The absence of evidence is not the evidence of absence: The abusive personality as a disordered mental state

•Diagnostic criteria are proposed for an abusive personality disorder.•The perpetration of domestic violence is reviewed as a form of abnormal behavior.•Research associates domestic violence with severe psychopathology.

Does the perpetration of domestic violence reflect a distinct mental disorder? This essay does not and cannot definitely answer that question. Rather it aims to prompt a discussion of the various indices for surmising a position on this issue. For example, batterer behavior and attitudes are associated with severe psychopathology. Batterers are treated in intervention programs for an unnamed condition. Ultimately, domestic violence is contextualized as abnormal behavior. This paper reviews research in the field of domestic violence to establish a forum for discussion and debate about the potential for an abnormal mental state to describe the psychology of a batterer. This review posits that at minimum, the field of psychiatry should consider a review of batterer characteristics to formally investigate the “abusive personality” as a categorization of a distinct mental disorder.