People with antisocial personality disorder (ASPD) can be witty, charming, and fun to be around -- but they also lie and exploit others. ASPD makes people uncaring. Someone with the disorder may act rashly, destructively, and unsafely without feeling guilty when their actions hurt other people.
Modern diagnostic systems consider ASPD to include two related but not identical conditions: A "psychopath" is someone whose hurtful actions toward others tend to reflect calculation, manipulation and cunning; they also tend not to feel emotion and mimic (rather than experience) empathy for others. They can be deceptively charismatic and charming. By contrast, "sociopaths" are somewhat more able to form attachments to others but still disregard social rules; they tend to be more impulsive, haphazard, and easily agitated than people with psychopathy. ASPD is uncommon, affecting just 0.6% of the population.
When Joe [Greco, the director] brought the script to me I had just come off winning the Emmy award for The Sopranos. I was specifically looking for a part that would be a 360 from the character I played in The Sopranos. I chose to play this part for selfish reasons: to be a loving, caring husband who's victimized by this illness.
Marcia Gay [Harden] is an old friend, and Joe wanted Marcia to play Mary, so once I convinced Marcia to do it, in preparation we went to a place called Fountain House,...
Not show signs of remorse after hurting someone else
Fail to meet money, work, or social duties
Abuse drugs or alcohol
Who’s at Risk?
Antisocial personality disorder affects more men than women. Experts don’t know for sure what causes it, but genetics and other biological factors are thought to play a role (especially in psychopathy), as can growing up in a traumatic or abusive environment (especially in sociopathy). Brain defects and injuries during developmental years may also be linked to ASPD, research shows.
Possibly because people with ASPD often break the law, a lot of prisoners have ASPD. As many as 47% of male inmates and 21% of female inmates have the disorder, research shows.
Diagnosis and Treatment
To be diagnosed with ASPD, a person would have to have shown symptoms before age 15. A diagnosis can’t be made until age 18, though. Symptoms are usually at their worst during a person’s late teenage years and in their 20s, but may improve on their own over time.