%0 Journal Article
%T What should be done with antisocial personality disorder in the new edition of the diagnostic and statistical manual of mental disorders (DSM-V)?
%A Morten Hesse
%J BMC Medicine
%D 2010
%I BioMed Central
%R 10.1186/1741-7015-8-66
%X The personality disorder currently known as antisocial personality disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), has a long history. It is a term often linked to Prichard's early 19th century concept of 'moral insanity' [1]. The term antisocial personality has been appearing in the DSM since its first edition in 1952, although it was initially labelled antisocial reaction under sociopathic personality disturbance [2].Several related concepts describe the personality problems that can lead to antisocial behaviour. These concepts include psychopathy, dissocial personality disorder, and antisocial personality disorder [3]. In general, more than 50% of the variance of these constructs is shared (see, for example, [3,4]), although the concept of psychopathy encompasses a broader range of problems and behaviours compared to the other two [5].Antisocial personality disorder is a disorder that is associated with substantial impairment of the individual [6]. Moreover, antisocial personality disorder has a negative impact on the people surrounding these individuals, including, for example, children growing up with a parent who has antisocial personality disorder [7], and spouses of people with antisocial personality disorder [8].Given the impact that antisocial personality can have on individuals and society in general, one should expect that high priority be given to the development of effective treatments for this disorder. This is, however, not the case. Indeed, many therapists appear to reject patients with antisocial personality disorder [9]. Moreover, many antisocial personality disorder patients report that they do not believe that their personality is in need of change [10], and few treatments have actually been developed for the disorder [11].The next version of the DSM, the DSM-V is currently in the pipeline. The key question now is, will the DSM-V foster more research into ways in which people with these
%U http://www.biomedcentral.com/1741-7015/8/66