Bad Boys, Bad Men: Confronting Antisocial Personality Disorder

Whether called black sheep, sociopaths, felons, con men, or misfits, some men break all the rules. They shirk everyday responsibilities, abuse drugs and alcohol, take up criminal careers, and lash out at family members. In the worst cases, they commit rape, murder, and other acts of extreme violence as though they lack a conscience. What makes these men--men we all know, whether as faces in the news or as people close to us--behave the way they do?

Bad Boys, Bad Men examines antisocial personality disorder or ASP, the mysterious mental condition that underlies this lifelong penchant for bad behavior. Psychiatrist and researcher Donald W. Black, MD, draws on case studies, scientific data, and current events to explore antisocial behavior and to chart the history, nature, and treatment of a misunderstood disorder that affects up to seven million Americans. Citing new evidence from genetics and neuroscience, Black argues that this condition is tied to biological causes and that some people are simply born bad. Bad Boys, Bad Men introduces us to people like Ernie, the quintessential juvenile delinquent who had an incestuous relationship with his mother and descended into crime and alcoholism; and John Wayne Gacy, the notorious serial killer whose lifelong pattern of misbehavior escalated to the rape and murder of more than 30 young men and boys. These compelling cases read like medical detective stories as Black tries to separate the lies these men tell from the facts of their lives.

Bad Boys, Bad Men not only describes the warning signs that predict which troubled children are more likely to become dangerous adults, but also details progress toward treatment for ASP. This volume will be an essential resource for psychiatrists, psychologists, criminologists, victims of crime, families of individuals afflicted with ASP, and anyone else interested in understanding antisocial behavior.

A fascinating and sobering book that reveals why some men break all the rules, "Bad Boys, Bad Men" explores the progress toward treatment for ASP, antisocial personality disorder.

Donald W. Black, MD, is Professor of Psychiatry at the University of Iowa College of Medicine in Iowa City. A graduate of Stanford University and the University of Utah School of Medicine, he has received numerous awards for teaching, research, and patient care, and is listed in "Best Doctors in America." He writes extensively for professional audiences, and his work has been featured on 20/20, Dateline, and 48 Hours. C. Lindon Larson is a writer and editor and lives in Iowa City.

Acknowledgments

Introduction

1. A Lurking Threat: Antisocial Personality Disorder and Society

2. Searching for Answers: The Evolving Psychiatric View of Antisocial Personality Disorder

3. Bad Boys to Bad Men: The Symptoms of Antisocial Personality Disorder

4. Naming the Problem: The Diagnosis of Antisocial Personality Disorder

5. Divergent Paths: The Natural History of Antisocial Personality Disorder

6. Seeds of Despair: The Causes of Antisocial Personality Disorder

7. Overcoming Antisocial Personality Disorder: Options for Treatment

8. Power and Pretense: The Hidden Antisocials

9. The Antisocial Murderer: Gacy and Others

10. Antisocial Personality Disorder and Families: Finding Ways to Cope

Epilogue: Dispelling the Myths

Notes

Recommended Readings

Index