Recent literature highly recommends pharmacotherapy to treat A SPD comorbidities as well as the most problematic aspects of the condition for prison and general populations alike, namely aggression and impulsivity. Due to the limited pharmacotherapy available in the US prison system, incarcerated antisocial personalities face additional obstacles to optimal treatment, often resulting in poorer outcomes and a significant psychosocial burden on the prison population.Collaborative, interprofessional, and team-based approaches are the standard of care upon which optimal treatment of incarcerated ASPD patients may be based


United States Prison Population

Since antisocial personality disorder is associated with violent criminal offending, recent research has examined the relationship between prison misconduct and ASPD diagnosis. Findings suggest that ASPD is associated with faster reconvictions for new offenses/violations. Furthermore, prison visitation and misconduct have a significant relationship with ASPD. 

ASPD Within the Criminal Justice System

After assessing the impact of psychological and neuropsychological disorders on recidivism, statistical analyses revealed that antisocial personality disorder, conduct disorder, neurocognitive disorder, and substance use disorder were present in greater levels in repeat offenders compared to first-time offenders, 


Scripps College

As previously stated, there are strong indicators that individuals with antisocial personality disorder are commonly involved in the criminal justice system

The intersection between criminal activity and antisocial personality disorder 

Werth, K. A., & Coolidge, F. L. (2025). Psychological and neuropsychological assessment of recidivism in 1,490 adult prison inmates. Journal of Forensic Psychiatry & Psychology. https://doi-org.ccl.idm.oclc.org/10.1080/14789949.2025.2581574


Representation within prisons

One pair of researchers have concluded that, while antisocial personality traits may act as a risk factor to increase the probability of offending, there is no evidence to suggest that the majority of offending pathological gamblers suffer APD

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