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Clinical features

Authoring team

Features commonly described include :-

  • impulsivity - actions are carried out for the satisfaction of immediate needs rather than with thought for future consequences
  • affectlessness - the inability to make warm and loving relationships with other people
  • guiltlessness - some individuals show a remarkable inability to feel guilt or shame, even after committing atrocities. This is not true of all psychopaths, some of whom experience shame
  • - inability to learn from punishment - some individuals continue to commit offences despite repeated imprisonment.

In actual physical examination, EEG abnormalities are common:

  • study evidence revealed EEG abnormalisties in 50% of violent offenders (1)
  • a more recent study revealed attenuated alpha rhythm and theta and delta activities increase in the frontal lobe in violent offenders with antisocial personality disorder (2)

Reference:

  • 1. Bach-y-Rita G et al. Episodic dyscontrol: a study of 130 violent patients. Am J Psychiat 1971;127:473-1478.
  • 2. Reyes AC, Amado AA. Qualitative and quantitative EEG abnormalities in violent offenders with antisocial personality disorder. Journal of Forensic and Legal Medicine 2009; 16 (2): 59-63.

 


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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