General Description
Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society.
A. There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following:
  (1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
  (2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
  (3) impulsivity or failure to plan ahead
  (4) irritability and aggressiveness, as indicated by repeated physical fights or assaults
  (5) reckless disregard for safety of self or others
  (6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
  (7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another
B. The individual is at least age 18 years.
C. There is evidence of Conduct Disorder with onset before age 15 years.
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