A 19-year-old man arrives at the office for treatment of a hand injury. "I was simply minding my own business at work when this dog bit me," he adds. The patient has founded a dog-fighting club and claims that his "entrepreneurial abilities" have made him "richer than a doctor." He has been dismissed from various jobs, most recently as a car salesperson, for arguing with employees and being routinely late for shifts. The patient states, "I was just a few minutes late a couple times. Doc, have you ever been late before?" He was a chronic truant in middle school and served time in a juvenile jail center for tampering with his teacher's automobile brakes after failing a class. Which of the following is the most likely diagnosis?

Question

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Eductional Objective: Antisocial personality disorder is characterized by a tendency of violating others' rights, participating in illegal actions (e.g., physical aggressiveness, illegal occupations), and a lack of regret for offenses. Individuals must be 18 years old to be diagnosed and have a history of conduct disorder prior to the age of 15.

A 19-Year-Old Man Arrives at the Office for Treatment of a Hand