6533b85dfe1ef96bd12bea14

RESEARCH PRODUCT

Violent offending in borderline personality disorder and attention deficit/hyperactivity disorder.

Oliver TüscherAlexandra SebastianDaniel TurnerWolfgang Retz

subject

0301 basic medicinePopulationPoison controlViolenceImpulsivitybehavioral disciplines and activities03 medical and health sciencesCellular and Molecular Neuroscience0302 clinical medicineBorderline Personality Disordermental disordersmedicineJuvenile delinquencyAttention deficit hyperactivity disorderHumanseducationBorderline personality disorderPharmacologyeducation.field_of_studyAntisocial personality disorderCriminalsmedicine.diseaseEmotional RegulationSubstance abuse030104 developmental biologyAttention Deficit Disorder with HyperactivityImpulsive Behaviormedicine.symptomPsychology030217 neurology & neurosurgeryClinical psychology

description

Abstract The prevalence of borderline personality disorder (BPD) and attention deficit/hyperactivity disorder (ADHD) is significantly higher among offenders compared to the prevalence found in the general population. Both disorders share important diagnostic characteristics and thus it has been suggested that they might follow a common developmental pathway. In this narrative review, we first discuss the potential links of disorder inherent symptoms such as impulsivity and emotion regulation difficulties and how they might elevate the risk of violent delinquency. We continue with highlighting that comorbidities particularly from the antisocial spectrum as well as comorbid substance use disorders need to be considered in the context of offending in individuals with BPD and ADHD. Finally, we summarize current therapeutic approaches for offenders with BPD and ADHD and associated challenges especially concerning the provision of treatment in prison settings. This article is part of the Special Issue entitled ‘Current status of the neurobiology of aggression and impulsivity’.

10.1016/j.neuropharm.2019.03.008https://pubmed.ncbi.nlm.nih.gov/30844407