After reading Milo Tark’s case study, a complicated picture of his life emerges, showing
a pattern of chronic behavioral disorders affecting his personal and social functioning.
Because Milo has several symptoms of Antisocial Personality illness (ASPD), I first
diagnosed him. His early violent behavior, including provoking fights and extortion,
resembles conduct disorder characteristics commonly accompanying ASPD (Morrison,
2014). The rise of his criminal actions, from stealing to breaking to grand theft auto,
shows a disrespect for others’ rights and a willingness to commit crimes. His at least 15
occupations, none of which lasted more than six months, indicating irresponsibility and
an inability to keep steady employment.
Milo’s legal troubles, Army discharge for poor behavior, and manipulation of others
(such as getting the 16-year-old girl pregnant) show his lack of guilt and humanity.
ASPD diagnosis criteria match these qualities. His involvement in the ATM fraud
scheme without considering the implications or emotional toll on his mother shows
impulsivity and an inability to comply with social standards. The “Evaluation of Milo
Tark” in the book reveals various subtleties that my original diagnostic impression may
have overlooked (Morrison, 2014). Milo’s lack of manic or psychotic symptoms indicates
his non-affiliation with mood disorders. Due to the differential diagnosis of adult
antisocial behavior, Milo’s criminal activity may be portrayed as a career criminal rather
than ASPD.
The book also emphasizes eliminating substance use problems since Milo’s conduct
may be impacted by drugs. Milo says he used cocaine and amphetamines briefly and
that most of his negative behavior was unconnected to drug usage (Morrison, 2014).
This begs the issue of whether his drug usage affected his actions or was neutral. The
case study also discusses intellectual disabilities and impulse control difficulties, yet
Milo’s intellectual capability seems intact despite his poor school performance.
In conclusion, Milo Tark has antisocial personality disorder, as the text suggests. The
investigation of Milo’s behavior, emotions, and relationships matches the ASPD
diagnosis criteria. The work emphasizes the difficulty of diagnosis and the significance
of examining alternative diagnoses such as adult antisocial conduct, drug use disorders,
intellectual impairments, and impulse control problems. The example of Milo Tark shows
that mental health diagnosis is complex and requires a thorough assessment to grasp a
patient’s situation fully.
Reference
Morrison, J. R. (2014). DSM-5 made easy : the clinician’s guide to diagnosis. The
Guilford Press.
http://ebookcentral.proquest.com/lib/capella/detail.action?docID=1682559
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