People don't just grow out of an antisocial personality disorder. But older individuals with ASPD may behave differently in these 3 key ways, explains swhitbo
as a criminal. The question is, could they receive a new diagnosis in later life based on the ASPD criteria?To answer the question of whether the ASPD diagnostic criteria have an inherent age bias, the Washington University authors began by taking advantage of the National Epidemiological Survey onand Related Conditions III or NESARC-III.
The extensive nature of the AUDADIS-5 made it possible for the research team to determine whether an individual exhibited “ASPD pathology" by showing elevated scores across the entire measure. As examples, the AUADIS-5 asked participants to rate themselves on the frequency of behaviors such as"ever hurt an animal on purpose" or"often scare people to do things.
Based on these findings, older adults with undiagnosed ASPD would indeed seem to lack the “criminal energy” to engage in physically demanding actions that could lead to their arrest. Nevertheless, the authors noted that it is still “possible for older adults with ASPD to continue to cause disturbance and create conflict in their lives” . Such individuals may behave in irritable and even aggressive ways towards fellow residents and staff in nursing homes.
As the authors pointed out, it's also possible that the antisocial older adult whose disorder is undetected may be incorrectly diagnosed as having a cognitive disorder that affects their ability to inhibit aggressive behavior. Missing the ASPD diagnosis for these individuals can have important practical consequences.
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