660 Personality Disorders
The pattern of antisocial behavior continues into adulthood. Indi viduals with antiso-
cial personality disorder fail to conform to social norms with respect to lawful behavior
(Criterion A1). They may repeatedly perfor m acts that are grounds for arrest (whether
they are arrested or not), such as destroying  property, harassing ot hers, stealing, or pur-
suing illegal occupations. Persons with this di sorder disregard the wishes, rights, or feel-
ings of others. They are freq uently deceitful and manipulative in order to gain personal
profit or pleasure (e.g., to obtain money, sex,  or power) (Criterion A2). They may repeat-
edly lie, use an alias, con others, or malinger. A pattern of impulsiv ity may be manifested
by a failure to plan ahead (Criterion A3). Decisions are made on the spur of the moment,
without forethought and without consideration fo r the consequences to self or others; this
may lead to sudden changes of jobs, residences , or relationships. Individuals with antiso-
cial personality disorder tend to be irrita ble and aggressive and may repeatedly get into
physical fights or commit acts of physical assau lt (including spouse beating or child beat-
ing) (Criterion A4). (Aggressive acts that are required to defend oneself or someone else
are not considered to be evidence for this it em.) These individuals also display a reckless
disregard for the safety of themselves or othe rs (Criterion A5). This may be evidenced in
their driving behavior (i.e., recurrent speedi ng, driving while intoxicated, multiple acci-
dents). They may engage in sexual behavior or  substance use that has a high risk for harm-
ful consequences. They may neglec t or fail to care for a child in a way that puts the child in
danger.