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    How is personality disorder linked to dangerousness? A putative role for early-onset alcohol abuse

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    Author
    Howard, Richard C.
    Keyword
    Alcoholism
    Antisocial personality disorder
    Dangerous behaviour
    Date
    2006
    
    Metadata
    Show full item record
    DOI
    10.1016/j.mehy.2006.03.050
    Publisher's URL
    http://www.medical-hypotheses.com/article/S0306-9877(06)00294-5/fulltext
    Abstract
    This paper questions the assumption that personality disorder and dangerousness are causally linked, and suggests that insofar as a relationship between them exists, it is mediated by early-onset alcohol abuse. The latter, by impairing the function of prefrontal cortex during adolescence, a critical period of its development, putatively leads to deficits in goal-directed behaviour and emotional self-regulation that place the individual at high risk of becoming chronically antisocial in adulthood. Evidence is adduced in support of the hypothesis from the literature on: (i) the comorbidity of personality disorder and alcohol abuse; (ii) frontal lobe deficits in psychopaths; and (iii) life-course persistent offenders. Some testable predictions from the hypothesis are presented, together with its implications; most importantly, that measures to prevent serious antisocial behaviour in adulthood should target at-risk individuals prior to their commencing heavy drinking during adolescence.
    Citation
    Howard, R. C. (2006). How is personality disorder linked to dangerousness? A putative role for early-onset alcohol abuse. Medical Hypotheses, 67 (4), pp.702-708.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/9433
    Collections
    Personality Disorders
    Alcohol-use Disorders

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