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Box 5 Characteristic features of Asperger syndrome that predispose to criminal offending
An innate lack of concern for the outcome can result in, for example, an assault that is disproportionately intense and damaging. Individuals often lack insight and deny responsibility, blaming someone else; this may be part of an inability to see their inappropriate behaviour as others see it.
An innate lack of awareness of the outcome that allows individuals to embark on actions with unforeseen consequences; for example, fire-setting may result in a building’s destruction, and assault in death.
Impulsivity, sometimes violent, can be a component of comorbid ADHD or of anxiety turning into panic.
Social naïvety and the misinterpretation of relationships can leave the individual open to exploitation as a stooge. Their limited emotional knowledge can lead to a childish approach to adult situations and relationships, resulting, for example, in the mistaking of social attraction or friendship for love.
Misinterpreting rules, particularly social ones, individuals find themselves unwittingly embroiled in offences such as date rape.
Difficulty in judging the age of others can lead the person into illegal relationships and acts such as sexual advances to somebody under age.
Overriding obsessions can lead to offences such as stalking or compulsive theft. Admonition can increase anxiety and consequently a ruminative thinking of the unthinkable that increases the likelihood of action.
In formal interviews, misjudging relationships and consequences can permit an incautious frankness and the disclosure of private fantasies which, although no more lurid than any adolescent’s, are best not revealed.
Lacking motivation to change, individuals may remain stuck in a risky pattern of behaviour.