Psychopathy and the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition alternative model of personality disorder: a synthesis and critique of the emergent literature.
Journal
Current opinion in psychiatry
ISSN: 1473-6578
Titre abrégé: Curr Opin Psychiatry
Pays: United States
ID NLM: 8809880
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
pubmed:
29
8
2020
medline:
29
7
2021
entrez:
29
8
2020
Statut:
ppublish
Résumé
Including the psychopathic specifier within the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition alternative model of personality disorder (AMPD) trait conceptualization of antisocial personality disorder (ASPD) represents a significant development in the history of the conceptualization of ASPD and its relationship to psychopathy. This review presents a synthesis and critique of emerging literature pertaining to AMPD ASPD and the psychopathic specifier. The current review draws attention to the utility of ASPD impairment ratings and traits to effectively measure psychopathy, shortcomings of the psychopathic specifier, research efforts to improve upon the conceptualization of AMPD psychopathy, and ASPD and psychopathic specifier trait complexity. AMPD domains and ASPD designated traits converge with interpersonal, antagonistic, and disinhibitory domains of psychopathy but demonstrate poorer convergence with boldness/fearless dominance. The separate assessment of ASPD impairment adds little to the prediction of psychopathy beyond ASPD trait severity. Although the psychopathic specifier maps onto boldness/fearless dominance domains of psychopathy, theoretical and empirical limitations hinder the utility of the psychopathic specifier and reconceptualization will likely be required. Finally, complex ASPD and psychopathic specifier facet interrelationships and diverse relationships with externalizing outcomes suggests the development of advanced interpretive guides for clinical practice should be a high priority.
Identifiants
pubmed: 32858600
doi: 10.1097/YCO.0000000000000648
pii: 00001504-202101000-00011
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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