"Both are horrible given that both ca be extremely hurtful to anyone in different scenarios."
How do you suggest that this doesn't apply to ABSOLUTELY EVERYONE on the planet?

Everyone is capable of injuring other people. Even those with alleged moral structures. If they don't THINK they did something wrong, or it abides by some precept of social acceptability, then it's magically alright for them. No responsibility necessary.
Unfortunately, people under the blanket of ASPD don't have that luxury. We are automatically grouped into monsters because we don't have a moral structure to hide behind when we do something everyone else thinks is "bad" or "wrong". We have to take the blame for society's faults because people are deluded into thinking they are innocent based on a subjective rulebook of right/wrong.

We pretty much just have logic & impulse. I suppose that's close enough to right/wrong? We have a capacity for logic, but the impulse is ingrained into our beings. Not everyone is able to live in logic. Not everyone is able to attach enough meaning to even logic in order to abide by it...
So it seems an unfair judgement to blame someone for what they are incapable of, or incapable of understanding. It's like blaming a mentally retarded person for not understanding basic arithmetic & then proceeding to punish them for it. It makes no sense. It's like blaming you for your PTSD & the reactions from it even though you didn't actively cause it.

</rant>