An Empirical Study of Object Relations and Defensive Operations in Antisocial Personality Disorder

This study assessed the object relations, defensive operations, and level of psychopathy and narcissism in a group of antisocial personality disordered offenders. The Rorschach protocols of 33 subjects who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-111-R], American Psychiatric Association, 1987) criteria for antisocial personality disorder were analyzed utilizing Kwawer's (1980) criteria for borderline object relations categories (borderline phenomena), the Lerner and Lerner (1980) Defense Scale, and a number of experimental criteria including Cooper and Arnow's (1986) defense criteria. Level of narcissism was assessed utilizing Exner's (1973) Self-Focus Sentence Completion Test. Hare's Psychopathy Checklist was used as an independent variable to determine a subject's level of psychopathy. Those subjects scoring 30 or more on the psychopathy checklist were compared to subjects scoring less than 30. The level of narcissism or proportion of defenses did not differ significantly between the severe psychopaths (230) and the moderate psychopaths (< 30). The severe psychopaths produced a significantly greater number of borderline object relations. I conclude that antisocial individuals tend to be highly egocentric, and that narcissism is one component of psychopathy. Severe psychopaths, as a group, tend to be more borderline in their functioning than those exhibiting moderate levels of psychopathic disturbance. I also conclude that individuals who are incarcerated for felony offenses and also meet the DSM-111-R criteria for antisocial personality disorder exhibit degrees of borderline personality organization.     

Assessment of cognitive control in psychopathic and normal prisoners

It has been suggested that psychopaths exhibit specific deficits in cognitive processes associated with frontal lobe functioning. There is also evidence which indicates that level of intelligence may influence expression of impulse control among psychopaths. The present study investigated these hypotheses by comparing groups of 44 psychopaths and 14 normal controls selected from a sample of incarcerated male felons using Minnesota Multiphasic Personality Inventory (MMPI)-defined criteria. Dependent variables included several measures of cognitive flexibility, perseveration, and impulsiveness. Compared to normal controls, psychopaths showed no greater tendencies to persist in incorrect responding, disregard cues suggesting the need to modify behaviors, or proceed impulsively in problem solving. Level of intelligence was found to be a moderator variable influencing performance for psychopaths and normal controls. Results suggest that deficits in cognitive functioning are not necessarily characteristic of psychopaths across situations.     

The characteristics of non-criminals with high psychopathy traits: Are they similar to criminal psychopaths?

This study compared the findings from a sample of non-criminals with high and low psychopathy levels to published findings with criminal psychopaths and non-psychopaths. Congruent to findings with criminal psychopaths, participants with high psychopathy traits (High-P) compared to those with low psychopathy traits (Low-P) performed significantly worse on the Iowa Gambling Task, a task sensitive to orbital frontal cortex dysfunction. Moreover, the High-P group also evidenced a lack of empathy, a hallmark feature of psychopathy. These findings could not be explained by differences in estimated IQ or performance on a task sensitive to an executive functioning deficit. The discussion focuses on possible differences between non-criminal and criminal psychopaths, concluding criminal psychopaths manifest more extreme degrees of the interpersonal-affective and antisocial features of psychopathy.     

P3 event-related potentials and childhood maltreatment in successful and unsuccessful psychopaths

Although P3 event-related potential abnormalities have been found in psychopathic individuals, it is unknown whether successful (uncaught) psychopaths and unsuccessful (caught) psychopaths show similar deficits. In this study, P3 amplitude and latency were assessed from a community sample of 121 male adults using an auditory three-stimulus oddball task. Psychopathy was assessed using the Psychopathy Checklist-Revised (Hare, 2003) while childhood physical maltreatment was assessed using the Conflict Tactic Scale (Straus, 1979). Results revealed that compared to normal controls, unsuccessful psychopaths showed reduced parietal P3 amplitudes to target stimuli and reported experienced more physical abuse in childhood. In contrast, successful psychopaths exhibited larger parietal P3 amplitude and shorter frontal P3 latency to irrelevant nontarget stimuli than unsuccessful psychopaths. This is the first report of electrophysiological processing differences between successful and unsuccessful psychopaths, possibly indicating neurocognitive and psychosocial distinctions between these two subtypes of psychopathy.     

Deficient response modulation and emotion processing in low-anxious Caucasian psychopathic offenders: results from a lexical decision task

The clinical and research literatures on psychopathy have identified an emotion paradox: Psychopaths display normal appraisal but impaired use of emotion cues. Using R. D. Hare's (1991) Psychopathy Checklist-Revised and the G. S. Welsh Anxiety Scale (1956), the authors identified low-anxious psychopaths and controls and examined predictions concerning their performance on a lexical-decision task. Results supported all the predictions: (a) low-anxious psychopaths appraised emotion cues as well as controls; (b) their lexical decisions were relatively unaffected by emotion cues; (c) their lexical decisions were relatively unaffected by affectively neutral word-frequency cues; and (d) their performance deficits were specific to conditions involving right-handed responses. The authors propose that deficient response modulation may underlie both the emotional and cognitive deficits associated with low-anxious psychopaths.     

Neuropsychology of the aggressive psychopath: An integrative review

Neuropsychological studies of aggressive psychopaths have revealed characteristic deficits in skills that require verbal mediation, conceptual integration, and the abilities to anticipate consequences of actions and to use feedback from behavior to modify maladaptive response patterns. Formulations of this impairment pattern in terms of frontal lobe and left hemisphere dysfunction are reviewed. It is proposed that the aggressive psychopath suffers from an inability to form a self-referential conceptual classification system for behavioral control and that this predisposes to behavioral disinhibition in situations of stress and interpersonal ambiguity. Finally, implications of neuropsychological studies of aggressive psychopathy for the study of personality and psychopathology are discussed.     

The Core of Darkness: Uncovering the Heart of the Dark Triad

The Dark Triad consists of three overlapping but distinct personality variables: narcissism, Machiavellianism and psychopathy. To date, however, no research has empirically identified what leads these three variables to overlap or whether other variables share the same core. The present research addresses why and how dark personalities overlap. Drawing from classic work in psychopathy, Hare's Factor 1 or manipulation and callousness were found to be the common antagonistic core. A series of latent variable procedures, including Multisample Structural Equation Models, revealed that for both samples, manipulation and callousness, completely accounted for the associations among the facet scores of the psychopathy, narcissism and Machiavellianism scales. Sample 2 also included Social Dominance Orientation, and results further confirmed that Social Dominance Orientation has the same common core as the Dark Triad. In sum, Hare's Factor 1—manipulation–callousness—emerged as common dark core that accounts for the overlap among antagonistic traits. Copyright © 2012 European Association of Personality Psychology     

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.     

The psychometric identification of psychopathy in mentally abnormal offenders

This study addressed the question of the degree of commonality, at a psychometric trait level, shared between two distinct concepts of psychopathy: a North American concept, defined in terms of chronic antisocial behaviour with early onset; and a European concept, defined in terms of personality deviation. Four groups of Broadmoor patients were identified who conformed to DSM-III criteria for the following diagnostic categories: Antisocial Personality Disorder (APD) (n = 12); Other Personality Disorders (OPD) (n = 9); Schizophrenic Disorders (SD) (n = 10); and a Mixed (M) group who met the criteria for both Schizophrenic Disorders and Antisocial Personality Disorder (n = 12). Thus subjects in both the APD and M groups, having a DSM-III diagnosis of Antisocial Personality Disorder, conformed to the North American concept of psychopathy. All diagnostic groups, together with a non-psychiatric control group of psychiatric nurses, were investigated using a composite battery of psychometric measures which tapped the two concepts of psychopathy. The only measure to discriminate successfully between patient groups with an APD diagnosis and other groups was Gough's (1969) Socialisation, which is itself a measure of the North American concept. Measures of personality deviation, including Blackburn's (1987) Belligerence and Withdrawal measures, failed to successfully discriminate DSM-III APD's from others. Thus the degree of trait commonality between the two concepts was found to be minimal. The study also addresses a fundamental question raised recently by both Hare and Harpur (1986) and Raine (1986) in criticism of a study by Howard, Bailey and Newman (1984): Are Broadmoor psychopaths “psychopathic” in the North American sense? Results of the study clearly indicate that they indeed are.     

An empirical study of object relations and defensive operations in antisocial personality disorder

This study assessed the object relations, defensive operations, and level of psychopathy and narcissism in a group of antisocial personality disordered offenders. The Rorschach protocols of 33 subjects who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R], American Psychiatric Association, 1987) criteria for antisocial personality disorder were analyzed utilizing Kwawer's (1980) criteria for borderline object relations categories (borderline phenomena), the Lerner and Lerner (1980) Defense Scale, and a number of experimental criteria including Cooper and Arnow's (1986) defense criteria. Level of narcissism was assessed utilizing Exner's (1973) Self-Focus Sentence Completion Test. Hare's Psychopathy Checklist was used as an independent variable to determine a subject's level of psychopathy. Those subjects scoring 30 or more on the psychopathy checklist were compared to subjects scoring less than 30. The level of narcissism or proportion of defenses did not differ significantly between the severe psychopaths (greater than or equal to 30) and the moderate psychopaths (less than 30). The severe psychopaths produced a significantly greater number of borderline object relations. I conclude that antisocial individuals tend to be highly egocentric, and that narcissism is one component of psychopathy. Severe psychopaths, as a group, tend to be more borderline in their functioning than those exhibiting moderate levels of psychopathic disturbance. I also conclude that individuals who are incarcerated for felony offenses and also meet the DSM-III-R criteria for antisocial personality disorder exhibit degrees of borderline personality organization.     

Reduced lateralization in verbal dichotic listening in adolescent psychopaths

One possible explanation for previous findings of abnormal linguistic processing in psychopaths is that they are less lateralized for verbal processes. This study tests the hypothesis that adolescent psychopaths show evidence of reduced lateralization on a verbal dichotic listening task. Four self-report and behavioral measures of psychopathy were used to define psychopathy using cluster analytic techniques in 40 juvenile offenders aged 13 to 18 years. Psychopaths were found to have reduced ear asymmetries relative to nonpsychopaths, a result indicating reduced lateralization for verbal material. The effect does not appear to be mediated by group differences in age, ethnic background, IQ, overall performance, left-handedness, selective attention to one ear, or interhemispheric transfer deficits. This result suggests that the previous finding by Hare and McPherson is robust, provides some preliminary validity for the assessment of psychopathy before age 18, and indicates initial support for the utility of cluster analytic techniques in the assessment of psychopathy.     

Autonomic stress reactivity and executive functions in successful and unsuccessful criminal psychopaths from the community

A significant gap in the psychopathy literature is the lack of studies comparing "successful," nonconvicted psychopaths with "unsuccessful," convicted psychopaths. This study tested the hypothesis that successful psychopaths show increased autonomic stress reactivity and better neuropsychological function compared with unsuccessful psychopaths. A total of 26 controls, 16 unsuccessful psychopaths, and 13 successful psychopaths were assessed on psychophysiological measures recorded during an emotional manipulation, the Wisconsin Card Sorting Test (WCST), Wechsler Memory Scale--Revised subtests, and childhood stressors. Compared with controls, unsuccessful psychopaths showed reduced cardiovascular stress reactivity. In contrast, successful psychopaths showed heightened reactivity, better WCST performance, and more parental absence than unsuccessful psychopaths and controls. The implications of these findings and the generalizability of existing psychopathy research are discussed.     

Greed is good? Assessing the relationship between entrepreneurship and subclinical psychopathy

Despite the stereotype of entrepreneurs as corporate psychopaths, there has been little research on the overlap between individual differences in entrepreneurship and subclinical psychopathy. In line with this issue, the current study investigated whether primary and secondary psychopathy are linked to a measure of entrepreneurial tendencies and abilities, as well as entrepreneurial activities and achievements. Participants were 435 working adults. Structural equation models revealed that individual differences in entrepreneurial tendencies and abilities were positively related to primary psychopathy, but unrelated to secondary psychopathy. Secondary psychopathy did not predict entrepreneurial activity; primary psychopathy predicted some entrepreneurial outcomes, albeit modestly, providing partial support for the ‘corporate psychopath’ stereotype. Implications for entrepreneurship research and practice are discussed.     

Evaluating the construct validity of psychopathy in black and white male inmates: three preliminary studies

Although Black inmates represent almost half the population of United States prisons and have been included in several studies of psychopathy, there appear to be no published studies to date addressing the validity of the psychopathy construct in Black inmates. Three studies were conducted to assess the validity of the construct in Black male inmates using Hare's Psychopathy Checklist (PCL). In Study 1, we examined the internal structure of the PCL and the relation of checklist scores to several constructs relevant to psychopathy. We observed differences between Blacks and Whites in the distribution of psychopathy scores, in the relation of psychopathy to measures of impulsivity, and in the congruence of the underlying factor structure of the PCL. In Study 2, Black psychopaths were found to manifest a pattern of passive avoidance deficits similar but not identical to that reported for White psychopaths in Newman and Kosson's study. Study 3 demonstrated that psychopaths of both races receive more criminal charges in a wider variety of offense categories than do nonpsychopaths. The psychopathy construct appears tentatively applicable to Blacks, although its components may be somewhat different than for Whites.     

Guilt and self-concept in ‘secondary psychopaths’

Thirty-two male and 25 female ‘secondary psychopaths’ and 24 male and 24 female ‘normal’ subjects filled in semantic differential scales relating to the concepts: Myself as I am, Myself when I lie, Myself if I were to steal, Myself as I would like to be, People who lie and People who steal. The Mosher Morality-Conscience Guilt scale and the Eysenck Personality Inventories were also administered. The psychopaths exhibited significantly higher Guilt scores than the normal subjects and had very poor self-image which was reflected in a constant feeling of guilt, regardless of whether or not they were rating transgression. Normal subjects, on the other hand, only rated themselves as feeling guilty when they violated acceptable norms. The findings suggest that guilt in ‘secondary psychopaths’ is partly related to their high level of trait anxiety and partly to their poor self-concept which may be a reflection of their disturbed family background and the constant disapproval that their behaviour creates. Since guilt in the psychopaths did not markedly increase with transgression it is argued that this may explain why guilt fails to inhibit unacceptable behaviour in some psychopaths.     

Religion,Truth and Religious Education

The main questions discussed are (1) what we are to count as ‘religion’, and what kind of propositions are central to religious belief, and (2) in particular, how can religious belief be sustained without a superstitious belief in the supernatural? R.M. Hare's views are first examined, and in part rejected: religious belief involves more than ‘commitment’, and is primarily concerned to assert that certain features of the world are worthy of worship. We need to consider how such assertions may be verified or falsified.     

Brain potentials implicate temporal lobe abnormalities in criminal psychopaths

Psychopathy is associated with abnormalities in attention and orienting. However, few studies have examined the neural systems underlying these processes. To address this issue, the authors recorded event-related potentials (ERPs) while 80 incarcerated men, classified as psychopathic or nonpsychopathic via the Hare Psychopathy Checklist--Revised (R. D. Hare, 1991, 2003), completed an auditory oddball task. Consistent with hypotheses, processing of targets elicited larger frontocentral negativities (N550) in psychopaths than in nonpsychopaths. Psychopaths also showed an enlarged N2 and reduced P3 during target detection. Similar ERP modulations have been reported in patients with amygdala and temporal lobe damage. The data are interpreted as supporting the hypothesis that psychopathy may be related to dysfunction of the paralimbic system--a system that includes parts of the temporal and frontal lobes.     

Mapping Gray’s BIS and BAS constructs onto Factor 1 and Factor 2 of Hare’s Psychopathy Checklist – Revised

Reinforcement sensitivity theory (RST; Gray, 1987; Gray & McNaughton, 2000) has proven to be a valuable tool for understanding psychopathy (e.g., Fowles, 1980, 1988; Newman & Malterer, 2009; Poythress et al., 2008). Recent research has linked two RST constructs, the Behavioral Inhibition System (BIS) and the Behavioral Activation System (BAS), to individuals with primary psychopathy and secondary psychopathy (Lykken, 1995; Newman, MacCoon, Vaughn, & Sadeh, 2005): Primary psychopaths manifest low BIS reactivity and secondary psychopaths manifest high BAS reactivity. In the present study, we examine the relationships between the BIS/BAS constructs and Factors 1 and 2 of the Psychopathy Checklist – Revised (PCL-R) in a sample of 472 incarcerated male offenders. Paralleling their relationships with primary and secondary psychopathy, the BIS/BAS constructs were differentially related to the two PCL-R factors. Specifically, the influence of the BIS was found to be more prominent than the influence of the BAS for Factor 1, and the influence of the BAS was more prominent than that of the BIS for Factor 2.     

Mapping Gray’s BIS and BAS constructs onto Factor 1 and Factor 2 of Hare’s Psychopathy Checklist – Revised

Reinforcement sensitivity theory (RST; Gray, 1987; Gray & McNaughton, 2000) has proven to be a valuable tool for understanding psychopathy (e.g., Fowles, 1980, 1988; Newman & Malterer, 2009; Poythress et al., 2008). Recent research has linked two RST constructs, the Behavioral Inhibition System (BIS) and the Behavioral Activation System (BAS), to individuals with primary psychopathy and secondary psychopathy (Lykken, 1995; Newman, MacCoon, Vaughn, & Sadeh, 2005): Primary psychopaths manifest low BIS reactivity and secondary psychopaths manifest high BAS reactivity. In the present study, we examine the relationships between the BIS/BAS constructs and Factors 1 and 2 of the Psychopathy Checklist – Revised (PCL-R) in a sample of 472 incarcerated male offenders. Paralleling their relationships with primary and secondary psychopathy, the BIS/BAS constructs were differentially related to the two PCL-R factors. Specifically, the influence of the BIS was found to be more prominent than the influence of the BAS for Factor 1, and the influence of the BAS was more prominent than that of the BIS for Factor 2.     

On Hare's attempt to bridge the Kantian-consequentialist gap: A response to Forschler's rejoinder

In a paper in this journal (Wall 2016), the author of the present paper critiqued Scott Forschler's attempt (2013) to establish that Jens Timmermann's argument (2005) against R. M. Hare's attempt (1981) to bridge the Kantian-consequentialist gap is unsuccessful. Forschler's thesis is that Hare's utilitarianism is strictly normative, not metaethical. In Hare's ethical rationalism, which is metaethical but contains no intrinsic ends (Forschler 2013), reason determines the proper ends, and preference satisfaction has no value prior to reason's determinations (Forschler 2013). The present author responded that Hare's moral approach presupposes that preference satisfaction is the ultimate end (Wall 2016) and that an analysis of preference satisfaction in Hare's moral approach cannot be confined to normative ethics. Forschler's rejoinder (2017) suggests that Hare's moral theory was misinterpreted by the author, who now shows that such a judgment results from significant oversights concerning the foundation of Hare's moral theory and utilitarian foundations.