Antisocial Personality Disorder (ASPD): Pathogenesis and Clinical Findings Work & lnterpersonal: • Home Life Troubles - Conflict w. authority/parents, running away from home • School Problems - Peer fighting and poor academic performance • Poor Relationships - Unstable & abusive marriages with increased rate of separation/divorce • Work Problems - Poor performance, unreliable, irresponsible, frequent job changes/firings Glib & Deceptive: • Distorted Persona - Superficially charming and grandiose sense of self-worth • Deceitfulness - Pathological lying and the use of aliases and manipulation for personal gain • Behaviour Rationalization - Victim blaming, minimizing the harmfulness of their behaviour, feel no remorse Risk & Violence: • Unlawful and Violent Behaviour - Cruelty towards animals, other children, stealing, vandalism, fire setting (sometimes directed at own friends/family) • High Risk Behaviour - Impulsive drug use and sexual promiscuity with unsafe sexual practices • Aggression - Commits acts of physical assault ASPD Mnemonic: CORRUPT - Conforming to law and social norms lacking - Obligations ignored - Reckless disregard of safety - Remorselessness - Underhanded, manipulative - Planning insufficient / imPulsive - Temper irritable and aggressive Dx: >3 of above with patterns of behaviour since age 15 and evidence of conduct disorder prior to 15 yrs. Not exclusively within schizophrenia or bipolar disorder #ASPD #Antisocial #PersonalityDisorder #Diagnosis #Psychiatry #Criteria #Signs #Symptoms #Mnemonic #CORRUPT
