Psychiatry Core Practice Exam

Individuals with antisocial personality disorder (ASPD) are most notably characterized by deceitful and manipulative behaviors. This pattern often manifests as a consistent disregard for the rights of others, wherein individuals may engage in lying, stealing, or engaging in criminal activities without feelings of remorse or guilt. Such behavior demonstrates a lack of empathy and an ability to exploit others for personal gain, which are core traits associated with this disorder.

People with ASPD often charm or manipulate those around them to achieve their desired outcomes, showcasing a superficial charm that conceals their underlying intentions. Their disregard for societal rules and the feelings of others often culminates in a pattern of repeat offenses and troubling interpersonal relationships. This deceitful nature is not merely incidental but is a fundamental aspect of the disorder, making it a defining criterion in diagnosing ASPD.

In contrast, extreme introversion and avoidance of social settings, emotionally unstable relationships, and a need for constant reassurance and validation are more indicative of other mental health conditions, such as avoidant personality disorder, borderline personality disorder, and dependent personality disorder, respectively. These behaviors do not encapsulate the hallmark traits seen in individuals with antisocial personality disorder.