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This chapter reviews what is known about the developmental antecedents of adult antisocial personality. It addresses the question of why it is that, while many people may have personality difficulties, a minority develop a severe and persistent dysfunction of personality that is more or less life-long, leading them into a pattern of chronic antisocial behaviour. Findings reviewed in this chapter suggest that the route to adult antisociality is marked by a cascade of developmental roadblocks and insults arising during childhood and adolescence. The authors emphasise the importance of adolescence as a period when things can go seriously awry and personality can deviate from a normal track. They further emphasise the critical importance of substance abuse, particularly the misuse of alcohol, in the genesis of life-course-persistent antisociality. Two possible developmental pathways are described, one predominantly male, the other predominantly female, through which adult antisociality results from adverse circumstances in childhood and adolescence.
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