Many studies have revealed an important relationship between psychosocial trauma and antisocial personality disorder. A multidimensional model is presented which describes the psychopathological route from trauma to antisocial development. A case report is also included that can illustrate the etiological process from trauma to severe antisocial personality pathology. More research is needed into the social-emotional, cognitive, intrapschic, cultural, religious, and neurobiological correlates of the development from trauma to antisocial personality disorder in order to provide optimal treatment programs.