RT Article T1 Antisocial Personality Disorder With or Without Antecedent Conduct Disorder: The Differences Are Psychiatric and Paraphilic: JF Criminal justice and behavior VO 45 IS 6 SP 902 OP 917 A1 DeLisi, Matt A2 Caropreso, Daniel A2 Drury, Alan J. A2 Elbert, Michael J. A2 Heinrichs, Tim A2 Tahja, Katherine N. LA English YR 2018 UL https://krimdok.uni-tuebingen.de/Record/1701926318 AB Antisocial personality disorder (ASPD) requires a childhood diagnosis of conduct disorder (CD); however, some adult offenders are nevertheless diagnosed with ASPD without antecedent CD. The current study used a population of federal correctional clients to examine psychiatric and paraphilic conditions that potentially differentiate these offenders. Attention deficit hyperactivity disorder (ADHD) was associated with a 120% increased likelihood of ASPD with prior CD, but a 75% reduced likelihood of ASPD without CD. Bipolar I disorder was associated with a 328% increased likelihood, frotteurism conferred a 311% increased likelihood, and sexual sadism conferred a 1,033% increased likelihood of ASPD without CD. The findings provide specificity to the heterogeneous ASPD population and help to clarify its equifinality. Implications for correctional practice are that prior psychiatric diagnoses and paraphilic disorders can help to understand the development of serious criminal behavior occurring among adult offenders even if they lacked CD. K1 Antisocial personality disorder K1 Conduct disorder K1 Criminal career K1 Psychopathology K1 Paraphilias DO 10.1177/0093854818765593