of what Antisocial personality disorder
3
Gramlich, John. “America’s Incarceration Rate Is at a Two-Decade Low.” Pew Research Center, 2 May 2018,
www.pewresearch.org/fact-tank/2018/05/02/americas-incarceration-rate-is-at-a-two-decade-low/.
Bibliography
Gramlich, John. “America’s Incarceration Rate Is at a Two-Decade Low.” Pew Research Center,
2 May 2018,
www.pewresearch.org/fact-tank/2018/05/02/americas-incarceration-rate-is-at-a-two-decade-l
ow/.
Meloy, Reid, and Jessica Yakeley. Gabbard’s Treatments of Psychiatric Disorders. 5th ed.,
Meloy, Reid. “Dr. Reid Meloy Biography.” Dr. Reid Meloy, 2018, drreidmeloy.com/.