Antisocial personality disorder (ASPD) has been an accepted category of mental illness, albeit with different names, for two centuries. Antisocial personality disorder is a highly egosyntonic disorder that fits well within a PD construct. The idea that there is a form of mental disorder characterized by callousness and criminality is fairly universal across cultures. In psychiatry many different terms: “moral insanity”, “psychopathy”, or “sociopathy” have been used to describe this pattern (Berrios, 1993). The term psychopathy is still frequently used to describe a more severe form of the disorder.