Uncertainty about the status of personality disorder and the distinction between its subcategories

Surveys of offender populations invariably report high rates of personality disorders because repeated offending is a defining component of the disorder. A discrete personality disorder associated with offending but that does not have offending as a definer has not been found. Personality-disordered offender patients in English high-security hospitals show a range of personality disorders together with other psychiatric disorders (most commonly substance misuse), and sometimes neurological impairments/90' Thus, in practice, antisocial personality disorder as the sole diagnosis in offender populations is uncommon. There is also evidence that the personality characteristics of mentally ill patients in secure hospitals are similar to those designated 'personality disordered'. (9!)

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