A typology of antisociality in methadone patients.
Multistage cluster analyses with replications were used to sort score profiles of 252 methadone maintained men on 4 continuous measures of antisociality--childhood conduct disorder and adult antisocial personality disorder symptoms, the revised Psychopathy Checklist, and the Socialization scale of the California Psychological Inventory. The analysis yielded 6 replicable and temporally stable cluster groups varying in degree and pattern of antisociality. The groups were statistically compared on sets of external criterion variables--Addiction Severity Index measures of past and recent substance abuse and functioning and lifetime criminal history. Axis I and II symptomatology, anxiety and depression, object relations and reality testing, hostility, guilt, and machiavellianism. The expression of antisociality in the 6 groups and differences found among them on the external variables supported the validity of a more complex conceptualization of antisociality than is provided by antisocial personality disorder.
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA.
A I
AI
Alterman
P A
PA
McDermott
J S
JS
Cacciola
M J
MJ
Rutherford
C R
CR
Boardman
J R
JR
McKay
T G
TG
Cook
D000328:Adult; D017668:Age of Onset; D000987:Antisocial Personality Disorder / Q000145:classification* / Q000150:complications / Q000523:psychology; D016000:Cluster Analysis; D003415:Crime / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications; D015999:Multivariate Analysis; D009293:Opioid-Related Disorders / Q000150:complications*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012720:Severity of Illness Index; D009626:Terminology as Topic