Gender differences in psychopathy in a Swedish offender sample

In this study we examined gender differences in the PCL:SV employing a variety of statistical methods with two subsets of psychopathic individuals drawn from larger samples of 129 female and 499 male Swedish offenders. The larger samples included forensic psychiatric patients, forensic psychiatric evaluees and criminal offenders. We found gender differences in antisocial behavior, as defined in factor 2 of the PCL:SV, with female psychopaths (PCL:SV>or=18) displaying significantly more lying, deceitfulness and lack of control, while male psychopaths were more antisocial as measured by the PCL:SV. We conclude that it might be meaningful to use gender specific definitions in the assessment of psychopathy or, alternatively, slightly revise the diagnostic tools. Our results support the use of the three-factor model of the PCL-R and PCL:SV introduced by Cooke and Michie (2001) in female populations.     

Relations between psychopathy facets and externalizing in a criminal offender sample

The construct of psychopathy is viewed as comprising distinctive but correlated affective-interpersonal and social deviance facets. Here, we examined these facets of Hare's Psychopathy Checklist-Revised (PCL-R) in terms of their associations with the externalizing dimension of adult psychopathology, defined as the common factor underlying symptoms of conduct disorder, adult antisocial behavior, alcohol use/abuse, and drug abuse, along with disinhibitory personality traits. Correlational analyses revealed a strong relationship between this externalizing dimension and the social deviance facet of psychopathy (r = .84), and a lesser relationship with the emotional-interpersonal component (r = .44). Structural models controlling for the moderate overlap between the PCL-R factors revealed that externalizing was substantially related to the unique variance in the social deviance features of psychopathy, but unrelated to the unique variance of the emotional and interpersonal features whether modeled together or as separate factors. These results indicate that the social deviance factor of the PCL-R reflects the externalizing dimension of psychopathology, whereas the emotional-interpersonal component taps something distinct aside from externalizing. In addition, based on our finding of an association between PCL-R social deviance and externalizing, we were able to predict new relations between this facet of psychopathy and criterion variables, including nicotine use and gambling, that have previously been linked to externalizing. Implications for future research on the causes and correlates of psychopathy are discussed.     

Use of the Personality Assessment Inventory to assess psychopathy in offender populations

The authors investigated the validity of the Antisocial Features (ANT) scale of the Personality Assessment Inventory (PAI; L. C. Morey, 1991) with respect to assessments of psychopathy in 2 offender samples. Study 1 included 46 forensic psychiatric inpatients who were administered the Screening Version of the Hare Psychopathy Checklist (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995). In Study 2, 55 sex offenders were administered the Hare Psychopathy Checklist--Revised (PCL-R; R. D. Hare, 1991). ANT scores correlated highly with the PCL:SV total score (r = .54) and moderately with the PCL-R total score (r = .40). ANT tapped primarily behavioral symptoms of psychopathy rather than interpersonal and affective symptoms. Also, ANT had low to moderate diagnostic efficiency regarding diagnoses of psychopathy, suggesting that it may be better used as a dimensional rather than categorical measure of this construct.     

Reward dominance: Associations with anxiety,conduct problems,and psychopathy in children

The associations between children's behavior and their performance on a task with a steadily increasing ratio of punished to rewarded responses was investigated in a group of clinic-referred (n= 92) and normal control (n= 40) children between the ages of 6 and 13. Clinic-referred children with an anxiety disorder played significantly fewer trials than clinic-referred children without an anxiety disorder but the response style of the anxious children did not differ from that of a normal control group. Children with severe conduct problems who had no anxiety disorder played more trials than (a) children with severe conduct problems and a comorbid anxiety disorder, (b) nonanxious children with attention-deficit hyperactivity disorder, and (c) children in the normal control group. The strongest evidence for the reward dominant response style was for nonanxious subjects with elevations on a measure of psychopathic features, irrespective of whether they also had conduct problems and irrespective of whether they were clinic-referred. We would like to thank the staff of the Alabama School-Aged Assessment Service and the Tuscaloosa County School System for their help in data collection. We would like to especially acknowledge the help of John Gurley in data collection.     

Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy

This study examined the relation between psychopathy assessed at age 13 by using the mother-reported Childhood Psychopathy Scale (D. R. Lynam, 1997) and psychopathy assessed at age 24 by using the interviewer-rated Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995). Data from over 250 participants of the middle sample of the Pittsburgh Youth Study were used to examine this relation; approximately 9% of the sample met criteria for a possible PCL:SV diagnosis. Despite the long time lag, different sources, and different methods, psychopathy from early adolescence into young adulthood was moderately stable (r=.31). The relation was present for the PCL:SV total and facet scores, was not moderated by initial risk status or initial psychopathy level, and held even after controlling for other age 13 variables. Diagnostic stability was somewhat lower. Both specificity and negative predictive power were good, and sensitivity was adequate, but positive predictive power was poor. This constitutes the first demonstration of the relative stability of psychopathy from adolescence into adulthood and provides evidence for the incremental utility of the adolescent psychopathy construct. Implications and future directions are discussed.     

An empirical investigation of psychopathy in a noninstitutionalized and noncriminal sample

This study examined the construct of psychopathy using the Psychopathy Checklist-Revised (PCL-R) in 54 participants from the general population. To obtain a sample of community participants with psychopathic characteristics, participants were recruited using advertisements for a "personality study" that incorporated the characteristics of psychopathy in a nonpejorative manner. The methodology successfully recruited community participants with moderately elevated PCL-R scores. Participants exhibited the personality features of psychopathy (Factor 1) to a greater extent than the behavioral features (Factor 2), which is consistent with the results obtained with the PCL-R normative samples. Roughly 40% of the sample reported no history of involvement with the criminal justice system, yet these participants exhibited moderately elevated PCL-R scores. Moreover, a sizeable portion of the noncriminal participants reported a substantial history of violent behavior. Comparisons of PCL-R scores between participants with and without a criminal history suggest that these two groups differ in ways unrelated to criminal justice system involvement.     

Study of empathy in a Spanish sex offender sample

International research has emphasised that empathy is a relevant factor of sex offending. The main goal of this study is to explore, in a Spanish sex offender sample, the relationship between empathy deficits and sex crime for various types of victims. This study also analyses the positive effect that psychological treatment could have on empathy. For this purpose, 118 non-sex offenders were compared on an adapted version of Rape Empathy Measure to 39 treated rapists and 34 untreated rapists. Results show that the untreated rapists have lower empathy levels than non-sex offenders. Nevertheless, the treated rapists scored higher on empathy than the other two groups assessed, untreated rapists and non-sex offenders. Lastly, some suggestions are provided for future research in terms of the assessment of empathy and other factors related to sexual aggression.     

Factor structure of the Millon Clinical Multiaxial Inventory (MCMI) with an offender sample

One thousand two hundred inmates were given the Millon Clinical Multiaxial Inventory (MCMI) in a midwestern reception and diagnostic center. Two groups of 600 were randomly divided, and their test results were subjected to a principal components factor analysis. Four factors were derived in both groups and were similar, indicating successful cross-validation. Three of the four factors bore similarity to factors found in other samples (drug abusers, psychiatric population, Viet Nam veterans), and the fourth was unique to the offender population.     

A dynamic assessment of offender risk, needs, and strengths in a sample of pre-release general offenders

Static, dynamic, and protective factors have been identified as three focal domains significantly related to offender recidivism. However, few measures include comprehensive and inclusive assessment of these variables. The Inventory of Offender Risk, Needs, and Strengths (IORNS) was developed to fill a void in the assessment of risk and needs for offenders. The current study examines the reliability and initial validity of the IORNS in a sample of pre-release offenders assessed for risk and treatment need. Results indicate moderate to high levels of internal consistency and identical IORNS scale results across race, and that the IORNS indexes, scales, and subscales display good convergent validity with self-report and interview measures of static risk, dynamic risk, antisocial behavior, psychopathy, personality pathology, substance abuse, depression, and anxiety. Initial predictive validity examination of the IORNS indicates that several of the indexes, scales, and subscales were able to differentiate offenders who were sent back to prison for half-way house rule violations from those who did not violate rules.     

Facets of psychopathy, Axis II traits, and behavioral dysregulation among jail detainees

Forensic evaluations of offender populations often consider psychopathy as an integral component of these consultations. Vexing issues remain of whether psychopathic traits should be evaluated consistently irrespective of demographic characteristics (e.g. gender), comorbidity (e.g. other Axis II pathology), or setting (e.g. jail or community). The current study examined gender differences for psychopathy and Axis II traits in a nonreferred jail sample of predominantly nonviolent offenders. Participants with moderate to high levels of psychopathy evidenced substantial comorbidity, especially with Cluster B personality disorders. Facets of psychopathy and Axis II traits varied substantially across both genders. In addition, the research evaluated Lynam's Hyperactivity, Impulsivity, and Attention difficulties (HIA) model of psychopathy. These initial data found little support for the HIA model in this jail sample. In testing competing hypotheses, the HIA model was substantially better at predicting Cluster B traits than psychopathy per se.     

Crime scene actions and offender characteristics in a sample of Finnish stranger rapes

The crime scene actions employed by offenders in stranger rapes were analysed in relation to offender characteristics. Data were drawn from an official police database and consisted of stranger rapes occurring in Finland between 1992 and 2001 (n = 100). The structure of dichotomous variables derived through a content analysis of crime scene actions and offender characteristics were analysed with non‐metric multidimensional scaling (MDS). The first analysis revealed three separate action themes, with thematic emphases on Hostility, Involvement or Theft. The MDS‐solution for offender characteristics suggested four themes: Conventional; Psychiatric/Elderly; Criminal/Violent; and Criminal/Property. Each case was assigned to one of the themes or as a hybrid in order to analyse the associations between action themes and characteristics. The only significant association was found between the action theme, Theft and characteristics theme Criminal/Property. The results are discussed in relation to previous research. Copyright © 2004 John Wiley & Sons, Ltd.     

Relation of early menarche to depression, eating disorders, substance abuse, and comorbid psychopathology among adolescent girls

This prospective study tested whether early menarche partially accounts for the increases in depression, eating pathology, substance abuse, and comorbid psychopathology that occur among adolescent girls, with structured interview data from a community sample (N = 496). Early menarche (prior to 11.6 years) was associated with elevated depression, substance abuse, and "any" disorder but did not confer increased risk for anorexia nervosa, bulimia nervosa, or binge eating disorder. Although there was significant comorbidity across all three classes of pathology, early menarche was associated only with comorbid depression and substance abuse. Results provide partial support for the assertion that early menarche is a general risk factor for psychopathology among adolescent girls but suggest that this risk may not apply to certain disorders and that the effects are modest in size.     

Nipping psychopathy in the bud: an examination of the convergent, predictive, and theoretical utility of the PCL-YV among adolescent girls

Over the last decade rates of violence among adolescent girls have increased. Within high-risk contexts, urgent calls for assessment options have resulted in the extension of adult and male-based instruments to adolescent females in spite of the absence of strong empirical support. The current study evaluates the downward extension of psychopathy within a population of female juvenile offenders (N=125). The convergent and predictive validity of the Psychopathy Checklist-Youth Version (PCL-YV) were evaluated within a structural equation modeling (SEM) framework. Results indicated that while a specific component of psychopathy, deficient affective experience, was related to aggression, the effect was negated once victimization experiences were entered into the models. In addition, PCL-YV scores were not predictive of future offending, while victimization experiences significantly increased the odds of re-offending. Implications for research, policy, and clinical practice are discussed.     

Predicting bullying and victimization among early adolescents: Associations with disruptive behavior disorders

Bullying is a common problem faced by children and adolescents in schools. One hypothesis that needs to be examined regarding the causation of this problem is whether being a bully or a victim may stem from disparate underlying patterns of psychopathology. Results are particularly scarce regarding the association between bully‐victim problems and disruptive behavior disorders. The present study sought to investigate the association between DSM‐IV symptoms of Oppositional Defiant Disorder (ODD), Conduct Disorder (CD), and bully‐victim problems in a sample of 202 adolescents, aged 12–15, attending two junior high schools in Cyprus, to determine whether these symptoms differentiate between bullies and victims and provide a new approach to the understanding of bully‐victim problems. Students completed measures of bullying, victimization, disruptive behavior disorder symptoms, and self‐esteem, along with demographic questions. On the basis of their responses, teenagers were classified as bullies, victims, or both bullies and victims. Those who were bully/victims reported greater CD symptomatology. CD and low self‐esteem were predictive of bullying, whereas ODD and low self‐esteem were predictive of victimization. Aggr. Behav. 30:520–533, 2004. © 2004 Wiley‐Liss, Inc.     

Taxometric analyses of borderline personality features in a large-scale male and female offender sample

Few studies to date have examined the extent to which borderline personality features are best construed as representing an underlying dimension or a discrete class or taxon. The authors conducted taxometric analyses using a large-scale sample of male (n=787) and female (n=368) prison inmates who had completed the Personality Assessment Inventory (L. C. Morey, 2007). Analyses based on the 4 subscales of the Borderline Features Scale offered compelling support for a dimensional structure in both the full sample and the female subsample--even after controlling for the potentially confounding effects of negative response distortion. Theoretical and pragmatic implications of these findings are reviewed.     

Factor structure and correlates of the dissociative experiences scale in a large offender sample

The authors examined the psychometric properties, factor structure, and construct validity of the Dissociative Experiences Scale (DES) in a large offender sample (N = 1,515). Although the DES is widely used with community and clinical samples, minimal work has examined offender samples. Participants were administered self-report and interview measures, and a subsample was followed longitudinally to determine criminal and violent recidivism. The DES exhibited good psychometric properties, but an identified three-factor structure was of questionable replicability. Moreover, the DES factors displayed no evidence of differential correlates. DES total scores were correlated with trauma-related variables even after controlling for negative affectivity. Total scores were related to measures of antisocial behavior and aggression but did not predict recidivism. These findings support the reliability and construct validity of the DES in offenders but raise questions regarding the clinical utility of the DES factor scores above and beyond that of the total score.     

Assessment of memory functioning among an aging sample

To provide additional basic normative data and an enhanced understanding of memory functioning of older individuals, 100 subjects equally divided into 5-yr. age intervals from 60 to beyond 80, evenly split by sex and socioeconomic status, and balanced for racial composition were tested on 19 memory measures commonly used in clinical and neuropsychological assessment. While analyses indicated that 10 measures were significantly related to age, performance was quite stable from 60-74 years, dropping primarily at the oldest age intervals. No significant age-related differences were found on the remaining 9 measures, and in all instances considerable variability was evident. The study provides evidence against stereotypes that our population as a whole shows a generalized or severe memory decline with advancing age. Clearly, no one should hastily assume limitations in memory which would routinely disqualify older individuals in work, independent living, and decision-making. Recommendations are made for practicing clinicians who must choose instruments appropriate for normal and abnormal subjects.