Which disorder is defined by a lack of conscience for wrongdoing, and may be aggressive or a clever con artist, usually in men?

• A. Antisocial personality disorder
• B. Anxiety disorders
• C. ADHD
• D. Avoidant personality disorder

Answer: (A)

Disregard for the rights of others and a lack of remorse describe antisocial personality disorder. People with this pattern often act with deceit or aggression, and they may manipulate others to get what they want, showing impulsivity and a pattern of irresponsible behavior. The note that this occurs more often in men fits epidemiological patterns for this disorder. This set of features helps distinguish it from other options: anxiety disorders center on excessive fear or worry, not a pervasive disregard for others; ADHD focuses on inattention and hyperactivity; avoidant personality disorder involves social inhibition and fear of rejection, not a callous or manipulative orientation toward others. In diagnosis, there is often a history of conduct disorder before age 15, with a pattern continuing into adulthood.