Antisocial personality disorder

Karen Derefinko, Thomas A. Widiger

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Citations (Scopus)

Abstract

The present chapter discusses the medical understanding of antisocial personality disorder (APSD), including research concerning its etiology, prevalence, pathology, differential diagnosis, and treatment. ASPD, and the closely related diagnosis of psychopathy, appear to be products of a strong genetic disposition interacting with a variety of environmental contributions. Epidemiological studies indicate that ASPD and psychopathy are much more prevalent in men than in women, a finding that is supported by general personality research. Theories of pathology are numerous, but generally point to several distinct deficits; psychopathy has been associated empirically with abnormal affective processing, neuroanatomical abnormalities, psychophysiological arousal system impairments, deficits in cognitive functioning, and maladaptive personality constellations. While considered diagnostically reliable, ASPD and psychopathy are highly comorbid with substance dependence and narcissistic personality disorder due to similar criteria, making differential diagnosis difficult. Finally, treatment for psychopathy and ASPD remains a very controversial subject; while meta-analytic findings demonstrate positive results, considerable evidence also indicates that these disorders are resistant to typical interventions.

Original languageEnglish (US)
Title of host publicationThe Medical Basis of Psychiatry
Subtitle of host publicationFourth Edition
PublisherSpringer New York
Pages229-245
Number of pages17
ISBN (Electronic)9781493925285
ISBN (Print)9781493925278
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Fingerprint

Antisocial Personality Disorder
Personality
Differential Diagnosis
Pathology
Personality Disorders
Arousal
Research
Substance-Related Disorders
Epidemiologic Studies
4-aminospiroperidol
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Derefinko, K., & Widiger, T. A. (2016). Antisocial personality disorder. In The Medical Basis of Psychiatry: Fourth Edition (pp. 229-245). Springer New York. https://doi.org/10.1007/978-1-4939-2528-5_13

Antisocial personality disorder. / Derefinko, Karen; Widiger, Thomas A.

The Medical Basis of Psychiatry: Fourth Edition. Springer New York, 2016. p. 229-245.

Research output: Chapter in Book/Report/Conference proceedingChapter

Derefinko, K & Widiger, TA 2016, Antisocial personality disorder. in The Medical Basis of Psychiatry: Fourth Edition. Springer New York, pp. 229-245. https://doi.org/10.1007/978-1-4939-2528-5_13
Derefinko K, Widiger TA. Antisocial personality disorder. In The Medical Basis of Psychiatry: Fourth Edition. Springer New York. 2016. p. 229-245 https://doi.org/10.1007/978-1-4939-2528-5_13
Derefinko, Karen ; Widiger, Thomas A. / Antisocial personality disorder. The Medical Basis of Psychiatry: Fourth Edition. Springer New York, 2016. pp. 229-245
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