Ettina wrote:
funeralxempire wrote:
Ettina wrote:
Actually, many PDs should probably be diagnosed much younger, not older.
Borderline PD is detectable by early adolescence and relatively stable from adolescence until adulthood, so it'd actually make more sense to put the minimum age for diagnosis around 10 or so.
Antisocial PD is even more distinct, and can be detected as young as 3 or 4 years old. In children it's often renamed "callous-unemotional" personality, but it's basically the same thing, and relatively stable from preschool to adulthood.
However, since both of those conditions carry a lot of stigma, there's concerns about whether it'd actually be beneficial for a child to be diagnosed with either condition, even if the diagnosis is accurate.
My understanding has always been that ASPD can't be diagnosed in young children even if there will sometimes be warning signs that emerge early on. CU traits are a strong
potential indicator that a child may develop conduct disorder or oppositional defiant disorder but not a guarantee. Not every kid who gets diagnosed with one or both of those goes on to meet diagnostic criteria for ASPD as an adult.
CU traits on their own aren't synonymous with ASPD and it would require a substantial redefinition of ASPD in order for that to change.
The redefinition of ASPD you're talking about has already occurred. DSM-V ASPD is essentially synonymous with CU, and is very distinct from DSM-IV ASPD.
Funny you say that when I was using DSM 5 as a resource.
I've included the relevant portion from DSM 5, pay attention to portions B and C since they're what I mentioned in my first post and they're what you seemed to claim was no longer part of the criteria despite clearly being within the DSM 5 criteria.
Quote:
Symptoms & Criteria for Antisocial Personality Disorder
According to the DSM-5, there are four diagnostic criterion, of which Criterion A has seven sub-features.
A. Disregard for and violation of others rights since age 15, as indicated by one of the seven sub features:
Failure to obey laws and norms by engaging in behavior which results in criminal arrest, or would warrant criminal arrest
Lying, deception, and manipulation, for profit or self-amusement,
Impulsive behavior
Irritability and aggression, manifested as frequently assaults others, or engages in fighting
Blatantly disregards safety of self and others,
A pattern of irresponsibility and
Lack of remorse for actions (American Psychiatric Association, 2013)
The other diagnostic Criterion are:
B. The person is at least age 18,
C. Conduct disorder was present by history before age 15
D. and the antisocial behavior does not occur in the context of schizophrenia or bipolar disorder (American Psychiatric Association, 2013)
Onset
The DSM-5 notes that Antisocial Personality Disorder cannot be diagnosed before age 18, so while an adolescent may display antisocial features, prior to age 18, if diagnostic criteria are met, the appropriate diagnosis would be Conduct Disorder (American Psychiatric Association, 2013).
Further, scholarly articles regarding ASPD consistently include phrases like:
Quote:
The DSM-5 definition of ASPD requires a history of childhood CD, the diagnosis used for persistent and serious childhood behaviour problems. Once the child passes age 18 years, if the behavioural problems have persisted the diagnosis changes to ASPD. An estimated 25% of girls and 40% of boys with CD will later meet criteria for ASPD.
It really doesn't seem as though
Callous and unemotional traits = ASPD, at least not according to DSM-5.
He is actually correct, there are new diagnostic criteria for each personality disorders. The old alternative model for personality disorders is completely different from DSM-5-TR and although old personality disorders are in DSM-5-TR, the new alternative model includes different diagnostic criteria and fewer personality disorders than before. There is 4 out of 9 personality disorders in the new alternative model in DSM-5-TR.
I don't agree with diagnosing young adults and mirrors with personality disorders, because you are not developed at those developmental stages.
17 Mar 2022, 8:08 am
