School of Behavioral Sciences


Doctor of Education in Community Care and Counseling (EdD)


Daniel Martson


Antisocial personality disorder, substance use disorder




Antisocial personality disorder is characterized by failure to conform to social norms, deceitfulness, impulsivity, irritability, and aggression. Individuals diagnosed with antisocial personality disorder demonstrate a constellation of problematic and dangerous behavioral traits including, a reckless disregard for the safety of self and others, thrill seeking, and a lack of remorse and guilt. Comorbid antisocial personality disorder and substance use disorder is highly prevalent and a significant source of financial and emotional burden due to the strong correlation between severe and violent crimes. The purpose of this qualitative single subject design study is to describe treatment efficacy for comorbid antisocial personality disorder and substance use disorder for George (pseudonym) at Central Kentucky Community Action Counsel (pseudonym). The theory guiding this study is cognitive behavioral therapy developed by Aaron Beck integrated with chromis violence reduction program developed by the National Offender Management Service. Data was collected using the Novaco Anger Scale (NAS) and the Test of Self-Conscious Affect (TOSCA-3). The finding of this study indicate that CBT integrated with CVRP can be an effective therapeutic intervention to reduce anger and aggression while increasing shame and guilt. The skills and techniques used in the study were able to help the participant change his thought process and behavioral patterns to a more adaptive and functional pattern of interacting with self and others. Keywords: Cognitive Behavioral Therapy, Chromis Violence Reduction Program

Included in

Counseling Commons