Treatment of antisocial personality disorder: Development of a practice focused framework

Impulsive and premeditated aggression in male offenders with antisocial personality disorder

“…One of the most relevant features of ASPD is its high prevalence, which is 3% in the general population and may reach up to 50% in the prison population [6,[26][27][28].…”

“…On the other hand, children and adolescents who display aggressive acts are more prone to developing ASPD in their adult lives [32], which reveals the importance of an early therapeutic intervention for aggressive children and adolescents. Very little research has investigated the treatments which might be useful in aggressive ASPD patients [26].…”

Explaining the willingness of clinicians to work with patients with antisocial personality disorder using the theory of planned behaviour and emotional reactions

“…People with ASPD have great difficulty conforming to social norms and rules, making it very difficult for them to maintain employment and function within a family (APA, 2013 ; L.M.C. Van den Bosch et al, 2018 ). For an individual to meet the criteria for the DSM‐V Antisocial Personality Disorder, they must experience the following: (A) The pattern of disregarding others' rights is present since age 15 by fulfilling at least three of the following seven behaviours: (1) failure to conform to social norms concerning lawful behaviours, as indicated by repeatedly performing acts that are grounds for arrest; (2) deceitfulness, as indicated by repeated lying, use of aliases or conning others for personal profit or pleasure; (3) impulsivity or failure to plan ahead; (4) irritability and aggressiveness, as indicated by repeated physical fights or assaults; (5) reckless disregard for the safety of self or others; (6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behaviour or fulfil financial obligations, and (7) lack of remorse, as indicated by being indifferent or rationalizing.…”

“…Although there is no treatment available with substantial empirical evidence for effectiveness, some studies reveal promising results and deserve to be further developed and researched in clinical practice (L.M.C. Van den Bosch et al, 2018). The findings…”

“…Bateman et al, 2013; L.M.C. Van den Bosch et al, 2018;Crawford et al, 2009;Reid & Gacono, 2000;. Exclusion from treatment is a serious problem because ASPD patients suffer from psychiatric disorders like post-traumatic stress disorder, major depression, anxiety disorders and addiction, and the number of suicides and suicide attempts is relatively high (Blackburn et al, 2003;Frances et al, 1986;Galbraith et al, 2014;Goodwin & Hamilton, 2003;Lenzenweger et al, 2007;Sareen et al, 2004).…”