The Problem Of Antisocial Personality And Substance Use Disorders ( Glenn )

1005 Words Oct 10th, 2014 5 Pages
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Mrs. Cunningham has been addicted to heroin for at least 20 years. In developing an appropriate plan of treatment for Rosa Lee, the writer utilizes the integrated model of addiction and must consider several factors over the course of her lifespan (Jenkins, n. d.). According to Glenn, Johnson and Raine (2013), substance use is a complicated issue to disentangle. Research suggests that genetic and environmental factors contribute to the possibility of antisocial personality and substance use disorders (Glenn, Johnson & Raine, 2013). Hasin et al. (2011) assert that “cognitive and emotive deficiencies that underlie ASPD, such as poor self-control, ineffective behavioral regulation, and poor decision-making, may facilitate and maintain patterns of drug use” (as cited by Yang, Mamy, Zhou, Liao, Wang, Seewoobuddl, Xiao & Hao, 2014; p.574). Treating a client with co-existing disorders such as ASPD and SUD is very challenging because of the relentless cycle of addiction (Scalise, n. d.). In most instances, treatment requires a combination of psychotherapy and pharmacotherapy for such conditions (Clinton, n. d.).
Several studies suggest that substance users with ASPD have a higher risk for dropping out of treatment and subsequently returning to drug use and criminal behavior (Daughters, Stipleman, Sargeant, Schuster, Bornovalova, and Lejuez (2008) cite Alterman et al., 1998, Cacciola et al., 1996, Carroll et al., 1993, Greenberg et al., 1994, Kokkevi et al., 1998…

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