Page numbers printed in boldface type refer to tables or figures.
Access, to treatment,397–398
Accidental injuries,72–73, 90.
See also Traumatic brain injury
Acquired sociopathy,174
Adams v. Texas (1980),410–411
ADHDcomorbidity with ASPD,59–
60, 62–63,
68, 414–415
comorbidity with conduct disorder,425, 431, 434
conduct disorder and symptoms of,428, 429
in incarcerated individuals,414–415
maternal smoking during pregnancy and,162
Adolescent(s).
See also Age; Children
adolescent-onset type of conduct disorder,84
conduct problems and callous-unemotional traits in,331, 332, 336
as parents,155
Adoption, and antisocial behavior in children,155–156, 332
Adoption studies, on genetics of ASPD,114–116,
117, 118–119, 124, 126
Adrenocorticotropic hormone (ACTH),217
Adult(s), and research on psychopathy,325–327.
See also Age
Adulthood antisocial behavioral syndrome (AABS),46–47,
413Adverse childhood experiences (ACEs), and sex offenders,466, 467–468,
469“Affectionless psychopathy,”5
Affective perspective taking,275
African Americans.
See also Race
molecular genetics of ASPD and,142
prevalence estimates for ASPD in,41racial disparities in criminal justice system and,40
Age.
See also Adolescents; Adult(s); Age at onset; Children
assessment of ASPD and estimates of prevalence,37–38
at remission of ASPD,37, 105
required for diagnosis of ASPD,85
sex offenders and,471
Age at onsetconduct disorder and,46–47
prevalence estimates for ASPD and,36
of psychopathic traits,328–330
subtypes of childhood conduct problems and,482
Aggression.
See also Early-onset antisocial and aggressive behavior; Proactive aggression; Reactive aggression; Violent behavior
as clinical symptom of ASPD,87
as clinical symptom of conduct disorder,84
gender differences in prevalence of ASPD and,36
genetics of dopaminergic system and childhood-onset,140
head injuries and changes in,73
PET studies of,302–304
pharmacotherapy for,376–377, 380, 384–385, 386
psychopathy and,318
as risk factor for physical injuries and motor vehicle accidents,72–73
social and executive functioning model of,172–173
testosterone levels and,170, 220
threat responsiveness and,276–277
Aggression Questionnaire,387
Aichhorn, August,17, 20,
21Alaska Natives, prevalence of ASPD in,42
Alcohol, prenatal exposure to as risk factor for antisocial behavior,164
Alcohol use disorder (AUD), and alcoholismcomorbidity with ASPD,61, 138
hippocampus volume and,255
pharmacotherapy for,381–382, 385
serotonergic genes and,141
SPECT studies of ASPD and,293
Alcohol Use Disorder and Associated Disabilities Interview Schedule, DSM-5 Version,92
Alexander, Franz Gabriel,17,
21, 22–23
Alias, and deceit as clinical symptom of ASPD,87
Alienists, and history of psychiatry,16
Alpha-amylase,227
Alpha-beta oscillations, and electroencephalography,187
“Alternative model,” for personality disorders in DSM-5,9–10
Alternative probes, PET studies with,301–302
American Academy of Child and Adolescent Psychiatry,432
American Handbook of Psychiatry (Cleckley 1959),22
American Journal of Psychiatry,18
Amitriptyline,378, 381
Amygdalafunctional MRI studies and,274, 275–276
molecular genetics and,142, 145
psychopathy and neural dysfunction,321–322, 324, 331
structural MRI studies and,254
Angercountertransference and,402differential diagnosis of ASPD and,67–68
functional MRI studies and,271
Anterior cingulate cortex (ACC),253–254, 296, 298
Anticipatory fear,167, 276
Anticonvulsants,382–383, 384, 386
Antidepressants,376–377,
378, 380–382.
See also Selective serotonin reuptake inhibitors
Antipsychotics,379, 386–388, 434–435
Antisocial behavior (ASB), use of term,161–162.
See also Early-onset antisocial and aggressive behavior
Antisocial personality disorder (ASPD).
See also Assessment; Biomarkers; Case examples; Comorbidity; Course; Criminal justice system; Diagnosis; Epidemiology; Genetics; Neuroimaging; Neurophysiology; Outcome; Prevention; Risk factors; Sex differences; Treatment
basic characteristics of,3
care seeking and,89
clinical symptoms of,85–89, 450,
451, 452
definitions of,xv, 29, 151
developmental trajectory of,480–481
dimensional approaches to,8–10
DSM system and,xvi, 3–7,
7–
9, 15, 23, 85, 151
etiology of and development of concept,xvi
funding for research on,xiii
gender and antecedents of,444–445
history of concept,xvi, 16–23
ICD system and,7, 10–12, 23, 444
as lifelong disorder,99
measurement of,116
molecular genetic study of,447–448
natural history of,107–109
psychopathy as distinct from,186, 269, 315
social deviance and concept of, xiii societal burden and cost of,xiii, 375, 443
“untreatability” myth,xvi, 349, 350–351, 354, 365, 398
Antisocial reaction, and history of concept of ASPD,4, 23
Antisociality, and concept of psychopathy in ICD-11,12
Anxiety disorders, and comorbidity.
See also Generalized anxiety disorder; Social anxiety disorder
ASPD and,65, 415
conduct disorder and,445
psychopathy and,334–335
Aripiprazole,434, 435
Arrests, of persons with ASPD,408–409
Asian Americans, prevalence of ASPD in,40,
41, 42
Assertive community treatment (ACT),358Assessment.
See also Diagnosis; Differential diagnosis
age at and estimates of ASPD prevalence,37–38
of conduct disorder,430–431
family history and,90
malingering and evidence-based tools for,66
medical history and,90
mental status examination and,92–93
patient history and,89–90, 91
physical examination and,93
structured instruments for,91–92
of women with antisocial traits,448–450
Assortative mating, and antisocial behavior,88, 113–114, 130.
See also Marriage
Assumption of psychological maturity, and countertransference,402
Attentional dysfunction, in children with conduct problems,334
Attention-deficit hypothesis, for ASPD,173–174
Australia, and studies of ASPD,35, 484
Autism Diagnostic Observation Schedule,272
Autonomic nervous system, and biomarkers for ASPD,220–224
Aversive conditioning,276
Baclofen,380, 389
Bail, and criminal justice system,410
Barratt Impulsiveness Scale (BIS-II),92, 186
Beck Depression Inventory,92
Behavior.
See Aggression; Antisocial behavior; Criminal behavior; Early-onset antisocial and aggressive behavior; Impulsivity; Sexual behaviors; Treatment-interfering behaviors; Violent behavior
Behavior Intervention Plan,433
Behavioral genetic studies, of antisocial traits in women,446–447
Belgium, and studies of conduct disorder,484
Beliefs, and functional MRI studies,272,
273Benzodiazepines,388–389
Beta-blockers,388
Big Brothers Big Sisters of America,433
Biological risk factors.
See also Risk factors
hormonal influences and,169–171
neurological insults and,171–176
pregnancy and childbirth complications,164–165
prenatal substance exposure,162–164
psychophysiological factors and,166–169
use of term antisocial behavior in studies of,161–162
Biomarkers, for ASPDautonomic nervous system and,220–224
endocrine system and,216–220
interactions between,224–228
Bipolar disorder (BD)comorbidity with ASPD,59–
60, 64,
68differential diagnosis of ASPD and,85, 93
differential diagnosis of conduct disorder and,431
Black, D.W.,102, 104, 106, 153, 414
Boarding schools, and historical trauma of Native Americans,42, 43
“Boot camps,” for conduct disorder,434
Borderline personality disorder (BPD)antipsychotics for,387
comorbidity with ASPD,35,
59–
60, 67,
68, 69, 122, 414
differential diagnosis of ASPD and,93
FDG-PET studies of ASPD and,295, 296–297
incarcerated individuals and,414
male-to-female ratios in diagnosis of,37
PET studies of ASPD and,299
sex offenders and,463
SPECT studies of ASPD and,293
“Born criminal,” Kraepelin on symptoms of,19
Bowlby, John,154
Brain, structural abnormalities in persons with psychopathy,257–258, 318–321, 331.
See also Neuroimaging; Neurophysiology; Traumatic brain injury
Brief motivational intervention,360Bromocriptine,381–382
Brothers in Crime (Shaw 1938),108
Bullying, and conduct disorder,84
Bureau of Justice,39
Buspirone,226
Buss-Durkee Hostility Inventory,92
Buss Perry Aggression Questionnaire (BPAQ),302, 303–304
Callous-unemotional traits, and conduct disorder,317, 327–328, 330–331, 332, 445–446, 483–484, 487–490
Cambridge Study in Delinquent Development,113
Canadaage at onset of ASPD in,36, 37
prevalence of ASPD in prisons,35
Rockwood program for sex offenders,469–470
studies of psychopathy in,313, 318, 415
study of working alliance in psychosocial treatment,364
Capital punishment, and criminal justice system,410–411
Carbamazepine,379, 385, 386, 434
Care seeking, by patients with ASPD,89
Case examplesof ASPD with low levels of psychopathic traits,315–317
of clinical symptoms of ASPD,88–89
of conduct disorder and family issues,427–428
of differential diagnosis of ASPD,70–71
of neurological injury and antisocial behavior,175–176
of outcome of ASPD,102–103
of pharmacotherapy for ASPD,389–390
of psychopathy,314–315
of treatment for conduct problems in children,490–492
of treatment of ASPD in inpatient unit,399
of women with ASPD,452
Catechol O-methyltransferase gene (COMT),139–140, 448
Categorical Denier Sexual Offender Treatment Program,471
Cavum septum pellucidum (CSP),251, 261–262
Centers for Disease Control and Prevention (CDC),467
Cerebellum, and structural MRI studies,255–256
“Challenge hypothesis,” and testosterone levels,170
Child Behavior Checklist,429, 431
Childbirth complications, and biological risk factors for antisocial behavior,164–165
Childhood-onset type, of conduct disorder,84
Children.
See also Adolescents; Adoption; Adverse childhood experiences; Age; Conduct disorder; Maltreatment; Parent(s); Physical abuse; Sexual abuse
conduct problems in and prevention of ASPD,481–482
socialization of as predictor of ASPD outcome,107
socioeconomic status and prevalence of ASPD in,45–46
trauma as risk factor for antisocial behavior in,65, 409
Citalopram,377,
378Clearwater program,353
Cleckley, Hervey Milton,xvi, 4, 5, 7, 12, 16,
17,
21, 22, 92, 312, 401
Clinical Global Impression (CGI),384, 429
Clinical settingsprevalence of ASPD in,33–35
for treatment of ASPD,399–400
Clozapine,379, 387–388
Cognitive-behavioral therapyfor antisocial behavior in adolescents,336
for conduct disorder and conduct problems in children,432, 485–486
controlled studies of effectiveness for ASPD,357,
360,
361Cognitive empathy,272
Collaborative Longitudinal Study of Personality Disorders,35
Collaborative Perinatal Project,162
Collateral information, and assessment of conduct disorder,430
Collectivism, and cultural factors in estimates of prevalence of ASPD,33
Colonialism, and prevalence estimates of ASPD,43
Comorbidity.
See also specific disorders ASPD in incarcerated individuals and,414–415
ASPD in women and,452–453
conduct disorder and,425, 427, 430, 445
definition of ASPD in ICD-10 and,10
distinguishing features of ASPD and diagnostic process,69–71
genetic studies on ASPD and,120–123
medical conditions and ASPD,72–74
prevalence of in ASPD patients,57,
59–
60of psychopathy with anxiety,334–335
structural MRI studies of ASPD and,262–263
symptom overlap and differential diagnosis of ASPD,67–69
Computerized emotion recognition training program,489
COMTVal/Val genotype,139–140
Conduct disorder (CD).
See also Early-onset antisocial and aggressive behavior
assessment of,430–431
callous-unemotional traits and,317, 327–328
clinical symptoms of,83–85, 427–428
comorbidity and,62–63, 425, 427, 445
concept of psychopathy and,317
corpus callosum and,256
course of,428–429
developmental trajectory of ASPD and,480–481
differential diagnosis and,70, 431–432
DSM-5 criteria for,421,
421–
423, 424,
478–
480functional MRI studies and,270, 278–279
gender and prevalence of,444–445
ICD-10 and,424
outcomes of,429–430
pharmacotherapy for,384, 434–435
psychosocial interventions for,432–434
risk factors for,428Confidentiality, and treatment of ASPD,400
Constitutional psychopathic inferiority,18
Constitutional psychopathic state,22
Contingency management (CM)for childhood conduct problems,435, 485–486
clinical trials of effectiveness,356,
357,
360for incarcerated individuals,411
Contingent negative variation (CNV), and electroencephalographic studies of ASPD,196–197,
205Co-occurrence, of personality disorders in ICD-10,10
Coping, antisocial behavior as form of,65
Corpus callosum, and structural MRI studies,256, 258
Correctional Service of Canada,470
Corticotropin-releasing hormone (CRH),217
Cortisol, ASPD and levels of,170, 217, 218–219, 225
Countertransference, and treatment of ASPD,363, 401–403
Course, and continuity of antisocial behavior from childhood to adulthood,100–102
Criminal behavior.
See also Fire setting; Sex offenders; Stealing
ASPD in women and,454
psychopathy and aggressive behavior in incarcerated offenders,318
risk of in children with conduct disorder,327–328, 430
Criminal justice system.
See also Legal system; Prisons
arrests of persons with ASPD,408–409
composition and roles of,407
courts and criminal sentencing,409–411
genetics of ASPD and,416
parole and probation,415–416
racial disparities in,40
“Criminal psychopaths,” and follow-up studies of ASPD,107–108
Culture, and cultural factors in estimates of ASPD prevalence,32–33, 40, 42
Cyprus, and studies of conduct disorder,484
Dangerous and Severe Personality Disorder program,10–11, 367
Danish Adoption Study,124
Death, ASPD and risk of for premature,67, 72
Deceitfulness, as clinical symptomof ASPD,87
of conduct disorder,84–85
Decision-makingfunctional MRI studies and reinforcement-based,278–280
neural dysfunction and psychopathy,322, 323
Degeneration theory, and history of concept of ASPD,18
Delinquent nato (born criminal),18
Denmark, and research on ASPD,164–165, 344
Department of Health and Human Services,432
Depression.
See also Major depressive disorder
comorbidity of with conduct disorder,425
pharmacological treatment of ASPD comorbid with,381
Development, and research on genetics of ASPD,119–120
Developmental Trends Study,101
Deviant Children Grown Up (Robins 1966),xvi, 6, 23
Diagnosis.
See also Assessment; Differential diagnosis
access to care and,397–398
distinguishing features of ASPD and,69–71
explanation of to patient,398
sex offenders and,462–463
women with ASPD and,448–450
Diagnostic Interview for Children and Adolescents,431
Diagnostic Interview Schedule for Children,431
Dialectical behavioral therapy,433
Differential diagnosisassessment of ASPD and,93–94
comorbidity of other personality disorders with ASPD and,58, 70–71
of conduct disorder,431–432
overlap of symptoms in cases of comorbidity with ASPD,67–69
Difficult patients, view of individuals with ASPD as,398
Dimensional approaches, to ASPD,8–10
Dimensional Assessment of Personality Pathology,299
Dipole, and electroencephalography,186–187
Direct child training programs,486
Discipline, parenting and inappropriate or inconsistent,154
Disruptive mood dysregulation disorder (DMDD),431
Dissociality, and definition of ASPD in ICD-11,11–12
Dissocial personality disorder,11, 22, 23, 444
Disulfiram,61
Divalproex sodium,384, 386, 435
Divorce, as risk factor for conduct disorder,154
Domestic violence, and clinical symptoms of ASPD,87, 88
Dominance, and testosterone levels,220
Dopaminergic genes, and molecular genetics of ASPD,138–140
Dopaminergic system, and biomarkers for ASPD,226–227
Dropout rates, and treatment of ASPD,401
DSM-Iconcept of ASPD in,3–4, 15, 19
conduct disorder and,423
DSM-IIconcept of ASPD in,4–5, 15, 23
conduct disorder and,423
DSM-III and DSM-III-Rconduct disorder and,423
criteria for ASPD in,xvi, 6–7, 15, 23
DSM-IVconduct disorder and,423–424
hybrid model for revision of personality disorders,8
“paraphilia not otherwise specified” in,462
DSM-5age requirement for diagnosis of ASPD,85
concept of ASPD in,15
criteria for ASPD,7–
8,
9criteria for conduct disorder,421,
421–
423, 424,
478–
480criteria for oppositional defiant disorder,478definition of conduct disorder in,83
definition of impulsivity in,69
disruptive mood dysregulation disorder in,431
“limited prosocial emotions” as specifier for conduct disorder,317
malingering in,65–66
Dual-hormone hypothesis, and testosterone levels,171, 225
Dunedin Multidisciplinary Health and Development Study,105, 143, 153, 155
Duration, and persistence of ASPD,104–105
Duty to warn, and assessment of ASPD,92
Dyssocial reaction, and history of concept of ASPD,4, 23
Early Childhood Longitudinal Study,165
Early-onset antisocial and aggressive behavior (ESAAB).
See also Aggression; Antisocial behavior
age at onset and stability of psychopathic traits,328–330
comorbid anxiety and,334–335
definition and description of,311–312
predictive power of for psychopathy,327–328
subgroups within population of,312–317
Education, estimates of ASPD prevalence and levels of,44,
45.
See also Schools
Electroencephalography (EEG),186–187,
188, 189–190.
See also Neuroimaging
Emotions.
See also Anger
conduct problems and callous-unemotional traits in adolescents,331
functional MRI studies and responsiveness to,271
neurophysiology of ASPD and,201–203,
206Empathyfunctional MRI studies and responsiveness to,271–275
lack of as distinguishing feature of ASPD,70
Endocannabinoid system, and PET studies of ASPD,301–302
Endocrine system, and biomarkers for ASPD,216–220.
See also Hormonal influences
Environment.
See also Psychosocial factors
families and development of conduct disorder,152–153
genetics of ASPD and,120, 123–127, 146
interactions between predispositions for ASPD and,151–152
structural brain abnormalities and,259–260
Environmental Risk (E-Risk) Longitudinal Twin Study,152, 153
Epidemiologic Catchment Area (ECA) survey,30, 32, 34, 35, 36, 37, 38, 39, 40, 44, 89, 444
Epidemiology.
See also Prevalence
age at onset of ASPD and,36
of conduct disorder,424–425
lifetime prevalence estimates for ASPD and,31, 32–36
population-based studies of ASPD and,29, 30
sociodemographic correlates of ASPD,36–46
Epigenetics, role of in ASPD,143, 145–146, 153, 326
Epistasis, and genetics of psychopathy,326
Error-related negativity, and electroencephalographic studies of ASPD,200–201,
205Ethnicity, and prevalence rates for ASPD,39–40,
41, 42–43
Eunice Kennedy Shriver National Institute of Child Health and Human Development,29, 30, 99
Event-related oscillation (ERO) and event-related potential (ERP), and electro-encephalography,186, 187,
188Excitement, and countertransference,402
Executive functionsaggression and,172–173
neural dysfunction and psychopathy,323
neurophysiology of ASPD and,194–201,
205, 207
Externalizing disorderscomorbidity with ASPD,58, 61, 122
conduct disorder and,423
hyperarousal theory of ASPD and,188–189
Eye gaze deficits, and callous-unemotional traits,489
Facial expressions, functional MRI studies and responses to,273–274
Failure to conform, as clinical symptom of ASPD,85–86
Families and Schools Together (FAST),433
Family.
See also Family therapy; Parent(s)
clinical findings in conduct disorder and,427
clinical symptoms of ASPD and,88
intergenerational transfer of psychopathic traits,331–333
risk factors for development of ASPD in women,446
social theories on causation of ASPD,152–156
socioeconomic status of and prevalence of ASPD in children,46
Family history, and assessment,90
Family therapyconduct problems in children and prevention of ASPD,488
early interventions for women with antisocial traits,446
Fascination, and countertransference,402
Fatty acid amide hydrolase (FAAH), and PET studies of ASPD,301–302
FDG-PET studies, of ASPD,295–297
Fear, and countertransference,402.
See also Anticipatory fear
Fear conditioning, and psychopathology,321
Fearlessness theory,167–168, 169, 216
Fear-potentiated startle response, and psychopathy,322
Federal Bureau of Investigation (FBI),38, 39
Feedback-related negativity, and electroencephalographic studies of ASPD,202–203,
206Fenfluramine,296, 380, 389
Fetal alcohol spectrum disorder,164
Filtering of information, and electroencephalography studies,190–193
Finland, study of frontal lobe injuries and antisocial behavior in war veterans,174
Fire settingas clinical symptom of conduct disorder,84
comorbidity of with ASPD,62
Five-factor model, of ASPD,8
Fluoxetine,296, 377,
378, 380
Folie morale,18
Fractional anisotropy,321
France, and studies of conduct disorder,484
Frontal lobe dysfunction theory,174–175
Functional Behavioral Assessment,433
Functional MRI studies.
See also Neuroimaging
conduct disorder and,270
emotional responsiveness and,271
empathy and,271–275
psychopathy and,324, 331
reinforcement-based decision-making and,278–280
response control and,277–278
threat responsiveness and,275–277
Gabapentin,379, 386
Gambling disorder, and genetics of ASPD,123.
See also Pathological gambling
Gamma oscillations, and electroencephalography,187
Gaze detection task, and psychopathy,322
Gender.
See also Sex differences; Women
ASPD in incarcerated individuals and,412,
413, 414
differences in conduct disorder and,444–445
Generalized anxiety disorder (GAD), comorbidity with ASPD,59–
60, 65,
68Genetic association,138
Genetics, of ASPD.
See also Molecular genetics
brain morphology and,259
causal significance of risk and protective factors,127–130
criminal justice system and,416
influence of on comorbidity,121–123
interaction of environment with,123–127
psychopathy and,325–327
sex differences in studies of,117–118
twin and adoption studies,114–116,
117, 118–120, 121, 123, 124,
125, 126–128,
129, 129–130
women with antisocial traits and,446–448
Genome-wide association studies (GWAS),144
Germany, and studies of conduct disorder,484
Glueck, S. and E.,100, 107
Go/No-Go Stop task,277, 300
Gray matter volume, and psychopathy,319–321, 330
Group delinquent reaction,423
Group therapy,433
Guanfacine,435
Guidelines, for psychosocial treatment,365–367
Gyrification abnormalities, and psychopathy,320
Habitual social deviation and criminality,16
Haloperidol,435
Hare, Robert,4, 22, 312.
See also Psychopathy Checklist–Revised
Heart rate, and biomarkers for ASPD,216, 221–224
Help seeking, and ASPD prevalence rates in clinical settings,33–34
Henderson, David K.,5,
17, 21–22
Hepatitis,74
Hierarchical Taxonomy of Psychopathology (HiTOP),8
High-activity COMT allele (HH genotype),140
Hippocampus, and structural MRI studies,255, 259
Hispanic AmericansASPD in incarcerated individuals and,414
prevalence of ASPD in,40,
41Historical Clinical Risk Management–20,302
Historical trauma, and cultural factors in estimates of ASPD prevalence,43
History, of concept of ASPD,xvi, 16–23
Histrionic personality disorder (HPD), comorbidity with ASPD,59–
60HIV, risk for in ASPD patients,73–74
Homovanillic acid (HVA),227
Hormonal influences, and biological risk factors for ASPD,169–171.
See also Endocrine system
Hospitalizationtreatment of ASPD and,399–400
treatment of conduct disorder and,434
5-HT transporter gene (5HTTLPR),298–299, 326, 336, 448.
See also Serotonin system
5-HTTVNTR polymorphism,141, 142
Human Genome Project,118
5-hydroxyindoleacetic acid (5-HIAA),226
Hyperarousal theory, and neurophysiology of ASPD,188–189, 207
Hyperresponsiveness, to reward as risk factor for conduct disorder,278–279
Hypo-oxytocinergic state, and oxytocin levels,228
Hypothalamic-pituitary-adrenal axis,225–228
Hypothalamic-pituitary-gonadal axis,216–220, 225
ICD-9, definition of ASPD in,7, 23
ICD-10conduct disorder in,424
definition of ASPD in,10–11
dissocial personality disorder and,11, 23, 444
ICD-10 International Personality Disorder Examination,92
ICD-11definition of ASPD in,10, 11–12
severe personality disorder in,11
Immediate Memory Task (IMT),193,
199Immigration and immigrants, estimates of ASPD prevalence in,43
Impaired Integration Theory,322, 334
Impaired response inhibition, and neurophysiology of ASPD,198–199
Impulse-control disorder, comorbidity of with ASPD,61–62,
68Impulsive Lifestyle Counseling (psycho-education program),360Impulsiveness, Venturesomeness, and Empathy Scale,299
Impulsivitycerebellum and,255
as clinical symptom of ASPD,87
differential diagnosis of ASPD and,69
electroencephalographic studies of ASPD and,193, 196, 200, 201
PET studies of ASPD and,299
Incarceration.
See Prisons Incredible Years Program,433, 486
Individualism, and cultural factors in estimates of prevalence of ASPD,33
Individualized Education Program (IEP),433
Individualized relapse prevention,359Information processing, and electroencephalographic studies of ASPD,198–199
Infringement, as basic characteristic of ASPD,3
Injury, as basic characteristic of ASPD,3.
See also Accidental injuries; Traumatic brain injury
Inpatient units, and treatment of ASPD,399.
See also Hospitalization
Insanity defense, and genetics of ASPD,416
Insensitivityas basic characteristic of ASPD,3
concept of psychopathy in ICD-11 and,12
Instinct-ridden characters, use of term,20
Institute for Economics and Peace,443
Instrumental aggression.
See Proactive aggression Integrated Family Intervention for Child Conduct Problems,488
Integrated theory, for etiology of ASPD in sex offenders,464, 467, 468
Intellectual disability,63–64, 432
Intelligence, and context of psychopathy,12
Intensity sensitivity slope,193,
194Intensive multimodal interventions, for conduct disorder,434
Intentions, functional MRI studies and representation of,272,
273Intermittent explosive disorder (IED)comorbidity of with ASPD,68differential diagnosis of ASPD and,93–94
differential diagnosis of conduct disorder and,431
FDG-PET studies of ASPD and,295, 296–297, 298–299
pharmacotherapy for,385
Internalizing disorders, comorbidity of with ASPD,64–67, 122
International Affective Picture System,202
International Space Station,128
Inventory of Callous-Emotional Traits,431
Iowa Antisocial Follow-up study,102–103
Ipsapirone,226
Irresponsibility, as clinical symptom of ASPD,87–88
Irritability, and differential diagnosis of ASPD,67–68
Israel, and research on conduct disorder,484
The Jack-Roller: A Delinquent Boy’s Own Story (Shaw 1930/1966),108
The Jack-Roller at Seventy (Shaw 1982),108
Joint relationship enhancement therapy,358Juvenile delinquent, use of term,151
Kaiser-Permanente,467
Karpman, Benjamin,17, 22, 335
Kelly, Mark and Scott,128
Kiddie Schedule for Affective Disorders and Schizophrenia,431
Koch, Julius Ludwig August,17, 18–19
Korea, estimates of prevalence of ASPD in,32–33, 40
Kraepelin, Emil,17, 19,
21Laboratory tests, and assessment of ASPD,93
Lamotrigine,384
Late positive potential (LPP), and electroencephalographic studies of ASPD,202,
206Learning disorders.
See also Intellectual disability
comorbidity with ASPD,63
comorbidity with conduct disorder,425
Legal system, and trends in sentencing and prevalence of ASPD in prison populations,35–36.
See also Criminal justice system; Prisons
Levetiracetam,379, 385
Life-course persistent, conduct disorder as,430
Life expectancy, of patients with comorbid ASPD and personality disorders,67, 72
Lifestyle disorder, ASPD as,398
Limited prosocial emotions,424, 430
Linkage studies, and molecular genetics,138
Lithium,378, 383, 386, 435
Lombroso, Cesare,17, 18
Low-activity COMT allele (LL genotype),140
Lying, as clinical symptom of conduct disorder,84–85
MacArthur Violence Risk Assessment Study,353
Magnetoencephalography (MEG),186
Major depressive disorder (MDD).
See also Depression
comorbidity with ASPD,59–
60, 64–65
differential diagnosis of conduct disorder and,431
sertraline and,381
Malingering, comorbidity of with ASPD,65–66
Maltreatment.
See also Neglect; Physical abuse
conduct problems and callous-unemotional traits in children and,334
genetic studies and,143, 326
intergenerational transfer of psychopathic traits and,332–333
neural abnormalities and psychopathy,319
as risk factor for ASPD,128–129, 409
Mandatory treatment, court-mandated for substance abuse,411
Manie sans delire,xv, 17
Marriage.
See also Assortative mating; Divorce
clinical symptoms of ASPD and,88
as predictor of ASPD outcome,106–107
as protective factor in ASPD,129–130
The Mask of Sanity: An Attempt to Clarify Some Issues About the So-Called Psychopathic Personality (Cleckley 1976),xvi, 4, 22, 401
Maudsley, Henry,17, 18
Mauritius, study of childbirth complications as risk factor for antisocial behavior in children,165
McCord, William and Joan,22, 401
Measurementof ASPD,116
neurophysiology and,186–187,
188Media, and exposure to violence,156, 302
Medical conditions.
See Accidental injuries; Sexually transmitted diseases; Traumatic brain injury
comorbidity of with ASPD,72–74
differential diagnosis of ASPD and,94
Medical history, and assessment,90
MEDLINE electronic database,362
Mental Health Act (United Kingdom 1959),21
Mental status examination,92–93, 430
Mentalization-based treatment (MBT),356Meta-analyses, and neurophysiology,189
Meta-chlorophenylpiperazine (m-CPP),296
Methylphenidate,435
Meyer, Adolf,4
Michigan Alcoholism Screening Test,92
Military, disciplinary problems of individuals with ASPD in,88.
See also War veterans
Millon Clinical Multiaxial Inventory,62
Minnesota Multiphasic Personality Inventory (MMPI),91
Minnesota Twin Family Study (MTFS),124, 126, 130
Mismatch negativity (MMN), and electroencephalographic studies of ASPD,197–199,
205Mixed personality disorder, in ICD-10,10
Modified Overt Aggression Scale (OAS-M),377
Modified therapeutic community (MTC),359Molecular genetics, of ASPD.
See also Genetics
antisocial traits in women and,447–448
brain imaging studies and,144–145
dopaminergic genes and,138–140
epigenetics and,145–146, 153
genome-wide association studies and,144
serotonergic genes and,141–143
Monoamine oxidase A gene (MAOA),142–143, 145, 146, 163, 259, 301, 303, 447–448
Monoamine system, and biomarkers for ASPD,225–227
Mood stabilizers,378–
379, 382–386
Moral insanity,xv–xvi, 16, 17–19
Morbid liar and swindler, Kraepelin’s use of term,19
Morel, Bénédict Augustin,17, 18,
21Motivation, and neurophysiology of ASPD,201–203,
206, 207
Motivational interviewing,357,
361Motor vehicle accidents, ASPD as predictor of,72, 90
MRI, and neural abnormalities in psychopathy,318–319.
See also Functional MRI studies; Neuroimaging; Structural MRI studies
Multiaxial system, and DSM-III,6
Multiple threshold model, and behavioral genetic studies,447
Multisystemic therapy (MST),434, 446
N100 (N1) and P200 (P2) intensity/sensitivity function, and electroencephalographic studies of ASPD,193,
194,
204N200 (N2), and electroencephalographic studies of ASPD,199–200,
205Nadolol,380Naltrexone,61
Narcissistic personality disorder (NPD),59–
60,
68,
70NASA Twins Study,128
National Alliance on Mental Illness (NAMI),433
National Comorbidity Survey (NCS),30, 40, 424, 452
National Epidemiologic Survey on Alcohol and Related Conditions (NESARC),29, 30, 36, 37, 39, 40, 84, 86, 99, 104, 106, 107, 446
National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III),29, 30, 32, 34, 36, 39, 40, 44, 99, 105, 412
National Institute on Alcohol Abuse and Alcoholism (NIAAA),29, 30
National Institute on Drug Abuse,29, 30, 99
National Institute for Health and Care Excellence (NICE) website,367
National Institute of Mental Health,xiii, 304
National Institutes of Health (NIH),xv, 29, 30, 99
National Longitudinal Study of Adolescent to Adult Health,130
National Longitudinal Study of Youth,163
Native Americans, and ASPD prevalence estimates,40,
41, 42, 43, 46
Natural history, and follow-up studies of ASPD,107–109
Neglect, and social theories of ASPD causation,155.
See also Maltreatment
Neighborhood disadvantage, as risk factor for ASPD,128, 157
Netherlands, and study of callous-emotional traits in children,330–331
Netherlands Twin Registry,120
Neuroimaging.
See also Electroencephalography; Functional MRI studies; Neuro-physiology; PET studies; SPECT studies; Structural MRI studies
molecular genetic studies of ASPD and,144–145
psychopathy and identification of abnormalities,318–319
Neuropeptides, and hypothalamic-pituitary-adrenal axis,227–228
Neurophysiologyemotion and motivation,201–203
executive functions and,194–201
filtering of information,190–193
hyperarousal theory and,188–189
measurement issues,186–187,
188psychopathy and dysfunctions of,321–325, 330–331
resting electroencephalography and,189–190
New York Teacher Rating Scale for Disruptive and Antisocial Behavior,431
New Zealand, and studies on ASPDadult outcomes of children with conduct problems,482
criminal behavior in children with conduct problems and callous-unemotional traits,328
diagnosis of early-onset antisocial and aggressive behavior,312
predictors of antisocial behavior in children,153
trajectory of ASPD,105
working alliance in psychosocial treatment,364
Norepinephrine,227
Nortriptyline,378, 381–382
Norway, and studies of ASPD,32–33, 116, 120, 121, 259
Norwegian Institute of Public Health Twin Panel,121, 122
Nucleus accumbens, and response to reward,280
Obsessive-compulsive personality disorder,463
Oddball task, and electroencephalographic studies of ASPD,195, 197
Offender Personality Disorder Pathway program,367
Office of Management and Budget (OMB),32
Olanzapine,379, 387
Opioids,293
Oppositional defiant disorder (ODD)comorbidity of with ASPD,68conduct disorder and,428–429, 431–432, 480–481
DSM-5 diagnostic criteria for,478in ICD-10,424
Orbitofrontal cortex (OFC)antisocial behavior in war veterans and,174
FDG-PET studies of ASPD and,296, 298
structural MRI studies of ASPD and,244, 253, 254
Oregon model, of multimodal intervention for conduct disorder,434
“Other Conditions That May Be a Focus of Clinical Attention,”66
Outcomeof ASPD in women,454–455
of conduct disorder,429–430
of early-onset conduct problems in children,482
predictors of for ASPD,106–107
studies of in clinically referred and general population adults with ASPD,102–104
of treatment of ASPD for sex offenders,469–470
Outpatient setting, for treatment of ASPD,399
Oxazepam,380, 389
Oxcarbazepine,379, 385
Oxytocin,228, 326,
380, 389
P50-N1-P2 sensory gating,191,
192,
204P300 (P3), and electroencephalographic studies of ASPD,194–196, 201–202,
205,
206Pacific Islanders, and estimates of ASPD prevalence,40,
41, 42
Pain, response to in others,274–275
Paired-click paradigm, and sensory gating,191,
192“Paraphilia not otherwise specified,”462
Parasympathetic nervous system (PNS),221
Parent(s), and parenting.
See also Family; Parent management training
intergenerational transfer of psychopathic traits,331–333
prevention of psychopathy and interventions for,336
social theories on causation of ASPD and,154–155
style of and development of conduct problems in children,489
therapy for conduct disorder or conduct problems and,433, 486
Parent-Child Interaction Therapy,486, 488, 490
Parent management training (PMT),336, 433, 485, 486, 487, 488, 489, 493
Parole, and criminal justice system,415–416
Paroxetine,376–377,
378, 381, 390
Partridge, George Everett,17, 21
Passive avoidance learning, and neural dysfunction in psychopathy,321
Pathological gambling, comorbidity of with ASPD,59–
60, 62.
See also Gambling disorder Patient history, and assessment, 89–90, 91
Penetanguishene Mental Health Center (Canada),351–352
Persistence, and duration of ASPD,104–105
Personality, traumatic brain injury and changes in,175
Personality Diagnostic Questionnaire-IV,92
Personality disorders.
See also Borderline personality disorder; Histrionic personality disorder; Narcissistic personality disorder; Obsessive-compulsive personality disorder
comorbidity with ASPD,59–
60, 66–67,
68, 121–122
in DSM-I and DSM-II,4
hybrid model for revision of DSM-IV,8
lack of empathy and,70
sex offending behaviors and,463
stigma of diagnoses,397
traumatic brain injury and,175
PET studies, of ASPD,294–304
Pharmacotherapy.
See also Antidepressants; Antipsychotics; Mood stabilizers
ASPD and,375–390
childhood conduct problems and,485
conduct disorder and,434–435
Phenytoin,376,
379, 384–385, 386
Physical abuse.
See also Maltreatment
neurological injuries and abnormalities,171, 259, 260, 320
as risk factor for ASPD in sex offenders,468
as risk factor for ASPD in women,446
as risk factor for PTSD,65
social theories of ASPD causation and,155
Physical examination, and assessment,93, 431
Physical injuries, ASPD as risk factor for,73
Pinel, Philippe,xv, 16–17
Pittsburgh Youth Study,101–102
Point Subtraction Aggression Paradigm (PSAP),297, 303, 377
Positive parent training,448
Positive reinforcement, and conduct problems in children,488.
See also Rewards
Poverty.
See Socioeconomic status
Prediction and predictors, of ASPDchildhood factors for in women,449
follow-up studies and,106–107
structural MRI studies and,261–262
Prefrontal cortex (PFC)antisocial behavior and damage to,172, 173
functional MRI studies and,275, 279
structural MRI studies and,253–254, 258, 260
Pregnancy, and biological risk factors for antisocial behavior,164–165
Prenatal substance exposure, and biological risk factors for antisocial behavior,162–164
Prepulse inhibition (PPI),191,
204Pretrial detainees, and criminal justice system,410
Prevalence.
See also Epidemiology
of ASPD in arrestees,408–409
of ASPD by gender,444
of ASPD in incarcerated individuals,35–36, 86, 270, 291, 411, 412,
413of comorbidity of ASPD with substance and alcohol use disorders,61, 411
of conduct disorder,424
lifetime estimates of for ASPD,31, 32–36
of mental disorders in sex offenders,461–462
Prevention, of ASPDchildhood conduct problems and,481–484, 485–492
conduct disorder and,435
future research on,492–493
research on psychopathy and,335–337
Prichard, James Cowles,17–18, 19,
21Prisons.
See also Criminal justice system
ASPD and institutional misbehavior,415–416
estimates of prevalence of comorbidity of ASPD with other disorders in,58
overrepresentation of racial and ethnic minority groups in,40
prevalence of ASPD in,35–36, 86, 270, 291, 411, 412
prevalence of psychopathy in,411
prevalence of serious mental disorders in,408
remission of ASPD and,106
Pritchard, William,xv–xvi
Proactive aggression.
See also Aggression
definition of,292
fearlessness theory and,168
PET studies of ASPD and,299
psychopathy in incarcerated offenders and,318
Probation, and criminal justice system,415–416
Problem-solving skills training, and conduct disorder,432
Property damage, as clinical symptom of conduct disorder,84
Propranolol,380, 385, 435
Protective factors, and genetic research on ASPD,127–130
Psychiatrie: Ein Lehrbuch (Kraepelin 1915),19
Psychoanalysis,364
Psychometric testing, and conduct disorder,431
Psychopathic inferiority, and history of concept of ASPD,18
Psychopathic Personalities (Schneider 1957),20
Psychopathic personality, and history of concept of ASPD,16, 19, 20, 22, 23
Psychopathic Personality Inventory–Revised,299, 381
Psychopathic States (Henderson 1939),5
The Psychopathology of Crime: Criminal Behavior as a Clinical Disorder (Raine 1993),xiii
Psychopathy.
See also Early-onset antisocial and aggressive behavior
adults and research on,325–327
brain abnormalities and,257–258, 318–321
callous-unemotional traits in children and,483
case example of,314–315
Cleckley and history of concept, xvi conduct disorder and concept of,317
cortisol levels and,171, 219
criminal justice system and,410
definition of,311, 312–313
as distinct from ASPD,186, 269, 315
electroencephalographic studies of,197, 200
functional MRI studies and,279–280
in incarcerated individuals,411, 415
intergenerational transfer of,331–333
neural dysfunctions and,321–325, 330–331
predictive power of conduct problems plus callous-unemotional traits for,327–328
prevalence of,318, 411, 415
research on prevention of,335–337
use of term,xiii–xiv, 20, 151, 291–292, 410
in women,455–456
Psychopathy Checklist–Revised (PCL-R),11, 91–92, 171, 186, 220, 278, 292, 313, 319, 320, 322, 324, 329, 330, 351, 353, 410, 416, 448, 449
Psychopathy Checklist: Screening Version (PCL:SV),324–325, 330
Psychopathy Checklist: Youth Version (PCL-YV),324
Psychophysiological factors, and risk of ASPD,166–169
Psychosis, and differential diagnosis of ASPD,93
Psychosocial factors.
See also Environment; Social theories
antisocial traits in women and,445–446
structural MRI studies of ASPD,258
Psychosocial interventions.
See also Cognitive-behavioral therapy; Contingency management
conduct problems in children and prevention of ASPD,485–490
controlled trials of for ASPD,355,
356–
361, 362–363
interventions for conduct disorder,432–434
service guidelines for ASPD and,365–367
therapeutic relationship and ASPD,363–364
PsycINFO electronic database,362
PTSDcomorbidity of ASPD with,34,
59–
60, 65,
68, 69
comorbidity of conduct disorder with,425
sex differences in,37
Public assistance, and risk factors for ASPD,46
Public health, and conduct disorder,425, 435
Punishment.
See also Rewards
feedback-related negativity and responsiveness to,202–203
functional MRI studies and,278–280
Quetiapine,379, 387
RaceASPD in incarcerated individuals and,414
prevalence rates for ASPD and,39–40,
41, 42–43
Reactive aggressiondefinition of,292
fearlessness theory and,168
PET studies of ASPD and,299
threat response and,276–277
Reading achievement, relation between antisocial behavior and,63
Reasoning and Rehabilitation (cognitive-skills program),336,
356RecidivismASPD and rates of,416
factors related to for sex offenders,463–464
Recklessnessdifferential diagnosis of ASPD and,69
disregard for rights of others as clinical symptom of ASPD,87
Regional cerebral blood flow (rCBF), and SPECT studies,292–294
Reich, Wilhelm,17,
21Reinforcement-based decision-making, and functional MRI studies,278–280.
See also Positive reinforcement
Remission, of ASPDfollow-up studies of,105
sex differences in age at,37
Remorse, lack of as clinical symptom,88–89, 269–270
Rescue fantasies, and countertransference,403
Research Diagnostic Criteria (RDC),6, 30, 32, 304
Resilience, and ASPD in sex offenders,465–466
Resistance, and psychosocial treatment,366
Respectful neutrality, and treatment,400
Response control, and functional MRI studies,277–278
Resting heart rate (RHR),166–167, 169
Rewards.
See also Positive reinforcement
conduct problems in children and,488–489
feedback-related negativity and responsiveness to,202–203
functional MRI studies and,278–280
Risk factors.
See also Biological risk factors
for arrest of persons with ASPD,409
for conduct disorder,426genetic research on ASPD and,127–130
multiple pathways for ASPD,484–485
Risperidone,379, 387, 434–435
Robins, Lee,xvi, 6, 12, 23, 100, 101, 103, 104, 106, 152, 153, 161, 412
Rockwood treatment program, for sex offenders,469–470
The Roots of Crime (Alexander and Healy 1935),22
Rorschach test,91
Rule violations, as clinical symptom of conduct disorder,85
Rush, Benjamin,17
Safetydifferential diagnosis of irritability and recklessness,69
treatment of ASPD and,366, 400,
401“Scared straight” programs, for conduct disorder,434
Schizophreniaantipsychotics for,386–387
differential diagnosis of ASPD and,85
neurophysiology and,254, 255
Schizophrenia spectrum disorder,302
Schizotypal personality disorder,70
Schneider, Kurt,4–5,
17, 20,
21Schools.
See also Education
clinical symptoms of conduct disorder and,85
psychosocial interventions for conduct disorder and,433
Secondary psychopathy,334, 335
Selective serotonin reuptake inhibitors (SSRIs),376, 381, 382
Self-control, and age of sex offenders,471
Self-report questionnaires, and estimates of prevalence of ASPD,34
Sensation-seeking theory,168–169, 216
Sensory gating, and neurophysiology of ASPD,191,
192,
204Septum pellucidum,261
Serotonin system.
See also 5-HT transporter gene
aggression and levels of,376
biomarkers for ASPD and,226–227
molecular genetics and,141–143
serotonergic probes and PET studies of ASPD,297–301
Sertraline,378“Settled down,” and follow-up studies of ASPD,107
Severe personality disorder, in ICD-11,11
Sex differences.
See also Gender; Women
comorbidity of ASPD with other disorders and,58
estimates of prevalence of ASPD and,36–37,
38, 444
genetically informed studies of ASPD and,117–118
structural MRI studies and,260–261, 262
Sex offendersanecdotal description of ASPD in,470–471
diagnostic assessment of,462–463
etiology of ASPD in,464–469
prevalence of psychopathy in,415
rate of mental illness in,461–462
recidivism and,463–464
Rockwood treatment program for,469–470
as serious social problem,461
Sexual abuseclinical symptoms of conduct disorder and,84
as risk factor for ASPD,146, 468
as risk factor for PTSD,65
Sexual addiction, comorbidity of with ASPD,62
Sexual attraction, and countertransference,402
Sexual behaviors, ASPD and high-risk,73
Sexually transmitted diseases,73–74, 90
SF-12 Health Survey,450
Shaw, Clifford,108–109
Single nucleotide polymorphism (SNP), of COMT,139
Skin conductance, and skin conductance response (SCR),166, 167, 168, 169, 173, 221–224
Smoking, maternal during pregnancy,162–164
Social anxiety disorder (SAD),59–
60, 65
Social deviance, as distinct from ASPD,xiii
Social learning theory,486
Social push perspective,166–167
Social referencing, and emotional expressions,273–274
Social relationshipsclinical symptoms of ASPD and,88
social theories on ASPD causation and,156
Social salience hypothesis, and oxytocin levels,228
Social theories, on causes of ASPD.
See also Psychosocial factors; Socioeconomic status
families and,152–156
interactions between predispositions and environmental stressors,151–152
media influence and,156
peer relationships and,156
socioeconomic status and,156–157
Sociodemographic correlates, and epidemiology of ASPD,36–46
Socioeconomic status (SES)estimates of ASPD prevalence and,44–46
social theories of ASPD causation and,156–157
structural brain abnormalities and,259
women with ASPD and,450
Sociopathic disorder,276
Sociopathic personality disturbance,4, 19, 21, 23
Sociopathyhistory of concept of ASPD and,16
Robins and development of concept,xvi
use of term,xiii–xiv, 151
Space travel, twin study on effects of,128
SPECT (single-photon emission computed tomography) studies, of ASPD and aggression,292–294
Spitzer, Robert,6
Standard clinical case management (SCCM),358Startle response, and fearlessness theory,168
Stealing, as clinical symptom of conduct disorder,84–85
Stigma, of personality disorder diagnoses,397
Stimulants, and conduct disorder,434
Strengths-based case management,358Strengths and Difficulties Questionnaire,202
Stress, and stressorscortisol levels and,170
fearlessness theory and,167
Striatum, and structural MRI studies,255
Stroop task,277
Structural MRI studies, of ASPD.
See also Neuroimaging
amygdala and,254
biosocial interactions and,258
brain abnormalities and,257–258
brain structure and prediction of,261–262
cerebellum and,255–256
corpus callosum and,256
directions for future research,262–263
hippocampus and,255
prefrontal cortex and,244, 253–254, 260
sex differences and,260–261
sources of structural brain abnormalities,259–260
striatum and,255
summary of findings,245–
252Structured Clinical Interview for DSM-5 Personality Disorders,92
Structured Interview for DSM-IV Personality Disorders,92, 448
Stürup, Georg K.,17, 23
Substance use disorders (SUDs)comorbidity with ASPD,34–35,
59–
60, 61,
68, 122–123, 409, 411, 452–453
comorbidity with conduct disorder,425
court-mediated treatment of,411
crimes by individuals with comorbid ASPD and,409
differential diagnosis of ASPD and,93
psychopathy and,319
sex ratios in treatment samples of,37
in women with ASPD,452–453
Subtypes, of conduct disorder,423, 482–484
Suicide, and suicidal behaviorASPD as risk factor for,64, 414
assessment of ASPD and,92
comorbidity of anxiety disorders with ASPD and,65
comorbidity of conduct disorder with depression and,425
paroxetine for depression comorbid with ASPD,381
Supervision, and parenting,154
Supportive-expressive psychotherapy,361Sweden, and studies of ASPDadoption study of genetics,124
callous-emotional traits and conduct disorder,330
estimates of prevalence of ASPD,32–33
family and antisocial behavior,113
twin studies of genetics,116, 129
Swedish Universities Scales of Personality,302
Sympathetic nervous system (SNS),221
Systems Training for Emotional Predictability and Problem Solving (STEPPS),398
Taiwan, and prevalence of ASPD,32–33, 40, 44
Tarasoff rule,92
Tattoos, and assessment of ASPD,93
Temperament and Character Inventory,297
Temporal lobe epilepsy,94
Testosteronebiological risk factors for ASPD and,170, 171
biomarkers for ASPD and,219–220, 225
Test-retest design, and SPECT studies,293–294
Theory of mind,272
Therapeutic nihilism, and countertransference,402
Therapeutic pessimism, about effectiveness of treatment for ASPD,350, 398
Therapeutic relationship, and psychosocial treatment,363–364
Theta oscillations, and electroencephalography,187
Threat processing, and functional MRI studies,271, 275–277
Threshold-of-risk hypothesis,446
Tiagabine,380, 386
Topiramate,379, 385–386
Transference focused therapy,363–364
Trauma, childhood as risk factor for antisocial behavior,65, 409
Traumatic brain injury (TBI),73, 175
Treatment.
See also Pharmacotherapy; Psychosocial interventions
access to care and,397–398
belief about worsening of ASPD and,351–352
care settings for,399–400
challenges to,400–401
of childhood conduct problems and prevention of ASPD,485–492
comorbid alcohol use disorder and,61
of conduct disorder,432–435
countertransference and,363, 401–403
court-mediated for substance abuse,411
rejection of by patient,398
risk mitigation during,400,
401view of ASPD as untreatable,xvi, 349, 350–351, 354, 398
women with ASPD and,453–454
Treatment-interfering behaviors,366
Treatment of Severe Childhood Aggression study,435
Tricyclic antidepressants,381
Triple P–Positive Parenting Program,486
Twin studies, on ASPD,107, 152, 259, 332.
See also Genetics
Uncinate fasciculus, and psychopathy,321, 325
United Kingdom, and studies of ASPDassortative mating for criminal behavior,113
callous-emotional traits and conduct disorder,317, 329, 330, 484
conduct disorder and costs of public service provision,425
controlled trial of psychosocial treatment for ASPD,355
families and environmental effects on conduct disorder,152
follow-up study of “criminal psychopaths,”108
parents and intergenerational transfer of psychopathic traits,331, 333
prevalence of ASPD in former colonies,43
prevalence of ASPD in prisons,35, 412
prevalence of psychopathy in children,318
Unsocialized aggressive reaction,423
“Untreatability” myth,349, 350–351, 354, 365, 398
Urbanicity and urban residence, and estimates of ASPD prevalence,43–44
Urine drug screening,431
Valproate,378, 384, 385, 434, 435
Values, and cultural factors in estimates of ASPD prevalence,33
Variable nucleotide tandem repeats (VNTRs),303
Vasopressin,228
Ventrolateral prefrontal cortex (VPC),253
Ventromedial frontal cortex (vmFC),275, 279
Verbal functioning, impairments of,172–173
Veterans Affairs Medical Centers,34
Violent behavior.
See also Aggression; Domestic violence
as clinical symptom of ASPD and,87
exposure to as risk factor for ASPD in sex offenders,466–467
FDG-PET studies of,295–296
frontal lobe dysfunction and,174
head injuries and changes in,73
lithium and,383
media influence on,156
selective serotonin reuptake inhibitors and,382
Virginia Twin Registry,122
Vitello Aggression Scale,431
Voxel-based morphometry,244, 253
Vulnerability, and ASPD in sex offenders,465–466
Wanderlust, and impulsivity,87
War veterans, neurological injuries and antisocial behavior in,174
Washington University,6
White matter structure abnormalities, and psychopathy,320–321, 324, 325, 330
Women.
See also Gender; Sex differences
comorbidity of ASPD in,452–453
diagnosis and assessment of ASPD in,448–450
genetics of ASPD in,446–448
outcomes of ASPD in,454–455
psychopathy and,455–456
psychosocial factors associated with antisocial traits in,445–446
symptoms of ASPD in,450,
451, 452
treatment of ASPD in,453–454
Working alliance, and psychosocial treatment,363, 364
World Health Organization,7.
See also ICD-9; ICD-10; ICD-11