Mad or bad? some clinical considerations in the misdiagnosis of schizophrenia as antisocial personality disorder.

Some clinicians tend to misdiagnose schizophrenia when there is accompanying antisocial behavior, thus depriving the patient of appropriate treatment. Four factors appear to contribute to this misdiagnosis, the most important of which is the nature of the interaction between examiner and examinee. The authors present a case illustration and discuss the implications for treatment.