The new diagnostic criteria for ASPD no longer list any form of Conduct Disorder or Oppositional Defiant Disorder, as behavioral problems in childhood can be a normal part of brain development and there should not be any labels on children unless they develop severe mental health issues.
Oppositional Defiant Disorder or Conduct Disorder should only be diagnosed if the behavioral problems are very serious or dangerous and cause distress, not just normal brain development, as children and teenagers before age 15+ are immature and impulsive to a mild degree and that is normal as children at those times develop a sense of right and wrong and more empathy and loyalty for others.
Mild behavioral issues can be Oppositional Defiant Disorder or Conduct Disorder if there is atypical or arrested development or other neurodevelopmental disorders or neurological disorders that can explain criminal behaviors from early childhood before age 15+
New diagnostic criteria for Antisocial Personality Disorder
Proposed Diagnostic Criteria
A. Moderate or greater impairment in personality functioning,
manifested by characteristic difficulties in two or more of the
following four areas:
1. Identity: Egocentrism; self-esteem derived from personal
gain, power, or pleasure.
2. Self-direction: Goal setting based on personal
gratification; absence of prosocial internal standards,
associated with failure to conform to lawful or culturally
normative ethical behavior.
3. Empathy: Lack of concern for feelings, needs, or suffering
of others; lack of remorse after hurting or mistreating
another.
4. Intimacy: Incapacity for mutually intimate relationships, as
exploitation is a primary means of relating to others,
including by deceit and coercion; use of dominance or
intimidation to control others.
B. Six or more of the following seven pathological personality
traits:
1. Manipulativeness (an aspect of Antagonism): Frequent
use of subterfuge to influence or control others; use of
seduction, charm, glibness, or ingratiation to achieve
one’s ends.
2. Callousness (an aspect of Antagonism): Lack of
concern for feelings or problems of others; lack of guilt or
remorse about the negative or harmful effects of one’s
actions on others; aggression; sadism.
3. Deceitfulness (an aspect of Antagonism): Dishonesty
and fraudulence; misrepresentation of self; embellishment
or fabrication when relating events.
4. Hostility (an aspect of Antagonism): Persistent or
frequent angry feelings; anger or irritability in response to
minor slights and insults; mean, nasty, or vengeful
behavior.
5. Risk taking (an aspect of Disinhibition): Engagement in
dangerous, risky, and potentially self-damaging activities,
unnecessarily and without regard for consequences;
boredom proneness and thoughtless initiation of activities
to counter boredom; lack of concern for one’s limitations
and denial of the reality of personal danger.
Specifiers.
6. Impulsivity (an aspect of Disinhibition): Acting on the
spur of the moment in response to immediate stimuli;
acting on a momentary basis without a plan or
consideration of outcomes; difficulty establishing and
following plans.
7. Irresponsibility (an aspect of Disinhibition): Disregard
for—and failure to honor—financial and other obligations
or commitments; lack of respect for—and lack of followthrough on—agreements and promises.
Note. The individual is at least 18 years of age.
Specify if:
With psychopathic features
Oppositional Defiant Disorder or Conduct Disorder should only be diagnosed if the behavioral problems are very serious or dangerous and cause distress, not just normal brain development, as children and teenagers before age 15+ are immature and impulsive to a mild degree and that is normal as children at those times develop a sense of right and wrong and more empathy and loyalty for others.
Mild behavioral issues can be Oppositional Defiant Disorder or Conduct Disorder if there is atypical or arrested development or other neurodevelopmental disorders or neurological disorders that can explain criminal behaviors from early childhood before age 15+
New diagnostic criteria for Antisocial Personality Disorder
Proposed Diagnostic Criteria
A. Moderate or greater impairment in personality functioning,
manifested by characteristic difficulties in two or more of the
following four areas:
1. Identity: Egocentrism; self-esteem derived from personal
gain, power, or pleasure.
2. Self-direction: Goal setting based on personal
gratification; absence of prosocial internal standards,
associated with failure to conform to lawful or culturally
normative ethical behavior.
3. Empathy: Lack of concern for feelings, needs, or suffering
of others; lack of remorse after hurting or mistreating
another.
4. Intimacy: Incapacity for mutually intimate relationships, as
exploitation is a primary means of relating to others,
including by deceit and coercion; use of dominance or
intimidation to control others.
B. Six or more of the following seven pathological personality
traits:
1. Manipulativeness (an aspect of Antagonism): Frequent
use of subterfuge to influence or control others; use of
seduction, charm, glibness, or ingratiation to achieve
one’s ends.
2. Callousness (an aspect of Antagonism): Lack of
concern for feelings or problems of others; lack of guilt or
remorse about the negative or harmful effects of one’s
actions on others; aggression; sadism.
3. Deceitfulness (an aspect of Antagonism): Dishonesty
and fraudulence; misrepresentation of self; embellishment
or fabrication when relating events.
4. Hostility (an aspect of Antagonism): Persistent or
frequent angry feelings; anger or irritability in response to
minor slights and insults; mean, nasty, or vengeful
behavior.
5. Risk taking (an aspect of Disinhibition): Engagement in
dangerous, risky, and potentially self-damaging activities,
unnecessarily and without regard for consequences;
boredom proneness and thoughtless initiation of activities
to counter boredom; lack of concern for one’s limitations
and denial of the reality of personal danger.
Specifiers.
6. Impulsivity (an aspect of Disinhibition): Acting on the
spur of the moment in response to immediate stimuli;
acting on a momentary basis without a plan or
consideration of outcomes; difficulty establishing and
following plans.
7. Irresponsibility (an aspect of Disinhibition): Disregard
for—and failure to honor—financial and other obligations
or commitments; lack of respect for—and lack of followthrough on—agreements and promises.
Note. The individual is at least 18 years of age.
Specify if:
With psychopathic features
