ASPD Overview 3 — Questions and Answers
Question 1: Which of the following is NOT one of the DSM-5 diagnostic criteria for ASPD?
- Deceitfulness
- Impulsivity
- Consistent irresponsibility
- Auditory hallucinations (Correct answer)
Correct answer: Auditory hallucinations
Auditory hallucinations are not a criterion for ASPD; they are more characteristic of psychotic disorders.
Question 2: What does the term 'callousness' mean in the context of ASPD?
- Extreme physical sensitivity
- Lack of empathy and indifference to the feelings of others (Correct answer)
- Tendency to feel guilt after harmful actions
- Excessive concern for social rules
Correct answer: Lack of empathy and indifference to the feelings of others
Callousness in ASPD refers to a pervasive lack of empathy and indifference to the suffering or rights of others.
Question 3: Which of the following environmental factors is most strongly associated with the development of ASPD?
- High socioeconomic status
- Overprotective parenting
- Childhood abuse and neglect (Correct answer)
- Urban upbringing
Correct answer: Childhood abuse and neglect
Childhood maltreatment, including physical abuse and neglect, is one of the strongest environmental risk factors for developing ASPD.
Question 4: What is 'conning behavior' in the context of ASPD?
- Memorizing complex information quickly
- Deliberately manipulating others for personal gain or pleasure (Correct answer)
- Avoiding social interactions
- Displaying excessive generosity to others
Correct answer: Deliberately manipulating others for personal gain or pleasure
Conning behavior involves using deceit and manipulation to exploit others for personal benefit, which is a core feature of ASPD.
Question 5: Which of the following is true about ASPD and remorse?
- Individuals with ASPD frequently express genuine remorse
- Remorse is not a criterion for ASPD
- Lack of remorse is a key diagnostic feature of ASPD (Correct answer)
- Individuals with ASPD are legally excused due to lack of remorse
Correct answer: Lack of remorse is a key diagnostic feature of ASPD
Lack of remorse after harming others is one of the core criteria for diagnosing ASPD in the DSM-5.
Question 6: What is the heritability estimate for antisocial behavior based on twin studies?
- Less than 10%
- About 20–30%
- About 40–60% (Correct answer)
- Over 90%
Correct answer: About 40–60%
Twin studies suggest that genetic factors account for approximately 40–60% of the variance in antisocial behavior.
Question 7: Which population has the highest prevalence of ASPD?
- Outpatient psychiatric clinics
- Elementary school children
- Prison and forensic settings (Correct answer)
- Geriatric care facilities
Correct answer: Prison and forensic settings
ASPD is highly overrepresented in prison populations, with estimates ranging from 40–70% of incarcerated individuals.
ASPD Overview 3
Which of the following is NOT one of the DSM-5 diagnostic criteria for ASPD?