Psychopathy in a forensic sample – the factor structure of the PCL:SV in a Danish forensic sample

The research literature reveals an ongoing debate regarding the most appropriate conceptualization of psychopathic personality disorder. Specifically, it is discussed to what degree antisocial behavior is part of the conceptualization of the psychopathy construct and what constitutes the best factor model of the Psychopathy Checklist scales. The aim of the present study is to consider the underlying factor structure of the PCL:SV (Psychopathy Checklist Screening Version) in a Danish sample as well as considering the role of antisocial behavior in the psychopathy construct. Data from a Danish forensic patient sample (N = 225) was used and item response theory (IRT), aonfirmatory factor analyses (CFA) and structural equations model (SEM) analyses were carried out. Overall, the findings suggest appropriate item and model fit for the PCL:SV as well as superiority of the three‐factor model over the four‐factor model. The results are discussed in relation to the broader concept of personality disorder as well as clinical practice in regards to violence risk assessments and treatment of psychopathy.     

Neurocognitive influences on health behavior in a community sample.

CONTEXT: Dominant models of individual health behavior omit biological variables entirely and are composed almost exclusively of social-cognitive and conative variables. Research from the neurosciences suggests a role for brain function in explaining behaviors that require active self-regulation for consistent performance. However, the association between brain function and health behavior is underexplored. OBJECTIVE: To examine the predictive power of executive function for 2 health risk behaviors and 2 health protective behaviors in healthy adults. DESIGN: A cross-sectional community sample (N = 216) of adults 20-100 years of age were administered a battery of neuropsychological tests and completed self-report questionnaires regarding their health practices. It was hypothesized that poor performance on neuropsychological tests tapping executive function would be associated with poor health behavior tendencies. RESULTS: Errors on the Stroop task were positively associated with health risk behavior and negatively associated with health protective behavior after controlling for demographics, education, and IQ. CONCLUSION: Executive function is associated with health behavior tendencies. If the association is causal, explanatory models of individual health behavior should be revised to account for individual differences in biologically imbued self-regulatory abilities.     

Y haplogroups and aggressive behavior in a Pakistani ethnic group

Studies show that personality dimensions such as aggression are influenced by genetic factors and that allelic variants located on the Y chromosome influence such behavior. We investigated polymorphisms on the male-specific region of the human Y chromosome in 156 unrelated males from the same ethnic background, who were administered the Punjabi translation of the Buss and Perry Aggression Questionnaire that measures four aspects that constitute aggressive behavior, i.e. physical aggression, verbal aggression, anger, and hostility. A value of .85 for Cronbach's coefficient alpha indicates considerable internal consistency and suggests that the psychometric properties of the aggression questionnaire can be adapted for the Pakistani population. A mean score+/-SD of 69.70+/-19.95 was obtained for the questionnaire. Each individual was genotyped following a phylogenetic hierarchical approach to define evolutionary Y haplogroups. Five Y haplogroups that are commonly found in Eurasia and Pakistan comprised 87% (n=136) of the population sample, with one haplogroup, R1a1, constituting 55% of the sampled population. A comparison of the total and four subscale mean scores across the five common Y haplogroups that were present at a frequency > or =3% in this ethnic group revealed no overall significant differences. However, effect-size comparisons allowed us to detect an association of the haplogroups R2 (Cohen's d statistic=.448-.732) and R1a1 (d=.107-.448) with lower self-reported aggression mean scores in this population.     

Personality and psychopathology in an impulsive aggressive college sample

Certain personality traits have been associated with impulsive aggression in both college and community samples, primarily irritability, anger/hostility, and impulsivity. The literature regarding the psychopathology associated with impulsive aggression is relatively sparse and strongly emphasizes DSM‐IV‐TR [APA, 2000] Axis II personality disorders, although some comorbidity with Axis I clinical disorders has been reported. The current study compares impulsive aggressive (IA) college students with their non‐aggressive peers on several self‐report measures of personality and psychopathology. Personality results were as predicted, with IAs scoring higher than controls on measures of impulsivity and aggression. Additionally, the Psychopathic Personality Inventory (PPI), which was given for exploratory purposes, revealed a unique pattern of psychopathic traits in impulsive aggression that contained key differences from the callous‐unemotional profile seen in premeditated aggression. Contrary to our hypothesis that a specific pattern of psychopathology (personality disorders, bipolar disorder, and adult attention deficit hyperactivity disorder) would emerge for impulsive aggression, IAs scored significantly higher than controls on nearly every clinical scale of the Personality Assessment Inventory (PAI; Somatic Complaints, Anxiety, Anxiety‐Related Disorders, Depression, Mania, Schizophrenia, Borderline Features, Antisocial Features, Alcohol Problems, and Drug Problems), indicating a global elevation of psychopathology. In conclusion, while the personality traits and behaviors that characterize impulsive aggression are relatively consistent across individuals, its associated psychopathology is unexpectedly variable. Aggr. Behav. 00:1–10, 2005. © 2005 Wiley‐Liss, Inc.     

Physiological arousal,exposure to a relatively lengthy aggressive film,and aggressive behavior

Male college students viewed either a 15-minute aggressive television program excerpt or a neutral one. Half of the students in each group were then angered or treated in a neutral fashion by a confederate. Each subject was allowed to retaliate by delivering electric shocks to the confederate as an evaluation of a problem solution he supposedly had completed. Heart rate was measured (a) before exposure to the television program, (b) after exposure to the program, (c) immediately before delivering the shock, and (d) immediately after shock delivery. Angered men who had seen the aggressive film were most aggressive toward the confederate and exhibited the lowest average pulse rates both before and after shock delivery. The findings are discussed in terms of their implication for arousal vs disinhibition conceptualizations of aggressive behaviors following exposure to television violence.     

Damage: Trauma and violence in a sample of women referred to a forensic service

Although there is evidence of a link between experienced trauma and later violence, most discussion of the long-term effects of trauma do no examine aggression and violence in any detail. This article presents a pilot study of 16 women referred to the department of Forensic Psychiatry at St George's Hospital, between 1987 and 1993. The cases were selected at random, although most were known personally to the author. The study attempts to draw out the links among sexual abuse in childhood, deliberate self-harm, dangerous behavior, and specifically danger to health care professionals. The concept of complex posttraumatic stress disorder is discussed in relation to both a history of sexual and physical abuse in childhood and later dangerous behavior.     

Constructive anger verbal behavior predicts blood pressure in a population-based sample.

The creation of an observational Constructive Anger Behavior-Verbal Style Scale (CAB-V) and its relation to resting blood pressure (BP) in an age- and sex-stratified, population-based sample is examined. Participants (N = 1,862) provided hypertension risk factor information, had resting BP assessed multiple times, and completed a videotaped interview, which was later coded for CAB-V and Hostile Style. High CAB-V scores remained a significant predictor of lower resting BP when controlling for the effects of standard hypertension risk factors (age, sex, body mass index, physical activity, alcohol use, smoking status, parental myocardial infarction history, education, and diabetic status) and psychosocial measures (anxiety, depression, hostility, social support, and Hostile Style). This relation also remained when excluding known hypertensive persons. Results suggest that constructive anger expression may have an independent beneficial association with resting BP.     

Impact of distressed and aggressive behavior

Two studies examined the hypothesis that distressed behavior induces negative emotions in others but also prompts solicitousness and deters aggression. In Study 1, 48 marital dyads rated various behaviors in terms of their feelings and reactions toward a spouse engaging in each behavior. Distressed behavior prompted both negative and solicitous emotions, but deterred hostile reactions. Aggressive behavior prompted negative feelings and hostile and argumentative reactions. In Study 2, 41 couples rated videotaped examples of a woman engaging in distressed, aggressive, or neutral behavior, with variations in verbal content and nonverbal affect. Examples of distressed behavior prompted more negative feelings and more solicitous feelings than neutral behavior. Aggressive examples prompted more negative feelings and hostile reactions. The studies indicate the importance of distinguishing between distressed and aggressive behavior.     

Excitation transfer in communication-mediated aggressive behavior

To test the effect of excitation produced during exposure to communication, both the excitatory potential and the degree of manifest aggressiveness of communications were assessed to select: (a) an aggressive communication associated with a particular excitatory potential; (b) a nonaggressive communication associated with an excitatory potential significantly below that of a; and (c) another nonaggressive communication associated with an excitatory potential significantly above that of a. A model of excitation transfer was advanced, based on the assumption that salient elements of excitation decay relatively slowly, and that interoception of excitation is nonspecific, permitting the integration of any residue with elements of the excitatory response to subsequent stimuli. If the postcommunication situation provides the individual with perception-cognitions enabling him to unambiguously interpret his emotional state, it is expected that this state is intensified by the magnitude of the excitational residue from the response to the communication. It was predicated that, quite independent of the degree of aggression manifest in the communication, postcommunication aggressive behavior would be facilitated mainly as a function of the communication's excitatory potential. The highly significant results obtained (b < a < c) were fully consistent with the predictions from the transfer paradigm.     

Naturalistic studies of aggressive behavior: aggressive stimuli, victim visibility, and horn honking.

Three studies extended laboratory research on aggression to a naturalistic setting which involved horn honking from drivers as a measure of aggression; the studies were adapted from Doob and Gross. The results from a survey (Study 1) of 59 drivers suggested that they were frequently irritated by and aggressive toward other drivers. A second study (using a 3x2 factorial design with 92 male drivers) indicated that manipulations of a rifle in an aggressive context and victim visibility (dehumanization) both significantly influenced horn honking rates subsequent to obstruction at a signal light. A third study with 137 male drivers and 63 female drivers examined the interactive effects of a rifle, an aggressively connotated bumper sticker, and individual subject characteristics (sex and an exploratory index of self-perceived status) on horn honking. The results for three studies in naturalistic settings offer possible extensions of laboratory based findings on aggression. The role of inhibitions in modifying the pattern of results was also discussed.     

Rorschach measures of aggressive drive derivatives: a college student sample

This study investigated measures of aggressive drive derivatives on the Rorschach and Personality Assessment Inventory with 70 college students. As predicted, (a) self-reported physical aggression potential was related to Rorschach measures of identification with the aggressor and aggressive impulses, (b) suicidal ideation with impulsivity was related to a Rorschach measure of aggressive impulses turned toward the self, and (c) the borderline features scale was related to a Rorschach pathological object relations measure. Hierarchical regression analyses showed that a Rorschach measure of emotional impulsivity added unique variance to these Rorschach aggression variables in predicting self-reported physical aggression potential, suicidal ideation with impulsivity, and borderline features. Finally, caution is advised in applying our findings when there is motivation to suppress aggressive responses     

Intellectual ability and aggressive behavior in nonclinical-nonforensic males

The purpose of this study was to test the relationship between IQ and physical aggression in a nonclinical-nonforensic male sample in a laboratory setting. Thirty males completed an abbreviated version of the Wechsler Adult Intelligence Scale—Revised. Aggression was measured using a modified version of the Taylor reaction-time (RT) aggression paradigm in which subjects competed on a RT task and both received and delivered shocks to a fictitious opponent in provoking and nonprovoking conditions. Provocation conditions (High and Low) were defined by the intensity of shocks the subjects received. Results demonstrated strong inverse correlations between IQ and aggressive behavior under both High and Low Provocation conditions.     

Emotional competence and aggressive behavior in school-age children

Examined emotional competence in 87 children, aged 7–10 years, who varied with respect to reports of aggressive behavior to determine whether individual differences in emotional competence characterize children with higher levels of aggressive behavior. Emotional competence was assessed during a 1-hr lab visit that included (a) an observational period consisting of a modified disappointment paradigm, (b) assessment of cognitive and language abilities, and (c) 2 structured emotion interviews. Children with higher levels of aggressive behavior exhibited more intense and frequent expressions of anger, both as reported by mothers and as observed during the disappointment paradigm. Less sophisticated ability to identify the causes of emotion also characterized children with higher levels of aggressive behavior. Gender moderated the relation between aggressive behavior and type of emotion identified such that reports of happiness (in response to receiving a disappointing prize) were associated with lower levels of reported aggressive behavior for boys. The value of assessing children's emotional competence in the context of an emotionally arousing situation is suggested by these findings.     

Marital discord and child behavior problems in a nonclinic sample

Mothers' evaluations of their marital relationship and of their children's behavior at home and teachers' ratings of the children's behavior in school were obtained using well-established measures. While an association was found between ratings of marital discord and children's problematic behavior, the relation was a fairly weak one. The present findings are discussed in comparison to the results of other research that has relied upon clinic samples and nonindependent ratings in examining the relation between marital and child problems. In general, it appears that different methodological procedures lead to quite different conclusions about the strength of the association between interparental conflict and child behavior problems.This work was supported in part by a grant from the Sigma Xi Scientific Society.