Antisocial Personality Disorder: Which of the following is NOT a typical clinical feature?

• A. Lying
• B. Truancy
• C. Substance abuse
• D. Auditory hallucinations

Answer: (D)

Antisocial Personality Disorder centers on a long-standing pattern of disregard for and violation of the rights of others, with traits like deceit, impulsivity, and irresponsibility. Lying fits this pattern because it’s a common way individuals with ASPD manipulate others or obtain personal gain. Truancy reflects failure to conform to social norms and often marks conduct problems that can precede the disorder. Substance use or abuse is frequently seen alongside ASPD, tied to risk-taking and impulsivity that characterize the condition. Auditory hallucinations, on the other hand, are psychotic symptoms not characteristic of ASPD; they point more toward schizophrenia spectrum disorders or mood disorders with psychotic features. Therefore, auditory hallucinations are not a typical feature of antisocial personality disorder.