Risk factors for institutional misconduct among incarcerated women: an examination of the criterion-related validity of the Personality Assessment Inventory

Although widely researched in male offender samples, relatively little is known about the clinical utility of the Personality Assessment Inventory (PAI; Morey, 1991) among female prisoners. In this study, we examined the utility of various theoretically relevant PAI scales to predict 3 types of institutional misconduct (general, aggressive/defiant, and covert infractions) in a sample of 113 female inmates incarcerated for at least 1 year. The Antisocial Features (ANT) scale was the most consistent and effective predictor of misbehavior, with limited evidence to suggest that other PAI scales could demonstrate any incremental validity beyond this measure. More important, ANT continued to be associated with institutional misconduct even after controlling for criminal background variables such as prior convictions and a history of violence.     

Further validation of the psychopathic personality inventory among offenders: personality and behavioral correlates.

The Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) is a relatively new self-report measure that has shown considerable promise as an index of psychopathic traits in both nonoffender and offender samples. The present study examined the construct validity and predictive utility of the PPI by examining its association with theoretically relevant scales of the Personality Assessment Inventory (PAI; Morey, 1991) among 60 male prison inmates, and its ability to predict institutional misbehavior in an expanded sample (n = 89). As expected, correlations with the PAI scales were highest for the Antisocial Features (ANT) and Aggression (AGG) scales (rs = .68 and .57, respectively). The PPI also predicted various forms of nonviolent and physically aggressive disciplinary infractions significantly better than chance (point biserial correlations ranging from .26 to .37).     

Construct Measurement Quality Improves Predictive Accuracy in Violence Risk Assessment: an Illustration Using the Personality Assessment Inventory

Much of the risk assessment literature has focused on the predictive validity of risk assessment tools. However, these tools often comprise a list of risk factors that are themselves complex constructs, and focusing on the quality of measurement of individual risk factors may improve the predictive validity of the tools. The present study illustrates this concern using the Antisocial Features and Aggression scales of the Personality Assessment Inventory (Morey, 1991). In a sample of 1,545 prison inmates and offenders undergoing treatment for substance abuse (85% male), we evaluated (a) the factorial validity of the ANT and AGG scales, (b) the utility of original ANT and AGG scales and newly derived ANT and AGG scales for predicting antisocial outcomes (recidivism and institutional infractions), and (c) whether items with a stronger relationship to the underlying constructs (higher factor loadings) were in turn more strongly related to antisocial outcomes. Confirmatory factor analyses (CFAs) indicated that ANT and AGG items were not structured optimally in these data in terms of correspondence to the subscale structure identified in the PAI manual. Exploratory factor analyses were conducted on a random split‐half of the sample to derive optimized alternative factor structures, and cross‐validated in the second split‐half using CFA. Four‐factor models emerged for both the ANT and AGG scales, and, as predicted, the size of item factor loadings was associated with the strength with which items were associated with institutional infractions and community recidivism. This suggests that the quality by which a construct is measured is associated with its predictive strength. Implications for risk assessment are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

A prospective comparison of two measures of psychopathy in the prediction of institutional misconduct

This study examined the predictive validity of two widely used measures of psychopathic traits, the Psychopathy Checklist--Revised (PCL-R; Hare, 2003) and the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996). Records of institutional infractions were obtained for a young adult sample of prison inmates (N = 46), who were followed for approximately two years following administration of these two scales. The PPI total and two factor scores predicted the total number of infractions committed (r ranging from .28 to .36). PPI Factor I showed some evidence of stronger associations with non-aggressive infractions (r = .36), whereas PPI Factor II was the strongest correlate of aggressive misconduct (r = .24). The total and facet scores of the PCL-R were not significantly predictive of any form of institutional misconduct, with effect sizes ranging from negligible to small (median r = .14, r ranging from -.01 to .21).     

Construct validity of the psychological inventory of criminal thinking styles in relationship to the PAI, disciplinary adjustment, and program completion

We evaluated the convergent and discriminant validity of the Psychological Inventory of Criminal Thinking Styles (PICTS; Walters, 1995) in a group of 199 maximum security prisoners. As anticipated, the PICTS Confusion scale correlated with the Personality Assessment Inventory (PAI; Morey, 1991) Negative Impression scale, whereas the PICTS Defensiveness scale paralleled the PAI Positive Impression scale. Also as predicted, a greater portion of the PICTS thinking style scales correlated with the PAI Antisocial Features scale than correlated with the PAI Somatic Complaints, Anxiety, Depression, Mania, Paranoia, and Schizophrenia scales. When the PICTS composite scales were converged onto behavioral indexes, modest statistically significant relationships surfaced between the PICTS Reactive scale and a record of disciplinary infractions and between the PICTS Proactive scale and program completion.     

Identifying inmates at risk for disciplinary infractions: a comparison of two measures of psychopathy

Poythress, Edens, and Lilienfeld (1998) recently reported a moderately strong correlation between Hare's (1991) Psychopathy Checklist-Revised (PCL-R) and a newly developed self-report measure of psychopathy, the Psychopathic Personality Inventory (PPI) of Lilienfeld and Andrews (1996), in an ethnically diverse sample of 50 inmates from a youthful offender prison. The present study reports follow-up data regarding disciplinary infractions in this sample and examines the utility of the PCL-R and PPI for identifying those at risk for institutional misbehavior. Generally modest, but statistically significant, correlations were obtained between both measures and indices of aggressive institutional behavior. Multiple regression analyses revealed that both measures accounted for common variance in the criterion but that neither accounted for significant unique variance. Results are discussed in terms of the clinical utility of these measures in populations of young offenders.     

An actuarial model for assessment of prison violence risk among maximum security inmates

An experimental scale for the assessment of prison violence risk among maximum security inmates was developed from a logistic regression analysis involving inmates serving parole-eligible terms of varying length (n = 1,503), life-without-parole inmates (n = 960), and death-sentenced inmates who were mainstreamed into the general prison population (n = 132). Records of institutional violent misconduct of these 2,595 inmates were retrospectively examined for an 11-year period (1991 to 2002). Predictors affecting the likelihood of such misconduct included age, type and length of sentence, education, prior prison terms, prior probated sentences, and years served. The scale was modestly successful, as demonstrated by an overall omnibus area under the curve of .719. Double cross-validation demonstrated minimal shrinkage. The authors have termed this experimental scale the Risk Assessment Scale for Prison.     

Prison rioters: exploring infraction characteristics, risk factors, social correlates, and criminal careers

Investigation of individual inmates' characteristics are almost entirely absent from research of prison riots. The current study sought to fill this void using official infraction records and prison dossiers of 831 male inmates selected from the southwestern USA. Logistic regression models indicated that inmates who were cited for criminal infractions, such as theft, possession of weapons or drugs, threatening staff, and social risk factors were significantly more likely to engage in prison rioting. In fact, the model which contained criminal career, demographic information, infraction, and other social risk factors explained 40% of the variation in prison rioting. Suggestions for research on prison riots that included inmates' criminal history and characteristics of infraction are offered.     

Crowding in a Woman's Prison: Attitudinal and Behavioral Effects1

Two studies were conducted to assess the impact of crowding on female inmates. The first study, an archival analysis of the records of 561 women prisoners, showed that the average population in the institution was significantly related to the transformed rate of disciplinary infractions, even when other variables had been controlled for. The second study, which used a questionnaire, found that inmates' perceived control was positively related to liking for their room and negatively related to their reported stress and physical symptoms. In addition, the stress inmates experienced was negatively related to liking for their room and positively related to physical symptoms.     

Violent and disruptive behavior among drug-involved prisoners: relationship with psychiatric symptoms

This study examines the relationship between psychiatric symptoms and violent/disruptive behavior among 192 inmates who participated in prison-based substance abuse treatment. Participants came from two sites able to provide narrative reports of disciplinary actions in the Criminal Justice Drug Abuse Treatment Studies' Co-Occurring Disorders Screening Instrument study. In multivariate logistic models, a lifetime history of thought insertion/control ideation (OR, 11.6; 95% CI, 1.8-75.2), antisocial personality disorder (OR, 3.3; 95% CI, 1.2-8.9), and disciplinary action related to possession of controlled substances or contraband (OR, 4.9; 95% CI, 1.9-12.3) were associated with increased risk for violent or disruptive behavior while in prison, whereas lifetime phobic symptoms (OR, 0.2; 95% CI, 0.1-0.54) and high school graduation (OR, 0.4; 95% CI, 0.2-1.0) were associated with a decreased risk of violence and disruptive behavior in general. We conclude that, among inmates in substance abuse treatment, symptoms that increase risk for violence or disruptive behavior include thought control/insertion ideation and disciplinary infractions related to controlled substances, contraband, or failure to participate in assigned programs, as well a history of antisocial personality disorder.     

The Personality Assessment Inventory Drug Problems Scale: a validity analysis

An analysis of the relationship among the Personality Assessment Inventory (PAI; Morey, 1991, 1996) Drug Problems (DRG) scale scores, the Addiction Severity Index (ASI; McLellan et al., 1992) scores, and urine toxicology reports revealed that the PAI Drug Problem scale scores of 100 substance-using and substance-abusing men and women were distributed in a manner that was in agreement with the guidelines suggested by Morey (1991, 1996) in the PAI manual. There were significant correlations among the PAI DRG scale and the ASI scales related to frequency of use, negative consequences of use, and need and desire for treatment. Overall, higher scores did reflect both more serious involvements with drug use and more serious problems as a consequence of their involvement.     

Taxometric analysis of the antisocial features scale of the personality assessment inventory in federal prison inmates

The Antisocial Features (ANT) scale of the Personality Assessment Inventory (PAI) was subjected to taxometric analysis in a group of 2,135 federal prison inmates. Scores on the three ANT subscales-Antisocial Behaviors (ANT-A), Egocentricity (ANT-E), and Stimulus Seeking (ANT-S)-served as indicators in this study and were evaluated using the following taxometric procedures: mean above minus below a cut (MAMBAC), maximum eigenvalue (MAXEIG), and latent mode factor analysis (L-Mode). Objective and subjective evaluation of the results revealed consistent support for a dimensional interpretation of latent structure across the di ferent taxometric procedures as well as across gender, race, and security level. As a dimensional construct, antisocial personality disorder arranges respondents along one or more quantitative dimensions (degree of antisociality), rather than assigning them to qualitatively distinct categories (antisocial or not antisocial).     

Divergent Perceptions of Jail Inmates and Correctional Officers: The “Blame the Other-Expect to Be Blamed” Effect1

Inmates and correctional officers in a Lwnty jail made attributions of responsibility and predicted each other's attributions in response to four hypothetical stimulus incidents varying in severity of the inmate's intentional misbehavior and the severity of the officer's intentional retribution. When the misbehavior and retribution were moderate, subjects blamed both participants about equally. However, both over- and underreactions to the stimulus inmate's misbehavior elicited defensiveness, with both officers and inmates more likely to attribute responsibility to their opposite role character. In addition, both inmates and officers appeared to respond defensively to severe but equitable retributions. Subjects blamed each other, and, anticipating the other's defensiveness, expected to be blamed. Examination of the data suggested that subjects may have responded stereotypically rather than empathetically, and that defensiveness impeded rather than facilitated predictive accuracy. Results were consistent with previous research, increasing the generality of the “blame the other-expect to be blamed” effect. Additional analyses indicated that inmates were more likely than officers to notice mitigating circumstances when considering the inmates' responsibility. Three recommendations were made which may help to forestall inmate reactivity to retributions: (1) Jail personnel should have objective and clear definitions as to what constitutes major and minor infractions; (2) inmates should be aware of these criteria; and (3) jail personnel should be sensitive to mitigating circumstances and moderate their retribution or anticipate possible reactivity from inmates.     

Is death row obsolete? A decade of mainstreaming death-sentenced inmates in Missouri

Death-sentenced inmates in Missouri have been integrated or "mainstreamed" into the general population of the Potosi Correctional Center since 1991. By comparing the rate of violent misconduct among these mainstreamed death-sentenced inmates with that of the life-without-parole and parole eligible inmates under fully integrated conditions of confinement, this study provides the first empirical (statistical) evaluation of this innovative alternative to segregated death row confinement. The mainstreamed death-sentenced inmates committed no inmate or staff homicides, or attempted homicides. Comparison of their rates of institutional violence revealed frequencies that were similar to those of life-without-parole inmates, and well below those of fellow inmates who were sentenced to parole eligible terms. These findings cast serious doubt on the security-driven assumptions that have typified the segregation of death-sentenced inmates and have dictated highly restrictive confinement policies for this group. A conclusion that death-sentenced inmates can be safely integrated into a general prison population has significant implications for allocation of scarce fiscal resources and correctional staff, as well as for inmate mental health, particularly given the extended tenure that death-sentenced inmates typically serve between sentencing and relief/execution.     

Evaluation of the PAI–A Anxiety and Depression Scales: Evidence of Construct Validity

Against the background of a dearth of studies examining the properties of the scale scores of the Personality Assessment Inventory–Adolescent (PAI–A; Morey, 2007), this study was conducted to evaluate evidence of construct validity for the Anxiety (ANX) and Depression (DEP) scales of the PAI–A. Convergent and discriminant validity of the ANX and DEP scale scores were investigated using a sample of adolescents admitted to the adolescent program of a private tertiary care inpatient treatment facility. Multiple methods assessing anxious and depressive symptomology and diagnoses were included. Construct validity of the ANX and DEP scales was mostly supported. Advantages of using the PAI–A for the assessment of anxiety and depression were discussed.     

Use of the Personality Assessment Inventory in Assessment of Posttraumatic Stress Disorder in Women

This study investigated the utility of the Personality Assessment Inventory (PAI) for the assessment of posttraumatic stress disorder (PTSD). Participants were 55 community-residing adult women who were administered a comprehensive battery that included the PAI and the Clinician-Administered PTSD Scale (CAPS). Participants were classified as either PTSD or non-PTSD based on the CAPS, and PAI profiles were compared between the two groups. Significant group differences were found for seven PAI clinical scales (Anxiety, Depression, Anxiety-Related Disorders, Somatic Complaints, Paranoia, Borderline Features, and Schizophrenia), one validity scale (Negative Impression), and two treatment scales (Nonsupport and Treatment Rejection). When all PAI scales and component subscales are considered, the largest group differences were found for the physiological subscale of the Depression scale (DEP-P) and the Traumatic Stress subscale of the Anxiety-Related Disorders scale (ARD-T). ARD-T and DEP-P also demonstrated excellent diagnostic utility. Finally, correlations between PAI scales and four CAPS symptom clusters provided additional validity evidence, in particular supporting a distinction between effortful avoidance and numbing. Taken together, these results support the use of the PAI in the assessment of PTSD.This study was the basis of a Masters thesis for Meghan McDevitt-Murphy. Portions of this study were presented at the annual meeting of the Association for Advancement of Behavior Therapy, November 2000.     

On the validity of validity scales: the importance of defensive responding in the prediction of institutional misconduct

This study examined the effects of defensive responding on the prediction of institutional misconduct among male inmates (N = 349) who completed the Personality Assessment Inventory (L. C. Morey, 1991). Hierarchical logistic regression analyses demonstrated significant main effects for the Antisocial Features (ANT) scale as well as main effects for the Positive Impression Management (PIM) scale in some instances. Significant ANT x PIM interactions also were evident, particularly when examining recommended cut scores on these scales. These results demonstrate the predictive validity of ANT with prisoners and reinforce the importance of context when considering whether validity scales are in fact valid.     

Using the Personality Assessment Inventory to predict male offenders' conduct during and progression through substance abuse treatment

Prior research has supported the utility of the Personality Assessment Inventory (PAI; Morey, 1991, 2007) to predict various negative outcomes among offender samples, yet few studies have specifically examined its association with behavior in treatment. In this study, the PAI was administered to 331 male offenders court ordered into substance abuse treatment. Several theoretically relevant PAI scales (e.g., Antisocial Features, Borderline Features) predicted various forms of problematic conduct (e.g., disruptive behavior, aggression) and subjective and objective ratings of treatment progress. Although there was relatively limited evidence for the superiority of any one predictor over the others, the Aggression (AGG) scale demonstrated incremental validity above and beyond other indicators for general noncompliance and aggressive behavior. Interpersonal scales also predicted select treatment behavior while sharing relatively little common variance with AGG. These findings highlight the importance of distinguishing lower order and higher order dimensions on the PAI and other measures.     

Predictive and incremental validity of the Violence Risk Appraisal Guide scores with male and female jail inmates

The present study examines the predictive and incremental validity of Violence Risk Appraisal Guide scores in a sample of 328 male and 145 female jail inmates held on felony charges. Significant gender differences were observed in VRAG item and total score means, as well as in correlations between the VRAG and concurrent measures of aggression. VRAG scores significantly predicted institutional misconduct during incarceration and recidivism in the first year postrelease for male inmates but not for female inmates. In terms of incremental validity, VRAG scores predicted institutional misconduct and recidivism beyond that accounted for by psychopathy for male inmates but not for female inmates. Implications for clinical practice and future research are discussed.     

Validity rates of the MMPI-2 and PAI in a rural inpatient psychiatric facility

This study examines the validity rates of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Personality Assessment Inventory (PAI) profiles in a rural inpatient population. The validity scales of 90 MMPI-2 and 90 PAI profiles were analyzed using published criteria for determining validity. Random responding, positive impression management, and negative impression management were also evaluated. The PAI had a higher number of valid profiles compared with the MMPI-2. Evidence suggests the primary source of the invalid profiles within the MMPI-2 is a higher level of endorsement of relatively rare statements. The substitution of the Infrequency-Psychopathology scale (Fp) for the Infrequency scale (F) on the MMPI-2 substantially reduced the number of invalid profiles. Contrary to expectations, the PAI did not demonstrate lower levels of invalid profiles due to random responding. Rates of invalid profiles for each scale are provided.