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Rethinking the DSM III-R diagnosis of antisocial personality disorder
The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1991
Summary
Antisocial personality disorder (APD) diagnosis criteria have changed, but current research models show significant variability and modest correlation with DSM standards. Recommendations suggest refining APD symptoms for better research alignment.
Area of Science:
- Psychiatry
- Psychology
- Clinical Psychology
Background:
- The diagnosis of antisocial personality disorder (APD) has been revised in the DSM III and DSM III-R.
- Existing research and psychometric models of APD exhibit considerable variability.
Purpose of the Study:
- To review current research and psychometric models of antisocial personality disorder (APD) in light of diagnostic revisions.
- To identify discrepancies between existing APD models and DSM diagnostic standards.
- To propose recommendations for improving the diagnostic congruence of APD.
Main Methods:
- Literature review of current research and psychometric models pertaining to antisocial personality disorder (APD).
- Analysis of the variability within these models.
- Assessment of the correlation between APD models and DSM diagnostic standards.
Main Results:
- Significant variability was found among current research and psychometric models of antisocial personality disorder (APD).
- These models demonstrated only modest correlations with established DSM diagnostic standards.
- Discrepancies exist between theoretical models and clinical diagnostic criteria for APD.
Conclusions:
- Current models of antisocial personality disorder (APD) show considerable heterogeneity.
- There is a need to reduce symptom variations within the APD diagnosis.
- Reformulating APD is recommended to enhance congruence with empirical research findings.