Cusack J R, Malaney K R
Department of psychiatry, Naval Hospital, Charleston, South Carolina.
Postgrad Med. 1992 Mar;91(4):341-4, 349-52, 355. doi: 10.1080/00325481.1992.11701264.
Antisocial personality disorder is the psychiatric diagnosis most closely linked to explosive and criminal behavior. This diagnosis is easily documented but challenges a clinician's diagnostic skill because of the patient's propensity for masquerade and pathologic lying. The essential feature of antisocial personality disorder is a pattern of irresponsible and antisocial behavior beginning in childhood or early adolescence and continuing into adulthood. The differential diagnosis should include substance abuse, adult antisocial behavior, psychotic and organic illness, and other personality disorders. Suggested medical and psychiatric treatment includes rapidly establishing firm behavior limits and performing a mental status examination to evaluate thought processes and suicidal and homicidal intent.
反社会人格障碍是与冲动和犯罪行为联系最为紧密的精神科诊断。该诊断易于记录，但由于患者有伪装和病理性说谎的倾向，对临床医生的诊断技能构成挑战。反社会人格障碍的本质特征是始于童年或青春期早期并持续至成年期的不负责任和反社会行为模式。鉴别诊断应包括物质滥用、成人反社会行为、精神性和器质性疾病以及其他人格障碍。建议的医学和精神科治疗包括迅速确立严格的行为界限，并进行精神状态检查以评估思维过程以及自杀和杀人意图。
