Antisocial personality disorder

Definition:
A pattern of irresponsible behavior that lacks morals and ethics and brings the person into conflict with society.

Alternative Names:
Psychopathic personality; Sociopathic personality; Personality disorder - antisocial

Causes, incidence, and risk factors:

The cause of this disorder is unknown, but biological or genetic factors may play a role. The incidence of antisocial personality is higher in people who have an antisocial biological parent. Although the diagnosis is limited to those over 18 years of age, there is usually a history of similar behaviors before age 15, such as repetitive lying, truancy, delinquency, and substance abuse. This disorder tends to occur more often in men and in people whose predominant role model had antisocial features.

Symptoms:
  • Lack of concern for society's expectations and laws
  • Unlawful behavior
  • Violates rights of others (property, physical, sexual, legal, emotional)
  • Physical aggression
  • Lack of stability in job, home life
  • Lacks remorse
  • Superficial charm and wit
Signs and tests:
  • History of antisocial behavior starting by age 15 (i.e., history of conduct disorder)
  • Psychological evaluation indicates antisocial personality
Treatment:

Effective treatment of antisocial behavior and personality is limited. Group psychotherapy can be helpful. If the person can develop a sense of trust, individual psychotherapy or cognitive behavioral therapy can also be beneficial.

Expectations (prognosis):
The outcome is likely to be poor.
Complications:
Calling your health care provider:

Call for an appointment with your health care provider or a mental health professional if an adult exhibits symptoms of antisocial personality disorder; or if a child exhibits behaviors that indicate a risk for developing this disorder.

Prevention:

Specific prevention is unknown. Awareness of risk, such as a parent with antisocial personality, can make early detection and intervention possible.


Review Date: 5/18/2001
Reviewed By: Christos Ballas, M.D., Department of Psychiatry, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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