Child Psychopathy: Theories,Measurement, and Relations with the Development and Persistence of Conduct Problems

To develop more accurate explanatory and predictive models of child and adolescent conduct problems, interest has grown in examining psychopathic traits in youth. The presence or absence of these traits may help to identify unique etiological pathways in the development of antisocial behavior. The current review provides a detailed summary and analysis of (a) the conceptualization and measurement of child and adolescent psychopathy, (b) research on relations between psychopathic traits and a range of conduct problems and associated variables, (c) efforts to utilize data on child and adolescent psychopathy to delineate a subgroup of youth whose conduct problems share a relatively homogenous etiology and developmental trajectory, and (d) current challenges and limitations in the study of youth psychopathy and directions for future research efforts. Specific sections include the origins of the youth psychopathy construct, conceptualization and measurement, relations between psychopathic traits and conduct problems, relations between measures of psychopathy and measures of individual and contextual variables, efforts to identify a unique subgroup of children with conduct problems using psychopathic traits, and finally, challenges that face the field and goals for the next generation of research.     

Psychopathy and structure of primary mental abilities

The Comprehensive Ability Battery (CAB) was used to assess 18 primary mental abilities in 53 white, male prison inmates for whom highly reliable ratings of psychopathy were available. None of the correlations between ratings of psychopathy and scores on the CAB tests was significant, and the overall pattern or structure of abilities was the same for inmates with low and high ratings of psychopathy. The possibility is raised that the personality characteristics of psychopaths make them appear to be brighter and more creative than they actually are. Compared with norms for male high school students, the inmates as a group generally performed well, falling near the 50th percentile on 11 of the tests. The inmates performed significantly better than the normative sample on tests of verbal ability, esthetic judgment, aiming, and representational drawing, and significantly worse on tests of ideational fluency, spontaneous flexibility, and word fluency.This research was supported by Grant MT-4511 from the Medical Research Council of Canada.     

Psychopathic personality traits and temporal perspective: A test of the short time horizon hypothesis

A number of authors have proposed that psychopathic individuals possess an abnormally constricted time horizon (i.e., foreshortened sense of the future). This hypothesis was tested among 101 undergraduates, who were administered a battery of (1) self-report indices of psychopathic personality traits, antisocial behavior, and normal-range personality traits; (2) self-report indices of time perspective; (3) projective tests of time perspective; and (4) laboratory tasks assessing time estimation and capacity for foresight and impulse control. Measures of psychopathy/antisocial behavior tended to be negatively correlated with several self-report indices assessing preoccupation with the future and with a projective task assessing the frequency of thoughts concerning future events, although only one of the correlations with this latter task was significant. In most cases these correlations were not attributable to the variance shared by measures of psychopathy/antisocial behavior and measures of (low) anxiety-proneness, although several correlations decreased substantially after levels of harmavoidance were controlled. In contrast, measures of psychopathy/antisocial behavior were negligibly correlated with laboratory tasks. These results provide mixed support for the short time horizon hypothesis and suggest that further attention to the role of method factors in investigations of future time perspective is warranted.     

Temperament and Psychopathy: A Dual-Pathway Model

ABSTRACT— The concept of psychopathy refers to a pattern of chronic antisocial behavior and personality features, such as emotional detachment, lovelessness, and guiltlessness, attributable in part to a temperament deficit. Historically, that deficit has been seen as a low reactivity to fear, but recent research has documented a second temperament deficit in adults that involves poor emotional and behavioral control. Both pathways are found in the child psychopathology literature, pointing to multifactorial developmental pathways from childhood to adult psychopathy.     

Dimensional Latent Structure of Early Disruptive Behavior Disorders: A Taxometric Analysis in Preschoolers

Although disruptive behavior disorders (DBDs) are used as a distinct categorical diagnosis in clinical practice, they have repeatedly been described as having a dimensional structure in taxometric analyses. In the current study the authors analyzed the latent status of disruptive behaviors (DB) in a large sample (N?=?2,808) of German preschool children (2–6 years old, mean age 53.7 months, SD?=?13.5, 48.4% girls). The Eyberg Child Behavior Inventory (ECBI) as well as the Strengths and Difficulties Questionnaire (SDQ) were used to compile indicators of the DB core dimensions (Temper Loss, Aggression, Noncompliance, and Low Concern for others). Three widely used taxometric methods (a) MAXEIG, (b) MAMBAC, and (c) L-Mode were applied. Simulation data were created to evaluate the Comparison Curve Fit Index values (CCFIs), which were below 0.45, supporting a dimensional solution. Hence, in the current study the latent structure of DB in preschoolers encompassed differences in degree rather than kind. Researchers and practitioners should be mindful of the dimensional latent status of DB in theory building, assessment, classification, and labeling.     

Punishment insensitivity and parenting: temperament and learning as interacting risks for antisocial behavior

We review ideas about individual differences in sensitivity or responsiveness to common disciplinary behaviors parents use to correct aggressive and antisocial behavior in children. At extremes, children may be seen as punishment-insensitive, an heuristic with some value relevant to models of the development of antisocial and aggressive behavior disorders. Literature from diverse fields, such as psychopathy, child temperament, socialization and the development of moral conscience, conditioning theory, and personality theory, have all utilized the idea that humans differ in their sensitivity to aversive stimuli and the cues that signal their occurrence, as well as their ability to inhibit reward-driven behavior, in the presence of punishment cues. Contemporary thinking places these dispositions squarely as basic biological aspects of temperament that moderate the effects of the environment (e.g., parenting) on outcomes (e.g., mental health). We review a largely forgotten literature that shows clearly that sensitivity to punishment is also reliably influenced by the environment itself. An attempt is then made to model the interactional processes by which parenting and punishment sensitivities in children magnify or diminish each other's progress toward healthy or antisocial development. Implications for parenting of children with low responsiveness to punishment strategies are discussed.     

A Taxometric Investigation of the Latent Structure of Worry: Dimensionality and Associations With Depression, Anxiety, and Stress

Worry has been described as a core feature of several disorders, particularly generalized anxiety disorder (GAD). The present study examined the latent structure of worry by applying 3 taxometric procedures (MAXEIG, MAMBAC, and L-Mode) to data collected from 2 large samples. Worry in the first sample (Study 1) of community participants (n = 1,355) was operationalized by worry engagement, absence of worry, and the worry feature of trait anxiety. Worry in the second sample (Study 2) of undergraduate participants (n = 1,171) was operationalized by the tendency to experience worry, intolerance of uncertainty, beliefs about worry, and symptoms of GAD. Results across both samples provided converging evidence that worry is best conceptualized as a dimensional construct, present to a greater or lesser extent in all individuals. Findings from Study 2 also indicated that the latent dimension of worry generally has an equal association with symptoms of depression, anxiety, and stress across the entire continuum. These findings are discussed in relation to the conceptualization and assessment of worry in GAD and related disorders.     

The Importance of Child and Adolescent Psychopathy

In commenting on the five articles in this special issue, this paper discusses (1) the concept of child and adolescent psychopathy, and whether adolescent psychopaths are qualitatively distinct from other young people; (2) the measurement of adolescent psychopathy; (3) the relationship between psychopathy and other personality dimensions; (4) childhood risk factors for psychopathy; (5) psychopathy in the context of risk factors for delinquency; and (6) the prevention and treatment of adolescent psychopathy. It is argued that the three dimensions of an arrogant, deceitful interpersonal style, deficient affective experience, and an impulsive or irresponsible behavioral style are most important at present in the definition of psychopathy. An ambitious research agenda is recommended, investigating the concept of adolescent psychopathy, developing new measures, conducting new longitudinal studies on development and risk factors, and mounting new randomized experiments on prevention and treatment.     

Differential Effectiveness of Behavioral Parent-Training and Cognitive-Behavioral Therapy for Antisocial Youth: A Meta-Analysis

Extended the findings from previous meta-analytic work by comparing the effectiveness of behavioral parent-training (BPT) and cognitive-behavioral therapy (CBT) for youth with antisocial behavior problems. Youth demographic variables were also examined as potential moderators of the effectiveness of these 2 types of interventions. Thirty BPT studies and 41 CBT studies met inclusion criteria for this meta-analysis. The weighted mean effect size (ES) for all interventions was 0.40. Youth age was found to moderate the outcome of the 2 interventions, with BPT having a stronger effect for preschool and school-aged youth and CBT having a stronger effect for adolescents. The results also indicate that there may be systematic differences in the outcomes associated with BPT and CBT when the setting of the intervention is considered, suggesting the need to carefully consider the effect of setting in future research. This study also highlights the need for outcome research dealing with more diverse populations and the better classification of research participants on different developmental trajectories of antisocial behavior.     

Dimensional Latent Structure of Callous-Unemotional Traits in German Adolescents: Results from Taxometric Analyses

Research on Child and Adolescent Psychopathology - A large amount of research has addressed the issue of the latent status of psychiatric disorders and related phenomena. We used a new taxometric...     

罪犯精神病态的初步探索

以中国罪犯为被试,对Hare精神病态量表进行修订,并在此基础上进一步探讨罪犯精神病态的影响因素。研究结果表明:(1)修订的Hare精神病态量表具有良好的信度和效度;(2)年龄、文化程度、婚姻状况和犯罪次数是影响罪犯精神病态得分的重要因素。20-29岁年龄组罪犯精神病态的得分显著高于30-38岁年龄组;文化程度高的罪犯精神病态的得分显著低于文化程度低的罪犯,大专以上文化程度的罪犯精神病态得分最低;未婚罪犯精神病态的得分显著高于已婚和离异的罪犯;累犯精神病态的得分显著高于初犯。     

The Underlying Structure of Grief: A Taxometric Investigation of Prolonged and Normal Reactions to Loss

Recent studies have supported the distinctiveness of complicated and prolonged forms of grief as a cluster of symptoms that is separate from other psychiatric disorders. The distinction between prolonged and normal reactions to loss remains unclear, however, with some believing that prolonged grief represents a qualitatively distinct clinical entity and others conceptualizing it as the extreme end of a continuum. Thus, in this study a taxometric methodology was used to examine the underlying structure of grief. Participants included 1,069 bereaved individuals who had lost a first-degree relative. Each participant completed the Dutch version of the Inventory of Complicated Grief–Revised, which was used to create indicators of prolonged grief. The mean above and mean below a cut (MAMBAC) and maximum eigenvalue (MAXEIG) tests supported a dimensional conceptualization, indicating that pathological reactions might be best defined by the severity of grief symptoms rather than the presence or absence of specific symptoms.

The Latent Structure of Youth Responses to Peer Provocation

This study examined whether the three categories often applied to children’s behavior—aggressive, avoidant, and assertive—actually capture the structure of a naturalistic sample of youth behavior coded at a more micro level. A sample of lower-income youth (N = 392; M age = 12.69, SD = 0.95) completed a new multiple-choice measure asking them to select responses to scenarios depicting physical, verbal, and relational provocation by a peer. Youth responses to the vignettes showed the expected associations with self-reported aggression and regulation of anger, providing preliminary evidence for the convergent validity of the measure. Factor analysis confirmed that responses loaded on three factors: aggression, avoidance, and assertion. Model fit was adequate (RMSEA = .028) and cross-validated in a second sample (RMSEA = .039). Several types of responses loaded on two factors suggesting that some strategies that youth use to manage provocation are not “pure” examples of these broadband categories. Implications for conceptualization and measurement of youth social behavior are discussed.     

The Association between Anxiety and Psychopathy Dimensions in Children

Although several theoretical models posit that low levels of anxiety are a risk factor for psychopathy and antisocial behavior, a number of studies have reported elevated levels of anxiety among antisocial individuals. Nevertheless, most investigators in this literature have not distinguished between fearfulness and trait anxiety or attempted to separate the antisocial lifestyle dimension from the callous and unemotional dimension of psychopathy. In a study of clinically referred children (N = 143), we found that (a) measures of trait anxiety and fearlessness (low fearfulness) exhibited low correlations; (b) conduct problems tended to be positively correlated with trait anxiety, whereas callous and unemotional traits tended to be negatively correlated with trait anxiety; and (c) controlling statistically for the effects of one dimension increased the divergent correlations of the other dimension with both trait anxiety and fearful inhibition. These findings bear potentially important implications for the diagnosis and etiology of psychopathy and antisocial behavior and suggest that distinctions between trait anxiety and fearful inhibition, as well as between the two dimensions of psychopathy, may help to clarify longstanding confusion in this literature.     

The Relation Between the Two Factors of Psychopathy and Intimate Partner Aggression

Psychopathy is a personality disorder that has emerged as a correlate of antisocial, impulsive, and violent behavior, including intimate partner violence (IPV). In the current study, we sought to explore the complex relationship between two factors of psychopathy and IPV perpetration. The Fearlessness-Dominance Factor I (PPI-I) assesses the affective-interpersonal traits of psychopathy, whereas the Impulsive-Antisociality Factor II (PPI-II) assesses the behavioral-lifestyle traits of psychopathy. Data from 114 couples was utilized in the current study. When using male self-report of IPV, all forms of violence were significantly correlated with PPI-I. No male self-report or female-report of any of the forms of violence were significantly correlated with PPI-II. Hierarchical regression was utilized to study the impact of psychopathy factors in predicting physical violence while controlling for demographic variables. In predicting women’s report of men’s violence, the addition of psychopathy factors to the model explained significantly more of the variance (F = 2.71; p < .05) above and beyond demographic variables. The addition of psychopathy factors to the model predicting men’s self-reported physical violence was also significant (F = 4.78, p < .001). These results suggest that individuals high in PPI-I may be at higher risk of IPV perpetration compared to those high in PPI-II.     

Psychopathy and the Five Factor Model in a Noninstitutionalized Sample: A Domain and Facet Level Analysis

The relationship of primary and secondary psychopathic dispositions as measured by the Levenson Self-Report Psychopathy (LSRP) Scales to NEO-PI-R domain and facet scales of the Five Factor Model (FFM) was examined in a sample (N = 463) of young adults. Previous investigations were extended by (1) addressing the relationship of higher- (i.e., domain) and lower-order (i.e., facet) FFM traits to primary and secondary psychopathy in noninstitutionalized persons, in an attempt to validate hypotheses by T. A. Widiger and D. R. Lynam (1998); (2) examining sex differences in FFM traits in relation to these two psychopathic dispositions; and (3) lending further evidence for the validity of the LSRP. LSRP primary psychopathy was marked by low Agreeableness whereas LSRP secondary psychopathy was characterized by high Neuroticism, low Agreeableness, and low Conscientiousness. Although few sex differences were found between primary and secondary psychopathy, findings support the use of NEO-PI-R domain and facet scales in the identification of personality disorder.     

Genetic and Environmental Influences on Psychopathy Trait Dimensions in a Community Sample of Male Twins

Psychopathy appears to be comprised of two broad dimensions: impulsivity/antisocial behavior and interpersonal detachment/callousness. This study examined the extent to which variance in these 2 psychopathy trait dimensions was associated with common or unique genetic, shared, and nonshared environmental factors in two independent samples of reared together 16–18-year-old male twins. One sample included 142 monozygotic (MZ) and 70 dizygotic (DZ) pairs; the other sample included 128 MZ and 58 DZ pairs. Boys completed the Minnesota Temperament Inventory (MTI), a 19-item measure that contains separate subscales: Antisocial and Detachment. Variance in the Antisocial and Detachment scales was associated with additive genetic factors and neither scale was associated with shared environmental factors. As expected, the bivariate biometric analysis suggested genetic influence on the covariance of the scales. The results are consistent with theoretical models of psychopathy that posit some independence in the etiology of the two major trait dimensions of psychopathy.     

The heritability of antisocial behavior: A meta-analysis of twin and adoption studies

In this paper, we describe a quantitative summary of 12 twin (n=3795 twin pairs and 3 adoption studies=338 adoptees) published since 1975 which provided 21 estimates of the heritability of antisocial behavior. Medium to large effect sizes were found for genetic influences across studies, with approximately 50% of the variance in measures of antisocial behavior attributable to genetic effects. Although effect sizes did not vary across different definitions of antisocial behavior (criminality, aggression, or antisocial personality), significantly larger estimates of genetic effect were found for severe manifestations of antisocial behavior. The importance of severity was further underscored by the significantly larger effects obtained in studies using clinic-referred samples compared to the effects obtained in studies using volunteer samples. Demographic characteristics of the samples did not influence effect sizes, although studies using more stringent methodology tended to find larger effects. These results must be interpreted in light of the small literature that was suitable for the meta-analysis due to numerous methodological limitations in existing studies.     

Male Mental Health Problems, Psychopathy, and Personality Traits: Key Findings from the First 14 Years of the Pittsburgh Youth Study

This paper reviews key findings on juvenile mental health problems in boys, psychopathy, and personality traits, obtained in the first 14 years of studies using data from the Pittsburgh Youth Study. This is a study of 3 samples, each of about 500 boys initially randomly drawn from boys in the 1st, 4th, and 7th grades of public schools in Pittsburgh. The boys have been followed regularly, initially each half year, and later at yearly intervals. Currently, the oldest boys are about 25 years old, whereas the youngest boys are about 19. Findings are presented on the prevalence and interrelation of disruptive behaviors, ADHD, and depressed mood. Results concerning risk factors for these outcomes are reviewed. Psychological factors such as psychopathy, impulsivity, and personality are described. The paper closes with findings on service delivery of boys with mental health problems.     

Overt and Covert Dimensions of Antisocial Behavior in Early Childhood

The present study was designed to assess both the prevalence and structure of antisocial behavior in a normative sample of preschoolers. Prevalence estimates suggested that 40% of preschoolers exhibit at least one antisocial behavior each day. Furthermore, 10% of preschoolers exhibit six or more antisocial behaviors each day. Consistent with research based on older children, factor analyses provided support for conceptualizing antisocial behavior in early childhood as consisting of both overt and covert dimensions. While both overt and covert behaviors had acceptable test–retest reliability, only overt behaviors had acceptable interrater reliability. Finally both overt and covert dimensions of antisocial behavior were uniquely related to general measures of conduct problems, hyperactivity, and adult and peer conflict in the classroom setting. Findings are discussed with regard to early assessment and the developmental course of antisocial behavior.