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Overview of the 2007 Conference

Society for the Scientific Study of Psychopathy http://www.psychopathysociety.org
President: Joseph P. Newman Secretary: Adelle E. Forth Treasurer: David S. Kosson President-Elect: Christopher J. Patrick
Executive Board:Stephen D. Benning James Blair, Chair, Membership Committee Don C. Fowles Paul J. Frick Robert D. Hare Scott O. Lilienfeld Donald R. Lynam, Chair, Awards Committee Raymond A. Knight
Conference Staff
Local Host:Norman G. Poythress
Program Committee: David S. Kosson, Chair Stephen D. Benning Randall T. Salekin
Society for Scientific Study of Psychopathy
2nd Biannual Conference
Thursday, April 26, 2007
5:00 – 7:00 PMConference Registration, Foyer Outside Ibis Room
6:00 – 7:00 PMExecutive Board Meeting (Executive Board Members only),Ibis Room, Convention Center
7:00 – 9:00 PMWelcome Reception & Cash BarPoster Session A, Sandpiper Rooms, Convention Center
Friday, April 27, 2007, Ibis Room, Convention Center
8:00 – 8:30 AMConference Registration, Foyer Outside Ibis Room
8:30 – 9:00 AMOpening Remarks - Joseph NewmanPresident, SSSP
9:00 – 10:30 AMSymposium: Behavioral, Emotional, Cognitive, and NeurologicalCharacteristics of Youth with Callous-Unemotional Traits (Chair: Paul Frick)
The Development of the Inventory of Callous-Unemotional Traits for Youth and ItsCorrelation with Deficits in the Processing of Distress Cues
Paul J. Frick, Eva R. Kimonis, Monica A. Marsee, Keith R. Cruise, Luna C. Munoz, & Katherine J. Aucoin, The Inventory of Callous-Unemotional Traits (ICU) was developed to provide an efficient, reliable, and valid assessment ofcallous-unemotional (CU) traits that overcomes many of the psychometric limitations of existing measures of these traits. This paper describes the factor structure, reliability, and validity of the ICU in an ethnically-diverse sample juvenile offenders,both boys and girls, in the southern United States (n = 248; ages 12 to 20) and compares it to published findings of the ICU structure in a large sample of community of German adolescents (n = 1443; ages 13 to 18). In both samples, confirmatoryfactor analyses were consistent with the presence of three factors (i.e., Uncaring, Callousness, and Unemotional) that relate to a higher-order callous-unemotional dimension. Also, CU traits overall showed associations with aggression, delinquency,personality dimensions, and both psychophysiological and self-report indices of emotional reactivity in both samples. There were some important differences across the three facets of the ICU in their associations with these key external criteria. Given the importance of deficits in the processing of distress cues to causal theories of CU traits, several findings related specifically to the association between the ICU and performance on a dot-probe task assessing attentional orienting topictures depicting distressing content are highlighted in the detained sample. Also, the combination of scores on the ICU and performance on the dot-probe task enhanced the prediction of aggression, self-reported violent delinquency, and officialrecords of violent arrests in the detained sample.
Juvenile Psychopathy: Content Validity of a Downward Translation
Donald R. Lynam, Karen J. Derefinko, Avshalom Caspi,Rolf Loeber & Magda Stouthamer-Loeber This study empirically examines the content validity of a juvenile psychopathy measure, the Childhood Psychopathy Scale(CPS), which was based on a downward translation of an adult instrument—the Hare Psychopathy Checklist Revised (PCL-R). Two concerns have been raised regarding recent downward developmental translations of psychopathy. The first regardsthe adequacy of coverage provided by the adult instrument, the PCL-R; the second regards the wholesale importation of an adult conception of psychopathy into adolescence. Both issues are addressed in the present study. The CPS was comparedto two other indices of juvenile psychopathy: (1) an index derived from expert ratings of the prototypical juvenile Cleckley psychopath and (2) an empirical index based on correlations with adult psychopathy. The 100 items of the Common Language Q-sort provided a common metric for the comparison. Psychopathy and personality were assessed at age 13 using the mother-reported CPS and the CLQ. Psychopathy was assessed at age 24 using the interviewer-rated Psychopathy Checklist: Screening Version. Data from over 250 participants of the middle sample of the Pittsburgh Youth Study were used to examine these relations. Item content analyses demonstrated considerable overlap between the three indices, indicating that the downward translation utilizes criteria similar to those of experts and the empirically-derived measure. In addition, these indices demonstrated considerable convergence, also supporting the content validity of thedownward translation. These results suggest that the downward translation method is adequate for understanding the juvenile psychopathy construct.
Intellectual Abilities, Academic Achievement, And The Development Of Callous-Unemotional Features And Conduct Problems In Young Girls
Dustin Pardini, Allison Hipwell, & Rolf Loeber, & Roos KoolhofChildren exhibiting behaviors consistent with oppositional defiant disorder (ODD) and conduct disorder (CD) often have learning problems and intellectual impairments. However, it is not clear if these associations are due to co-occurringproblems (e.g., attention-deficit hyperactivity disorder (ADHD) and lower intellectual abilities) or if they are moderated by the presence of callous-unemotional (CU) features. Also, most existing studies have relied on cross-sectional data and/or predominately male samples. As a result, relatively little is know about the influence of academic achievement and intellectual abilities on the development of conduct problems and CU behaviors in girls. This presentation provides data onthese issues using a large longitudinal cohort of young girls who are part of the Pittsburgh Girls Study (N = 622). In preliminary cross-sectional regression analysis, higher levels of CD, ADHD, and CU behaviors were all uniquely related tolower intellectual abilities and lower academic achievement in girls at 10-years of age. In contrast, increased ODD behaviors were associated with higher intellectual abilities and academic achievement after controlling for co-occurring CU, ADHD, andCD behaviors. Regression analyses were then conducted using intellectual abilities and academic achievement to predict changes in ODD, CD, and CU traits at 1-year follow-up (i.e., age 11), after controlling for prior levels of these behaviors (i.e.,age 10). Results indicated that neither intellectual abilities nor academic achievement were related to changes in ODD or CD behaviors. Moreover, there was no indication that CU traits moderated the relation between cognitive abilities and changesin ODD or CD behaviors. However, higher levels of academic achievement were associated with decreases in CU behaviors at 1-year follow-up. This finding remained significant after controlling for race, SES, and earlier ADHD symptoms. The results suggest that the association between cognitive abilities and externalizing behavior problems in girls may be different than that found in boys. Specifically, higher school achievement seems to protect girls from showing increases in CU traits, whilegirls who are more intelligent and academically competent tend to be perceived by their caregivers as being more oppositional and defiant.
Gene-Environment Correlations and Interactions in the Prediction of Callous-Unemotional Behaviors at School Entry
Amélie Petitclerc, Michel Boivin, Ginette Dionne, Frank Vitaro, Mara Brendgen, Richard E. Tremblay, & Daniel Pérusse,Important progress has been made in research on the development of psychopathy by positing callous-unemotional (CU)behavior as its central behavioral precursor in childhood and adolescence. This study used a genetically informative design to examine predictors of CU behavior at school entry among child and parenting factors assessed during the preschoolperiod. Participants were 634 twins from the Quebec Newborn Twin Study, a longitudinal study of a birth cohort of Canadian twins. When the twins were 30, 48 and 60 months of age, mothers assessed their children’s externalizing behavior andreported on their own parenting practices. After the twins entered school, teachers rated their CU behavior in Kindergarten (age 6) and Grade 1 (age 7). Consistent with results obtained in a sample of 7-year-old British twins (Viding, Blair, Moffitt, & Plomin, 2005), CU behavior at school entry was found to be influenced by genetic factors and unique environmental factors, but not by environmental factors shared by both twins from the same family. While this result may suggest that parentingpractices have little influence on children’s development of CU behavior, it may also hide gene-environment correlations (e.g., a correlation between children’s genetic makeup and mothers’ use of coercion) or gene-environment interactions (e.g.,different effects of mothers’ coercion depending on children’s genetic makeup). Preliminary analyses suggest evidence for both these phenomena. First, we found that mothers’ use of coercion was linked to children’s genetic similarity (i.e., MZtwins were treated more similarly than DZ twins). Second, we found a significant interaction between children’s preschool oppositional behavior and mothers’ coercive parenting in predicting CU behavior at school entry. Specifically, mother’scoercive parenting predicted elevated CU traits for children low in preschool oppositional behavior, but was unrelated to CU traits for children high in preschool oppositional behavior. These results could imply two different pathways to CU behavior,one influenced by parenting, the other influenced by other (potentially genetic) factors. We will conduct further analyses to document these observed phenomena and their interplay in the prediction of CU behavior.
Neural Reactivity to Emotional Stimuli in Children with Conduct Problems andCallous-Unemotional Traits
Essi Viding, Alice Jones, Kristin Laurens & Gareth BarkerChildren with conduct problems and callous and unemotional traits (CP/CU+) may be at risk for developing psychopathy in adulthood. This problematic group of youngsters also shows a cognitive-affective profile indicative of abnormal amygdalafunctioning. Adult fMRI data is suggestive of amygdala hyporeactivity in psychopaths. This study examined the neural basis of emotion processing in boys with high levels of CP and CU (CP/CU+), as compared with typically developing control boys(TD). All boys were selected from an on-going longitudinal Twins Early Development Study (one twin per pair were included in the analyses). Emotional processing was assessed using face choice (gender assignment) and emotional picturematching tasks that has previously been employed in fMRI and shown amygdala activation. Region of interest (ROI) analysis revealed significant between group differences in the left amygdala activation for emotional content vs. base-line. Specifically, TD boys showed stronger amygdala activation to emotional content than CP/CU+ boys. This finding is in line with the cognitive-affective data for CP/CU+ children and supports Blair’s model of developmental amygdala deficit inindividuals with psychopathy. The current investigation benefits from being conducted within an on-going longitudinal study and opens up an avenue to explore trait like differences in brain emotional reactivity and how this may predispose individualsto the development of affective or personality disorders.
10:30 – 11:00 AMBreak
11:00 – 12:30 PMSymposium: Genetic and Environmental Influences on Psychopathy (Chair:Stephen Benning)
Genetic Contributions to “Environmental” Correlates of Psychopathy
Daniel Blonigen, Brian Hicks, Marie Carlson, Christopher Patrick, Robert Krueger, &William Iacono
In this study, we examine environmental correlates of the psychopathic traits of Fearless Dominance (FD; social dominance, stress immunity), and Impulsive Antisociality (IA; impulsivity, aggression). More importantly, we examine whether genesaccount for the relations among these environmental correlates and psychopathy. Past research has revealed genetic influences to putative environmental variables when such variables are treated as phenotypes in a genetic analysis (Plomin& Bergeman, 1991). We will investigate the degree of genetic overlap among several environmental variables and psychopathic traits to detect if gene-environment correlations are present in the development of psychopathy. Participants are 626 male and female twin pairs from the Minnesota Twin-Family Study assessed at age 17. Psychopathic traits of FD and IA were estimated from the Multidimensional Personality Questionnaire (MPQ). Criterion validation studies providesupport for the use of the MPQ as a proxy measure for these constructs (Benning et al., 2005; Blonigen et al., 2005). Environmental Measures include: school environment (twin, mother, and teacher responses to the Academic History Questionnaire), peer relations (twin and teacher reports), and family environment (twin and parents responses to the Parental Environment Questionnaire). Bivariate correlations will examine associations among the psychopathic traits andcomposite variables of school, peer, and family environment. Cholesky decompositions will estimate the genetic correlation between the environmental composites and psychopathic traits. IA was associated with family turmoil, school problems, anddeviant peers. FD exhibited a modest positive association with family cohesion, academic achievement, and good peer relations. Future genetic analyses will examine whether these associations are due to shared genetic and environmentalinfluences; thus attesting to the possible role of passive or active gene-environment correlations in the development of psychopathic traits.
Psychopathic Personality Traits And Externalizing Problems In Childhood AndAdolescence: Genetic And Environmental Influences
Henrik Larsson, Essi Viding, Robert Plomin, Catherine Tuvblad, Henrik Andershed, & Paul Lichtenstein The general aim of this study is to investigate how genetic and environmental factors contribute to psychopathicpersonality traits and externalizing problems during the development from childhood to adolescence. We used data on psychopathic personality dimensions and externalizing problems from two large population-based twin studies: (i) the Twin study of Child and Adolescent Development (TCHAD) include self-report data of psychopathic personality traits and externalizing problems from >1000 16-year-old twin pairs and (ii) the Twins Early Development Study(TEDS) include teacher data on psychopathic personality dimensions and externalizing problems from >3000 9-year-old twin pairs. Multivariate genetic models were fitted to examine how genetic and environmental influencescontribute to the associations between psychopathic personality dimensions and externalizing problems. Results showed a considerable genetic overlap between psychopathic personality traits and antisocial behavior in adolescence, as well as between antisocial behavior, hyperactivity and callous-unemotional traits in childhood. These results suggest common genetic risk factors that influence both psychopathic personality dimensions anddifferent domains of externalizing problems. Nevertheless, the results also showed shared environmental influences only on antisocial behavior in adolescence, as well as unique genetic variance in callous-unemotional in childhood,which suggest etiologic specificity in the psychopathic personality dimensions and externalizing problems. Future research needs to consider the existence of general predisposing factors that influence a both psychopathic personality dimensions and a broad range of externalizing problems, but also specific predisposing factors that differentiate between different domains of externalizing problems.
Evidence for Continuity and Change in Psychopathic Personality Dimensions inMidlife: A Behavior Genetic Investigation.
Michael Brook, David S. Kosson, Elizabeth A. Sullivan, Matthew Panizzon, Michael J. Lyons, Carol E. Franz, Seth A. Eisen, & William S. KremenPsychopathic personality is characterized by interpersonal dominance, impulsivity, sensation seeking, poor planning, aggressiveness, and alienation. Investigations using self-report measures of psychopathic personality traits in noninstitutionalized samples have reported positive associations with indices of antisocial behavior. Recent studies haveshown that the Multidimensional Personality Questionnaire (MPQ; Tellegen, 1982) scales can be used to estimate scores on the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996), the best validated self-report measure of psychopathic personality traits. There is now substantial evidence for the existence of two largely orthogonal PPI dimensions, the first (PPI-1) indexing the fearless/dominant, and the second (PPI-2) indexing the impulsive/antisocial traits.Recent studies have reported additive genetic and unique environmental influences for both PPI-1 and PPI-2 that were roughly equal in magnitude and showed relatively stable developmental trajectories from adolescence to young adulthood.However, no study has examined the extent of these influences in midlife. We examined genetic and environmental influences on the variance in MPQ-estimated PPI dimensions in a sample of 690 middle-aged male twins from the VietnamEra Twin Registry. Biometrical modeling results indicated that the variance in psychopathic personality traits in the present sample is best explained by additive genetic and nonshared environmental influences. Additionally, PPI-1 showed roughly equal contributions from genetic and environmental factors, whereas PPI-2 showed apparently greater contributions from the environment than the genes. These results are consistent with the notion that the stability in impulsive/antisocial traits isinfluenced by genetic factors, whereas the change is influenced by environmental factors. Current analyses will compare raw PPI scores from the present sample to those previously reported for younger samples.
Psychopathic Features Moderate the relationship between Harsh and InconsistentParental Discipline and Juvenile Conduct Problems
John F. Edens, Nancy Skopp, & Melissa CahillThe relationship between the quality of parenting and children’s externalizing behavior problems is well established in the literature. However, two prior studies involving grade school-aged children (Oxford et al., 2003; Wootton et al., 1997) havesuggested that psychopathic features may moderate the relationship between parenting and conduct problems, with ineffective parenting being less relevant to explaining the behavior problems of those children who are high in callous-unemotional traits, as assessed by the C/U scale of the Antisocial Process Screening Device (Frick & Hare, 2002). Although intriguing, no research to date has attempted to discern whether a similar moderation effect would be observed among olderchildren with more severe behavior problems. The present study tested the potential moderating role of psychopathic features among adolescent offender (n = 76) who had been administered the Psychopathy Checklist: Youth Version (PCL:YV). Despite examining a much older sample and using different measures and methods to operationalize key constructs, our results suggested an interaction very similar to that noted in earlier studies: harsh and inconsistent disciplinewas relevant in the prediction of conduct problems among adolescents, but only among those low on the affective deficit dimension of the PCL:YV. Interestingly, interpersonal features of psychopathy (e.g., grandiosity, manipulativeness) alsomoderated the association between inconsistent discipline and conduct problems, but analyses of the simple slopes indicated that the form of these two interactions was reversed. Harsh and inconsistent parenting predicted greater conductproblems, but only among those who were higher in the interpersonal features of psychopathy. Globally, our results reinforce the potential relevance of affective deficits to understanding the relationship between parenting and conduct problems and also support the distinction between affective and interpersonal features as separable dimensions of psychopathy with unique correlates.
Psychopathy, Cluster B Personality Traits, and Abuse History as Predictors ofViolence among Female Offenders
Kacy Gingrich, John F. Edens, Eva R. Kimonis, Jennifer L. Skeem, & Kevin S. DouglasPsychopathy is a significant predictor of future violence in men (e.g., Salekin, Rogers, & Sewell, 1996); however, research with women is less clear. To date there is minimal evidence for the importance of psychopathy in predicting future criminaland violent behavior in women (e.g., Odgers et al., 2005; Edens, Campbell, & Weir, in press). There is more compelling evidence for the relation between abuse and violent behavior (e.g., Fergusson & Lynskey, 1997). Specifically, abuse maylead to the development of emotional deficits that interfere with moral socialization and the inhibition of aggressive behavior. The resulting callous and unemotional response style may result in psychopathy, which may in turn lead to violent behavior. This is especially important given the high rates of abuse and victimization in female offenders. The experience of abuse also has been associated with Cluster B Personality Disorders (e.g., Antisocial Personality Disorder, Borderline PersonalityDisorder) among women, and there is additional evidence for substantial overlap between psychopathy and personality disorders across gender. The primary aim of the current study is to examine the PCL-R’s ability to predict future criminal andviolent recidivism and institutional adjustment in an adult sample of incarcerated women (n > 300) who have been participating in an ongoing NIHM-funded research project. Given the strong associations between APD, BPD, abuse andviolence noted in earlier research, the second aim of the current study is to determine whether the relationship between psychopathy and recidivism is mediated by abuse history or Cluster B personality symptomatology. Consistent with pastfindings, it is expected that the relationship between psychopathy and future violence/misconduct will no longer be significant after controlling for abuse history or Cluster B personality symptoms.
Psychopathy is a personality disorder with interpersonal-emotional and antisocial-impulsive facets. These two facets appear
| 12:30 – 1:30 PM | lunch (on own) |
| 1:30 – 2:30 PM | Open Discussion: Different Conceptualizations of Psychopathy and TheirImplications for Research |
| 2:30 – 4:00 PM | Symposium: Emotional and Contextual Risk Factors for Psychopathy andits Subtypes (Co-Chairs: Eva Kimonis and Luna C. Muñoz) |
| Emotional Processing and Psychopathic Traits: Startle Reflex ModulationKatarzyna Uzieblo, Bruno Verschuere, Geert Crombez, & Armand De Clercq |
to be differentially related to the affective modification of the startle reflex, a psychophysiological index of emotional processing. Primarily the interpersonal-emotional facet is associated with a deficient fear-potentiated startle. This studyinvestigates the differential relations of the two psychopathy facets, assessed with the Psychopathic Personality Inventory, in 94 undergraduates, and in 51 inmates with a picture-viewing task eliciting four distinct emotional categories (erotic, thrill,threat, and victim) while the acoustic startle reflex is measured. Contrary to previous studies, we could not replicate the association between the interpersonal-emotional factor of psychopathy and a deficient fear-potentiated startle in either the undergraduate or the inmate sample. However, in both samples, the two psychopathy facets were related to distinct self-report responses to the emotionally-laden pictures. The implications of the current study and directions for future researchare discussed.
Moral Emotions In Predatory Versus Impulsive Psychopathy
Maaike J. Cima Little experimental work has been done on the relationship between moral emotions and different variations (e.g., predatory versus impulsive dimensions) of psychopathic offenders. Using implicit measures this study will investigate whether poorlydeveloped moral beliefs are related to variations within psychopathy. A total of 69 male delinquents participated in this study. All participants completed 3 questionnaires (PPI; RPQ; BIS-11). To measure moral cognitions of good and bad, 2 computertasks were administered (the IAT and a moral Dot Probe task). Delinquents were divided into a psychopathic group (n = 34) and a non-psychopathic group (n = 35), based on the median of the PPI total score. The results of the relation between thePPI and RPQ scores reveal that the majority of the psychopaths expressed both instrumental and impulsive violence, but higher impulsivity scores (see Table 1). It can be concluded that there exists no strict distinction between the impulsivedimension and the instrumental dimension within the group of psychopaths. The results of the IAT support this conclusion. There was a significant IAT-effect when the results of the psychopaths and the non-psychopaths are compared (see Figure1). However, there was no difference concerning the implicit moral cognitions between the impulsive and instrumental psychopathic offenders (see Figure 2). On the dot-probe task the results show both the impulsive and instrumentalpsychopathic offenders attend more to guilt-words than to neutral words. In sum, there is not a strict dichotomy between the impulsive and the instrumental types of aggression within the group of psychopaths. Regarding moral emotions of good and bad, psychopaths show a lower IAT effect, meaning that they fail to demonstrate an association between positive and moral good, as well as negative and moral bad. This failure of moral emotions is true for both instrumental as well as impulsivepsychopathic offenders.
Decoding of Facial Expression of Emotion in Criminal Psychopaths: Recent Data
Thierry H. Pham, Claire Ducro, & Laurie MartensWhereas previous research has consistently shown psychopaths to present deficits in processing verbal emotional material, evidence regarding non-verbal emotional material has been mixed (Kosson et al., 2002; Williamson et al., 1991). To examinewhether psychopaths exhibit specific deficits in non-verbal emotional processing, 20 criminal psychopaths identified with Hare’s Psychopathy Checklist-Revised (mean total score = 27), and 29 non-criminals completed the facial affect recognitiontest developed by Philippot et al. (1999). All participants were adult males. The psychopath and the control groups were equivalent for age and IQ (as measured by the WAIS). The criminal psychopaths were confined in a high-security Belgian prison. Forty slides were presented on a computer screen, each representing a male or a female actor portraying facial expressions of happiness, anger, sadness, fear or disgust. Facial stimuli varied in emotional intensity (0%, 30%, 70% and100%). The results revealed that psychopaths did not differ from controls in term of accuracy in decoding facial expression of emotion and no interaction including group effect was significant. As concern the intensity, we found a significant group xintensity x labels effect. Subsequent analyses revealed that psychopaths attributed a lower level of emotional intensity for intense expressions (70% and 100 %) while they attributed a higher level of intensity for weaker expressions (neutral and 30%). Finally we found a significant group x intensity x difficulty effect, psychopaths found it easier to rate neutral and 100 % expressions of anger and joy emotions.. Overall, these results are consistent with the notion that emotional processingdeficits in psychopathy are more pronounced for verbal than for non-verbal material.
Contextual and Emotional Risk Factors for Primary and Secondary Variants of Psychopathy in Juvenile Offenders
Eva R. Kimonis & Elizabeth Cauffman Karpman (1941; 1948) distinguished between two subtypes of psychopathy by the presence of anxiety. The primarysubtypes are characterized by a lack of anxiety, whereas secondary subtypes show heightened levels of anxiety and are presumed to have an environment etiology, resulting in an acquired affective disturbance. Further, prior research found high-anxious psychopaths could be distinguished from low-anxious psychopaths by the failure to show the same passive avoidance and response modulation deficits on laboratory paradigms. Other studies have found secondary subtypesmanifest greater emotional disturbance (e.g., hostility, depression), poorer interpersonal functioning, and more aggression. This is the first study to examine differences between juvenile subtypes of psychopathy on violence and cognitive-affectiveprocessing. The current sample included 231 primarily minority (30% African American; 47% Hispanic) male juvenile offenders. For this study we selected youth scoring in the upper 25th percentile on the Youth Psychopathy Inventory (YPI) to perform a cluster analysis using their total YPI scores and total scores on the Reynolds Manifest Anxiety Scale. A computerized emotional pictures dot-probe task was used to assess emotional processing. We identified two clusters; primary psychopaths were low on anxiety, whereas secondary subtypes were high on anxiety. These two groups showed comparable scores on the YPI. In addition, the secondary subtype had directly experienced more violence in their lifetime.Importantly, these groups showed differences in their performance on the dot-probe task. Primary psychopaths showed an emotional deficit in response to distress pictures (Mean = -16.6 milliseconds), whereas secondary subtypes showed greaterattention to distress pictures (Mean = 11.1 ms). Moreover, the secondary subtype showed significantly greater levels of violence and verbal aggression toward others. These results have theoretical and practical implications for understandinghow emotional experience plays a role in the behavioral characteristics of those with psychopathy.
| 4:00 – 4:30 PM | Break |
| 4:30 – 6:00 PM | R. D. Hare Lifetime Achievement Award Presentation |
| Award Winner: David T. Lykken (Chair: Christopher Patrick) |
Remembering David Lykken: Personal Interactions and Scholarly Influence
Robert D. Hare My first exposure to David Lykken was through his 1955 Ph.D. dissertation and its publication in 1957. This study, along with the clinical writings of Cleckley, Arieti, Karpman, and the McCords, had an important influence on the nature and direction of the research career upon which I was about to embark. Over the ensuing years Lykken’s enormous contributions to thedeveloping field of psychophysiology, coupled with his common sense approach to a variety of clinical and research issues, including psychopathy and antisocial behavior, continued to impress and influence me. I will describe my interactions withhim over the years, among them a landmark court case in Vancouver on the admissibility of polygraph evidence in which I was caught between two formidable opponents, David Lykken and David Raskin.
Low Fear, Disinhibition, Electrodermal Hyporeactivity, and Developmental Models of Psychopathy
Don C. Fowles I will discuss David Lykken’s influence on my interests and theorizing, as well as his impact on current views of psychopathy. Surprising results in my dissertation study of electrodermal responses in schizophrenia led me to pursue mechanisms ofelectrodermal activity during a postdoc with Peter Venables. There I discovered Lykken’s extensive research on electrodermal mechanisms and methodology, which ultimately resulted in the famous paper with Venables that standardizedmethodology for recording skin conductance. However, Lykken’s dissertation study proposing that poor anxiety conditioning —indexed by skin conductance responses—produces the disinhibited behavior seen in psychopaths had a much greater impact on my career. Keenly aware of his theory because of my interest in psychopathology and electrodermal activity, I found Gray’s concept of an anxiety system/behavioral inhibition system (BIS) to provide an excellent theoretical account ofthe link between poor anxiety and disinhibition proposed in Lykken’s theory. Thus, Lykken’s research was responsible for my career-long interest in both psychopathy and Gray’s BIS. In his 1995 book Lykken made it clear that a low fear temperamentis only a risk factor for psychopathy that interacts with parenting such that parents must be especially skilled to produce good developmental outcomes. Recent developments strongly support this model but also identify a second risk factor ordeficit that can result in psychopathy. The relation of Lykken’s electrodermal hyporeactivity to these two dimensions or deficits varies with the nature of the stimuli eliciting electrodermal responses. Thus, Lykken’s work identified one majorpathway to psychopathy and provided the context for identifying a second pathway.
David Lykken’s Enduring Contributions to Understanding Psychopathy and Antisocial Behavior
Scott O. Lilienfeld In this talk, I will review David Lykken’s cardinal contributions to the understanding of psychopathy and antisocial behavior,beginning with his classic 1955 doctoral dissertation on psychopaths’ low fear threshold and concluding with his controversial writings on the psychosocial causes of crime. I will focus on four central themes that permeated much ofLykken’s writings on these topics: (a) the fearlessness hypothesis and Lykken’s preference for theoretical parsimony in accounting for the etiology of psychopathy, (b) the tantalizing but conjectural ties between psychopathy and heroic altruism,
(c) Lykken’s “armchair” efforts to disaggregate antisocial behavior into more etiologically homogeneous subtypes, and (d) Lykken’s distinction between psychopathy and sociopathy and his interests in the potential etiological role of suboptimalparenting in the latter. Although David Lykken published only a handful of works on psychopathy per se, his impact on the field’s thinking has been lasting and profound.
Developmental Origins of Psychopathy: The Contributions of David Lykken
Paul J. Frick I was neither fortunate enough to be his student nor to meet David Lykken personally. However, I can serve as but oneexample of a generation of researchers, a much younger generation than the other presenters on the symposium, whose work owes much of its conceptual basis to the work of Lykken. To illustrate this influence, the overarching premise that has guided my research is the need to consider multiple pathways, each with different causal factors, which can lead to serious antisocial and aggressive behaviors. I have found it critical to embed the construct of psychopathy within this largerframework by using it to designate one such unique causal pathway. This framework highlights the great importance of focusing on what makes psychopathic individuals distinct from other antisocial individuals, especially when attempting toextend the construct from the focus of much of the existing research: incarcerated Caucasian adult men. This conceptualization is related to and was directly influenced by Lykken’s view of a “family of antisocial personalities” in whichpsychopathic personality was but one member. A second example of Lykken’s influence on my work is that a critical premise to my research is the importance of a distinct temperament characterized by emotional deficits to certain types of stimuli thatmay be the primary difference between individuals on the psychopathic pathway compared to other antisocial individuals. Further, I view this unique temperament as critical for understanding the developmental disruptions that can lead topsychopathic traits. So too Lykken focused on low fear as being a deficit unique to psychopathic individuals within the family of antisocial personality disorders and a key deficit for understanding many of the other characteristics that these individuals exhibit.
Lykken as an Inspiration for Contemporary Research on Affect in Psychopathy
Christopher J. PatrickThe past decade or so has seen a resurgence of interest in the study of emotional processes in psychopathy. I will discuss the influence David Lykken’s work has had on my research and that of other investigators in this area. My dissertation study,an investigation of the accuracy of polygraph (“lie detector”) testing with psychopathic offenders, was directly inspired by Lykken’s own dissertation as well as by his writings on the topic of deception and its detection. The somewhat unexpectedfindings of this study led me to become interested in further studying affective processes in psychopathy and exploring distinctions among individuals diagnosed as psychopathic. The development in the late 1980’s of the startle modulationparadigm, a method for distinguishing negative emotional activation from pleasurable arousal, suggested a new approach to testing Lykken’s hypothesis that psychopathy entails a core deficiency in fear reactivity. My work in this area, and that ofother investigators employing complementary methodologies, indicates that low fear plays a key role in psychopathy but that it may not account for all features or manifestations of the disorder. I will discuss implications of this recent research on affectand psychopathy for an understanding of psychopathy subtypes and the phenomenon of “successful psychopathy”—topics in which Lykken was keenly interested.
7:00 – 8:00 PM Executive Board Meeting, Toucan Room, Hotel, 2nd Floor
Saturday, April 28, 2007, Ibis Room and Sandpiper Rooms (Convention Center)
| 8:30 – 9:30 AM | Presidential Address: Joseph P. Newman |
|---|---|
| 9:30 -10:00 AM | Break |
| 10:00 -11:30 AM | Symposium: Self-Report and Personality-Based Measures of Psychopathy:Examination of Construct Validity from Psychophysiological and BehavioralData (Chair: Edelyn Verona) |
Psychophysiological Correlates of Self-Reported Psychopathy in a Student Sample
Patrick Sylvers, S. Amanda Alden, Patricia A. Brennan, & Scott O. LilienfeldSelf-report questionnaires of psychopathy provide a cost-effective and efficient means of assessing a complex andmultifaceted syndrome. Nevertheless, these measures remain controversial, in part because their external correlates remain poorly understood. In this study, we investigated the psychophysiological correlates of self-reported psychopathy in a studentsample. Participants were 120 undergraduates, 68 female and 52 male. Self-report psychopathy measures included the Psychopathic Personality Inventory (PPI) and the Levenson Self-Report Psychopathy Scale (SRPS). Task measuresincluded indices of impulsivity, passive avoidance, and reactions to emotionally evocative slides, during which we measured electrodermal responding (EDR), pre-ejection period (PEP), and respiratory sinus arrhythmia (RSA). Psychopathy totalscores correlated negatively with PEP and EDR during the passive avoidance task, and RSA correlated negatively with viewing positively-valenced slides. Secondary analyses examined the role of primary and secondary psychopathy in these response deficits. These analyses suggested that PEP hyperreactivity was characteristic of primary psychopathy, whereas EDR hyporeactivity was characteristic of secondary psychopathy. We will discuss the implications of these findings for thefunctioning of the behavioral inhibition system (BIS), measured by EDR; behavioral activation system (BAS), measured by PEP; and emotion regulation, measured by RSA. Our findings suggest that psychopathy is characterized by an underactiveBIS and overactive BAS in student samples, consistent with most prison research. Moreover, our findings suggest that emotion dysregulation is not a prominent feature of psychopathy in student samples. We conclude by discussing unresolvedquestions and directions for future research.
The Psychophysiology of Fearless Dominance: Effects of Stimulus Modality and Gender
Stephen D. Benning & Christopher J. Patrick A recent model of psychopathy based around constructs in the Psychopathic Personality Inventory suggests that psychopathy represents the confluence of two orthogonal constellations of personality traits. One of these constellations,termed fearless dominance, has been implicated in the deficits in emotional reactivity long thought to be a hallmark of psychopathy. Previous work indicates that young men in the community show deficient fear-potentiated startle blink reflexesduring a picture-viewing paradigm. However, it is unclear whether this deficit is specific to men or picture viewing. It is also unclear whether individuals high in fearless dominance show selective deficits in defensive emotional processing or have more generalized deficits in both appetitive and defensive emotional processing. A total of 18 undergraduate participants high in fearless dominance (9 women) and 16 undergraduate participants low in fearless dominance (10 women) wereassessed in an emotional stimulus paradigm involving pictures and sounds. Startle blink and postauricular reflexes were collected as measures of defensive and appetitive emotional processing, respectively. Men high in fearless dominance failedto modulate their startle blink reflexes during pictures, though women high and low in fearless dominance showed equal, robust potentiation of the startle blink reflex during aversive pictures. Like those low in fearless dominance, both men andwomen high in fearless dominance showed robust potentiation of the startle blink reflex during aversive sounds. Both fearless dominance groups exhibited potentiation of the postauricular reflex during pleasant pictures and sounds comparedto neutral stimuli. Thus, the deficit in fear-potentiated startle observed in those high in fearless dominance may be restricted to men in picture-viewing tasks; furthermore, deficits in appetitive processing do not appear to be involved in fearlessdominance.
Psychopathic Traits, Anxiety, and Affective Processing Under Attentional Load
Jeremy D. Dvorak-Bertsch, John J. Curtin, & Joseph P. NewmanPrior research has consistently demonstrated deficient aversive conditioning and deficient fear-potentiated startle (FPS) in psychopathic individuals; the putative mechanism offered for these deficits has been deficient amygdala function. However, contemporary research has demonstrated that subcortical regions such as the amygdala do not operate in isolation, but instead interact with higher-order brain regions and require attentional resources (Pessoa, 2002). Furthermore, research hassuggested that individual differences may moderate cognitive-affective interactions at the level of attentional engagement, rather that at the level of emotional reactivity (Dvorak-Bertsch et al., in press). With regard to psychopathy, Newman andLorenz (2003) have hypothesized that the affective deficits associated with psychopathy may reflect the attentional demands of the situation. This study sought to examine whether threat processing (indexed by FPS) of undergraduate studentsvarying on two primary dimensions of psychopathy [estimated from the Multidimensional Personality Questionnaire; see Benning et al., 2003] would differ as a function of attentional set and cognitive load. Moreover, given evidence from aprevious study highlighting the role of anxiety in moderating cognitive-affective interactions, this study sought to parse apart the role of psychopathy and anxiety in threat processing under attentional constraints. An instructed fear paradigm wasconducted with 65 undergraduates. The color of a letter-stimulus predicted the administration of electric shock across 3 different conditions: threat-focused vs. alternative set vs. high-load. Analyses revealed that FPS was negatively correlated with the affective-interpersonal dimension of psychopathy when attention was directed away from threat processing without taxing cognitive resources, while no significant correlations were found in the threat-focused and high-load conditions. These data suggest that similar to trait anxiety, psychopathy is associated with impairments in threat processing only whenattention is constrained.
Psychopathic Personality Traits and Laboratory-Assessed Aggression
Edelyn VeronaAlthough psychopathy is considered a particularly robust predictor of violent recidivism (Salekin et al., 1996), recent studiesusing normal personality dimensions to model psychopathy have found significant correlations between aggression/violence and the antisocial deviance facet, but not the affective-interpersonal features, of psychopathy. In this study, PsychopathicPersonality Inventory (PPI) scores on the interpersonal-affective (PPI-1) and the social deviance (PPI-2) dimensions of psychopathy were estimated based on the Multidimensional Personality Questionnaire (MPQ; see Benning et al., 2003).Participants engaged in a laboratory aggression task under different aversive conditions (tactile stressor vs. interpersonal frustration), and their acoustic startle responses were measured throughout the procedure. Findings were that aggressivebehavior observed in the laboratory was positively correlated with both PPI-1 and PPI-2, although the correlation was only significant for PPI-2. Nonetheless, exposure to interpersonal frustration (goal-blocking by the confederate) heightened therelationship between the two PPI factors and aggressive behavior. Interestingly, those who scored high on both PPI-1 and PPI-2 (Combined Group) seemed to show the highest level of aggression in the high frustration condition. Finally, although the groups did not differ on startle reactivity during the procedure, decreased startle was correlated with increased aggression in the Combined group whereas this relationship was positive for those scoring high only on PPI-2 (but not PPI-1). These data demonstrate that PPI-1 traits may indeed serve to enhance aggressive outcomes under certain conditions, and that aggressive outcomes may be mediated by different emotional mechanisms (decreased vs. heightened emotionalarousal) for PPI-1 vs. PPI-2, respectively.
A Dissociation Between Tasks Generating The Error-Related Negativity (ERN) Suggests thatPrefrontal Cortex is Critical to Observed ACC Deficits in Impulse Control Problems
Ed Bernat Deficiencies in cognitive control have been implicated in impulse dyscontrol psychopathologies such as substance abuse,aggression, and psychopathy. Recent work has demonstrated amplitude reductions in the error-related negativity (ERN) event-related potential (ERP) brain measure. The ERN provides a good psychophysiological target of study because it isimplicated in cognitive control and involves activation with a known primary source, the anterior cingulate cortex (ACC). We recently related reductions in one type of ERN, the response-locked ERN (rERN), to a measure of impulse control problems(Hall, Bernat, et al., in press). An important question provoked by this and related work is whether deficiencies in the ACC might thus contribute directly to impulse control problems. To answer this question, we investigated and have now found astrong dissociation between two types of the ERN, where the second type of ERN (the feedback-ERN; fERN) is unaffected by impulse control problems (Bernat, Steele, Gehring, and Patrick, in prep.). This new finding demonstrates that the ACCcan operate as expected in some contexts for affected individuals and that global deficiencies in the ACC are not responsible for the observed response-ERN reductions. Because the feedback-ERN occurs in response to external evaluative stimuli
(e.g. indicating correct or incorrect performance), it is generally understood to represent simple responses to immediate external cues. The response-ERN, on the other hand, is understood to require online maintenance of more complex taskgoals in order to understand that a particular response is an error, requiring increased involvement of the prefrontal cortex (PFC). Thus, these findings support theories suggesting that PFC-ACC interactions are disrupted in externalizing disorders.These findings also fit well with current formulations of impulse control problems that involve selective deficits in maintaining distal goals, combined with heightened sensitivity to proximal cues.
| 11:30 – 1:30 PM | ReceptionPoster Session B, Sandpiper Rooms, Convention Center |
| 1:30 – 2:30 PM | SSSP Business Meeting (SSSP Full and Associate Members only) |
| 2:30 – 2:45 PM | Break |
| 2:45 – 3:00 PM | Cheryl Wynne Hare Award Presentation |
| 3:00 – 4:30 PM | Symposium: Psychopathy, Emotion, and Emotion Regulation (Chair: David Kosson) |
Why Should I Care What Happens to You? fMRI Evidence for Reduced Empathic ConcernAssociated with Subclinical Psychopathy
Matthew S. Shane, Carla L. Harenski, & Kent A. KiehlAlthough reduced empathy is considered core to the psychopathic disorder, only limited evidence for these empathic deficitshave been demonstrated empirically. The present fMRI study investigated the presence of psychopathy-related empathicdeficits by making use of recent work demonstrating empathy-related cingulate cortex activity during the viewing of anotherperson in pain (Singer et al., 2004), or of another person committing errors (Shane & Kiehl, under review). Twentyparticipants completed self-report measures of psychopathy (the Self-report Psychopathy Scale–2, SRP2; Hare, 1991) andempathy (Empathic Concern subscale of the Interpersonal Reactivity Index; Davis, 1982), and either performed a speededgo/no-go task designed to elicit errors, or watched a 7-minute video of another individual performing the same go/no-go task.When viewing the video, participants were asked to press one of two buttons every time a no-go stimulus appeared, to
indicate if the actor successfully inhibited their button press response, or made a button-press error. Here we reportsignificant activity localized to subgenual and rostral cingulate, as well as orbitofrontal and medial frontal cortex, that was specific to viewing the actor’s button-press errors. Correlational analyses showed that SRP2 Factor 1 scores were inverselyrelated to peak activity in each of these regions (rs = -.39 to -.51), SRP2 Factor 2 scores trended towards a similar inverse relationship (rs = -.24 to -.36), and SRP2 total scores showed a specific inverse relationship with subgenual cingulate activity (r = -.45). Subgenual activity was further associated with empathic concern (r = .43), suggesting that the reduced cingulate response characteristic of high SRP2 scorers may represent diminished empathic processing. This notion was supportedthrough multiple regression, wherein empathic concern and peak subgenual activity shared significant variance towards the prediction of SRP2 factor 1 and total scores.
Psychopathy and Terror Management: Impact on Perceptions of Blue-Collar and White-Collar Criminality
Zach Walsh & David Kosson According to terror management theory, self-esteem buffers the aversive anxiety states provoked by mortality-related thoughts. Hypotheses derived from this theory have been corroborated by over 250 studies (see Pyszczynski et al., 2004 fora review). Several studies have demonstrated that, when reminded of their inevitable death, people buffer self-esteem (i.e., manage their terror) by clinging more strongly to conventional worldviews and reacting more unfavorably to worldviewchallengers. Socio-legal norms are an important class of conventions central to the worldview of many, and identification with these norms has been proposed to serve a self regulatory function. Indeed, several studies have found that increasinganxiety by heightening mortality salience influences attitudes towards criminality and legal sanctions. Specifically, individuals assigned to a mortality salience induction (MSI) condition have been found to judge transgressive (i.e., criminal) acts as warranting more severe punishment than individuals in control conditions (Florian & Mikulincer, 1997; Lieberman et al., 2001). The present study examined the impact of terror management strategies on attitudes toward blue-collar and white-collar criminal behavior among correctional inmates (n = 62), and the extent to which this impact was moderated by type of crime and level of psychopathy. As expected, following an MSI, blue-collar criminals judged white-collar crimes as meriting greater punishment. This effect was observed across low and high levels of psychopathy. This finding suggests that psychopathic offenders manage mortality-related anxiety in much the same way as other offenders. Analyses also revealeda Psychopathy X MSI X Type of Crime interaction indicating that psychopaths (n = 23) also judged blue-collar crimes as meriting more severe punishment following an MSI. In contrast, nonopsychopaths’ (n = 20) judgments about blue-collarcrimes were not affected by the MSI. These results might be interpreted to suggest that psychopathic individuals did not identify with blue-collar criminals. Results are discussed in relation to anxiety and self-regulation in psychopathy.
The Influence of an Anger Interview on Explicit and Implicit Assessment in Antisocials and Psychopaths
Jill Lobbestael, Maaike Cima and Arnoud Arntz In this study, patients with antisocial personality disorder were assigned to high, middle of low psychopathy subgroups, based on their PCl-r score. In addition, these patients were compared to patients with borderline and cluster C personalitydisorder (all assessed with SCID II), next to a non-patient control group. They were administered a stress induction interview, aimed at eliciting anger related emotions. At pre-and post stages of this interview, self reported levels of basic emotionswere assessed (POMS). Since antisocial populations frequently demonstrate under reportage of negative emotions, indirect assessment methods may more reliable indicate changes in experienced emotions. Therefore, the current study incorporated two additional implicit methods. First, changes in physiological indices of heart rate, skin conductance response, blood presses and facial EMG (corrugator supercilii) were measured, since increases of these parameters areassociated with heightened level of anger. Secondly, two variants of the Implicit Association Task (IAT) were developed; one to measure the association between the self and anger, and one for the association between the aggressor (identified by the participant) and swearwords. During the presentation, results will be discussed.
Preliminary Evidence for Negative Affectivity and Maladaptive Emotion RegulationStrategies in Youth with Psychopathic Traits
David S. Kosson, Lindsay Allen, Cami K. McBride, Zachary Walsh, Rachel Tercek, & Josh GrecoTraditional conceptualizations of psychopathy highlight reduced capacity for emotional experience in general and for specific emotions (e.g., anxiety; Cleckley, 1941; Lykken, 1957). Consistent with this perspective, studies with adults suggest psychopathy correlates inversely with depression and is usually uncorrelated with trait anxiety (Hare, 2003). However, the few studies addressing links between negative affectivity (NA) and psychopathic traits in juvenile samples suggest thatrelationships may be different among adolescents. Several studies have reported that PCL:YV scores are uncorrelated with mood disorder diagnoses (Bauer, 1991; Epstein et al., 2002) and self-reports of depression (O’Neill, Lidz, & Heilbrun, 2003).With regard to NA, some studies report negative (Murrie & Cornell, 2000) or nonsignificant correlations (Jack, 2000; O’Neill et al., 2003); others report positive correlations (Bauer, 1999; Kosson et al., 2002). The current study was conducted toinvestigate: 1) whether psychopathic traits were associated with NA in youth; and 2) whether psychopathic traits might be associated with maladaptive emotion regulation. We examined correlations between PCL:YV scores and several measuresof emotional function. We also used a dot probe task to examine attention to negative words following a negative mood induction. Prior studies show that attentional bias to such words under these conditions predicts subsequent development ofdepression; attention away from such words reflects mood repair processes. Preliminary analyses based on 48 detained adolescents reveal that PCL:YV scores are correlated with maladaptive anger expression and tend to be associated with self-reported NA. A manipulation check revealed that, as expected, ruminative response style predicted attention to negative words. Moreover, a PCL:YV X NA interaction showed that low-PCL:YV adolescents with NA exhibited attentional bias toward negative words, but high-PCL:YV adolescents with NA exhibited slight bias toward neutral words. In sum, results corroborate that emotionality in juvenile offenders with psychopathic traits is different from emotionality in adult offenders; and providepreliminary evidence for mood repair processes that may contribute to the pattern of relationships seen in adults.
4:30 – 5:00 PM Break
5:00 – 6:30 PM Paper Session: The Structure of Psychopathy (Chair: Randy Salekin)
Using Psychopathy-related Constructs to Parse the Heterogeneity of Antisocial Personality Disorder
Norman G. Poythress, Jennifer L. Skeem, Tao Wang, John F. Edens, Kevin S. Douglas, & Scott O. Lilienfeld Individuals who repeatedly violate social norms and laws comprise a broad group of significant concern to society. Such individuals, many of whom quality for a diagnosis of antisocial personality disorder (ASPD), have always been an obviousfocus of concern for the legal system and psychiatric and psychological communities. Since the publication of DSM-III, the APA’s approach to diagnosing socially deviant individuals has focused almost exclusively on a history of antisocial and/orirresponsible behaviors. This approach has been criticized for heterogeneity (e.g., Cunningham & Reidy, 1998), inadequate theoretical grounding, and questionable clinical utility (Lykken, 1995). There is growing consensus that the ASPD diagnosiscaptures a heterogeneous sample of people who have little in common apart from social deviance. In this study we used measures of psychopathy and related constructs to investigate the heterogeneity of ASPD using cluster analysis. A richclinical and empirical literature surrounding the construct of psychopathy suggests markers for discriminating among socially deviant individuals in terms of etiology and psychological functioning. Along with elevated psychopathic features, these markers include indices of fearlessness and behavioral inhibition/behavioral activation (Fowles & Dindo, 2006; Lykken, 1995), early history of abuse/trauma (Porter, 1996), and differential anxiety (Newman et al., 2005). Model-based clusteranalysis was used to identify relatively homogeneous subgroups from among 739 justice-involved adult males who met DSM-IV criteria for ASPD. Emergent groups were compared with each other, and with offenders who did not meet ASPDcriteria, on a variety of criterion variables including trait measures (e.g., aggression), laboratory task performance (e.g., passive-avoidance errors), and social outcomes (e.g., recidivism). Discussion will focus on the utility of this approach toidentifying and understanding socially deviant individuals.
Superordinate versus Subordinate Models Of Psychopathy: The Whole OrThe Sum Of The Parts?
Craig S. Neumann, Joseph P. Newman, Robert D. HareNeumann, Hare, and Newman (in press) recently examined the superordinate nature of the psychopathy construct, andshowed that a second-order (super) factor explained the majority of the variance in the lower-order psychopathy dimensions for large samples of male and female offenders, as well as forensic psychiatric patients. Neumann, Kosson, Forth, and Hare(2006) found similar results for a large cross-national sample of incarcerated adolescents. Taken together, these findings provide solid support for recent IRT research on psychopathy (Bolt, Hare, Vitale, & Newman, 2004), which require evidenceof construct unidimensionality, and also for the use of total scores from the PCL instruments to study individuals with psychopathic traits. However, other research on psychopathy has tended to rely upon the subordinate (or first-order)psychopathy dimensions in an attempt to pull apart differential links with various external correlates. This research suggests that the construct of psychopathy may be best understood in terms of its various ‘parts’ or lower-order dimensions. The current study will present data from two different large samples—i.e., offenders and civil psychiatric patients—to compare superordinate and subordinate models of psychopathy, with illustrations of their links with violence and intelligence.
A Bi-Factor Approach to Modeling the Structure of Psychopathy Checklist-Revised
Brian M. Hicks & Christopher J. PatrickTheoretical and analytic controversy exists regarding the appropriate factor structure of the Psychopathy Checklist-Revised(PCL-R). We test an alternative conceptualization using a bi-factor model in which all items load on a general factor, but allow for additional specific group factors that are independent of the general factor. Using confirmatory factor analysis, wefound that the best fitting model included a general factor and three specific group factors: Interpersonal, Affective, and Impulsivity. Next, we examined relations between the PCL-R factors and measures of personality and externalizing disorders(i.e., antisocial behavior and substance use disorders). The general factor was characterized by a personality style of disinhibited aggression and evinced a 1:1 correspondence with a latent externalizing variable. The Interpersonal factor wasstrongly linked with traits of social dominance and low negative emotionality. The Affective factor was generally unrelated to the measures of personality and externalizing disorders. The Impulsivity factor was selectively related to personality traits ofbehavioral disinhibition and was a specific risk factor for substance use disorders. Results provide an elegant conceptualization for the structure of the content measured by the PCL-R items, and encourages a view of psychopathy as a configuration of distinctive traits rather than a unitary syndrome.
Item-Level Factor Analyses of the Psychopathic Personality Inventory: Relations Betweenthe Resulting Factor Scales, Personality Measures, and Externalizing Behaviors
Lilian Dindo & Lee Anna Clark The Psychopathic Personality Inventory (PPI) is composed of eight scales designed to assess the central personality and behavioral features of psychopathy. Factor analyses of the PPI scales (excluding Coldheartedness [CH]) suggest the presence of two higher order factors, termed Fearless Dominance and Impulsive Antisociality (Benning et al., 2003). These two factors roughly correspond to the two PCL-R factors and evidence diverging relations with temperamental traits. In 957 undergraduates, we examined the item-level factor structure of the PPI, both with and without CH items and extracted two to eight (seven without CH items) factors. Two factors, resembling Benning et al.’s Fearless Dominance and ImpulsiveAntisociality constructs, emerged whether or not CH items were included. However, they only account for 38% (43% without CH) of the variance, whereas a five-factor solution (four when CH items are excluded) is a clean solution based on the screeplots and factor interpretability, and accounts for almost 20% more variance (15% without CH items). Based on these item-level factor analyses, scaled scores of the PPI were created for the 2-and 5-factor solutions and correlated with measures of abnormal (e.g., Schedule of Nonadaptive and Adaptive Personality) and normal personality (e.g., NEO-PI-R), as well as with fifty externalizing behaviors grouped into three scales (Sex and Drug Use, GeneralAntisocial Behavior, Irresponsible Behavior). Consistent with Benning et al., the two-factor solution evidenced diverging relations with Negative and Positive Temperament and externalizing behaviors. The five-factor solution consisted of Impulsive Antisociality (minus Carefree NonPlanfulness, which formed its own factor), separate Fearless and Dominance factors, and Coldheartedness. Extraction of these factors clarifies relations between dimensions of psychopathic personalityand both other personality measures and externalizing behaviors.
Assessing Psychopathy in Girls: Contributions of Item Response Theory
Gina Vincent, Candice Odgers, Randy Salekin, & Marlene MorettiThe PCL-R (Hare, 2003) originally was designed for use with adult male offenders, meaning several of the PCL-R’s test items define psychopathic characteristics according to male-based indicators. As such, some researchers have questionedthe validity of its items for identifying psychopathy in women. Recently, item response theory model analyses among adult offenders identified gender bias in most of the PCL-R’s behavioral items (Bolt, Hare, Vitale, & Newman, 2004). Put simply,these findings imply that the behavioral items of the PCL-R do not have the same relation or meaning to the underlying trait in women as they do in men. A seeming increase in the use of psychopathy assessments with female adolescents begs the question as to whether these differences extend downward. This study used item response theory methods and a large sample of male and female young offenders to examine whether the items of the Psychopathy Checklist: Youth Version(Forth, Kosson, & Hare, 2003) had the same relation to a latent-trait (assumed to be psychopathy) in girl offenders as boy offenders. Using a combined sample (N = 1031) and the 3-factor structure of the PCL:YV, item response theory methodswere used to compare the item functioning of the PCL:YV between male (n = 615) and female (n = 392) young offenders. Differential item functioning indicated that most items of the PCL:YV had a gender-related measurement bias. At the factor-level, this bias was most prominent for the affective factor, such that girls scored approximately 3 points lower than boys, on average, given the same level of the underlying trait. These differences are surprising given the relative consistency inmeasurement of the affective features of psychopathy reported in IRT studies comparing other demographic groups (i.e., race groups or age groups). The implications for the assessment of psychopathy in adolescent females will be discussed.
Psychopathy Can be Measured with the MMPI-2: Introducing Restructured Clinical (RC)Scale-based Measures of Psychopathy and its Facets
Martin Sellbom, Yossef S. Ben-Porath, Christopher J. Patrick, Diane M. Gartland, Dustin B. Wygant, & Kathleen P. Stafford The utility of the MMPI in assessing psychopathy has traditionally been questioned because its “psychopathy” scales primarily index the more generic social deviance component of the disorder (e.g., Hare, 1985). However, research recastingpsychopathy as a dimensional construct reflecting a maladaptive constellation of normal personality traits (cf. Lynam & Derefinko, 2006) has raised the prospect that it can be effectively assessed using a recently introduced set of MMPI-2 measures, the Restructured Clinical (RC) scales (Tellegen et al., 2003). Sellbom and Ben-Porath (2005) found that the RC scales map well onto dimensional personality traits that are relevant to the psychopathy construct, includinggrandiosity/aggressiveness (RC9), impulsivity (RC4), positive emotionality (RC2), and low negative emotionality/fear (RC7). To examine whether the MMPI-2 can capture variance in core affective-interpersonal traits of psychopathy we developedregression-based psychopathy indices in a sample of 598 undergraduate college students through double cross-validated multiple regression analyses (see Benning et al., 2005) in which the RC Scales were entered as predictors of overall scoreson the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) and its two broad factors. The resulting indicators were further cross-validated in a sample of 650 male prison inmates. The three RC-Scale-based indicators werelabeled Global Psychopathy (PPY), Affective-Interpersonal (PPY1), and Social Deviance (PPY2). The construct validity of these indicators was examined in forensic pre-trial, correctional, and non-clinical samples. External criteria included the Psychopathy Checklist: Screening Version, and Levenson et al.’s (1995) and Hare’s (1985) Self-Report Psychopathy scales. Other criterion variables included measures of psychopathy-relevant personality dimensions such as fearlessness, narcissism, sensation-seeking, low empathy, and impulsivity. PPY was correlated with all these criteria in expected directions, whereas PPY1 and PPY2 showed differential associations with these criteria in a manner consistent with the psychopathy literature. We conclude that core trait elements of the psychopathy construct can be measured effectively using these new MMPI-2 RC scale-based measures.
6:30 – 6:45 PMClosing Remarks – Joseph NewmanPresident, SSSP
Poster Session A -- Thursday
1. Karen J. Derefinko & Donald R. Lynam: Cheryl Wynne Hare award candidate The misconception of psychopathic low anxiety: Meta-analytic evidence for the absence of inhibition, not affect
Despite Cleckley’s (1941) original conviction that the psychopath is low-anxious, contemporary research on the subject remains equivocal. An examination of this area suggests that the lack of consensus surrounding the relation between psychopathy and anxiety may be due to several problems with the conceptualization of this relation, ranging from definitional aspects of the constructs involved to methodological variation. In an effort to delimit the boundaries of this relation, a meta-analysis was undertaken in which methodology, measure content, and demographic variables were included as moderating factors. When anxiety is broadly defined, it is generally unrelated to psychopathy scores, particularly in adults. However, when the anxiety construct is parsed according to personality domains, relations diverge. Anxiety assessed via indices of neuroticism is positively related to Factor 2. In contrast, anxiety assessed via constraint-related indices is negatively related to psychopathy Total, Factor 1, and Factor 2 scores. These findings provide clarity to our understanding of the relation between psychopathy and anxiety, suggesting that although psychopathic individuals appear to have deficits in inhibitory processes, they do not exhibit an absence of negative affect.
2. Robert A. Schug, Adrian Raine, & Michelle T. Fung Childhood psychosocial deprivation in psychopaths and nonpsychopathic criminals
Previous research has focused upon biological bases for psychopathy. Possible psychosocial factors that may predict, influence, or cause this disorder have gone largely unexamined. The present study tested the hypothesis that psychopaths would demonstrate more childhood psychosocial deprivation than both nonpsychopathic criminals and nonpsychopathic noncriminal controls. From a male community sample, 20 psychopaths, 48 nonpsychopathic criminals, and 20 controls (identified via the Psychopathy Checklist—Revised and matched according to official criminal history and self-report crime data) were assessed on 15 dimensions of childhood psychosocial deprivation (e.g., parental divorce or discord, lacking one or both parents, parental criminality, large family size, abuse, low SES, family mental illness). An Analysis of Variance indicated that psychopaths reported significantly more childhood social stressors than both nonpsychopathic criminals (p = .002) and controls (p < .001). Subsequent chi-square
analyses revealed that psychopaths were particularly characterized by low parental SES (χ2 = 14.156, p = .001), and parental verbal and physical
discord (χ2 = 10.492, p = .005, and χ2 = 8.507, p = .014, respectively). Implications for identification of early psychosocial risk factors for psychopathy are discussed.
3. Yaling Yang, Adrian Raine, Katherine Narr, Patrick Colletti, & Arthur Toga Localized gray matter volume reduction in prefrontal and amygdala in unsuccessful psychopaths
Studies to date showed inconsistent findings regarding the existence of brain abnormalities in psychopathic individuals (Dolan et al, 2002; Laakso et al, 2001, 2002; Raine et al, 2000, 2003) which raise an interesting question of whether any structural impairment is specific to a sub-group of psychopaths that is not detectable in a heterogeneous psychopathy group. One example of a unique sub-group of psychopathy is “successful” psychopaths. With respect to brain imaging, unsuccessful psychopaths have been found to show abnormalities in several brain regions. One initial structural brain imaging study showed an exaggerated anterior hippocampal asymmetry in unsuccessful psychopaths (Raine et al, 2004). Most recently, unsuccessful psychopaths were found to have a significant reduction in prefrontal gray matter volume compared to both successful psychopaths and controls (Yang et al, 2005). This study attempts to localize the gray matter reduction previously observed in unsuccessful psychopaths by segmenting the prefrontal cortex into five sub-regions: orbitofrontal, middle frontal, inferior frontal, superior frontal and ventromedial prefrontal cortex (rectal gyrus). In addition, amygdala volume was also calculated to further address the issue of emotion deficits in psychopaths. Adult males were recruited from five temporary employment agencies in the greater Los Angeles area (Raine et al., 2000). All subjects were taken from a total sample of 108 volunteers (91 males and 17 females). Those whose Psychopathy Checklist-Revised (PCL-R) score fell into the top third were identified as psychopaths. These subjects were then separated according to whether they had ever been convinced of a crime (N =
17: “unsuccessful psychopaths”) and those who were not caught for their offences (N = 10: “successful psychopaths”). Those without a criminal history and whose scores fell into the bottom third of the PCL-R were designated as controls (N = 28). Structural magnetic resonance imaging (MRI) was conducted on a 1.5 T Philips S15/ACS scanner. Unsuccessful psychopaths showed a significant reduction in bilateral orbitofrontal, right ventromedial prefrontal, and bilateral middle frontal cortex. In addition, both unsuccessful and successful psychopaths showed significant bilateral amygdala volume reduction compared to controls. A 3 (groups) x 2 (left/ right hemisphere) x 6 (region) repeated-measure ANOVA showed no main effect for group but a significant group x region interaction. Additionally, unsuccessful and successful psychopaths both showed significant bilateral amygdala volume reduction compared to controls.
4. Jessica Kim, Jean-Pierre Guay, & Raymond A. Knight The efficacy of the factors of psychopathy for predicting recidivism in sexual offenders: The moderating effects of offender type and time from release
Psychopathy, as measured by the Psychopathy Checklist, Revised (PCL-R: Hare, 2003), has emerged as a predictor of both general and violent (including sexual) recidivism among sexual offenders (Rice, Harris, & Quinsey, 1990; Serin, 1996; Serin & Amos, 1995; Hanson, & Bussière, 1998; Seto & Barbaree, 1999; Serin, Mailloux, & Malcolm, 2001). Quinsey, Rice, and Harris (1995) reported that psychopathy predicted sexual recidivism for both rapists and child molesters. Psychopathy’s predictive efficacy for sexual recidivism has not, however, always been confirmed (Barbaree, Seto, Langton, & Peacock, 2001), and some data have indicated that it is only the PCL-R Factor 2, the Impulsive-Antisocial factor, that is related to sexual recidivism (Langton, 2003; Serin et al., 2001). The follow-up periods in all of these studies have all been relatively short, and neither the relative predictive potency of the PCL-R factors for rapists and child molesters, nor the relative predictive power of the PCL-R factors as a function of increased time from release have been examined. These questions were addressed in a sample of 602 sexual offenders, evaluated for civil commitment at the Massachusetts Treatment Center, and subsequently released and followed for 2 to 25 years. For the entire sample, whereas the AUC of the PCL-R Factor 1, the Affective-Interpersonal component, only reached significance at the 15-year follow-up, Factor 2 significantly predicted sexual recidivism at the 3, 10, and 15-year time gates. For rapists although the AUC of PCL-R Factor 1 approached significance at the 15-year time gate, it did not reach significance at any of the earlier time gates examined. In contrast, the PCL-R Factor 2 significantly predicted sexual recidivism at the 3 and 10-year time gates for rapists, but it failed to reach significance at the 15-year follow-up. For child molesters none of the AUCs for either factor reached significance at any of the time gates analyzed. Somewhat different patterns of results emerged for the prediction of victim-involved, non-sexual crimes and victimless crimes. These results suggest that in contrast with current practices, creating type-specific actuarials for rapists and child molesters might enhance predictive accuracy. The implications of these results for models of rapists and child molesters will be discussed.
5. Mats Forsman, Henrik Larsson, Henrik Andershed, & Paul Lichtenstein The association between persistent disruptive childhood behavior and the psychopathic personality constellation in adolescence: A twin study.
Externalizing behavior and ADHD have been put forth as two potential predictors of psychopathic personality. However, the aetiologies for the associations between these behavioral problems and psychopathic personality are unknown. This study tested to what extent persistent externalizing behavior and persistent symptoms of ADHD in childhood are related with personality and behavioral aspects of the psychopathic personality constellation in adolescence. We also tested to what extent the associations between persistent externalizing behavior and ADHD symptoms and psychopathic personality mainly are explained by genetic, shared or non-shared environmental factors. The target sample consisted of all 1480 twin pairs born in Sweden between 1985 and 1986. Parent-reported externalizing behavior and ADHD symptoms were obtained when the subjects were 8 and 13 years old. Personality and behavioral aspects of the psychopathic personality constellation were measured with self-reports when the subjects were 16 years old. Persistent externalizing behavior in childhood was associated with both psychopathic personality and antisocial behavior in adolescence among boys. However, within twin-pair analyses showed that genetic factors explained the association between persistent externalizing behavior and psychopathic personality, while shared environmental factors explained the association between persistent externalizing behavior and antisocial behavior. Persistent ADHD symptoms was associated with the impulsive/irresponsible dimension, and this association was mainly explained by non-shared environmental factors. Genetic factors were responsible for the association between persistent externalizing behavior and psychopathic personality, possibly due to a common genetically influenced phenotype that is stable over the development from childhood to adolescence. In contrast, shared environmental factors explained the association with antisocial behavior.
6. Hedwig Eisenbarth , Georg W. Alpers, D. Segre, & A. Angrilla: Cheryl Wynne Hare award candidate Psychopathic women’s evaluation of emotional facial expressions
Psychopaths have been shown to evaluate emotional stimuli differently compared with non-psychopathic controls. However, results are inconsistent with respect to psychopaths’ ability to decode emotional facial expressions. This study tested 13 psychopathic (PCL-R > 30) and 15 non-psychopathic (PCL-R < 30) female forensic patients as well as 16 female university employees and 14 students in an emotional categorizing task. Photographs of emotional (happy, angry, disgust, afraid, sad and surprise) as well as neutral facial expressions had to be classified in the appropriate emotional category by means of button presses. The pictures were presented shortly but supraliminal (33ms) in the first part of the experiment and without limitation in the second part (ad libitum). In the last part of the experiment, the subjects had to rate all pictures for valence and arousal. We found significant differences between groups for the correct categorization both in the short and in the libitum presentation condition. The psychopathic patients had specific difficulties recognizing sad facial expressions when they were presented shortly. In the valence ratings the psychopathic patients rated happy expressions less positive than the students, but did not differ significantly in other categories. However, the arousal ratings showed that the psychopathic patients rated angry, happy and disgust expressions as less intense and neutral expressions more intense than the other groups. Thus, psychopathic females show similar difficulties in categorizing emotional facial expressions as it was reported for psychopathic males. Because judgments differ for the different presentation durations, this could be an explanation for the inhomogeneous findings reported in the literature. Concurrently, our findings concerning valence and arousal ratings reveal differences between psychopathic patients and controls that were not shown before. The findings contribute to the understanding of emotional deficits in psychopaths.
7. Jennifer Vitale Hostile attributions and psychopathy: Replication and extension of a dual-pathway model
High PCL-R scorers commit more violent criminal offenses than low-scorers and are more likely to violently recidivate (e.g., Hemphill et al, 1998). Serin (1991) examined the relation between psychopathy and crime in a sample of male offenders utilizing a model proposed by Crick & Dodge (1994) highlighting the role of the hostile attribution bias (HAB) in aggression. Results showed that psychopaths were more likely than non-psychopaths to show HAB. Vitale et al (2005) assessed hostile attributions in a group of Caucasian and African American offenders. Consistent with Serin (1991), the results supported the presence of the HAB among individuals with high PCL-R scores. Research suggests that the HAB may not be specific to aggressive children, but may also generalize to children high in negative emotionality. Thus, we also examined the relationships between depressogenic attributional style (DAS) and HAB. Results supported the existence of two non-interacting pathways associated with HAB. The first was related to scores on the PCL-R; The second was associated with DAS and was more strongly associated with HAB among African American offenders. The purpose of the current study was to examine the relations between HAB, DAS, and psychopathy among 116 female Caucasian and African American offenders assessed using the PCL-R, the Welsh Anxiety Scale, a measure of HAB, and a measure of DAS. Data analysis used multigroup path analysis. In the final, well-fitting, models for each race, the paths from psychopathy to HAB were significant, although in opposite directions (-.11 among Caucasians, and .12 among African Americans). A significant DAS to HAB relation was found among African Americans only (.25). In a follow-up analysis, we included trait anxiety in place of DAS. The analysis indicated a good fit to the data. However, the path coefficients for this model indicated that the relation between anxiety and HAB was significant only among the Caucasian women (.17). The results of this study provided support for the model tested by Vitale et al. (2005). The unexpected finding that the relation between psychopathy and HAB among the Caucasian women was negative may be explained in the context of other studies that have found that some features of psychopathy in men have not been replicated in female samples.
8. Jean-Pierre Guay, John P. Ruscio, Maria T. Daversa, Raymond A. Knight, & Robert D. Hare The taxometrics of psychopathy: Replication in a female sample
The taxonomic status of psychopathy is controversial for males and unknown for females (Verona & Vitale, 2006). Whereas some studies have found evidence that the antisocial component of psychopathy was distributed as a taxon in men (Harris, Rice, & Quinsey, 1994; Skilling, Quinsey, & Craig, 2001), Guay and Knight (2003), Marcus, John, and Edens (2004), and Guay, Ruscio, Knight, and Hare (submitted) all found convincing evidence that both major components of psychopathy, callousness/unemotionality and impulsivity/antisocial behavior, distributed as dimensions. Recent advances in taxometric analyses (Ruscio, Ruscio, & Keane, 2004) have introduced bootstrapped sampling distributions of taxometric results using sample-specific simulated taxonic and dimensional comparison data and curve-fit indices to guide visual examination. In the present study, these new decision guides were added to Meehl’s multiple consistency tests strategy for assessing taxonicity (Meehl, 1995), and they were applied to Psychopathy Checklist-Revised (PCL-R) ratings of 1218 female offenders, using Hare’s (2003) four-factor solution to the PCL-R. Consistent with the analogous analyses calculated on males, both components of psychopathy appeared to distribute as dimensions. Although no evidence for taxonicity emerged, the results did not support a dimensional distribution as consistently and strongly for females as the previous results had for males.
9. Carla L. Harenski, Stephan Hamann, Olga Antonenko, Matthew S. Shane, & Kent A. Kiehl Psychopathic personality traits predict neural and behavioral responses to visually depicted moral violations
Psychopathy has been associated with reduced activity in brain regions involved in emotion processing (Kiehl et al., 2001). Despite the recognized role of emotion in moral reasoning, the association between psychopathy and neural correlates of moral reasoning has not been explored. We investigated the association between psychopathic traits and neural responses to unpleasant pictures that did or did not depict moral violations, using functional magnetic resonance imaging (fMRI). Psychopathic traits were assessed with the Psychopathic Personality Inventory (PPI). Given prior findings that damage to medial prefrontal cortex (MPFC), a region implicated in processing moral stimuli, results in psychopathic-like behavior (Anderson et al., 1999), we predicted a negative correlation between psychopathic traits and MPFC activity when viewing moral pictures. In Study 1, 10 individuals were scanned while viewing 32 moral and 32 nonmoral pictures. Confirming our hypothesis, total PPI scores were negatively correlated with MPFC activity when viewing moral but not nonmoral pictures. Scores from the Coldheartedness subscale of the PPI were negatively correlated with amygdala activity when viewing moral and nonmoral pictures. In Study 2, a separate group of 14 individuals viewed the same moral and nonmoral pictures and rated the degree of moral violation severity and emotional arousal associated with each picture. Results revealed a negative correlation between total PPI score and MPFC activity when viewing moral pictures, replicating Study 1 results. Total PPI scores were negatively correlated with moral severity ratings. Coldheartedness was negatively correlated with emotional arousal ratings. These results indicate that higher psychopathic traits are associated with reduced emotional arousal when viewing emotional visual stimuli. This decrease in emotional response may be associated with reduced behavioral and neural responses when processing moral stimuli, particularly in MPFC.
10. Leonardo Bobadilla & Jeanette TaylorGenetic and environmental influences on psychopathic and cluster B personality disorder traits and symptoms.
Psychopathy and its interpersonal/affective and behavioral dimensions correlate with maladaptive personality traits and are often comorbid with DSM personality disorders (particularly those in the “dramatic-erratic” or “B” cluster). Recent evidence examining the influence of genetic factors on the interpersonal/affective and behavioral dimensions of psychopathy demonstrate that these dimensions are influenced in large part by additive and non-additive genetic factors as well as non-shared environmental influences. Similar findings have been made with regards to the heritability of other maladaptive personality traits. Taken in conjunction with findings that omnibus measures of personality may be used to adequately describe psychopathy, these genetically informative studies bolster the proposition that psychopathy may be conceptualized as an aberrant, extreme, configuration of otherwise normal personality traits. Recent evidence also suggests that psychopathy’s interpersonal/affective and behavioral dimensions may share a genetic etiology with broader measures of “externalizing” disorders but to date, no studies have examined if this etiological connection also extends to maladaptive personality traits related to personality disorders or DSM cluster B personality disorder symptoms. In order to further understand psychopathy in the larger context of personality, we will examine the extent to which the covariance between psychopathy’s two trait dimensions, maladaptive personality traits, and cluster B personality disorders are associated with common or unique genetic, shared and non-shared environmental factors using a sample of 212 adult, male and female twins.
11. Alicia Spidel & Heather Gretton: Cheryl Wynne Hare award candidate Subtypes of psychopathy in adolescent offenders: Investigating differences.
Although those individuals who meet the Psychopathy Checklist-Revised (PCL-R) criteria for psychopathy share many common features, not all psychopaths are the same. Indeed, recent research has identified clusters or subtypes of psychopaths in adult forensic populations (Hervé & Hare, 2004). While these subtypes have been found to generalize across gender, race, culture, and/or psychiatric co-morbidity (Hervé, in press), it remains unknown whether or not they are present similarly in adolescents. In the first phase of this study preliminary confirmatory cluster analysis using the PCL:YV with 105 adolescents that had high PCL:YV scores (> 27). This resulted in four clusters similar to those found in adult samples: Classic (12.4%); Explosive (31.4%); Manipulative (30.5%); and Pseudo (25.7%). Additional data will be analyzed using exploratory cluster analysis. Preliminary analysis revealed significant differences between the clusters found here in terms demographic information, individual difference variables, and criminal histories. Implications for treatment and risk assessment will be discussed.
12. John F. Edens, Jennifer L. Skeem, Scott O. Lilienfeld, & Kevin S. Douglas A multi-trait mulitmethod assessment of self-report psychopathy scales
The utility of self-report measures of psychopathy continues to be hotly debated (e.g., Lilienfeld & Fowler, 2006), with most inventories (e.g., MMPI Pd scale, CPI Socialization scale) historically failing to correlate especially highly with each other or with the widely used Hare Psychopathy Checklist scales. In particular, associations between self-reports and the affective and interpersonal traits assessed via the Hare scales typically have been modest in magnitude, leading some to speculate that these features may be particularly amenable to interview-based assessment. Despite the generally poor performance of some older psychopathy measures, several more recently developed scales have shown considerable promise in terms of tapping psychopathic traits, as evidenced by their pattern of external correlates with theoretically relevant constructs. The present submission will examine the construct validity of two of the “newer” self-report psychopathy measures, the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) and Levenson’s Psychopathy Scale (LPS; Levenson et al., 1995) in a large (1200+) multi-ethnic sample of male prison inmates and substance abuse patients. We apply a structural equations modeling (SEM) approach to parse the variance of the PPI, LPS, and PCL-R into that attributable to the construct of psychopathy (interpersonal, affective, and lifestyle features), the method of measurement (interview vs. self report), and error. This will yield vital information about the extent to which each measure of psychopathy captures the target construct versus error variance. The results also may provide information about the best methods for assessing particular traits of psychopathy.
13. Patrick J. Kennealy, Jennifer L. Skeem, Kevin S. Douglas, John F. Edens, Scott O. Lilienfeld, & Norman G. Poythress Utility of the bifactor model of the Psychopathy Checklist-Revised (PCL-R) in predicting violence
Although the PCL-R widely is used as a violent risk assessment tool, the utility of classic interpersonal and affective traits of psychopathy in predicting violence has been questioned in recent years. The relation between the PCL measures and violence may be attributable to such higher order “externalizing” personality traits as antagonism and impulsivity (Skeem, Miller, Mulvey, Tiemann, & Monahan, 2005, Patrick, Hicks, Krueger, & Lang, 2005). Recently, a bifactor model has been extended from measures of intelligence to psychopathy as assessed by the PCL-R (Patrick, Hicks, Nichol, & Krueger, under submission). This hierarchical model extracts the common variance of the PCL-R into a general “externalizing” factor that is distinct from the unique variance of the interpersonal, affective, and impulsive features of psychopathy captured by the measure. In this presentation, we use the lens of the bifactor model to examine the relation between the PCL-R and violence, based on a large sample of male offenders (n ≈1400) followed prospectively for one year. First, we fit a number of structural equation models to determine whether the externalizing factor strongly mediates the relation between the PCL-R and future institutional violence or future arrests for serious violence. Second, using intensive interview-based follow-up data collected for a sub-set of offenders (n ≈ 200), we also examine whether the externalizing and the unique features of psychopathy captured by the PCL-R relate differentially to particular types of violence (instrumental vs. reactive) with specific goals (e.g. power/domination, material gain, fear). We hypothesize that the unique features of psychopathy explain relatively little of the PCL-R’s utility in predicting the most common form of reactive violence.
14. Kevin S. Douglas, Christopher J. Patrick, Jennifer L. Skeem, Daniel M. Blonigen, John F. Edens, Robert Krueger, & Scott O. Lilienfeld Viewing Psychopathy in relation to internalizing and externalizing dimensions of psychopathology
Structural analyses of the shared variance among various mental disorders has identified two latent dimensions that underpin the most common of these disorders: an internalizing (INT) dimension reflecting the covariance among anxiety and mood disorders, and an externalizing (EXT) dimension reflecting the covariance among antisocial behavior and substance-related disorders (Krueger, 1999). Research and theory suggest that psychopathy may be represented by the convergence of two distinct etiological processes: (a) externalizing vulnerability, reflected in the behavioral deviance features of psychopathy, and (b) resilience to internalizing problems, reflected by an inverse relationship between such problems and the affective-interpersonal features of psychopathy (Blonigen et al., 2005). To date, no study has investigated this relationship using both (a) psychopathy-specific measures, such as the PCL-R and PPI, as opposed to normal-range personality (MPQ) estimates of psychopathy, and (b) indicators of both the INT and EXT dimensions. In the present study of approximately 1600 male and female offenders, we use structural equation modeling to investigate the independent relationship – at the latent level – between features of psychopathy (interpersonal, affective, and behavioral) and both INT and EXT. Further, we use two contemporary measures of psychopathy – the PCL-R and the PPI. We hypothesized that (a) behavioral features of psychopathy will relate independently to EXT with at least moderate effect sizes, and to INT with small effect sizes, and (c) affective and interpersonal features of psychopathy (controlling for behavioral features of psychopathy) will be unrelated to EXT, and negatively related to INT with moderate effect sizes. Because past research has indicated potential gender differences in the relationship between INT-EXT and psychopathy (Blonigen et al., 2005), we test whether models can be constrained across gender without loss of fit.
15. Katarzyna Uzieblo, Bruno Verschuere, & Geert Crombez The Dutch adaptation of the Psychopathic Personality Inventory: Construct validity of the two-factor structure
Evidence suggests that the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996), consists of two factors, Fearless-Dominance (PPI-I) and Antisocial-Impulsivity (PPI-II). The present study investigated the construct validity of the two-factor structure of the PPI in 165 inmates, and 431 undergraduates. Inmates and students filled in the PPI and the Behavioural Inhibition (BIS) and Behavioural Activation Scales (BAS) (BIS/BAS; Carver & White, 1994). A subgroup of 120 students also filled out the Trait Anxiety Inventory (STAI-T; Spielberger, 1983) and a minor delinquent behaviour questionnaire. Results indicated that PPI-I is related to a low behavioural inhibition (e.g., low distress) and to low trait anxiety, and that PPI-II is related to a strong behavioural activation (e.g., sensation seeking) and to the amount of self reported minor delinquent behaviours. In general, results support the two-factor structure of the PPI.
16. Angélique O. J. Cramer, Vivienne de Vogel, & Roel Verheul: Cheryl Wynne Hare award candidate Without conscience: A somatic explanation of impaired moral knowledge in psychopaths?
In everyday life decision-making, people benefit from ‘somatic markers’ – a hunch about the possible goodness or badness of an act under consideration – to guide them toward making advantageous decisions. There are recent suggestions of a relationship between somatic markers and moral knowledge (Dolan, 1999), but this has not been directly investigated. Both defective somatic markers and impaired moral knowledge are offered as promising explanations of psychopathy, a personality disorder characterized by a lack of empathy, callousness and deceitfulness (Hare, 1995). However, previous studies have not been able to provide conclusive evidence. The purpose of this study is to further investigate these possible explanations of psychopathy and the possible relationship between somatic markers and moral knowledge. Undergraduate students completed the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) in order to only include students without psychopathic traits. Patients involuntarily admitted to a Dutch forensic psychiatric hospital were divided in a psychopathic and a non-psychopathic group based on previous diagnostic assessment with the Psychopathy Checklist – Revised (PCL-R; Hare, 1991). All participants completed the Moral/Conventional Distinction (Blair, 1995) in order to assess moral knowledge and the Iowa Gambling Task (Bechara, Damasio, Damasio & Anderson, 1994) in order to assess somatic marker functioning. Results showed that psychopaths did not distinguish between moral and conventional rules regarding permissibility and authority jurisdiction. Furthermore, psychopaths showed impaired performance in the Iowa Gambling Task compared to both non-psychopathic groups as measured with the number of risky choices and with the Expectancy-Valence Learning Model (Busemeyer & Stout, 2002). Finally, correlational analyses revealed some association between scores on the Moral/Conventional Distinction and the Iowa Gambling Task while linear regression analyses suggested that Iowa Gambling Task scores were predictive of Moral/Conventional scores while there was no such indication for the reversed relationship. We conclude that psychopathy is associated with impaired moral knowledge and defective somatic markers.
17. Amy Test, John F. Edens, Norman Pythress, Scott Lilienfeld, & Chris Patrick Further evidence of the divergent correlates of Psychopathic Personality Inventory Factors
A growing body of research supports the construct validity of the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) as a measure of psychopathic traits. PPI scores predict a broad range of constructs theoretically relevant to psychopathy, such as callousness, deceptiveness, interpersonal aggression, and institutional adjustment problems (e.g., Patrick et al., 2006). Although early research focused on the PPI total score, more recent evidence suggests that two orthogonal dimensions underpin the latent construct tapped by the PPI: a “fearless dominance” factor (PPI-I), marked by the PPI’s Stress Immunity, Fearlessness, and Social Potency subscales, and an “impulsive antisociality” factor (PPI-II), underpinned by the Machiavellian Egocentricity, Impulsive Nonconformity, Carefree Nonplanfulness, and Blame Externalization subscales. Relatively little data exists on the correlates of these two dimensions among offender samples, however, particularly in regards to the prediction of serious antisocial conduct. The present study examines the criterion-related validity of these two dimensions of psychopathy among male prison inmates (n = 131) in relation to the prediction of three broad categories of institutional maladjustment: physical aggression, verbal aggression and defiance, and non-aggressive misconduct. Following completion of the PPI, inmates were prospectively followed for an average of 2.25 years. Consistent with results from earlier postdictive studies of prison misconduct, PPI-II significantly predicted each criterion type, with effect sizes of moderate magnitude, whereas PPI-I was essentially unrelated to these outcomes measures. Theoretical and practical implications of these findings will be reviewed.
18. M. Catherine Dodson, John F. Edens, & Justin Campbell Relative utility of the PCL-YV factors in the prediction of institutional and community violence and misconduct
Two previous meta-analyses have examined whether scores on the Psychopathy Checklist: Youth Version (PCL:YV; Forth et al., 2003) are predictive of institutional and community misconduct. The first one of these (Edens, Campbell, & Weir, in press) reported that youth psychopathy was associated with general and violent recidivism in a sample of 20 non-overlapping data sets (combined N = 2,787), although considerable variability was noted among the individual effect sizes. The second (Edens & Campbell, in press) also found the PCL:YV to be a modest to moderate predictor of misconduct across 15 institutional samples (combined N = 1,310). In both studies, trends suggested that the “old” Factor 2 of psychopathy (behavioral/antisocial features) was a stronger predictor of these types of outcomes than was the “old” Factor 1 (affective/interpersonal features), although the differences only approached traditional levels of significance—perhaps due to the heterogeneity of the aggregated effect sizes and the relatively small number of studies in each meta-analysis (20 and 15, respectively). Our current project combines the data from these two earlier meta-analyses and incorporate new data from several more recent outcome studies to examine two specific issues. First, we explore whether the “old” Factor 1 and 2 scores significantly differ in their ability to predict juvenile violence and misconduct, broadly defined to include both community and institutional behavior. Second, given the recent advent of the 4-factor model of psychopathy (Forth et al., 2003), we examine the predictive utility of these narrower facets and also, evaluate whether any of them demonstrate incremental validity in the prediction of these outcome criteria.
19. Cerise Vablais Working towards a new model of psychopathy in female offenders: A qualitative analysis of the PCL-R
This study utilized a grounded theory approach to explore the etiology of criminal behavior in female offenders who obtained scores in the low, medium, and high ranges on the Psychopathy Checklist Revised – 2nd Edition (PCL-R). In this study, the researcher hoped to gain a better understanding of the pathways that lead women to lives of crime. From the themes that emerged from the interviews, the researcher also sought to better understand the concept of psychopathy in female offenders. The researcher used the PCL-R interview as the first of two semi-structured interviews. The second interview was comprised of additional questions that the researcher hoped would begin to illuminate gender-specific variables that contributed both to women’s incarceration and their level of psychopathy. Participants in the study were eighteen women incarcerated in a state prison and included women who were convicted of various types of crimes. Seven of the women had PCL-R scores above 26, six had scores between 15 and 22 and the remaining five had scores below 11. Analysis of the interviews suggest gender-based differences in both the prevalence and meaning of various behaviors utilized to assess psychopathy as measured by the PCL-R. Various affective and interpersonal characteristics seem to differ from what is known about male offenders when examining the construct of psychopathy in women. Additionally, various PCL-R items (e.g., promiscuity and parasitic lifestyle) seem to have little correlation with subsequent levels of psychopathy when assessed in female offender populations, indicating a possible gender-bias when using the PCL-R with women. Because the PCL-R is frequently used to make determinations regarding treatment programs and changes in security status, ethical implications arise if the measure does not assess the same construct in women the same way that it does in men. Along with suggesting possible modifications and additions to the PCL-R when used to assess psychopathy in women, the researcher uncovered additional themes that may better illustrate female manifestations of psychopathy. A woman’s level of attachment to her children and her subsequent level of psychopathy is discussed as women who scored higher in psychopathy seemed less likely to have secure attachments to their children. An interesting relationship also appeared between higher levels of psychopathy and reports of same-sex relationships both in and out of prison. Women who scored higher in psychopathy were more likely to have histories of sexual relationships with both males and females. This study suggests that the construct of psychopathy appears differently in women and that further research is needed to better understand both how the construct of psychopathy appears in female offenders and how the current measures utilized to assess psychopathy may be wrongly classifying women.
20. Ian Broom, Adelle Forth, & John Healy The interplay between image complexity, emotionally primed startle blink, and psychopathy in a university student sample: A retrospective examination
Laboratory research on psychopaths has provided strong support for an underlying affective information processing deficit, resulting in a failure to respond appropriately to fearful or otherwise unpleasant emotional stimuli. One promising technique for examining this abnormal response to punishing or fearful stimuli is to prime emotional responses using media selected based on a priori assumption of emotional content, or subjective ratings gathered in samples of healthy participants. One widely used stimuli set is the International Affective Picture System (IAPS; CSEA-NIMH, 1999). The IAPS stimuli set contains over 700 stimuli of which have accompanying normative ratings on arousal and valence (Lang et al., 1999). The sample set, however, does not include an index of image “complexity”. Image complexity has been used as a control in studies involving brief stimuli presentation through the use of JPEG file size as a proxy for image complexity, singular value decomposition of image files, and spatial frequency distribution (Junghöfer, Bradley, Elbert & Lange, 2001). In addition to early processing cognitive load, image complexity may interact with putative cognitive/affective deficits associated with psychopathy, based on attention. The current study attempted to re-analyze data from an experiment involving primed startle blink in a university student sample scoring higher and lower on psychopathy (Broom, 2003). The subset of IAPS images presented was parsed on valence (pleasant, neutral, unpleasant), and content (erotic, action, neutral, victim, threat). Reanalysis of the original startle magnitude data included the application of three algorithms for quantifying and controlling for image complexity: 1) a bottom-up saliency map model (Itti, Koch & Niebur, 1998), 2) image segmentation (Felzenszwalb & Huttenlocher, 2004), and texture-based image clutter (Shirvaikar, 1992).
21. Katherine A. Fowler, Christopher J. Patrick, & Scott O. Lilienfeld: Cheryl Wynne Hare award candidate Detecting psychopathic traits from thin slices of behavior
Psychopathy measures typically permit evaluation of psychopathy by others, including expert-rated measures, and recently developed measures that employ peer ratings. Researchers have become interested in the degree to which peer, self, and expert ratings each contribute incrementally to the assessment of psychopathy. However, an unexplored area of inquiry concerns preliminary impressions of psychopathy: Are features of psychopathy detectable from small samples of behavior? An emerging literature documents the ability of observers to assess aspects of personality and predict important outcomes with relatively high accuracy from astonishingly little information (e.g., “thin slices” of behavior). A thin slice is typically defined as a “brief, dynamic sample of a person’s behavior, typically less than 5 minutes…taken from a longer video recording of the person interacting with others or performing some kind of task” (Oltmanns et al., 2004). In this study, graduate and undergraduate raters viewed 96 brief video clips (5, 10, and 20 seconds) of PCL-R interviews with maximum-security inmates collected as part of a prior study. Stimuli were presented according to three sensory conditions: video only, audio only, and video/audio combined. Following the presentation of each clip, raters completed likert-type items assessing overall psychopathy, Factor 1 and Factor 2 psychopathy, Antisocial Personality Disorder and other personality disorders, and violence proneness. Additionally, they estimated IQ. Correlational analyses were conducted to determine convergence between inter-rater composites of these ratings and previously collected PCL-R, IM-P, PPI, and IQ scores, and documented incidents of violence. Psychopathy ratings correlated moderately and significantly with PCL-R and IM-P scores. IQ was moderately and significantly correlated with estimated WAIS score. Violence proneness ratings did not correlate significantly with number of violent crimes, but were significantly correlated with number of adult and childhood fights.
22. Amy L. Byrd, Matthew S. Shane, Greg Book, Emile Mulder, Rachel E. Kahn, Olga Antonenko, & Kent A. Kiehl Unsuccessful vs. successful psychopaths: The role of impulsivity as a protective factor against incarceration
Previous research has identified a relationship between psychopathy and impulsivity within incarcerated samples (Roussy & Toupin, 2000). Little has been done to investigate the manifestations of this relationship within community samples. This study tested the hypothesis that psychopaths characterized with high impulsivity would show the highest proclivity for offending. This is consistent with Raine’s distinction between successful and unsuccessful psychopaths who are hypothesized to differ in their ability to escape incarceration (Ishikawa et al., 2001). To investigate this relationship, we asked 54 community participants to complete a comprehensive battery of personality and cognitive measures including the Psychopathy Checklist-Revised (PCL-R; Hare, 1991) and behavioral indices of impulsivity. Impulsivity was evaluated through performance on a go-no-go task intended to induce response inhibition errors by requiring participants to withhold button press responses to no-go stimuli. Based on prior research (Kiehl et al., 2000) we expected higher PCL-R scores to correlate positively with false alarms (number of no-go responses), and this hypothesis was confirmed. In order to evaluate the role of impulsivity in successful and non-successful psychopaths, we separated participants via double median split on Facet 4 scores and combined scores on Facets 1, 2, and 3. This resulted in 4 groups who differed in terms of their level of psychopathy (high/low on Facet 1-3) and antisociality (high/low facet 4). Those high in psychopathic traits and high in antisociality committed more false alarms than those high in psychopathic traits and low in antisociality. This is consistent with the distinction between successful and unsuccessful psychopathy and confirms an important relationship between impulsivity and criminality in individuals high in psychopathic traits. Low impulsivity may then act as a protective factor against criminality in this population.
23. Elizabeth A. Sullivan & David S. Kosson Coping styles and psychopathy
With the resurgence of interest in the relationship between psychopathy and negative affect, research has begun tore-examine the role of emotion regulation and coping styles in psychopaths. In a recent study, Poythress, Skeem, & Lilienfeld (2006) examined the relation between psychopathy, abuse, and dissociation in order to determine whether abuse history and dissociative features could account for the emotional detachment of psychopaths. Although they found small significant relationships between psychopathy and dissociation, dissociation did not mediate the relationship between psychopathy and abuse. Based on that study, the current study examined relationships between psychopathy and two distinct coping styles, dissociation and defensive coping, in an incarcerated adult male sample. Contrary to Poythress et al., we found no relationship between PCL-R scores and scores on the Dissociative Experiences Scales (DES; Bernstein & Putnam, 1986) at either the zero-order or partial correlation level. However, dissociation was significantly related to post-traumatic stress disorder symptoms in the sample, suggesting that neither a restricted range of variance, nor a lack of traumatic experiences in the sample can account for the lack of relationship between psychopathy and dissociation as a coping mechanism. In contrast, there was a significant negative relationship between psychopathy scores and defensive response style assessed using the Marlowe-Crowne Social Desirability Scale (Crowne & Marlowe, 1960). Given that elevated scores on this measure have been linked to both defensive coping and a repressive style, the inverse relationship suggests that psychopaths are not engaging in defensive coping in order to regulate their affect. Taken together, these findings suggest that psychopaths are not prone to using dissociative or defensive coping mechanisms. Implications of this inverse relationship for assessment of psychopathy and for studies of emotion regulation are discussed.
24. Melissa Pagliaro & Adelle Forth The Mask of Sanity revisited: Hervey Cleckley’s insights and contemporary findings
The Mask of Sanity, first published in 1941, provides a rich and detailed description of the psychopath, portrays psychopaths as being resistant to intervention, and proposes an etiological model of psychopathy. This review will summarize Cleckley’s perspectives on each of these areas and discuss their status within current psychopathy research. First, the progression from Cleckley’s sixteen clinical characteristics to the standardized assessment of psychopathy was examined. In addition, the similarities and differences between psychopathy and Antisocial Personality Disorder, as outlined in the Diagnostic and Statistical Manual of Mental Disorders IV-Text Revision (2000), were explored. Second, Cleckley’s observation that psychopathy is a challenging and difficult disorder to treat was evaluated with up-to-date research results on the treatment responsivity of psychopaths. Finally, Cleckley’s hypothesis that psychopathy is associated with a fundamental affective deficit is described along with research findings in this area. Implications for future psychopathy research on assessment, treatment, and affective deficit studies are presented.
Poster Session B -- Saturday
1. Henrik Larsson, Essi Viding & Robert Plomin Callous-unemotional traits and antisocial behavior: Genetic, environmental and early parenting characteristics
This study compared early parenting characteristics in children with different levels of callous-unemotional (CU) traits and antisocial behavior (AB). Teacher data on CU traits and AB, as well as parent data on negative parenting characteristics were obtained from a community sample of >3000 twin pairs. CU traits and AB were assessed when the twins were at 7 years of age, whereas negative parenting characteristics were assessed at 3-, 4-and 7- years of age. Four groups were formed on the basis of teacher assessments: high CU and low AB ([CU+] n = 378), high CU and high AB ([AB/CU+] n = 234), low CU and high AB ([AB+] n = 210), and controls (n = 3608). In addition, genetic and environmental influences on elevated levels of CU traits were specifically investigated in CU+ and AB/CU+ subgroups. Multivariate analysis of variance and DF extremes analysis yielded three main find