Capturing the four-factor structure of psychopathy in college students via self-report

A number of self-report psychopathy scales have been used successfully in both clinical and nonclinical settings. However, their factor structure does not adequately capture the four factors (Interpersonal, Affective, Lifestyle, and Antisocial) recently identified in the Psychopathy Checklist-Revised (PCL-R; Hare, 2003) and related measures. This deficit was addressed by upgrading the Self Report Psychopathy Scale (SRP-II; Hare, Hemphill, & Harpur, 1989). In Study 1 (N = 249), an exploratory factor analysis of this experimental version revealed oblique factors similar to those outlined by Hare (2003). In Study 2 (N = 274), confirmatory factor analysis (CFA) confirmed this structure, that is, four distinct but intercorrelated factors. The factors exhibited appropriate construct validity in a nomological network of related personality measures. Links with self-reports of offensive activities (including entertainment preferences and behavior) also supported the construct validity of the oblique four-factor model.     

The content validity of juvenile psychopathy: an empirical examination

This study examined the content validity of a juvenile psychopathy measure, the Childhood Psychopathy Scale (CPS; D. R. Lynam, 1997), based on a downward translation of an adult instrument, the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). The CPS was compared with two other indices of juvenile psychopathy: (a) an index derived from expert ratings and (b) an empirical index based on correlations with adult psychopathy. The 100 items of the Common Language Q-Sort (CLQ; A. Caspi et al., 1992) provided a common metric for the comparison. Psychopathy and personality were assessed at age 13 years with the mother-reported CPS and the CLQ. Psychopathy was assessed at age 24 years with 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 these relations. Item content analyses demonstrated considerable overlap among the three indices, indicating that the downward translation utilizes criteria similar to those of experts and the empirically-derived measure. In addition, these indices, even after removing overlapping items, demonstrated considerable convergence, also supporting the content validity of the downward translation. These results suggest that the downward translation method is adequate for understanding the juvenile psychopathy construct.     

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.     

Examining the utility of the PCL:SV as a screening measure using competing factor models of psychopathy

The correspondence between the Hare Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995) and the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003) was examined in forensic (N = 175) and correctional (N = 188) samples. Intermeasure correlations for Total scores (.95 forensic, .94 correctional) and the original 2-factor, D. J. Cooke and C. Michie's (2001) 3-factor, and R. D. Hare's (2003) 4-facet models (range = .87-.95) were high. Area under the curve values for the PCL:SV were .98 in both samples (cutoff = PCL-R Total score of 25). The PCL:SV performed well as a screen, maximizing false positive relative to false negative errors. Close correlations for prediction of violent recidivism in the correctional sample were obtained for the PCL-R (.42) and PCL:SV (.37). Results indicate the robust relation between the measures is maintained whether they are completed on the basis of file review only or file plus interview and whether the same or different raters score the measures.     

A taxometric analysis of the Psychopathy Checklist: Screening Version (PCL:SV): further evidence of dimensionality

A taxometric analysis of the Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995) was performed on a group of 2,250 male and female forensic/psychiatric patients and jail/prison inmates. The 4 PCL:SV facet scores (Interpersonal, Affective, Impulsive Lifestyle, Antisocial Behavior) served as indicators in this study, and the data were analyzed with 3 principal taxometric procedures--mean above minus below a cut, maximum eigenvalue, and latent mode factor analysis. The results show evidence of dimensional structure on the PCL:SV in the full sample as well as in all 8 subsamples (men, women, Whites, Blacks, hospital patients, jail/prison inmates, file review with an interview, file review without an interview). These findings corroborate recent taxometric research on the Psychopathy Checklist-Revised (R. D. Hare, 1991, 2003) in which results have been largely dimensional in nature. It is concluded that scores on the PCL:SV differ quantitatively as points on a dimension (high vs. low psychopathy) rather than partitioning into qualitatively distinct categories of behavior (psychopath vs. nonpsychopath).     

The super-ordinate nature of the psychopathy checklist-revised

Psychopathy, while perhaps the earliest and most recognized personality disorder, is the subject of intense debate about its nature and measurement. The most recent proposal on its structural nature suggests that it is a multifaceted construct, made up of at least four dimensions reflecting Interpersonal, Affective, Lifestyle, and Antisocial anomalies (Hare & Neumann, 2005, 2006). These dimensions are significantly interrelated, suggesting that they are indicators for a super-ordinate factor. The nature of this higher-order factor may reflect the unifying feature which comprehensively defines the disorder. To examine this super-factor, the current study used several very large data sets of male (N = 4865) and female (N = 1099) offenders, and forensic psychiatric patients (N = 965), who were assessed with the Psychopathy Checklist-Revised (PCL-R; Hare, 2003). Structural equation modeling results indicated that the four first-order factor dimensions could be explained by a single second-order cohesive super-factor.     

The inclusion of antisocial behavior in the construct of psychopathy: A review of the research

The psychopathic personality, or the construct of this disorder, has a long and contentious history. Psychopathy has been identified anecdotally for centuries; however, the ability to accurately define this construct continues to challenge researchers and clinicians. Of preliminary concern is the relevance of antisocial behavior to this disorder. Theoretical conceptualizations of psychopathy have changed over the past 65 years. Some have stressed the interpersonal and affective deficits of psychopathy [Cleckley, H. (1941). The mask of sanity (1st ed.). St. Louis, MO:C.V. Mosby.], while later conceptualizations have included both personality traits as well as antisocial behavior as criteria of psychopathy [Hare, R. D. (1991/2003). The Hare Psychopathy Checklist—Revised. Toronto, Canada: Multi-Health Systems]. This article will review the literature, particularly the relevance of antisocial behavior to the core personality structure of the psychopath. In doing so, historical theories will be reviewed, followed by later theoretical and empirical research. A great deal of this research has been conducted over the past 15 years, since the publication of the Psychopathy Checklist (PCL) and the Psychopathy Checklist-Revised (PCL-R; [Hare, R. D. (1991/2003). The Hare Psychopathy Checklist—Revised. Toronto, Canada: Multi-Health Systems]). The PCL-R has provided the field of psychopathy research with a consistent measurement device, and, therefore will be discussed at length. The limitations of the psychopathy construct will be discussed as well as needed future research and the policy implications of such research.     

Four-facet PCL-R structure and cognitive functioning among high violent criminal offenders

High violent inmates (N = 126) were administered the Psychopathy Checklist-Revised (PCL-R; Hare, Clark, Grann, & Thornton, 2000; Hare et al., 1990) and neuropsychological measures. No significant correlations were present between the overall PCL-R score and 14 cognitive measures. A violence score, computed as the total number of violent acts across all situations and types, was significantly correlated with the PCL-R total score and Facet 2 but not with the other three facets. Our data suggest that Facet 2 elevations may prove relevant to violence risk assessment; this link, however, needs further exploration with larger samples.     

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。     

A multigroup item response theory analysis of the psychopathy checklist--revised

Item response theory was used to investigate the functioning of the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003) in several offender populations. With male criminal offenders (N=3,847) as a reference group, differential item functioning analyses were performed for 3 comparison groups: female criminal offenders (N=1,219), male forensic psychiatric patients (N=1,246), and male criminal offenders scored from file reviews (N=2,626). Results are discussed in the context of the 2-factor, 4-facet model for the PCL-R (R. D. Hare, 2003; J. Parker, G. Sitarenios, & R. D. Hare, 2003). Application of a multigroup graded response model to all 4 groups suggests scalar equivalence may hold at least approximately for each population, although the PCL-R provided slightly greater information about the latent trait of psychopathy for male criminal offenders scored from the standard procedure.     

Examining the factor structure of the Hare Self-Report Psychopathy Scale

The 64-item Hare Self-Report Psychopathy Scale (Hare SRP; Paulhus, Neumann, & Hare, in press ) is the most recent revision of the SRP, which has undergone numerous iterations. Little research has been conducted with this new edition; therefore, the goal of this study was to elucidate the factor structure as well as the criterion-related, convergent, and discriminant validity of the measure in a large sample of college students (N = 602). Confirmatory factor analyses revealed that the best fitting model was the original 4-factor model proposed by the authors of the Hare SRP (compared to a 1-factor, 2-factor, and 4-factor random model). The 4-factor model revealed superior fit for the data relative to the other alternative models. In addition, we elaborated on the psychometric properties of this 4-factor model in this sample. The Hare SRP total and factor scores evidenced good internal reliability as well as promising criterion-related, convergent, and discriminant validity in terms of predicting scores on conceptually relevant external criteria. Implications for theory and future research are discussed.     

Emotional intelligence in incarcerated men with psychopathic traits

The expression, recognition, and communication of emotional states are ubiquitous features of the human social world. Emotional intelligence (EI) is defined as the ability to perceive, manage, and reason about emotions, in oneself and others. Individuals with psychopathy have numerous difficulties in social interaction and show impairment on some emotional tasks. Here, the authors investigate the relation between EI and psychopathy in a sample of incarcerated men (N = 374), using the Psychopathy Checklist-Revised (PCL-R; Hare, 2003) and the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT; Mayer, Salovey, & Caruso, 2002). The MSCEIT is a well-validated ability-based EI measure that does not rely on self-report judgments of emotional skills. The Hare PCL-R is the gold standard for the assessment of psychopathy in clinical populations. Controlling for general intelligence, psychopathy was associated with lower EI. These findings suggest individuals with psychopathy are impaired on a range of EI abilities and that EI is an important area for understanding deficits in psychopathy.     

Psychopathy and recidivism from mid-adolescence to young adulthood: cumulating legal problems and limiting life opportunities

This study examined the ability of psychopathy as indexed by the following 4 scales: Psychopathy Checklist: Youth Version (A. E. Forth, D. S. Kosson, & R. D. Hare, 1996/2003), Antisocial Process Screening Device (P. J. Frick & R. D. Hare, 2001), Hare Self-Report Psychopathy Scale-II (R. D. Hare, 1991), and Personality Assessment Inventory-Antisocial Scale (L. C. Morey, 1991, 2007) to prospectively predict antisocial outcomes including general and violent recidivism across a 3- to 4-year time span. Results indicated that psychopathy was predictive of both general and violent recidivism from mid-adolescence to young adulthood even after accounting for 14 variables theoretically linked to offending. These findings add to the recent research showing stability in the psychopathy traits across time by also demonstrating that psychopathy in adolescents also has a real-world effect, including a cost to society with higher rates of offending in the community and a cost to youth with cumulating legal records that are likely to narrow their potential for prosocial growth in the community.     

Predicting dangerousness with two Millon Adolescent Clinical Inventory psychopathy scales: the importance of egocentric and callous traits

Psychopathy in youth has received increased recognition as a critical clinical construct for the evaluation and management of adolescents who have come into contact with the law (e.g., Forth, Hare, & Hart, 1990; Frick, 1998; Lynam, 1996, 1998). Although considerable attention has been devoted to the adult construct of psychopathy and its relation to recidivism, psychopathy in adolescents has been less thoroughly researched. Recently, a psychopathy scale (Murrie and Cornell Psychopathy Scale; Murrie & Cornell, 2000) was developed from items of the Millon Adolescent Clinical Inventory (MACI; Millon, 1993). This scale was found to be highly related to the Psychopathy Checklist-Revised (Hare, 1991) and was judged to have demonstrated good criterion validity. A necessary step in the validation process of any psychopathy scale is establishing its predictive validity. With this in mind, we investigated the ability of the MACI Psychopathy Scale to predict recidivism with 55 adolescent offenders 2 years after they had been evaluated at a juvenile court evaluation unit. In addition, we devised a psychopathy scale from MACI items that aligned more closely with Cooke and Michie (2001) and Frick, Bodin, and Barry's (2001) recommendations for the refinement of psychopathy and tested its predictive validity. Results indicate that both scales had predictive utility. Interpersonal and affective components of the revised scale were particularly important in the prediction of both general and violent reoffending.     

Incremental validity of the Psychopathy Checklist facet scores: predicting release outcome in six samples

The incremental validity of the 4 facet scores (Interpersonal, Affective, Lifestyle, Antisocial) of the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003) and the Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995) was evaluated in 6 forensic/correctional samples with average follow-ups ranging from 20 weeks to 10 years. Results indicated that whereas Facet 4 (Antisocial) achieved incremental validity relative to the first 3 facets (Interpersonal, Affective, and Lifestyle) in predicting recidivism in all 6 samples, a block of the first 3 facets achieved incremental validity relative to the 4th facet in only 1 sample. Thus, although there was consistent support for the incremental validity of Facet 4 above and beyond the first 3 facets, there was minimal support for the incremental validity of Facets 1, 2, and 3 above and beyond Facet 4. The implications of these findings for the psychopathy construct in general and the PCL-R/SV in particular are discussed.     

Validating the factor structure of the Self-Report Psychopathy scale in a community sample

Currently, there is no standard self-report measure of psychopathy in community-dwelling samples that parallels the most commonly used measure of psychopathy in forensic and clinical samples, the Psychopathy Checklist. A promising instrument is the Self-Report Psychopathy scale (SRP), which was derived from the original version the Psychopathy Checklist. The most recent version of the SRP (SRP-III; D. L. Paulhus, C. S. Neumann, & R. D. Hare, in press) has shown good convergent and discriminate validity and a factor structure similar to the current version of the Psychopathy Checklist (PCL-R; R. D. Hare, 1991, 2003). The analyses in the current study further investigated the viability of the SRP-III as a PCL-R-analogous measure of psychopathy in nonforensic and nonclinical samples by extending the validation process to a community sample. Using confirmatory factor analyses and logistic regressions, the results revealed that a four-factor oblique model for the SRP-III was most tenable, congruent with the PCL-R factor structure of psychopathy and previous research in which the SRP-III was administered to a student sample.     

Aberrant neural processing of moral violations in criminal psychopaths

A defining characteristic of psychopathy is the willingness to intentionally commit moral transgressions against others without guilt or remorse. Despite this "moral insensitivity," the behavioral and neural correlates of moral decision-making in psychopathy have not been well studied. To address this issue, the authors used functional magnetic resonance imaging (fMRI) to record hemodynamic activity in 72 incarcerated male adults, stratified into psychopathic (n = 16) and nonpsychopathic (n = 16) groups based on scores from the Hare Psychopathy Checklist-Revised (R. D. Hare, 2003), while they made decisions regarding the severity of moral violations of pictures that did or did not depict moral situations. Consistent with hypotheses, an analysis of brain activity during the evaluation of pictures depicting moral violations in psychopaths versus nonpsychopaths showed atypical activity in several regions involved in moral decision-making. This included reduced moral/nonmoral picture distinctions in the ventromedial prefrontal cortex and anterior temporal cortex in psychopaths relative to nonpsychopaths. In a separate analysis, the association between severity of moral violation ratings and brain activity across participants was compared in psychopaths versus nonpsychopaths. Results revealed a positive association between amygdala activity and severity ratings that was greater in nonpsychopaths than psychopaths, and a negative association between posterior temporal activity and severity ratings that was greater in psychopaths than nonpsychopaths. These results reveal potential neural underpinnings of moral insensitivity in psychopathy and are discussed with reference to neurobiological models of morality and psychopathy.     

Trust and distrust: the perception of trustworthiness of faces in psychopathic and non-psychopathic offenders

Psychopathy is a disorder linked to impairments in social cognition. Individuals with psychopathy and comparison individuals, as defined by the Hare Psychopathy Checklist Revised (Hare, 1991), completed a task requiring complex social judgments. Participants viewed a series of male faces, and made judgments concerning how trustworthy they considered the person pictured to be and the degree to which each face was displaying specific emotions. Judgments of trustworthiness did not differ between the individuals with psychopathy and the comparison individuals. Trustworthiness judgments of the faces negatively correlated with, in particular, ratings of anger in the faces for both groups of participants. The data are discussed with reference to the neural systems, including the amygdala, considered to be involved in the mediation of task performance and also neuro-cognitive models of psychopathy.     

Response perseveration in psychopaths: Interpersonal/affective or social deviance traits?

In order to clarify the role of the two broad components of psychopathy (interpersonal/affective and social deviance; R. D. Hare, 2003) in explaining maladaptive response perseveration in psychopaths, as well as the role of reflection after punished responses in this deficit, the authors administered a card perseveration task to 47 Spanish male inmates assessed using the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). Hierarchical regressions showed that psychopaths' maladaptive perseveration (more cards played and less money earned) was uniquely predicted by the social deviance features of psychopathy (PCL-R Factor 2)--particularly by its impulsive and irresponsible lifestyle facet (PCL-R Facet 3)--and not by its interpersonal/affective features (PCL-R Factor 1). Moreover, perseveration was related to a lack of reflection both after punishment and after reward feedback. The authors' results, in conjunction with previous evidence indicating perseverative deficits in several impulse control disorders, suggest that response perseveration may not be specific to psychopathy but rather is associated more generally with the externalizing dimension of psychopathology.     

Predicting future reconviction in offenders with intellectual disabilities: the predictive efficacy of VRAG, PCL-SV, and the HCR-20

Accurate predictions of future reconviction, including those for violent crimes, have been shown to be greatly aided by the use of formal risk assessment instruments. However, it is unclear as to whether these instruments would also be predictive in a sample of offenders with intellectual disabilities. In this study, the authors have shown that the Violence Risk Appraisal Guide (V. L. Quinsey, G. T. Harris, M. E. Rice, & C. Cormier, 1998); the Psychopathy Checklist--Screening Version (S. D. Hart, D. N. Cox, & R. D. Hare, 1995); and the History, Clinical, Risk Management--20 (C. D. Webster, K. S. Douglas, D. Eaves, & S. D. Hart, 1997) were all significant predictors of violent and general reconviction in this sample, and in many cases, their efficacy was greater than in a control sample of mentally disordered offenders without an intellectual disability.