Psychopathic traits and men’s anger response to interpersonal conflict: A pilot study

Psychopathy is associated with emotional dysfunction that impedes the experience of emotions such as fear and sadness and has been purported to facilitate violent behavior. However, findings relative to the association between psychopathy and anger have not been reliably substantiated. Theorists have proposed that psychopathy predisposes one to experience greater frustration and anger, whereas other experts have suggested that there is no convincing evidence for this assertion. In the present study, we tested the relationship between psychopathy subfactors and anger subsequent to conflict or non-conflict interactions. Sixty-eight collegiate-men completed the Self-Report Psychopathy Scale and read vignettes depicting either a conflict or non-conflict scenario and were asked to imagine themselves in the situation. Following presentation of the vignettes, participants completed a lexical-decision-task assessing affective states. Results indicated that the psychopathy subfactors demonstrated strong differential associations, where Factor 1 showed negative and Factor 2 showed positive association with anger activation in response to interpersonal conflict. Findings are discussed in terms of the importance of anger as a facilitator of violence in some psychopathic individuals.     

Turning a deaf ear to fear: impaired recognition of vocal affect in psychopathic individuals

The processing of emotional expressions is fundamental for normal socialization and interaction. Reduced responsiveness to the expressions of sadness and fear has been implicated in the development of psychopathy (R. J. R. Blair, 1995). The current study investigates the ability of adult psychopathic individuals to process vocal affect. Psychopathic and nonpsychopathic adults, defined by the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991), were presented with neutral words spoken with intonations conveying happiness, disgust, anger, sadness, and fear and were asked to identify the emotion of the speaker on the basis of prosody. The results indicated that psychopathic inmates were particularly impaired in the recognition of fearful vocal affect. These results are interpreted with reference to the low-fear and violence inhibition mechanism models of psychopathy.     

Differentiating emotional processing and attention in psychopathy with functional neuroimaging

Individuals with psychopathy are often characterized by emotional processing deficits, and recent research has examined the specific contexts and cognitive mechanisms that underlie these abnormalities. Some evidence suggests that abnormal features of attention are fundamental to emotional deficits in persons with psychopathy, but few studies have demonstrated the neural underpinnings responsible for such effects. Here, we use functional neuroimaging to examine attention–emotion interactions among incarcerated individuals (n = 120) evaluated for psychopathic traits using the Hare Psychopathy Checklist–Revised (PCL-R). Using a task designed to manipulate attention to emotional features of visual stimuli, we demonstrate effects representing implicit emotional processing, explicit emotional processing, attention-facilitated emotional processing, and vigilance for emotional content. Results confirm the importance of considering mechanisms of attention when evaluating emotional processing differences related to psychopathic traits. The affective-interpersonal features of psychopathy (PCL-R Factor 1) were associated with relatively lower emotion-dependent augmentation of activity in visual processing areas during implicit emotional processing, while antisocial-lifestyle features (PCL-R Factor 2) were associated with elevated activity in the amygdala and related salience network regions. During explicit emotional processing, psychopathic traits were associated with upregulation in the medial prefrontal cortex, insula, and superior frontal regions. Isolating the impact of explicit attention to emotional content, only Factor 1 was related to upregulation of activity in the visual processing stream, which was accompanied by increased activity in the angular gyrus. These effects highlight some important mechanisms underlying abnormal features of attention and emotional processing that accompany psychopathic traits.     

Recognition of facial affect in psychopathic offenders

The authors examined the reliability of facial affect processing deficits found in psychopathic individuals (R. Blair et al., 2004) and whether they could be modified by attentional set. One hundred eleven offenders, classified using the Psychopathy Checklist--Revised (R. Hare, 2003) and Welsh Anxiety Scale (G. Welsh, 1956), performed a facial affect recognition task under 2 conditions. On the basis of research linking psychopathy, amygdala dysfunction, and deficits in facial affect recognition, the authors predicted that psychopathic offenders would display performance deficits when required to identify the emotional expression of particular faces. In addition, given evidence linking the affective processing deficits in psychopathy to focus of attention, the authors predicted that any deficits in facial affect processing would disappear when participants could anticipate which affective cues would be relevant on a given trial. Contrary to expectation, psychopathic offenders performed as well as controls in both conditions. The authors conclude that the conditions that reveal affective deficits in psychopathic individuals require further specification.     

Psychopathic Traits in Adolescence: the Importance of Examining Components in Face Processing,Voice Processing,and Emotional Skill

This study examined relations among interpersonal, affective, and impulsive-irresponsible psychopathic traits, emotional capacities, and recidivism rates in 144 detained adolescents. Emotional skill was conceptualized using a range of constructs, including face and voice processing, emotional intelligence, and self-reported cognitive and affective empathy. In addition, the relation between these concepts and recidivism three years after the initial assessment was examined. Results indicated that interpersonal traits were positively associated with better facial identification of fearful faces, whereas affective traits were associated with worse facial identification of sad and happy faces as well as angry voices. Impulsive-irresponsible traits were associated with reduced emotional intelligence. Differential predictive utility of the three psychopathic traits dimensions was also evidenced. Findings highlight the need to consider the broad concept of psychopathy, but also its underlying dimensions.     

Inhibitory control and negative emotional processing in psychopathy and antisocial personality disorder

The field of personality disorders has had a long-standing interest in understanding interactions between emotion and inhibitory control, as well as neurophysiological indices of these processes. More work in particular is needed to clarify differential deficits in offenders with antisocial personality disorder (APD) who differ on psychopathic traits, as APD and psychopathy are considered separate, albeit related, syndromes. Evidence of distinct neurobiological processing in these disorders would have implications for etiology-based personality disorder taxonomies in future psychiatric classification systems. To inform this area of research, we recorded event-related brain potentials during an emotional-linguistic Go/No-Go task to examine modulation of negative emotional processing by inhibitory control in three groups: psychopathy (n = 14), APD (n = 16), and control (n = 15). In control offenders, inhibitory control demands (No-Go vs. Go) modulated frontal-P3 amplitude to negative emotional words, indicating appropriate prioritization of inhibition over emotional processing. In contrast, the psychopathic group showed blunted processing of negative emotional words regardless of inhibitory control demands, consistent with research on emotional deficits in psychopathy. Finally, the APD group demonstrated enhanced processing of negative emotion words in both Go and No-Go trials, suggesting a failure to modulate negative emotional processing when inhibitory control is required. Implications for emotion-cognition interactions and putative etiological processes in these personality disorders are discussed.     

Empathy,morality and psychopathic traits in women

Empathic and moral processing correlates of psychopathic personality have seldom been studied in women. In this study, we experimentally tested associations between psychopathic personality traits and empathic and moral processing in a female sample, and further directly compared them to results from a male sample. We found that high levels of affective-interpersonal traits were associated with diminished affective response to sad and fearful emotions in others; lower propensity to feel moral emotions; higher endorsement of utilitarian solutions to moral dilemmas involving direct harm; and less self-reported difficulty when performing moral decision making. Overall, our findings strengthen the view that the two dimensions of psychopathy make distinct contributions to emotional and moral processing; and demonstrate that, in women, psychopathic personality traits are associated with a similar pattern of empathic and moral processing biases as the one that has been previously reported in men.     

Psychopathic Traits Associate Differentially to Anger,Disgust and Fear Recognition among Men and Women

Psychopathy is characterized by deficits in empathy and violation of the rights of others. Recent data link psychopathy-based lack of empathy to deficits in emotion recognition (ER), in particular fear and sadness. However, questions remain about emotions like anger and disgust and some studies even report a positive relationship between psychopathy and ER. Notably, the overwhelming majority of these studies have been conducted only with men, and studies in the general population suggest that women have better ER than men. To our knowledge, only two small studies have explicitly examined ER and psychopathy among women and they did find deficits in anger and disgust recognition. Therefore, mixed findings about ER and psychopathy may be due to gender differences that need to be clarified. This study aimed at bridging this gap using a large sample of 129 male (49 %) and 132 female (51 %) participants who completed psychopathy self-reports, and a computerized facial ER task. Among women there were deficits and advantages in ER: High social dominance and lack of anxiety traits were related to decreased fear and anger recognition respectively. Traits characterized by impulsiveness and rebelliousness were associated with better disgust and anger recognition respectively. For men, psychopathic traits characterized by ruthless manipulation of others, as well as lack of fear, were related to deficits recognizing anger. These results suggest that among women some psychopathic traits may confer an advantage in ER and give impetus for studies examining gender differences in the neurobiological substrates and manifestation of the syndrome.     

Young Offenders’ Emotion Recognition Dysfunction Across Emotion Intensities: Explaining Variation Using Psychopathic Traits,Conduct Disorder and Offense Severity

Antisocial individuals have problems recognizing negative emotions (e.g. Marsh & Blair in Neuroscience and Biobehavioral Reviews 32:454–465, 2009); however, due to issues with sampling and different methods used, previous findings have been varied. Sixty-three male young offenders and 37 age-, IQ- and socio-economic status-matched male controls completed a facial emotion recognition task, which measures recognition of happiness, sadness, fear, anger, disgust, and surprise and neutral expressions across 4 emotional intensities. Conduct disorder (YSR), and psychopathic and callous/unemotional traits (YPI) were measured, and offenders’ offense data were taken from the Youth Offending Service’s case files. Relative to controls, offenders were significantly worse at identifying sadness, low intensity disgust and high intensity fear. A significant interaction for anger was also observed, with offenders showing reduced low- but increased high-intensity anger recognition in comparison with controls. Within the young offenders levels of conduct disorder and psychopathic traits explained variation in sadness and disgust recognition, whereas offense severity explained variation in anger recognition. These results suggest that antisocial youths show specific problems in recognizing negative emotions and support the use of targeted emotion recognition interventions for problematic behavior.     

Psychopathy and physiological response to emotionally evocative sounds

Despite considerable evidence that psychopathic criminals are deviant in their emotional reactions, few studies have examined responses to both pleasurable and aversive stimuli or assessed the role of different facets of psychopathy in affective deviations. This study investigated physiological reactions to emotional sounds in prisoners selected according to scores on the 2 factors of Hare's Psychopathy Checklist--Revised (PCL-R; R. D. Hare, 1991). Offenders high on the PCL-R emotional-interpersonal factor, regardless of scores on the social deviance factor, showed diminished skin conductance responses to both pleasant and unpleasant sounds, suggesting a deficit in the action mobilization component of emotional response. Offenders who scored high only on the social deviance factor showed a delay in heart rate differentiation between affective and neutral sounds. These findings indicate abnormal reactivity to both positive and negative emotional stimuli in psychopathic individuals, and suggest differing roles for the 2 facets of psychopathy in affective processing deviations.     

A Selective Impairment in the Processing of Sad and Fearful Expressions in Children with Psychopathic Tendencies

The processing of emotional expressions is fundamental for normal socialisation and interaction. Reduced responsiveness to the expressions of sadness and fear has been implicated in the development of psychopathy (R. J. R. Blair, 1995). The current study investigates the sensitivity of children with psychopathic tendencies to facial expressions. Children with psychopathic tendencies and a comparison group, as defined by the Psychopathy Screening Device (PSD; P. J. Frick & R. D. Hare, in press), were presented with a cinematic display of a standardised set of facial expressions that depicted sadness, happiness, anger, disgust, fear, and surprise. Participants observed as these facial expressions slowly evolved through 20 successive frames of increasing intensity. The children with psychopathic tendencies presented with selective impairments; they needed significantly more stages before they could successfully recognise the sad expressions and even when the fearful expressions were at full intensity were significantly more likely to mistake them for another expression. These results are interpreted with reference to an amygdala and empathy impairment explanation of psychopathy.     

Set-Congruent Priming Stimuli Normalize the Information Processing of Psychopathic Offenders

Psychopathic individuals display characteristic deficits in processing emotion cues, the abstract meaning of words, and peripheral inhibitory cues, that have been linked to deficits in self-regulation and antisocial behavior. One view, supported by recent research, is that psychopathic individuals have difficulty processing set-incongruent information and that their difficulty may be ameliorated using task manipulations that establish a set-relevant focus of attention. We evaluated this characterization of the psychopathic deficit using a lexical decision (i.e., word recognition) task and priming manipulation that caused target stimuli to be set-congruent or set-incongruent. As predicted, low-anxious (i.e., primary) psychopathic participants displayed a significantly greater priming effect than low anxious non-psychopathic participants. The results highlight the potential value of priming relevant cognitive sets to overcome the costly information processing deficits associated with psychopathy. Treatment efforts emphasizing a balance of attention between primary and peripheral information may prove especially effective for reducing maladaptive behavior in psychopathic individuals.     

Neuroticism and psychopathy predict brain activation during moral and nonmoral emotion regulation

Functional neuroimaging has identified brain regions associated with voluntary regulation of emotion, including the prefrontal cortex and amygdala. The neural mechanisms underlying individual differences in emotion regulation have not been extensively studied. We investigated the neural correlates of neuroticism and psychopathic personality traits in the context of an emotion regulation task. Results showed that amygdala activity elicited by unpleasant pictures was positively correlated with neuroticism and negatively correlated with a specific psychopathic trait related to emotional underreactivity. During active attempts to decrease emotional responses to unpleasant pictures, superior and ventrolateral prefrontal activity was positively correlated with psychopathy, but not with neuroticism. In contrast, dorsolateral prefrontal activity was positively correlated with neuroticism, but not with psychopathy. Psychopathy was also negatively correlated with medial prefrontal activity in response to pictures depicting moral violations, suggesting reduced emotional responses to moral stimuli in individuals with high levels of psychopathic traits. These results demonstrate dissociable influences of different personality traits on neural activity associated with responses to emotional stimuli and on the recruitment of regulation-related brain activity during the active down-regulation of responses to negative emotional stimuli. These results have implications for the etiology of trait-based psychopathology involving emotional dysregulation.     

Psychopathic personality traits are linked to reduced false memories for negative events

Individuals scoring high on psychopathic personality traits process emotional material to a different extent than individuals with few psychopathic traits. Evidence exists that these individuals have impaired emotional memory. The question arises whether this emotional memory impairment has ramifications for the production of emotional false memories. In the present study, we investigated the production of false and true memories for emotional events in a community sample (N = 120) of individuals varying in psychopathic traits (evaluated with the Psychopathic Personality Inventory–Revised [PPI-R] questionnaire). The fearless dominance (FD) component of psychopathy interacted with the emotional impact of to-be-remembered events in the production of false memories, showing fewer negative false memories with increasing levels of FD. At the subjective level, negative false memories were not perceived as vivid memory experiences in high FD individuals. Concerning true memories, higher scores in cold-heartedness were related to fewer true memories for neutral and negative (but not positive) events. These results show that individuals with high psychopathy traits – in particular, FD – do not have a general emotional memory impairment but they process negative material in a different way than individuals with low psychopathic traits and thus are less susceptible to producing false memories for negative events.     

Psychopathy, aggression, and the processing of emotional stimuli in non-referred girls and boys

Research shows that individuals with psychopathic traits differ in how they process negative emotional stimuli. However, it is unclear whether these differences are specific to certain types of negative emotional stimulus and whether they are more strongly associated with psychopathic traits or aggression. Further, it is not clear whether or not deficits in emotional processing generalize to females and ethnic minority individuals with psychopathic traits. In this study, we examined the emotional processing of visual stimuli using a dot-probe task in 50 non-referred girls and boys (mean age of 9.30; SD = 2.00). Overall, there was a significant association between proactive aggression and reduced responsiveness to distressing stimuli. In addition, the predicted association between psychopathic traits and reduced responsiveness to distressing stimuli was only found for children high on aggression. Also, the associations among aggression, psychopathic traits, and responsiveness to distressing stimuli did not differ for boys and girls.     

Unprovoked aggression: effects of psychopathic traits and sadism

Psychopathic individuals engage in the most violent and cold-blooded acts of aggression. In the laboratory, psychopathy traits have been linked to the commission of unprovoked aggression. The purpose of this study was to assess affective motives that may underlie the relationship between psychopathy and unprovoked aggression. One hundred thirty-seven men viewed a series of photographs depicting violent imagery, completed a lexical decision task designed to assess state affect, and competed in a laboratory-based aggression paradigm. Results indicated that participants who responded faster to happiness words after viewing violent imagery (i.e., sadistic) were significantly more likely to engage in unprovoked aggression. Additionally, Factor 1 psychopathy (emotional detachment) predicted increased probability of unprovoked aggression; however, this relationship was not mediated by sadism. Rather, Factor 1 and sadism each independently predicted unprovoked aggression. The implications of the present data suggest that the type of violence evinced may inform the risk for perpetration of future acts. That is, the individual who demonstrates unprovoked violence may be more likely to employ aggressive tactics across situational contexts than the individual who demonstrates only impulsive acts of hostile/reactive aggression.     

Investigating the Components of Psychopathic Traits in Youth Offenders

Despite widespread acceptance of the importance of psychopathic traits in youth, the relative importance of different components of psychopathy remains controversial. This study was conducted to examine whether the interpersonal and lifestyle facets of psychopathy as measured with a valid clinical measure of psychopathic traits contribute to predicting relevant external criteria on top of the contributions of the affective facet. To address this issue, we conducted multiple regressions predicting antisocial behavior, exposure to violence, and psychopathology in a sample of 225 incarcerated adolescents. Results indicated that ratings on the affective component of psychopathy were important in helping to explain variance in many of the external criterion variables but that ratings on the interpersonal and lifestyle facets also helped to explain unique variance in a range of criteria including violent and non-violent crime, exposure to violence, impulsivity, and anger expression. These studies suggest that multiple components of psychopathy are likely to be important both in predicting real world outcomes and in understanding mechanisms involved in the development and manifestation of these traits.     

Psychopathy and verbal emotion processing in non-incarcerated males

Incarcerated males who score high on personality measures of psychopathy are reported to be less efficient than other incarcerated males in processing emotionally laden stimuli. In this study, we evaluated whether an emotion deficit is also present in non-incarcerated higher functioning males who score high on psychopathy personality measures. A sample of male university students was screened for psychopathic personality, and two subsamples, those who scored high or low on global psychopathy, participated in a series of language processing tasks designed to assess verbal emotion processing. Unlike previous studies of emotion processing in the verbal domain, stimuli also systematically varied in abstractness. The results showed that participants scoring high in psychopathy were less efficient than those scoring low in psychopathy in processing negatively valenced words, across all levels of word abstractness. The results extend previous accounts of emotional processing deficits in individuals with psychopathic personality to a relatively high-functioning non-incarcerated sample.     

Psychopathic traits associated with abnormal hemodynamic activity in salience and default mode networks during auditory oddball task

Psychopathy is a personality disorder accompanied by abnormalities in emotional processing and attention. Recent theoretical applications of network-based models of cognition have been used to explain the diverse range of abnormalities apparent in psychopathy. Still, the physiological basis for these abnormalities is not well understood. A significant body of work has examined psychopathy-related abnormalities in simple attention-based tasks, but these studies have largely been performed using electrocortical measures, such as event-related potentials (ERPs), and they often have been carried out among individuals with low levels of psychopathic traits. In this study, we examined neural activity during an auditory oddball task using functional magnetic resonance imaging (fMRI) during a simple auditory target detection (oddball) task among 168 incarcerated adult males, with psychopathic traits assessed via the Hare Psychopathy Checklist-Revised (PCL-R). Event-related contrasts demonstrated that the largest psychopathy-related effects were apparent between the frequent standard stimulus condition and a task-off, implicit baseline. Negative correlations with interpersonal-affective dimensions (Factor 1) of the PCL-R were apparent in regions comprising default mode and salience networks. These findings support models of psychopathy describing impaired integration across functional networks. They additionally corroborate reports which have implicated failures of efficient transition between default mode and task-positive networks. Finally, they demonstrate a neurophysiological basis for abnormal mobilization of attention and reduced engagement with stimuli that have little motivational significance among those with high psychopathic traits.     

Being Happy and Seeing 'Happy' ': Emotional State Mediates Visual Word Recognition

Lexical decision and word-naming experiments were conducted to examine influences of emotions in visual word recognition. Emotional states of happiness and sadness were induced with classical music. In the first two experiments, happy and sad participants (and neutral-emotion participants in Experiment 2) made lexical decisions about letter-strings, some of which were words with meanings strongly associated with the emotions happiness, love, sadness, and anger. Emotional state of the perceiver was associated with facilitation of response to words categorically related to that emotion (i.e. happy and sad words). However, such facilitation was not observed for words that were related by valence, but not category, to the induced emotions (i.e. love and anger words). Evidence for categorical influences of emotional state in word recognition was also observed in a third experiment that employed a word-naming task. Together the results support a categorical emotions model of the influences of emotion in information processing (Niedenthal, Setterlund, & Jones, 1994). Moreover, the result of the wordnaming experiment suggests that the effects of emotion are evident at very early stages in cognitive processing.