Utilità diagnostica del Disturbo Antisociale di Personalità e del Disturbo Psicopatico di Personalità. Proposta revisione del DSM-V

Antisocial Personality Disorder (DAP) and Psychopatic Personality Disorder or Psychopathy (DPP) have long been considered as synonimous, so that DSM-IV-TR (2000) included only DAP while no reference about DPP was comprised. The present paper considers research works on neurobiological, emotional, cognitive, and behavioural characteristics of Psycopathy, corroborating the clinical validity and usefulness of this disorder. The empirical evidence of DPP is the basis for the proposal by Personality Disorders Work Group on DSM-V to consider and discriminate these different disorders as two subtypes of unique disorder (Antisocial/Psychopathic Personality Disorder), included in wide revision model of DP. This “alternative model” was refused at the end of DSM-V elaboration and was included in the III Section of manual dedicated to “emergent model”