Kaylor L
Cambridge Hospital Psychiatric Emergency Services, Lowell, MA, USA.
Issues Ment Health Nurs. 1999 May-Jun;20(3):247-58. doi: 10.1080/016128499248646.
Antisocial personality disorder (ASPD) is a complex disorder that creates a diagnostic, ethical, and treatment dilemma for mental health professionals. Psychosocial, biological, and cultural influences play a role in the development of ASPD. People with ASPD often had harsh early childhoods that impaired their ability to trust in adulthood. Research supports intriguing biological links, but it remains unclear if biological differences are the cause or the effect of ASPD. Individualism, patriarchy, and widespread media violence create the cultural context for the development of ASPD. ASPD is difficult to clinically diagnose and treat, and there is controversy concerning whether ASPD is a psychiatric or a legal-ethical problem. However, the management of ASPD often falls to mental health services. This article addresses treatment and primary prevention of ASPD in a way that is relevant to mental health practice.
反社会型人格障碍（ASPD）是一种复杂的障碍，给心理健康专业人员带来了诊断、伦理和治疗方面的困境。心理社会、生物和文化因素在ASPD的发展中都起到了作用。患有ASPD的人往往有过艰难的童年，这损害了他们成年后信任他人的能力。研究支持了一些有趣的生物学联系，但目前尚不清楚生物学差异是ASPD的原因还是结果。个人主义、父权制和媒体暴力的广泛传播为ASPD的发展创造了文化背景。ASPD在临床上难以诊断和治疗，并且对于ASPD是一个精神疾病问题还是一个法律伦理问题存在争议。然而，ASPD的管理通常由心理健康服务机构负责。本文以与心理健康实践相关的方式探讨了ASPD的治疗和一级预防。
