ABSTRACT

This chapter describes a framework for the assessment and effective treatment of antisocial personality disorder. It includes sections on diagnosis, psychological assessment, case conceptualization, and treatment interventions. The chapter begins with background information on the disorder as well as a DSM-5 description and a prototypic description of the disorder. The typical situation, circumstance, or event that most likely triggers or activates the characteristic maladaptive response of the antisocial personality disorder as noted in behavioral, interpersonal, cognitive, and affective styles, is social standards and rules. The Minnesota Multiphase Personality Inventory (MMPI-2), the Millon Clinical Multiaxial Inventory (MCMI-IV), the Rorschach Psycho diagnostic Test, and the Thematic Apperception Test (TAT) can be useful in diagnosing antisocial personality disorder. Malancharuvil provides a psychodynamic formulation for empathy deficit in antisocial personality disorder. Schema Therapy is an elaboration of cognitive therapy that has been developed by young specifically for personality disorders and other difficult individual and couples problems.