Differences
in Developmental Pathways
By:
THEODORE MILLON and
Seth Grossman
Carrie Millon
Sarah Meagher
Rowena Ramnath
There
has been tremendous interest in developing models to explain the different
pathways for developing antisocial behaviors and personality that clinicians
have observed. Predicting which kids who commit crimes as juveniles will
continue to commit crimes as adults has long frustrated psychologists, school
officials, the justice department, and the community at large. Just as not all
antisocials are criminals and not all criminals are antisocial, by no means do
all kids who commit juvenile offenses grow up into offending adults. However,
most offending adults also committed crimes as juveniles.
In
recent years (see Silverthorn & Frick, 1999, for an excellent review),
several theorists have offered up compelling models to explain two distinct
trajectories for the development of antisocial behavior in boys. In one
trajectory, the onset of severe antisocial behavior begins in childhood; in the
other, the onset is not until adolescence (Hinshaw, Lahey, & Hart, 1993;
Moffitt, 1993). Even the DSM-IV
has incorporated this conception of two
distinct and meaningful pathways by distinguishing Childhood-Onset Type versus
Adolescent Onset Type as subtypes of conduct disorder. One reason for the success of
these models is that they provide good predictive validity. It has been found
repeatedly that children who develop severe conduct problems prior to
adolescence are the most likely ones to continue showing these symptoms into
adulthood (Frick & Loney, 1999; Loeber, 1991). Juveniles with childhood
onset typically demonstrate more aggression; possess what seems more analogous
to adult conceptualizations of antisocial personality disorder with a cold,
callous, and suspicious interpersonal style; and come from families with higher
rates of pathology, conflict, and dysfunctional parenting practices.
However,
these models were developed solely on the male pattern of antisocial behavior. Do
these same trajectories apply to females as well? Silverthorn and Frick (1999) think
that at least in part they do, but require some serious modifications to be a
useful model for conceptualizing antisocial girls. After reviewing the limited
research that has been published on antisocial girls, they hypothesize a third
developmental pathway for girls they label “delayed-onset.” They found that
while many of the mechanisms that are thought to contribute to the development
of antisocial behavior (i.e., cognitive and neuropsychological deficits,
conflict-ridden family environment, parental pathology, and a cold and callous
interpersonal style) are operating throughout childhood, in girls, antisocial behaviors
are not expressed until adolescence for a variety of speculated social and biological
reasons. They predict that this delayed-onset pathway in girls in analogous to childhood-onset
in boys in terms of predicting future course and outcome and that there is no
comparable pathway in girls to the adolescent-onset in boys.
References
Personality Disorders in Modern Life,
second edition, 2000, 2004 by John Wiley & Sons, Inc.
Antisocial Personality Disorder, Case vignette (1)
Antisocial Personality Disorder, Case vignette (2)
Antisocial Personality Disorder, Case vignette (3)
Understanding Alcoholism Through Personality
Feelings of Superiority and Vulnerability
Magical thinking – Reality or illusion?
Separation Anxiety and Dependent Personality
Overanxious Disorder in Children
HIV and Personality Disorders
Gangs
Antisocial Personality
No comments:
Post a Comment