In general, any mental health diagnosis is usually conditioned on a significant disruption of the sufferer’s life [...] This is usually on the DSM checklist for a diagnosis and while I don’t know offhand if ASPD is the same, I’d bet that it is.
It is, yes, but that doesn’t necessarily preclude “effective”—the diagnosis can be based on disruption of any part of the patient’s life. It’s entirely possible for the behavior associated with a disorder to improve outcomes in one domain (employment, say), while disrupting others (i.e. family life) enough for the label to stick. That’s what I was trying to get at with my qualification about occupational success.
It is, yes, but that doesn’t necessarily preclude “effective”—the diagnosis can be based on disruption of any part of the patient’s life. It’s entirely possible for the behavior associated with a disorder to improve outcomes in one domain (employment, say), while disrupting others (i.e. family life) enough for the label to stick. That’s what I was trying to get at with my qualification about occupational success.