The APAs Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR), defines antisocial personality disorder (in Axis II Cluster B):[7] A) There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three or more of the following: failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest; deception, as indicated by repeatedly lying, use of aliases, or conning others for personal profit or pleasure; impulsivity or failure to plan ahead; irritability and aggressiveness, as indicated by repeated physical fights or assaults; reckless disregard for safety of self or others; consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations; lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another; B) The individual is at least age 18 years. C) There is evidence of conduct disorder with onset before age 15 years. D) The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or a manic episode. ASPD falls under the dramatic/erratic cluster of personality disorders.[8] In the DSM-5, the diagnosis antisocial personality disorder is kept, but it is no longer on another axis as the other mental disorders.[9] ICD-10[edit] The WHOs International Statistical Classification of Diseases and Related Health Problems, tenth edition (ICD-10), has a diagnosis called dissocial personality disorder (F60.2):[10][11] It is characterized by at least 3 of the following: Callous unconcern for the feelings of others; Gross and persistent attitude of irresponsibility and disregard for social norms, rules, and obligations; Incapacity to maintain enduring relationships, though having no difficulty in establishing them; Very low tolerance to frustration and a low threshold for discharge of aggression, including violence; Incapacity to experience guilt or to profit from experience, particularly punishment; Marked readiness to blame others or to offer plausible rationalizations for the behavior that has brought the person into conflict with society. The ICD states that this diagnosis includes amoral, antisocial, asocial, psychopathic, and sociopathic personality. Although the disorder is not synonymous with conduct disorder, presence of conduct disorder during childhood or adolescence may further support the diagnosis of dissocial personality disorder. There may also be persistent irritability as an associated feature.[11][12] It is a requirement of the ICD-10 that a diagnosis of any specific personality disorder also satisfies a set of general personality disorder criteria.[11]
Posted on: Wed, 03 Sep 2014 08:01:16 +0000
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