The Complex World of Antisocial Personality Disorder: A Critical Scholarly Review

Sidhvita Kaithepalli, Sheetal Rajan

Abstract: Antisocial Personality Disorder (ASPD) is a chronic mental health condition characterised by persistent patterns of disregard for the rights of others, deceitfulness, impulsivity, irritability, and aggressive behaviour. It has been extensively studied in psychiatry and psychology due to its strong association with criminality, substance abuse, and social dysfunction. This review article synthesises the existing literature on ASPD, examining its epidemiology, diagnostic criteria, neurobiological underpinnings, comorbidities, and treatment approaches. Drawing upon seminal and contemporary studies, we highlight the role of genetic predisposition, neurocognitive deficits, and environmental influences in the development and persistence of ASPD. Additionally, we explore the challenges in diagnosis and treatment, emphasising the limited efficacy of conventional interventions and the need for tailored therapeutic strategies. The discussion section delves into controversies regarding the categorical versus dimensional classification of ASPD and the potential for early interventions to mitigate its severity. This review aims to provide a nuanced understanding of ASPD and offer insights for clinicians, researchers, and policymakers in addressing this complex disorder.

Keywords: Antisocial Personality Disorder, Psychopathy, Criminal Behaviour, Neuro cognition, Genetic Factors, Treatment Approaches, Conduct Disorder. Impulsivity, Aggression, Recidivism, Pharmacological Interventions, Comorbid Conditions, Neurobiological Abnormalities, Amygdala Dysfunction