Assessing psychopathic personality traits with the MMPI-2

In this study, we examined the utility of the MMPI-2 (Butcher et al., 2001) in assessing psychopathic personality traits. We explored whether MMPI-2 scales that measure affective and interpersonal traits add to the instrument's social deviance measures in assessing global psychopathy and its two facets. Our study of 281 male and female college students indicates that the MMPI-2 Social Deviance scales (e.g., Clinical Scales 4 and 9, ASP) predict substantial variance in the social deviance factor and affiliated subscales of the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996), whereas MMPI-2 measures of affective and interpersonal functioning predict substantial variance in the affective-interpersonal PPI factor. In addition, the results of two regression models indicate that the Restructured Clinical scales provide the most parsimonious assessment of psychopathic personality traits.     

Psychopathy and the ability to read the “language of the eyes”: Divergence in the psychopathy construct

The capacity to interpret others people's behavior and mental states is a vital part of human social communication. This ability, also called mentalizing or Theory of Mind (ToM), may also serve as a protective factor against aggression and antisocial behavior. This study investigates the relationship between two measures of psychopathy (clinical assessment and self‐report) and the ability to identify mental states from photographs of the eye region. The participants in the study were 92 male inmates at Bergen prison, Norway. The results showed some discrepancy in connection to assessment methodology. For the self‐report (SRP‐III), we found an overall negative association between mental state discrimination and psychopathy, while for the clinical instrument (PCL‐R) the results were more mixed. For Factor 1 psychopathic traits (interpersonal and affective), we found positive associations with discrimination of neutral mental states, but not with the positive or negative mental states. Factor 2 traits (antisocial lifestyle) were found to be negatively associated with discrimination of mental states. The results from this study demonstrate a heterogeneity in the psychopathic construct where psychopathic traits related to an antisocial and impulsive lifestyle are associated with lower ability to recognize others' mental states, while interpersonal and affective psychopathic traits are associated with a somewhat enhanced ability to recognize others' emotional states.     

Attachment-Related Mentalization Moderates the Relationship Between Psychopathic Traits and Proactive Aggression in Adolescence

The lack of affective responsiveness to others’ mental states – one of the hallmarks of psychopathy – is thought to give rise to increased interpersonal aggression. Recent models of psychopathy highlight deficits in attachment security that may, in turn, impede the development of relating to others in terms of mental states (mentalization). Here, we aimed to assess whether mentalization linked to attachment relationships may serve as a moderator for the relationship between interpersonal aggression and psychopathic traits in an adolescent community sample. Data from 104 males and females with a mean age of 16.4 years were collected on mentalization capacities using the Reflective Functioning Scale on the Adult Attachment Interview (AAI). Psychopathic traits and aggressive behavior were measured via self-report. Deficits in mentalization were significantly associated with both psychopathic traits and proactive aggression. As predicted, mentalization played a moderating role, such that individuals with increased psychopathic tendencies did not display increased proactive aggression when they had higher mentalizing capacities. Effects of mentalization on reactive aggression were fully accounted for by its shared variance with proactive aggression. Psychopathic traits alone only partially explain aggression in adolescence. Mentalization may serve as a protective factor to prevent the emergence of proactive aggression in spite of psychopathic traits and may provide a crucial target for intervention.     

Differential Associations Between Psychopathy Dimensions,Types of Aggression,and Response Inhibition

Findings on executive functioning in psychopathy are inconsistent. Different associations between psychopathy dimensions and executive functioning might explain contradicting findings. This study examined the role of psychopathy dimensions and types of aggression in response inhibition among 117 male adolescents (53 antisocial delinquents and 64 controls). Participants completed a self‐report measure of aggression and a GoNoGo task. Psychopathy dimensions were assessed using the Psychopathy Checklist: Youth Version. Although high scores on the antisocial dimension and reactive aggression were associated with poor response inhibition, the affective–interpersonal dimension, proactive aggression, and verbal intelligence (IQ) were related to better response inhibition (two‐factor model). Associations with the affective–interpersonal dimensions did not reach significance. Exploratory analyses showed that affective and antisocial facets accounted for the obtained opposing associations of the affective–interpersonal and antisocial psychopathy dimensions with response inhibition. The interpersonal and lifestyle facets (four‐facet model) were unrelated to response inhibition. Results could not be explained by Attention Deficit Hyperactivity Disorder (ADHD). Findings suggest differential associations between the psychopathy dimensions, types of aggression, and response inhibition. Therefore, a dimensional approach to psychopathy and related concepts, such as aggression, might strongly improve diagnostic procedures. Global scores could mask important differential associations. Aggr. Behav. 38:77‐88, 2012. © 2011 Wiley Periodicals, Inc.     

„Psychopathy“ im Kindes- und Jugendalter

The term psychopathy is defined as a severe personality pathology, which is characterized by extreme aggressive, antisocial and violent behavior as well as affective and interpersonal deficits. In recent years, research into the construct of psychopathy has often focused on the incidence and detection of such pathologies in children and adolescents. In this context, a point of interest is to explore the course and stability of psychopathic personality dimensions throughout youth. Results demonstrate clear evidence for the occurrence of personality traits characteristic for psychopathy in early childhood and adulthood, which facilitates early detection with the aid of age-specific diagnostic instruments.The distinct correlation between psychopathy and severe, repeated and largely treatment refractory violence, which results in substantial public damage, calls for further research in children and adolescents in order to define the construct of psychopathy more precisely, to further illuminate underlying pathologies and consequently develop more specific typologies and effective treatment strategies. To that end, it is of particular importance to correctly capture dimensional factors of psychopathy in youth and to examine their stability throughout stages of adolescent development.     

Two subtypes of psychopathic violent offenders that parallel primary and secondary variants

Although psychopathy usually is treated as a unitary construct, a seminal theory posits that there are 2 variants: Primary psychopathy is underpinned by an inherited affective deficit, whereas secondary psychopathy reflects an acquired affective disturbance. The authors investigated whether psychopathy phenotypically may be disaggregated into such types in a sample of 367 prison inmates convicted of violent crimes. Model-based cluster analysis of the Revised Psychopathy Checklist (PCL-R; R. D. Hare, 2003) and trait anxiety scores in the psychopathic subgroup (n = 123; PCL-R > or = 29) revealed 2 clusters. Relative to primary psychopaths, secondary psychopaths had greater trait anxiety, fewer psychopathic traits, and comparable levels of antisocial behavior. Across validation variables, secondary psychopaths manifested more borderline personality features, poorer interpersonal functioning (e.g., irritability, withdrawal, poor assertiveness), and more symptoms of major mental disorder than primary psychopaths. When compared with the nonpsychopathic subgroup (n = 243), the 2 psychopathic variants manifested a theoretically coherent pattern of differences. Implications for etiological research and violence prevention are discussed.     

Exploring Associations Between Psychopathic Personality and Components of Disinhibition vs. Constraint

Recent models of psychopathy implicate Disinhibition vs. Constraint (DvC) as one of the primary underpinnings of psychopathic traits, although little research has examined associations between specific DvC components and psychopathy facets. The present study aimed to fill this gap by examining associations between psychopathy facets, as operationalized by two widely used self-report psychopathy instruments, and lower-order components of DvC within a racially diverse sample of 1,160 undergraduates. Path analyses confirmed the broad dimension of DvC as representing a general diathesis to psychopathy, with second-order components conferring more specific risks for particular psychopathy traits regardless of the model of psychopathy employed. Further, findings suggest that associations do not vary by race. Results suggest both generality and specificity of DvC dimensions as they relate to psychopathic traits, as well as potential avenues for further investigation of the associations between psychopathy and DvC.     

Troubled or Traumatized Youth? The Relations Between Psychopathy,Violence Exposure,Posttraumatic Stress Disorder,and Antisocial Behavior Among Juvenile Offenders

The current study examined how psychopathy, exposure to violence, and posttraumatic stress disorder (PTSD) are associated with antisocial behavior among 1,354 serious delinquent adolescents from the Pathways to Desistance study. Results showed that psychopathy, violence exposure, and PTSD are independently linked to self-reported involvement of delinquency, even after controlling for respondents’ demographic characteristics. However, the effect of PTSD on antisocial behavior was small. Differential associations were observed between the 2 factors of psychopathy, interpersonal/affective and social deviance, and PTSD symptoms. Specifically, the effect of social deviance characteristics on delinquency was above and beyond that of interpersonal/affective features. In addition, exposure to violence as a victim or witness were uniquely associated with increased delinquent behavior. Findings clarified the relations among psychopathy, violence exposure, PTSD, and antisocial behavior, and highlighted the differential links between psychopathy factors and delinquency.     

Jury Panel Member Perceptions of Interpersonal‐Affective Traits of Psychopathy Predict Support for Execution in a Capital Murder Trial Simulation

Recent research with college undergraduate mock jurors suggests that how psychopathic they perceive a criminal defendant to be is a powerful predictor of whether they will support a death verdict in simulated capital murder trials. Perceived affective and interpersonal traits of psychopathy are especially predictive of support for capital punishment, with perceived remorselessness explaining a disproportionate amount of variance in these attitudes. The present study attempted to extend these findings with a more representative sample of community members called for jury duty (N = 304). Jurors reviewed a case vignette based on an actual capital murder trial, provided sentencing verdicts, and rated the defendant on several characteristics historically associated with the construct of psychopathy. Consistent with prior findings, remorselessness predicted death verdicts, as did the affective and interpersonal features of psychopathy – though the latter effect was more pronounced among jurors who were Caucasian and/or who described their political beliefs as moderate rather than conservative or liberal. Results are discussed in terms of the potentially stigmatizing effects of psychopathy evidence in capital cases. Copyright © 2013 John Wiley & Sons, Ltd.     

Criterion-related validity of the three-factor model of psychopathy: personality, behavior, and adaptive functioning

The Psychopathy Checklist-Revised (PCL-R) has been conceptualized as indexing two distinct but correlated factors. Previous research has established that these factors demonstrate distinct patterns of relations with external criteria. However, more recent findings suggest that the PCL-R psychopathy construct may encompass three distinguishable factors, reflecting affective, interpersonal, and behavioral symptoms. Here, we evaluated the validity of this newer three-factor model of the PCL-R factors with reference to external criteria from the domains of personality, antisocial behavior; and adaptive functioning in a sample of 310 incarcerated offenders. The interpersonal factor was related to social dominance, low stress reactivity, and higher adaptive functioning; the affective factor was correlated with low social closeness and violent offending; and the behavioral factor was associated with negative emotionality, disinhibition, reactive aggression, and poor adaptive functioning. These findings provide support for the convergent and discriminant validity of these psychopathy facets.     

Psychopathic Traits in Adolescence: the Importance of Examining Components in Face Processing,Voice Processing,and Emotional Skill

This study examined relations among interpersonal, affective, and impulsive-irresponsible psychopathic traits, emotional capacities, and recidivism rates in 144 detained adolescents. Emotional skill was conceptualized using a range of constructs, including face and voice processing, emotional intelligence, and self-reported cognitive and affective empathy. In addition, the relation between these concepts and recidivism three years after the initial assessment was examined. Results indicated that interpersonal traits were positively associated with better facial identification of fearful faces, whereas affective traits were associated with worse facial identification of sad and happy faces as well as angry voices. Impulsive-irresponsible traits were associated with reduced emotional intelligence. Differential predictive utility of the three psychopathic traits dimensions was also evidenced. Findings highlight the need to consider the broad concept of psychopathy, but also its underlying dimensions.     

Untangling Intelligence,Psychopathy, Antisocial Personality Disorder,and Conduct Problems: A Meta‐analytic Review

Substantial research has investigated the association between intelligence and psychopathic traits. The findings to date have been inconsistent and have not always considered the multidimensional nature of psychopathic traits. Moreover, there has been a tendency to confuse psychopathy with other closely related, clinically significant disorders. The current study represents a meta‐analysis conducted to evaluate the direction and magnitude of the association of intelligence with global psychopathy, as well as its factors and facets, and related disorders (i.e. antisocial personality disorder, conduct disorder, and oppositional defiant disorder). Our analyses revealed a small, significant, negative relationship between intelligence and total psychopathy (r = ?.07, p = .001). Analysis of factors and facets found differential associations, including both significant positive (e.g. interpersonal facet) and negative (e.g. affective facet) associations, further affirming that psychopathy is a multidimensional construct. Additionally, intelligence was negatively associated with antisocial personality disorder (r = ?.13, p = .001) and conduct disorder (r = ?.13, p = .001) but positively with oppositional defiant disorder (r = .06, p = .001). There was significant heterogeneity across studies for most effects, but the results of moderator analyses were inconsistent. Finally, bias analyses did not find significant evidence for publication bias or outsized effects of outliers. © 2019 European Association of Personality Psychology     

Psychopathic Personality Traits as Protective Factors against the Development of Post-Traumatic Stress Disorder Symptoms in a Sample of National Guard Combat Veterans

Military personnel often experience post-traumatic stress symptoms following exposure to combat. Personality traits have been identified as possible protective and risk factors in the development of post-traumatic stress disorder (PTSD), and examination of the association between PTSD and personality characteristics provides further insight into this heterogeneous disorder. Psychopathy, frequently conceptualized as collection of pathological personality disturbances relating to deficits in emotionality, empathy, and inhibitory control, includes within its defining features components that may be adaptive in certain situations. In the current study, we sought to expand upon the literature related to personality and PTSD by exploring psychopathic traits as resiliency factors in a military sample. Specifically, facets of psychopathy were analyzed as moderators of the association between combat experience and symptoms of post-traumatic stress disorder within a sample of 292 combat-exposed National Guard and Reserve (NGR) service members. Results indicated that the relationship of combat exposure with PTSD decreased as rates of interpersonal-affective psychopathic traits increased. Impulsive-antisocial traits were also found to moderate the association between combat experience and PTSD, though interestingly there was a similar decrease in magnitude with higher levels of these traits. These findings suggest that particular components of psychopathy may serve as protective factors against the development of PTSD symptomatology within this population.     

Socioeconomic Status and Psychopathic Traits in a Community Sample of Youth

The current study aims to address socioeconomic status (SES) as a moderating variable between psychopathic traits and conduct problems in a sample of 2432 Dutch adolescents (M_age?=?14.50 years, SD?=?1.67, 56% male). Both family and neighborhood SES were measured, with income as a proxy for the level of SES. There were small but significant positive correlations between the behavioral and interpersonal dimensions of psychopathy and family SES, a small but significant negative correlation between the affective dimension and neighborhood SES, and a small and significant positive correlation between neighborhood SES and the behavioral dimension of psychopathy. Results further showed that the relations between youth psychopathic traits were moderated by neither family SES nor neighborhood SES. The results suggest that the relations between psychopathic traits and conduct problems are equally strong for lower and higher SES youth. Taken together, these findings warrant the conclusions that SES does not play a role as a moderator in the relation between psychopathy and conduct problems.     

Psychopathic personality as a distinctive indicator of severity and persistence for child and youth conduct problems

Conduct problems are among the most discussed behavioral problems during childhood and adolescence. Given their heterogeneity, in recent years, researchers on this topic have called for delineation of early-onset conduct problems on the basis of affective, interpersonal and behavioral traits that resemble adult psychopathy. The present study aims to analyze, from both a cross-sectional and longitudinal perspective, whether early psychopathic traits allow identification of a group of individuals defined by severe and persistent behavioral problems. To achieve this goal, data from a sample of 192 children (aged 6 to 11) were analyzed; from this sample, 133 children were followed-up in a new data collection that took place three years later. From the data obtained with the mCPS and CBCL (parents), and APSD and TRF (teachers), we observed that children who showed early psychopathic traits, also showed greater frequency, severity and persistence of conduct problems. These results suggest the need to take into account the role of psychopathic traits (particularly, affective and interpersonal) as risk factors to delimit the most serious and persistent patterns of externalizing behavior.     

Psychopathic traits and externalizing behaviors: a comparison of self- and informant reports in the statistical prediction of externalizing behaviors

It has long been assumed that features associated with psychopathy, such as a lack of insight and deceitfulness, may compromise the utility of self-report measures, particularly for understanding the relations between these traits and important outcomes (e.g., offending). Unfortunately, little research has explicitly examined the relations between self- and informant reports of psychopathy and their relations to these outcomes. The current study examined the incremental validity of self- and informant reports of psychopathic traits, assessed with 3 validated psychopathy measures, in the statistical prediction of externalizing behaviors (EBs). To reduce shared method variance, self- and informant reports of EBs (i.e., substance use, antisocial behavior, gambling, and intimate partner violence) were examined separately. Results indicate that both self- and informant reports of psychopathy are related to EBs and provide some degree of incremental validity, although self-reported psychopathy scores proved slightly more useful than other-reported psychopathy scores. These findings suggest that, in nonforensic settings, psychopathy data derived from both self- and other-reported psychopathy measures have utility in understanding the relations between psychopathic traits and EBs.     

Psychopathy and COVID-19: Callousness,impulsivity, and motivational reasons for engaging in prevention behavior

Two direct replication studies were conducted to investigate the associations of psychopathic traits with engagement in COVID-19 prevention behavior and motivational reasons for engaging in such behavior. College undergraduate students completed two self-report measures of psychopathic traits based on the four-factor conceptualization of psychopathy (callous affect, manipulative tendency, erratic lifestyle, criminal tendency) and the triarchic conceptualization of psychopathy (meanness, disinhibition, boldness). Participants then reported the degree to which they engaged in COVID-19 prevention behavior currently and in the past, and reported their self-focused and other-focused motivational reasons for doing so. Results aggregated across both studies (N = 292) revealed that traits reflecting emotional callousness and impulsivity independently predicted lower levels of other-focused reasons for engaging in prevention behavior. Moreover, controlling for other-focused reasons appreciably reduced negative associations of emotional callousness and impulsivity with prevention behavior. The results provide insight into points of convergence in conceptualization and measurement of psychopathy from multiple theoretical perspectives and the importance of considering the impact of divisive personality traits on motivation to protect others during pandemics.     

Psychopathic traits and men’s anger response to interpersonal conflict: A pilot study

Psychopathy is associated with emotional dysfunction that impedes the experience of emotions such as fear and sadness and has been purported to facilitate violent behavior. However, findings relative to the association between psychopathy and anger have not been reliably substantiated. Theorists have proposed that psychopathy predisposes one to experience greater frustration and anger, whereas other experts have suggested that there is no convincing evidence for this assertion. In the present study, we tested the relationship between psychopathy subfactors and anger subsequent to conflict or non-conflict interactions. Sixty-eight collegiate-men completed the Self-Report Psychopathy Scale and read vignettes depicting either a conflict or non-conflict scenario and were asked to imagine themselves in the situation. Following presentation of the vignettes, participants completed a lexical-decision-task assessing affective states. Results indicated that the psychopathy subfactors demonstrated strong differential associations, where Factor 1 showed negative and Factor 2 showed positive association with anger activation in response to interpersonal conflict. Findings are discussed in terms of the importance of anger as a facilitator of violence in some psychopathic individuals.     

Psychopathy and physiological response to emotionally evocative sounds

Despite considerable evidence that psychopathic criminals are deviant in their emotional reactions, few studies have examined responses to both pleasurable and aversive stimuli or assessed the role of different facets of psychopathy in affective deviations. This study investigated physiological reactions to emotional sounds in prisoners selected according to scores on the 2 factors of Hare's Psychopathy Checklist--Revised (PCL-R; R. D. Hare, 1991). Offenders high on the PCL-R emotional-interpersonal factor, regardless of scores on the social deviance factor, showed diminished skin conductance responses to both pleasant and unpleasant sounds, suggesting a deficit in the action mobilization component of emotional response. Offenders who scored high only on the social deviance factor showed a delay in heart rate differentiation between affective and neutral sounds. These findings indicate abnormal reactivity to both positive and negative emotional stimuli in psychopathic individuals, and suggest differing roles for the 2 facets of psychopathy in affective processing deviations.     

Psychopathic Traits and Delinquency Trajectories in Adolescence

The utility of psychopathic traits predicting various forms of antisocial behavior has been demonstrated extensively. However, there are mixed results concerning which of the three psychopathic personality dimensions—callous and unemotional traits, grandiose and manipulative interpersonal style, impulsive-irresponsible behavior—is the best predictor of antisocial behavior in adolescence. In this study, we examined developmental trajectories of antisocial behavior over four years in adolescence and psychopathic traits as predictors of these trajectories. Participants were 811 adolescents from a longitudinal community sample (M _age = 14). Results showed that four trajectories described the development of antisocial behavior from early to middle adolescence in the current sample. Both grandiose-manipulative traits and impulsive-irresponsible behavior were significant predictors of the high and elevated trajectories whereas callous-unemotional traits were not. Our findings underline the importance of studying the dimensions of the psychopathy constructs uniquely and independently of each other.