Psychology Unplugged

Psychopathy: A Disorder, Not a Demon

Dec 7, 2025
Explore the nuances of Antisocial Personality Disorder and the confusion surrounding psychopathy and sociopathy. Discover the link between ADHD and later antisocial behaviors, along with critical diagnostic indicators like animal cruelty. Delve into the fascinating public personas of antisocial individuals and their often manipulative skills. The conversation highlights early intervention strategies, cultural portrayals in film, and the challenges of engaging these individuals in therapy. Unravel the complexities of their emotional profiles and predatory behaviors.
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INSIGHT

Early-Onset Pattern Defines Antisocial PD

  • Antisocial personality disorder involves a pervasive disregard for others' rights that begins in childhood and adolescence.
  • Diagnosis requires conduct-disorder behaviors before age 15 and adult symptoms by 18, per Nigra.
INSIGHT

ADHD Often Precedes Antisocial Traits

  • Russell Barkley's model links hyperactive/combined ADHD in childhood to later antisocial traits through peer ostracism and conduct disorder.
  • Early behavioral escalation commonly leads from ADHD to oppositionality, conduct disorder, then adult antisocial patterns.
ADVICE

Gather Early History And Test Collaterals

  • Do assess childhood behavior and school/social history when evaluating adults for antisocial traits.
  • Use collateral sources and clinical testing like the MMPI to detect psychopathic deviance and deceit.
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