So wunim Antisocial Personality Disorder (ASPD) ho asɛm? Momma yɛnkasa!

So woahu anaa woate nnipa a wosisi afoforo, wodi afoforo so mfaso, wobu wɔn ani gu mmara so, na wonnu wɔn ho wɔ wɔn nneyɛe ho pɛn? Ebia adwene mu tebea bi wɔ saa nneɛma yi akyi. Ɛno ne tebea a yɛrebɛka ho asɛm nnɛ , Antisocial Personality Disorder (ASPD) . Ɛwom sɛ eyi yɛ asɛmti a emu yɛ den de, nanso momma yɛnka ho asɛm tiawa na yɛmfa nidi nka ho, efisɛ ɛho hia yiye sɛ yɛma yɛn ani da hɔ.

Dɛn ne nipasu mu ɔhaw a ɛne asetram nsɛm nhyia (ASPD)?

Sɛ yɛbɛka no tiawa a, ASPD yɛ adwenemyare a ɛka sɛnea obi susuw nneɛma ho na ɔne afoforo di nkitaho. Obi a ɔwɔ saa tebea yi betumi:

• Wɔdaadaa afoforo anaa wodi atoro kyerɛ wɔn.
• Wɔde afoforo di dwuma anaasɛ wɔde di dwuma de nya wɔn ankasa mfaso .
• Wɔnkyerɛ obu mma mmara anaa hokwan ahorow a nnipa afoforo wɔ.
• Wɔnte ahonu anaa afobu biara nka wɔ nea wɔyɛ no ho.

Wɔtaa hu nnipa a wɔwɔ ASPD sɛ wonni obu, wobu mmara so, wɔn ani nnye nea ebefi wɔn nneyɛe mu aba ho, na wɔmpɛ sɛ wogye asɛyɛde no to wɔn ho so. Eyi betumi ayɛ tebea a asiane wom, efisɛ ɛda adi sɛ saa nkurɔfo yi bɛpira wɔn ho ne afoforo, honam ne nkate fam nyinaa.

ASPD yɛ nipasu mu ɔhaw pii no mu biako pɛ . Nipasu mu haw yɛ tebea horow a ɛka sɛnea wususuw nneɛma ho na wobɔ wo bra.

Saa tebea yi abu so dɛn?

Wobu akontaa sɛ mpanyimfo a wɔwɔ United States no mu 1% kosi 4% na wɔwɔ saa tebea yi (ASPD). Wohu tebea horow a ɛte saa ara wɔ Sri Lanka nso, nanso ɛyɛ den sɛ wobenya akontaabu pɔtee bi.

Dɛn ne obi a ɔwɔ `(ASPD)` ho sɛnkyerɛnne?

Obi a ɔwɔ `(ASPD)` betumi ada nsɛnkyerɛnne a edidi so yi adi:

• Afoforo a wɔtow hyɛ wɔn so wɔ honam fam, ɔtan a wɔyɛ, basabasayɛ a wɔyɛ . Fa no sɛ, mpofirim ara wo bo fuw na wofi ase ntɔkwaw wɔ biribiara ho.
• Wɔyɛ wɔn ade a wonsusuw biribiara ho, na wosi gyinae ahopere , te sɛ nea wonnwen daakye ho.
• Wobu mmara so, asetra mu gyinapɛn ahorow mfa wɔn ho . Wɔsɔ wɔn hwɛ sɛ wɔbɛyɛ ade wɔ mmara no akyi fi wɔn mmofraase.
• Wɔn bo fuw na wosusuw sɛ wɔwɔ tumi na wɔkorɔn sen afoforo .
• Wɔde wɔn anifere, kasa, ne adɛfɛdɛfɛsɛm na ɛdaadaa afoforo , na wodi atoro de hwehwɛ wɔn ankasa mfaso anaa wɔn anigye.
• Wɔmfa wɔn ankasa nneyɛe ho asodi nto wɔn ho so. Wɔde asodi no to afoforo so bere nyinaa.
• Wɔnkyerɛ ahonu, awerɛhow, anaa wɔn nneyɛe ho asɛm biara . Wɔyɛ wɔn ade te sɛ nea biribiara nsii.

Saa sɛnkyerɛnne ahorow yi mma obiara wɔ ɔkwan koro so. Ebia nnipa binom betumi anya yare no ho sɛnkyerɛnne ahorow bi kɛse.

Ɛhia:Sɛ wo anaa obi a wunim no resusuw sɛ obepira wɔn ho anaa afoforo a, yɛsrɛ wo hwehwɛ mmoa. Hwɛ oduruyɛfo. Wɔ Sri Lanka no, wobɛtumi anya mmoa afiri ahyehyɛdeɛ te sɛ Sumithrayo (0112692909) hɔ. Sɛ biribi si ntɛm a, frɛ 1990 ambulance adwuma no.

Mfe bɛn mu na tebea `(ASPD)` no nya?

Mpɛn pii no, ASPD fi ase ansa na wadi mfe 15. Wodi kan hu sɛ ɛyɛ Abrabɔ Ho Nsɛnnennen . Mmofra a wɔwɔ Conduct Disorder yɛ wɔn ade basabasa na wɔyɛ asoɔden wɔ akwan horow a ebetumi apira afoforo so. Ebia wobedi atoro, awia ade, abu mmara so, na wɔasisi mmofra afoforo.

Fa no sɛ, bere a na wo ba no yɛ abofra, anaa abofra bi a wunim no, so woahu no pɛn sɛ ɔsisi mmofra afoforo bere nyinaa, odi atoro, owia ade, anaa ɔyɛ n’ade wɔ ɔkwan bi so a obu n’ani gu mmara biara so? Ɛtɔ da bi a, saa nneyɛeɛ yi yɛ ``Abrabɔ mu Nsɛnnennen.`` Titiriw no, ogya a ɛtɔ wɔ mmofraase ne mmoa a wɔyɛ wɔn ayayadeɛ yɛ nneɛma mmienu a ɛyɛ hu a ɛdi saa ``ASPD`` tebea yi anim.

Ɛtɔ da bi a awofoɔ ne nnuruyɛfoɔ bɛtumi ayera ``Abrabɔ mu Nsɛnnennen`` ho nsɛnkyerɛnneɛ ɛfiri sɛ wɔbɛtumi de saa nsɛnkyerɛnneɛ yi afrafra tebea foforɔ. Nhwɛsoɔ:

• Adwene a wɔde si biribi so/adeyɛ a ɛtra so (ADHD) .
• Hahaahayɔ
• Ɔsɔretia a wɔsɔre tia (ODD) .

Sɛ wohu ``Abrabɔ mu Nsɛnnennen`` ntɛm na wofi ase sa yare wɔ mmofraase a, ebia saa nneyɛe yi renkɔ so nkɔsi mpanyin afe so. Nanso, sɛ saa nneyɛe yi kɔ so a, wohu sɛ ɛyɛ ``(ASPD)`` wɔ mfe 18 akyi .

Nhwehwɛmu ahorow kyerɛ sɛ ASPD ho sɛnkyerɛnne ahorow no yɛ nea enye koraa wɔ mfe 20 kosi 40 ntam, na ɛtaa so tew kakra wɔ mfe 40 akyi .

Dɛn ne nneɛma a ɛde tebea `(ASPD)` ba?

Nnuruyɛfo nnim nea ɛde ASPD ba ankasa, nanso nhwehwɛmu kyerɛ sɛ ebetumi afi nneɛma ahorow mu aba, efi w’awosu mu nneɛma so kosi sɛnea wɔtetee wo ne osuahu ahorow so.

Ade titiriw biako ne amemene mu abɔde a nkwa wom ho adesua . Ebetumi aba sɛ serotonin dodow a ɛwɔ w’amemene mu no nyɛ nea ɛfata. Serotonin yɛ nnuru a ɛhwɛ wo nkate ne wo nkate te sɛ anigye so. Saa nsakrae yi a ɛba serotonin dodow mu no betumi ama ASPD nneyɛe aba.

So `(ASPD)` yɛ biribi a efi awosu mu nkwaadɔm mu?

Yiw, w’awosu mu nneɛma a wowɔ.Eyi betumi ama asiane a ɛwɔ hɔ sɛ wubenya ASPD no ayɛ kɛse. Nhwehwɛmu rekɔ so, nanso wonnya nhuu awosu mu nkwaadɔm pɔtee a ɛde tebea yi ba. Nhwehwɛmu ahorow ada no adi sɛ sɛ wo busuani bi a ɔwɔ mogya mu wɔ ASPD a, asiane kɛse wom sɛ wubenya tebea no.

Dɛn ne asiane ahorow a ɛwɔ `(ASPD)` mu?

ASPD betumi aka obiara. Nanso ebia wobɛkɔ asiane kɛse mu sɛ wubenya tebea no esiane nneɛma a edidi so yi nti:

• Sɛ́ wobehu sɛ ɔwɔ Conduct Disorder ansa na wadi mfe 15.
• Woyɛ ɔbarima (saa tebea yi abu so wɔ mmarima mu).
• Ahodwiriw anaa ayayade a wɔyɛ no wɔ mmofraase .
• Nnubɔne a wɔde di dwuma ho haw (SUD) a obi wɔ anaasɛ abusua muni bi a ɔwɔ yare no.
• Sɛ wowɔ abakɔsɛm a ɛfa adwenemyare ho wɔ w'abusuafo a wɔwɔ mogya mu .
• Nhomasua a ɛba fam sɛ wɔde toto afoforo ho a.
• Afiase a obi bɛda no .

Dɛn ne nsɛnnennen a ebetumi afi ASPD mu aba?

ASPD yɛ tebea a ɛyɛ hu, ɛtɔ mmere bi a ɛde ne nkwa to asiane mu ma onipa a ɔyare no ne wɔn a wɔatwa ne ho ahyia no. Ebetumi de nsɛnnennen te sɛ:

• Ayayade anaa atirimɔdensɛm.
• Adwene a wɔnyɛ, anibiannaso.
• Nnipa a wokum wɔn ho .
• Nnubɔne a Wɔde Di Dwuma Ho Ɔhaw .
• Nsa a Wɔde Di Dwuma Ho Ɔhaw .
• Wɔkyeree no na wɔde no to afiase.
• Akwahosan ho nsɛnnennen afoforo.
• Adwene mu akwahosan tebea afoforo (e.g., adwenemhaw , dadwen) .
• Ankorankoro, asetra, adwuma, anaa nhomasua mu asɛyɛde ahorow a wontumi nni ho dwuma.

Ɔkwan bɛn so na wobehu `(ASPD)`?

Adwene ne nneyɛe ho ɔbenfo te sɛ adwenemyare ho oduruyɛfo anaa adwene ne nneyɛe ho ɔbenfo , hu ASPD. Wɔyɛ adwene mu nhwehwɛmu . Nea ɛka eyi ho ne sɛ wɔbɛhwehwɛ obi nsusuwii ne ne nneyɛe mu ahwɛ sɛ ɔwɔ ASPD ho sɛnkyerɛnne anaa. Nnuruyɛfo de Diagnostic and Statistical Manual of Mental Illnesses, 5th edition, Text Revision (DSM-5-TR) di dwuma sɛ akwankyerɛ.

Nnipa dodow no ara a wɔwɔ ASPD no ankasa nhwehwɛ sɛ wobehu sɛ wɔwɔ bi. Mpɛn pii no, wɔhwehwɛ adwenemyare ho nhwehwɛmu bere a asɛnnibea ahyɛde ama akyi nkutoo.

So sɔhwɛ titiriw bi wɔ hɔ ma `(ASPD)`?

Dabi, nhwehwɛmu biara nni hɔ a wɔde hwehwɛ wɔn ho mu, mogya mu nhwehwɛmu, anaa scan a ebetumi ahu ASPD. Ɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu sɛ wodwen wo yare no ho sɛnkyerɛnne anaa wo nneyɛe biara ho a. Ebia wubedi kan akɔ oduruyɛfo a ɔhwɛ ayarefo titiriw (PCP) nkyɛn. Ɔbɛfa w’ayaresa ho abakɔsɛm, ayɛ wo nipadua mu nhwehwɛmu, na wahwɛ wo sɛnkyerɛnne ahorow. Afei wobetumi de wo akɔ adwenemyare ho oduruyɛfo anaa adwene ne nneyɛe ho ɔbenfo nkyɛn ma wɔahu sɛ wowɔ ASPD.

Tebea afoforo a wobetumi de `(ASPD)` (Differential Diagnosis) ayɛ basaa .

Akwahosan tebea horow bi betumi anya sɛnkyerɛnne ahorow a ɛte sɛ ASPD de no, enti wo duruyɛfo no besusuw nea edidi so yi ho ansa na aban ahu sɛ ɔwɔ bi:

• Borderline Personality Disorder (BPD) : Adwene a entumi nnyina ne nneyɛe a wɔde di dwuma ɔkwammɔne so.
• Narcissistic Personality Disorder (NPD) : Bu a obi wɔ ma ne ho kɛse dodo.
• Substance Use Disorder : Nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so.

Ɔkwan bɛn so na wɔsa ASPD?

Ebia nnuruyɛfo bɛkamfo ayaresa ahorow a edidi so yi akyerɛ ama ASPD:

• Nnuru: Nnuru betumi aboa ma wɔadi sɛnkyerɛnne te sɛ basabasayɛ ne adwene a ɛsakra so.
• Adwene mu Ayaresa: Nkate mu Suban Ho Ayaresa (CBT) yɛ afotu bi a ɛtwe adwene si wo nsusuwii ne wo nneyɛe a wobɛsakra so. Saa ayaresa yi boa wo ma wote sɛnea wo nneyɛe ka afoforo no ase. Ebia wubenya mfaso afi ankorankoro ayaresa, kuw ayaresa, anaa abusua ayaresa mu.

Ebia oduruyɛfo no nso bɛkamfo nnuru ne adwene mu ayaresa a wɔaka abom akyerɛ. Afei nso, sɛ akwahosan ho tebea afoforo a ɛhyɛ ase te sɛ nnuru a wɔde di dwuma ɔkwammɔne so wɔ hɔ a, wɔbɛsa wɔn nso.

Sɛ yɛbɛka nokware a, ASPD a wɔbɛsa no betumi ayɛ den kakra. Efisɛ ebia onipa a ɔwɔ tebea no rentumi nnye ntom sɛ wɔn nneyɛe ne wɔn nsusuwii pira. Ɛyɛ ade a ɛfata sɛ wo bo fuw na wosɔre tia bere a obi ba bɛboa no. Nanso ade a ɛho hia sɛ wote ase ne sɛ, sɛ woasiesie wo ho sɛ wubegye atom a, wowɔ ayaresa. Ɛnyɛ mmerɛw, nanso sɛ wosa yare a, wubetumi abɔ wo ho ne wɔn a wɔatwa wo ho ahyia no ho ban.

Nnuru bɛn na wɔde ma `(ASPD)`?

Aduru pɔtee biara nni hɔ a wɔapene so ama ASPD. Nanso, nnuru betumi aboa ma wɔadi basabasayɛ, adwenemhaw, anaa adwene a ɛsakra so. Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ:

• Nnuru a ekum adwenemhaw: Eyinom tumi di serotonin dodow a ɛwɔ amemene no mu no so. Nhwɛso ahorow: Sertraline, Fluoxetine .
• Nnuru a ekum adwene mu yare: Ebetumi adi basabasayɛ nneyɛe anaa basabasayɛ so. Nhwɛso ahorow: Risperidone, Quetiapine .
• Nneɛma a Ɛma Adwene Gyina Adwene Mu:Ɛboa ma wodi nsakrae a emu yɛ den a ɛba wɔ adwene anaa nneyɛe mu so. Nhwɛso ahorow: `(Lithium)`, `(Carbamazepine)` .

Dɛn ne anidasoɔ a ɛwɔ hɔ ma `(ASPD)`?

ASPD yɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu . Mpɛn pii no, yare no ho sɛnkyerɛnne no yɛ nea enye koraa bɛyɛ mfe 20, na ɛtɔ mmere bi a ɛkɔ so yiye kakra bere a obi adi mfe 40. Nhwehwɛmu rekɔ so de ate nea enti a sɛnkyerɛnne ahorow no sesa bere a obi nyin no ase.

Sɛ wonya ayaresa a, w’adwene betumi atu mpɔn. Nanso nea ɛbɛyɛ na woakwati nsɛnnennen no, ɛsɛ sɛ wotoa ayaresa no so wo nkwa nna nyinaa. Ɛho hia sɛ yɛte ase sɛ ASPD a wɔbɛsa no nyɛ mmerɛw. Egye ahoɔden ne mmɔdenbɔ pii na ama obi ankasa ayɛ nsakrae. Sɛ wugyae ayaresa a, wo sɛnkyerɛnne ahorow no betumi asɛe kɛse , na ɛbɛma asiane a ɛwɔ hɔ sɛ wobɛpira wo ho ne wɔn a wɔatwa wo ho ahyia no ayɛ kɛse.

So wobetumi asa ASPD koraa?

Dabi, aduru biara nni hɔ a wɔde sa ASPD. Nanso, wobetumi de nkwa nna nyinaa ayaresa adi tebea no ho dwuma. Ayaresa a ɛfata betumi aboa wo ma woasesa wo suban na woatew ɔhaw a wode ba wɔn a wɔatwa wo ho ahyia no so. Abusuabɔ pa a wɔbɛkɔ so akura mu ne mpɔtam a wɔboa no yɛ nneɛma atitiriw abien a ɛbɛma wɔadi ASPD ho dwuma bere tenten.

So wobetumi asiw ASPD ano?

Ɔkwan biara nni hɔ a wɔbɛfa so asiw ASPD ano. Nanso, sɛ wohu tebea no na wɔsa no wɔ mmofraase a, asiane a ɛwɔ hɔ sɛ wobenya ASPD wɔ mpanyin afe so no so betumi atew.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne yi bi a, hwehwɛ aduruyɛfo afotu ntɛm ara :

• Adwene mu nsakrae a emu yɛ den .
• Nsusuwii anaa nneyɛe a ɛfa obi a obepira ne ho .
• Adwene a ɛne sɛ obekum ne ho .
• Basabasayɛ nneyɛe .

Wɔ Sri Lanka no, sɛ wopɛ adwenemyareɛ ho mmoa a egye ntɛmpɛ a, wobɛtumi afrɛ Ɔman Adwene mu Akwahosan Mmoa 1926. Afei nso, Sumitrayo (0112692909 / 0112682535) de kokoam mmoa ma. Sɛ biribi si ntɛm a, frɛ ambulance adwumayɛbea 1990 anaa polisifo nɔma 119 a wɔhwɛ ntɛmpɛ so.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• Ayaresa bɛn na wokamfo kyerɛ?
• So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?
• So ɛsɛ sɛ metoa ayaresa so ɛmfa ho sɛ me ho tɔ me?
• Adwene mu ayaresa bɛn na wokamfo kyerɛ?
• Bere tenten ahe na ɛsɛ sɛ mekɔ adwenemyare ho ayaresa?

Awiei koraa no, kae...

Nnipa pii susuw sɛ ASPD yɛ nipasu mu yare a ɛma wɔn ani nnye nnipa afoforo ho na wɔpɛ sɛ wɔn nkutoo bɛtra. Nanso ASPD yɛ adwenemyare a emu yɛ den ankasa.. Ebia nnipa a wɔwɔ saa tebea yi yɛ wɔn ade a wonsusuw nea ebefi wɔn nneyɛe mu aba anaa sɛnea ɛka afoforo ho. Mpɛn pii no, esiane nneyɛe a mmara mma ho kwan nti, asennibea na ɛhyɛ sɛ wonhu yare no na wɔnsa yare. Eyi betumi agye nkwa.

Nea ɛho hia paa ne sɛ wobɛte ase sɛ ayaresa nyɛ asotwe. Ɛdenam wɔn a wɔatwa wo ho ahyia no hwɛ ne mmoa so no, ayaresa ahorow bi wɔ hɔ a ebetumi aboa wo ma wo ho atɔ wo. Enti nsuro sɛ wobɛsrɛ mmoa.

` Antisocial personality disorder, ASPD, adwenemyareɛ, suban mu haw, nipasu mu haw, suban mu haw, ayaresa