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Antisocial personality disorder (ASPD)
and borderline personality disorder (BPD) can often be similar and yet remain
different enough to merit two distinct diagnoses. Personality disorders cause
“enduring patterns of inner experience and behavior that deviate from the
expectations of society” (Paris, 1997). ASPD is characterized by a long term
pattern of disregard for, or violation of, the rights of others and is often
marked by impulsivity, criminal behavior, and aggression (Nolen-Hoeksema, 2014).
BPD is marked by a mercurial sense of self, unstable emotions, and severe
issues in maintaining normal relationships. BPD also frequently includes
reckless behavior, self-harm and intense fears of rejection or abandonment (Nolen-Hoeksema,
2014).

 

Some similarities between BPD and ASPD
include recklessness, manipulative behavior, impulsivity and impaired personal
relationships (Paris, 1997). They may both engage in risky sexual behavior,
substance abuse, and have issues maintaining appropriate conduct in work and
daily life. Paris (1997) suggests that the two disorders stem from the same
maladaptive impulsive personality traits, but are expressed differently due to
gender socialization. BPD and ASPD also both have reputations as highly
misunderstood and stigmatized diseases that are often seen as difficult to
treat. Both disorders may have genetic causes and often decrease in severity
and symptomology as the sufferer ages (Nolen-Hoeksema, 2014). However, BPD and
ASPD do differ in many ways. People with BPD are terrified of being abandoned
and will take drastic steps to avoid losing a relationship while people with
ASPD may show no interest in emotional relationships or how others perceive
them. Suicidal and deliberate self-injuring behavior is common in BPD, while
people with ASPD show only a slightly higher risk of suicide but often engage
in dangerous behavior externalized towards others (Nolen-Hoeksema, 2014). BPD
is more common in females while ASPD is more common in males (Paris, 1997). 

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