476 Disruptive, Impulse-Control, and Conduct Disorders
Antisocial Personality Disorder
Criteria and text for antisocial personality disorder can be found in the chapter “Person-
ality Disorders.” Because this disorder is closely connected to the spectrum of “external-
izing” conduct disorders in this chapter, as we ll as to the disorders in the adjoining chapter
“Substance-Related and Addictiv e Disorders,” it is dual code d here as well as in the chap-
ter “Personality Disorders.”
Pyromania
Diagnostic Criteria 312.33 (F63.1)
A. Deliberate and purposeful fire setting on more than one occasion.
B. Tension or affective arousal before the act.
C. Fascination with, interest in, curiosity about, or attraction to fire and its situational con-
texts (e.g., paraphernalia, uses, consequences).
D. Pleasure, gratification, or relief when setting fires or when witnessing or participating
in their aftermath.
E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideol-
ogy, to conceal criminal activity, to express anger or vengeance, to improve one’s living
circumstances, in response to a delusion or hallucination, or as a result of impaired
judgment (e.g., in major neurocognitive disorder, intellectual disability [intellectual de-
velopmental disorder], substance intoxication).
F. The fire setting is not better explained by conduct disorder, a manic episode, or anti-
social personality disorder.
Diagnostic Features
The essential feature of pyromania is the pres ence of multiple episodes of deliberate and
purposeful fire setting (Criterion A). Individuals with this disorder experience tension or af-
fective arousal before setting a fi re (Criterion B). There is a f ascination with, interest in, cu-