Klaus, a 32-year-old male, diagnosed with antisocial personality disorder, or psychopathy.Klaus was forced on therapy in prison as a part of his recovery program due to a severe personality disorder. He is serving time for the crimes and murders of many, many innocent souls. His crimes involved hundreds of people, including his family. All his victims suffered and lost their lives after extreme torture. He seemed rather upset and irritated at being forced to attend the sessions, but he tries to cope with it. Although he claims he’s eager to heal and reform himself among normative society, I still can feel the dishonestyin his manipulative stares and vocals. When I ask him how he feels watching his victims suffer and die, he hardly suppresses an urge to smilebut denies it afterwards: his victims are aware of death and it could come in any form, this is the way he would let them leave the world. Then, he begins to attack: aren’t psychiatrists supposed to be unbiased? as he complains I’m a vicious and brutal psychiatrist. He looks at me completely confused when I ask him why he does what he does. “For fulfilling my desire of course” –he mumbles impatiently but then recomposes himself: “God had this planned for them, I was only the doer.” He describes how he chooses his typical victims as “ones with a lot of excitement about life and future in their eyes.” He’s one with no remorse and regret. Before he kills, he asks about their fears, mostly to make them come true. He wishes no less than to see humans live in their own nightmares. That’s the last thing he desires for them to witness. Then, I wondered what he thought about the grief and misery he had put his victims’ families and friends into –”Why do you think I would care about that? It’s not like they matteranyways.”Klaus had a strange love-hate relationship with his mother when he was a child. She was a drug addict who often disciplined and controlled him. In his early teens, he began to take his revenge by hurting her when she was high. This activated anact of aggression towards almost everyone he knew, including his family and beloved ones. Also, his urge of slaughter had increased when he started killing animals as a way to get pleasure. When he was 15, he was reported by the neighbors about breaking into their house and stealing. Before any footage of the stealing scene inside the house was shown, he had denied and lied about it. Later in his late teens he worked as an employee in a company to gain experience. Later in his mid-twenties, he opened hisown company, a recycling company, and years later it became successful. His real identity was hidden behind his occupation.Furthermore, His last visit to his family back in California was approximately about 9 years ago. There wasn’t any communication going throughout the years. He confessed that his mother’s blood was on his hands due to his anger –she wasn’t there when he needed her, “that’s what she gets when she avoids nurturing me when I was incapable of doing it myself.” He then clears his throat nervously. “Hurting her,” he says, “I’ve always had the urge of doing that, as a child.” His only meaningful relationship was with his mother, but it didn’t last long. What about your brother may I ask. He inhales quickly –he’s the one that requested Klausneeded help. They had been mistaken with one another for being identical twins. “My brother had betrayed my trust, he would’ve suffered the consequences if I wasn’t stuck here.” I can clearly see the fierce boost in his eyes.
I can tell all the anger andrage was mostly towards his family. He tends to hurt them –He dreams of hurting the ones that are close to him in his sleep due to the betrayal and pain they’ve cause him. This is my first session with Klaus, I believe he needs more sessions of psychotherapy to manage his anger issues and violence. As he has reckless disregard for the safety of others, and frequently lies to people to fulfill his own pleasure. All he cares about is himself and his needs. He never took responsibility of the lives he had taken. He even had manipulated his love relationships with some of his victims based on lies just to get what wants. According to Maslow, individuals that suffer from antisocial personality disorder have developed a loss of the need for love or had remained satisfied for so long that higher needs begin to present themselves.He would say Klaus had passed the needs of love without feeling any love whatsoever. What would you have done to your brother after thinking he’s betrayed you? I asked, “What I do best.” Torturing is what he does best. Watching his victims suffer is how he gains pleasure. By his dull and mysterious replies, I can tell he’s not willing to contribute in our session. I’d give it time, he’s not used to talking but he’s at least not remainingquiet. I would recommend a projective assessment on Klaus because then it’ll be harder for him to lie and would help me dig deep into his mind and uncover original meanings of things from his perspective. Klaus might respond in an aggressive and violent way towards the Rorschach inkblot. I suppose Klaus would want to manipulate his responses as hard as possible just to get out of therapy but it’s going to be difficult to hide who he really is.Growing up with antisocial personality disorder had developedmany extreme health conditions that at some point triggered the disorder. Depression, anxiety is always associated with antisocial personality disorder. Sometimes, other personality disorders are connected with antisocial personality disorder, such as bipolar personality disorder, post-traumatic stress disorder, attention deficit hyperactivity disorder and borderline personality disorder. Also, the disorder is linked with a wide variety of interpersonal and social disturbance. Sometimes, antisocial personality disorder is connected with the growth in death. Harm caused by individuals with antisocial personality disorder is expanded through society in general. Klaus isn’t connected with drugs or any substance use but has extreme drinking problems. Committed relationships with individuals with antisocial personality disorder is built up with lies. However, they tend to be nice and charming to their partners to hide who they really are. They mostly hurt them emotionally rather than physically. Antisocial personality disorder is one of the extremely serious disorder due to the danger it causes. Individuals with antisocial personality disorder be inclining to have a low edge for boredom which makes them seek higher levels of excitement even if it led to illegal activities. Most antisocial personality disorder individuals had confused right and wrong in their early lives due to lack of prenatal supervision. Those individuals cause pain and grief in everyone they touch. Humans can’t tell a normal human being from apsychopath who tends to kill them and that puts them in extreme danger. Full psychotherapy sessions should occur to help Klaus develop change. He needs both behavioral therapy and cognitive therapy to change his ways of behavior and thinking. Providing medications might be helpful not with curing the disorder, but it might help stabilize mood swings or treat distressing symptoms, such as impulsivity and aggressiveness that are accompanying with the disorder.