- Dissocial personality disorder
Dissocial personality disorder is one of several psychopathic
personality disorders, each of which has different operational definitions and terminologies depending on the system of classification of mental disordersused. Psychopathyis a general construct that differs from the specific diagnoses of antisocial, psychopathic, dissocial, and sociopathic personality disorders, the various diagnostic classifications for psychopathy.Dissocial personality disorder is the diagnostic category established for psychopathy in the ICD-10diagnostic criteria developed by the World Health Organization(WHO). It is conceptually similar to the DSM-IV-TRdiagnostic criteria for Antisocial personality disorder.cite web
title=F60.2 Dissocial personality disorder
publisher=World Health Organization
ICD-10 Criteria for Dissocial Personality Disorder
Specifically, the dissocial personality disorder is described by the
World Health Organizationby the following criteria:
# Callous unconcern for the feelings of others and lack of the capacity for
# Gross and persistent attitude of irresponsibility and disregard for
social norms, rules, and obligations.
# Incapacity to maintain enduring relationships.
# Very low tolerance to
frustrationand a low threshold for discharge of aggression, including violence.
# Incapacity to experience
guiltand to profit from experience, particularly punishment.
# Marked proneness to blame others or to offer plausible rationalizations for the behavior bringing the subject into conflict.
The criteria specifically rule out
Conduct disorders. Dissocial personality disorder criteria differ from those for antisocial and sociopathic personality disorders. [cite book
coauthors= David P. Farrington, Jeremy Coid
title= Early Prevention of Adult Antisocial Behavior
publisher=Cambridge University Press
pages = p. 82
Confusion in terminology
Although conceptually the antisocial, dissocial, and sociopathic personality disorders are synonymous with psychopathy, operationally the diagnostic criteria for these disorders are definitely distinct. They are not equivalent disorders. The largest difference is the emphasis on
delinquentand criminal behaviors found in the DSM-IV-TR's version, the antisocial personality disorder. The dissocial personality disorder pays more attention to the affective, interpersonaland behavioralcomponents not present in DSM-IV-R's criteria.cite web
author=Irving B. Weiner & Donald K. Freedheim
title=Handbook of Psychology
publisher=John Wiley and Sons
pages= p. 88
The criteria for antisocial personality disorder are largely based on observable behaviors while the ICD criteria for dissocial personality disorder focus more on the affective and interpersonal deficits. However, the ICD criteria do not represent the broad personality and behavioral factors of psychopathy.cite web
author=Ogloff, James R.P.
title=Psychopathy/antisocial personality disorder conundrum
The blurring of distinctions between these diagnostic categories and psychopathy have caused diagnosis confusion. For the mental health and criminal justice system, the distinction between psychopathy and antisocial personality disorder is of considerable importance. [cite web
author=Robert D. Hare, Ph.D.
title=Psychopathy and Antisocial Disorder: A Case of Diagnostic Confusion
accessdate=2008-01-12] Further, the term "psychopathic" is no longer used in the
United Kingdomas it is seen as having pejorative connotations. [cite web
title=The Disability Handbook on Personality Disorders
Much research into psychopathy, as operationalized by the Hare Psychopathy Checklist Revised (PCL-R), has been conducted. The checklist assesses both
interpersonaland affectivecomponents as well as lifestyleand antisocial deficits. However, the research results cannot be easily extrapolated to the clinical diagnoses of dissocial personality disorder or antisocial personality disorder. A sample research finding is that between 50% and 80% of prisoners in England and Wales meet the diagnostic criteria of dissocial personality disorder, but only 15% would be predicted to be psychopathic as measured by the PCL-R. Therefore, the findings drawn from psychopathy research have not yet been shown to be relevant as an aid to the diagnosis and treatment of dissocial or antisocial personality disorders.
correlatedissocial personality disorder have had methodological problems. Although a high percentage of prisoners in England and Wales were shown in one survey to fulfill the criteria for a dissocial personality, since the diagnosis of dissocial personality includes a disregard for social rules and norms, it is not surprising that the same individuals commit crimes. [cite web
title=Dangerous Severe Personality Disorder
publisher=Advances in Psychiatric Treatment
Research has been done attempting to assess the
co-morbidityof dissocial personality disorder with other conditions. However, the few studies that have been done use too many different methodologies to enable forming solid conclusions, although it seems that there is a low prevalence of antisocial personality disorder/dissocial personality disorder in psychiatric hospitals. [cite book
title= Antisocial Personality Disorder: An Epidemiological Perspective|url= |work=
publisher=Amer Psychiatric Publishing
pages = p. 25
In practice, mental health professionals rarely treat dissocial personality disorders as they are considered untreatable and no interventions have proven to be effective. In
Englandand Walesthe diagnosis is grounds for detention in secure psychiatric hospitals under the Mental Health Act if individuals with that diagnosis have committed serious crimes, but since such individuals are disruptive for other patients and not responsive to treatment this alternative to prisonis not often used. [cite book
author =Paul Harrison & John Geddes
title =Lecture Notes: Psychiatry
publisher =Blackwell Publishing
pages = p. 163–165
isbn = ]
Antisocial personality disorder
The Mask of Sanity"
* [http://books.google.com/books?id=EKxtAWmL_8oC&pg=PA83&lpg=PA83&dq=dissocial+personality+disorder&source=web&ots=oFGVN7Ku1T&sig=1M-Ah8Mcx8isIfjTR4J8eejmA58#PPP9,M1 Multiaxial Presentation of the ICD-10 for Use in Adult Psychiatry]
* [http://apt.rcpsych.org/cgi/content/full/9/5/349?ck=nck Dangerous severe personality disorder]
* [http://sciencelinks.jp/j-east/article/200019/000020001900A0581448.php A Case of Psychiatric Evidence of Dissocial Personality Disorder]
* [http://www.mentalhealth.com/icd/p22-pe04.html Antisocial Personality Disorder - European Description]
* [http://books.google.com/books?id=KtXU8R8oZYwC&pg=PA82&lpg=PA82&dq=dissocial+personality+disorder&source=web&ots=lVx_gb_9mM&sig=U_bMqyc-KlzHKEvzXBdeZxplN2E Definitions of Antisocial Personality Disorder, Psychopathic Personality disorder, and Dissoricla Personality Disorder]
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