You are on page 1of 28

Patrizia Velotti , et.

, al
Comprehensive psychiatry., 64(2016) 38-45

Intro
• To fine tune treatment programs for ASPD.
• Understanding the psychopathology of APSD and
related aggression.
• Insufficient information in DSM-5.
• Pessimism about possible to individual with antisocial
traits or ASPD.
• Some clients can be treated.
• What predicts antisocial traits and relted aggression.

Mentalization • Ability to Reflect and think about one's mental states. to distinguish one's own mental state from others • Ability to understand the actions of oneself and other as meaningful. • Faliures Predicts aggressive act in ASPD .

Metacognition -ability to • Reflect and think about one's mental states and other's • grasp Case-effect connection between relational events. • recognize one's own belief is subjective • Use of knowledge on mental states for purposeful problem solving . beliefs. emotions. and behavior.

act with awareness of personal motive . • Deficits in mainfulness discribed deficits in metalization and metacog. . lable and discribe the inner experience with words.Mindfulness • One of the important aspects of mentalization and metacog • Proneness to be attentive to the present reality • Ability to attend to external and internal sensory stimuli and associated cognitions and emotions. assume a non judgmental stance towards one's own thought and emotions and able to perceive thought and feelings without feeling overwhelmed or compelled.

people with ASPD reported impairment in mentalization. • Metalization mediated the relationship between attachment insecurity and ASPD traits in adolocense. 2013.Secondary data • 2004. • Also increased mentalization ability could serve as a protective factor towards aggression among people with antisocial traits. • Metalization deficits were associated with psychopathic traits and proactive aggression. .

• 2014 impaired metacognition mediates the relation between psychopathic tendencies and aggression. • 2015 impaired metacognition also associated with poor social functions.Cont. .

• 2012. .Mindfulness deficits related to the self reported ASPD traits..Cont.

Or level mindfulness predicts association between the Aggressive traits and ASPD .Hyposis • Specific dimensions of aggression and mindfulness will predict ASPD traits. • Interaction of mainfulness and aggressive traits will predict ASPD traits.

What are moderator and mediator? .

.

.Methods • Participants .83 prisoners from chronically violent population (north Italian prison) • No psychotic symptoms • Sober for past three months • Permission from athority • No compensation • Informed consent • Presence of trained clinical psychologist.

86 . internal consistency cronbach alpah= . hostility and anger.Measures • Million clinical Multi axial inventory 3 (MCMI III)2006 • 173 items. Alpha . self report.80 • Aggression questionnaire (AQ)_ I alian adoption1992 • 4 sub scales like physical and verbal aggression.

describe.observe. • Five Facet Mindfulness Questionnaire • Italian adaptation.Cont.. act with awareness.67 . • Alpah . non judge and non react. • 39 items • Facets.

Data analysis • Pearson correlation • Multiple regression • Hierarchical multiple regression • Simple slope analysis .

.vely correlated with physical aggression. act with awarenes and non judge. Results • No dimension s considered in ASPD since 22 participants were diagnosed with ASPD bpusing MCMI III • ASPD +vely correlated with all aggressive traits • ASPD -vely Correlated with three of the mindfulness facets like describe. • Same three are . hostility and anger.

Discriptive .

Multiple regression findings • Aggressive traits measured using AQ independently explained 33% of variance in ASPD with larger effect size. • v Awareness = ^ ASPD traits . • ^ physical aggression = ^ ASPD Traits • 23% ASPD was Explained by mindfulness facets.

Table .

. 38 % of variance was explained with larger effect size. • As whole model 49% variance is explained with larger effect size. • Comparitivly high then previous studies in ASPD.Hierarchical multiple regression • Both Physical aggression (+evly) and act with awareness (-evly) significantly correlated to ASPD when controlling shared variance between each other.

Table .

Simple slope analysis • ^mindfulness = good (ASPD * Phy aggression) • v mindfulness = poor (ASPD * Phy aggression) .

Slope analysis .

• Mindfulness training would cause significant improvement in aggression as well as ASPD • But client with mindfulness deficit training would not produce sufficient change in aggression in ASPD .Discussion • Mindfulness has a impact on ASPD • Potential moderating effects on relationship between ASPD and Agression • Perivious studies considered Aggressive traits as criterion variable but present study.

Cont. • high mindfulness could show sufficient improvement in reducing aggression in ASPD • Study explained why therapeutics are not efficient in some ASPD clients ..

Limitations from author's side • Self repot • Multimodle data collection might been used • Inflated correlation due to shared methods of variance • Limited sample. can not be generalized to clinical or normal population • Needed longitudinal study for understanding development of ASPD in younger popuation .

Critical analysis • Too much statistics • Self report measures • 22% diagnosed with ASPD • Pictogram presentation would give more comprehensive idea • Logical difects .

Thank you :) .