Antisocial Personality Disorder

William G. Elder, PhD Reviewed 06/2017
 


BASICS

DESCRIPTION

Antisocial personality disorder (APD) is a consistent and pervasive pattern of disregard for, and violation of, the rights of others (1). 
  • Manipulativeness, antagonism, and dishonesty...

DIAGNOSIS

HISTORY

  • Clinic visits for problems without biologic findings

  • Unexplained anger at physician and conflicts with medical staff members

  • History of interpersonal difficulties, affective instability...

TREATMENT

  • Acceptance of treatment will be extremely difficult.

  • Symptomatically, patients with APD will externalize blame for their problems. In addition, their behavioral patterns tend to be egosyntoni...

ONGOING CARE

FOLLOWUP RECOMMENDATIONS

MONITORING

  • Monitor for criminal and manipulative behaviors.

  • Expect adherence issues.

PROGNOSIS

Debate remains as to whether any treatment other than incarceration can ...

REFERENCES

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.
Scott S, Briskman J, O’Connor TG. Ear...

ADDITIONAL READING

  • Elder W. Personality disorders. In: South-Paul J, Matheny S, Lewis E eds. Current Diagnosis & Treatment: Family Medicine. 4th ed. New York, NY: McGraw-Hill; 2015.

  • Livesely WJ. ...

CODES

ICD10

  • F60.2 Antisocial personality disorder

ICD9

301.7 Antisocial personality disorder 

SNOMED

26665006 Antisocial personality disorder 

PEARLS

  • Consider patients to have a blind spot as to their role in the difficulties they cause for themselves and others.

  • APD may be discerned by the impropriety of reactions to situations others find u...

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