Axis II Comorbidity in Forensic Patients with Antisocial Personality Disorder

Abstract

The authors tested J. S. Wulach's suggestion that the criminal personality is a quadruple personality disorder (PD) consisting of antisocial, borderline, histrionic, and narcissistic PDs. First, forensic patients with antisocial PD were compared to patients without PD using the Millon Clinical Multiaxial Inventory-II (MCMI-II). Second, mean MCMI-II PD scale scores of the antisocial group were examined for clinical significance. Lastly, correlations between the Antisocial scale and all other PD scales of the MCMI-II were computed to examine patterns of association. All comparisons support Wulach `s thesis that borderline and narcissistic pathologies coexist in antisocial individuals but provide only weak support regarding the role of histrionic pathology in antisocial individuals.

The Prevalence and Comorbidity of Axis I and Axis II Pathology in a Group of Forensic Patients

“…These findings give, to some extent, support to Wulach's (1988) concept of a criminal personality and psychopathy that comprises the traits of the antisocial, borderline, narcissistic, and histrionic PD. As in the study of male forensic patients by Hillbrand et al, (1996), borderline and narcissistic pathologies were found to coexist in antisocial individuals, but the histrionic pathology support was lacking. In a study of gender differences (Hamburger, Lillienfield & Hogbon, 1996), psychopathic women were found to have more histrionic traits than men, whereas psychopathic men had more antisocial traits than women.…”

“…In a group of male forensic inpatients with antisocial PD in the United States, high rates of avoidant, borderline, and passive-aggressive personality pathology were reported using the Millon Clinical Multiaxial Inventory-II (MCMI-II) (Hillbrand, Kozmon, & Nelson, 1996).…”