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The influence of legal offences on the diagnosis of antisocial personality disorder (ASPD) is a common discussion. A population of imprisoned delinquents diagnosed with ASPD was compared to delinquents without ASPD concerning sociodemographic, criminological and clinical characteristics to determine if ASPD can differentiate delinquents apart from committing legal offences. PATIENTS AND
A total of 36 violent offenders with diagnosed ASPD and 29 violent offenders without ASPD were recruited in the prison of Straubing (Germany); 28 control subjects without previous convictions were recruited in the German population. All subjects were examined with the SKID-I and SKID-II, GAF, BIS-11, EPI and K-FAF.
Violent offenders with ASPD differ from violent offenders without ASPD concerning the following parameters: high values of impulsivity, aggression, irritability, neuroticism and extraversion; low levels of psychosocial functioning, cumulative "broken home" indicators and antisocial behaviour before the age of 11 ("early starters").
Some features are suitable for the discrimination between offenders with or without ADPD, but our results indicate that samples are better distinguished by a dimensional approach, oriented toward their degree of characteristics.
Forensisch Psychiatrischer Dienst, Psychiatrische Universitätsklinik Zürich, Lenggstr. 31, 8032, Zürich, Schweiz.
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Name: Der Nervenarzt
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A personality disorder whose essential feature is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood. The individual must be at least age 18 and must have a history of some symptoms of CONDUCT DISORDER before age 15. (From DSM-IV, 1994)
A dissociative disorder in which the individual adopts two or more distinct personalities. Each personality is a fully integrated and complex unit with memories, behavior patterns and social friendships. Transition from one personality to another is sudden.
A personality disorder characterized by the avoidance of accepting deserved blame and an unwarranted view of others as malevolent. The latter is expressed as suspiciousness, hypersensitivity, and mistrust.
A personality disorder characterized by a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts. (From DSM-IV, 1994)
A personality disorder manifested by a profound defect in the ability to form social relationships, no desire for social involvement, and an indifference to praise or criticism.