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.     

Testing Factorial Structure and Validity of the PCL:SV in Lithuanian Prison Population

This study examined the factorial structure and validity of the Hare Psychopathy Checklist: Screening Version (PCL:SV) in a European forensic context. A random sample of 257 criminal offenders from the Lithuanian prison population were administered the PCL:SV (Hart et al. 1995). The pattern of validity coefficients in this sample was comparable to other North American and non-North American samples. Several theoretical factorial structures for the PCL:SV were tested and compared. The two-factor model was not supported, while three- and four-factor models provided an acceptable fit to Lithuanian data. The four-factor model showed significantly better fit compared to the two-factor model. Correlations between PCL:SV factors and demographic variables confirm construct validity. However in the four-factor model, when controlling for correlations of the remaining three factors, only the Antisocial factor significantly correlated with variables related to criminal activity. It was concluded that the overall results of the PCL:SV in a male sample of Lithuanian offenders support cross-cultural generalizability of the construct of psychopathy as measured by the PCL:SV.     

Impulsivity, anger, and psychopathy: the moderating effect of ethnicity

The present research tested the four-factor Psychopathy Checklist: Screening Version (PCL:SV) latent variable model for structural invariance across ethnicity in a large sample of civil psychiatric patients. In addition, it also examined how Barratt (1994) impulsivity and Novaco (1994) anger latent variables were related to the psychopathy dimensions within and across ethnicity. The data were analyzed with Mplus (Muthen & Muthen, 2001), and results indicated that the four-factor model was invariant across Caucasian and African American males in terms of both item factor loadings and thresholds. However, differential relations between the external correlates and the psychopathy dimensions were found across groups, suggesting that the association between impulsivity and psychopathy may be moderated by ethnicity.     

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).     

Confirmatory factor analysis of the psychopathy checklist: screening version in offenders with axis I disorders

One hundred forty-nine inpatients within a maximum security psychiatric facility were assessed with the Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995). Within the total sample, 68% had a psychotic disorder and 30% met criteria for psychopathy. Using confirmatory factor analysis, the authors tested the 2-factor PCL:SV model of psychopathy and recent 3- and 4-factor models. Results indicated good fit for each model, with the 4-factor model showing best overall fit. Structural equation modeling was used to determine which psychopathy factors predicted 6-month follow-up of inpatient aggression. The 2-, 3-, and 4-factor models, respectively, accounted for 16%.27%. and 3l% of the variance in aggression.     

Incremental validity analyses of the violence risk appraisal guide and the psychopathy checklist: screening version in a civil psychiatric sample

This study compares two instruments frequently used to assess risk for violence, the Violence Risk Appraisal Guide (VRAG) and the Psychopathy Checklist: Screening Version (PCL:SV), in a large sample of civil psychiatric patients. Despite a strong bivariate relationship with community violence, the VRAG could not improve on the predictive validity of the PCL:SV alone, even though the VRAG includes several ostensible violence risk factors other than psychopathy. Moreover, incremental validity analyses indicated that the remaining VRAG items accounted for little or no variance in violent outcomes once psychopathy scores were controlled. Conversely, the PCL:SV continued to account for considerable variance after controlling for the VRAG. These results reflect the limited validity of the VRAG items in civil psychiatric samples beyond the variance that is explained by the PCL:SV alone.     

Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy

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

Gender differences in psychopathy in a Swedish offender sample

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

Psychopathy and APD in Non-forensic Patients: Improved Predictions or Disparities in Cut Scores?

Psychopathy has traditionally been viewed as a distinct syndrome that is superior to Antisocial Personality Disorder (APD) for the prediction of violent and aggressive behavior. However, direct comparisons of psychopathy and APD are infrequent and mostly occur in correctional populations. Moreover, any observed differences could simply reflect a disparity in cut scores. The constellation of Psychopathy Checklists (PCL-R, PCL:SV, and PCL:YV) set the minimum cut score at 75% (e.g., ≥30 of 40 for the PCL-R), which is far more stringent than what is required for the DSM-IV APD adult criteria (i.e., ≥ 3 of 7 or 42.9%). For use in a non-forensic setting, we re-examined the MacArthur Risk Assessment data set to evaluate the usefulness of the PCL:SV and APD for short-term predictions of violent and aggressive acts. Using the ≥75% cut score to predict violence produced low sensitivities for both the psychopathy (.18) and APD adult criteria (.14) but very high specificities (.94). Reducing the cut score to approximately 40% greatly improved sensitivity rates (.62 for psychopathy and .85 for Adult APD criteria) at the expense of specificity (.59 and .40 respectively). In making multiple comparisons, psychopathy did not appear superior to APD adult criteria in predicting violent or other aggressive behavior. Instead, both constructs had limited predictive power with patients in a non-forensic setting. On an item level, specific indicators of violent behavior were explored.     

Emotional processing in psychopathic personality

Emotional‐processing deficits may be one of the characteristic features of impaired affect in individuals with psychopathy. These include shallowness and profound lack of remorse or empathy. Performances on standardized emotion discrimination tasks and mood induction tasks were compared between 17 patients with antisocial personality disorder (DSM‐IV) and 17 nonpsychopaths. Subjects with psychopathic personality demonstrated poorer performance on emotion‐discrimination tasks compared with controls. However, higher scores on factor “emotional detachment” of the Psychopathy Checklist (PCL‐R) were associated with better discrimination ability. Subjective ratings were comparable between groups during mood induction. Although the findings support the hypothesis of a significant association between impaired emotional processing and psychopathy, they also suggest a relationship between emotional discrimination and the core personality features of psychopathy. Aggr. Behav. 28:394–400, 2002. © 2002 Wiley‐Liss, Inc.     

Psychopathy in adolescence and criminal recidivism in young adulthood: longitudinal results from a multiethnic sample of youthful offenders

Very few studies to date have examined the long-term predictive validity of psychopathy among juveniles. The current study reports general and violent recidivism data for an ethnically heterogeneous sample of male offenders (n = 75) who had been administered the Psychopathy Checklist: Youth Version (PCL: YV) in 1996 when they were on average 16 years of age. Neither total scores nor factor scores of the PCL: YV predicted general or violent reconvictions throughout this time frame. These modest effects underscore recent concerns raised about the utility of psychopathy as a risk factor for future criminality, particularly among multiethnic offender samples.     

Reliability and Validity Evaluation of the Psychopathy Checklist: Screening Version (PCL:SV) in Swedish correctional and forensic psychiatric samples

This study evaluated the structural reliability, construct-related validity, and cultural validity generalization of the Hare Psychopathy Checklist: Screening Version (PCL:SV) in a sample of more than 560 male and female Swedish forensic psychiatric treatment patients, forensic evaluation patients, and criminal offenders. Structural reliability was excellent for most indices. PCL:SV scores were higher for males than females for total and Part 1 scores (interpersonal/affective features) but not for Part 2 (behavioral features). With some exceptions, PCL:SV scores were meaningfully related to aggression to others, a measure of risk for violence, substance use problems, personality disorder (positive), and psychosis (negative). Correlations between PCL:SV and aggression were larger for females than males, although the difference was smaller when personality disorder was held constant. The structural reliability and pattern of validity coefficients were comparable in these Swedish samples to other non-North American samples. Implications for the cross-cultural manifestation and correlates of psychopathy are discussed.     

Factor structure of the Hare Psychopathy Checklist: Youth Version (PCL: YV) in incarcerated adolescents

Two studies are reported on the underlying dimensions of the psychopathy construct in adolescents as measured by the Hare Psychopathy Checklist-Youth Version (PCL: YV; Forth, Kosson, & Hare, 2003). In Study 1, the PCL: YV item ratings for 505 male adolescents incarcerated in 5 different settings in North America were used to test the fit of 3 models that have been hypothesized to represent the structure of psychopathy in adults. A 4th model based on parceling PCL: YV items was also tested. In Study 2, these models were tested with a sample of 233 male adolescents incarcerated in 2 facilities in the United Kingdom. Model fit results indicated that the 18-item 4-factor model developed by Hare (2003) and a modified version of a 13-item 3-factor model developed by Cooke and Michie (2001) were associated with generally good fit. Because the 4-factor model is a less saturated model than the 3-factor model (better parameter to data point ratio), it survived a riskier test of disconfirmation. Implications for the nature of psychopathy in youth are discussed.     

Applicability of traditional and revised models of psychopathy to the Psychopathy Checklist: screening version

Recently, psychopathy has become virtually synonymous with the Psychopathy Checklist (PCL) measures. However, the "gold standard" 2-factor model that underlines these measures has been questioned for its uncertain empirical support and emphasis on antisocial behavior that is not specific to psychopathic personality deviation. This study (N = 870 civil psychiatric patients) compares the fit of the traditional 2-factor model with that of a revised 3-factor model of psychopathy. The revised model better describes the structure of the Screening Version of the PCL (PCL:SV) than the traditional model. Although the revised model's exclusion of some items that assess antisocial behavior reduces the PCL:SV's power in predicting patient violence, this model arguably assesses psychopathy in a more specific, theoretically coherent fashion that may reduce misapplications of the construct. Implications for future research are discussed.     

Psychopathy in adolescent female offenders: an item response theory analysis of the psychopathy checklist: youth version

The present study examined the applicability of the PCL:YV items to a sample of detained adolescent girls. Item response theory (IRT) was used to analyze test and item functioning of the PCL:YV. Examination of IRT trace lines indicated that the items most discriminating of the underlying construct of psychopathy included "callousness and a lack of empathy", "conning and manipulation", and "a grandiose sense of self-worth". Results from the analyses also demonstrated that the items least discriminating in this sample, or least useful for identifying psychopathy, included "poor anger control", "shallow affect", or engaging in a "serious violation of conditional release". Consistent with previous research (Cooke & Michie, 1997; Hare, 2003), interpersonal and affective components of psychopathy provided more information than behavioral features. Moreover, although previous research has also found affective features to provide the most information in past studies, it was interpersonal features of psychopathy in this case, followed by affective features, that provided greater levels of information. Implications of these results are discussed.     

The reliability and validity of the psychopathy checklist: youth version (PCL:YV) in nonincarcerated adolescent males

Current knowledge about the validity of the psychopathy syndrome in youth is limited largely to studies relying on parent-teacher rating scales or slight modifications of adult measures. Recently, the Psychopathy Checklist: Youth Version (PCL:YV) was designed for use with adolescents. However, most studies that have used this measure examined incarcerated males and addressed only validity criteria related to antisocial behavior. We investigated the generality and construct validity of the psychopathy syndrome in an adolescent sample by assessing 115 adolescent males on probation with the PCL:YV. Reliability of measurement was high. PCL:YV ratings predicted not only antisocial behaviour but also other indices of childhood psychopathology, interpersonal behaviors associated with adult psychopathy, and a lack of attachment to parents. These findings suggest that the PCL:YV identifies a syndrome in adolescence consistent with theory and research on adult males.     

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.     

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.     

“Celebrities to lean on!” Perceived celebrity support across two cultures—Iran and the United States

Though many people loathe celebrities and their lifestyles, celebrities can also be perceived as being available to provide community support. The purpose of this study was to establish the psychometric properties of the Perceived Celebrity Support Inventory. The scale was developed to capture three aspects of perceived celebrity support to the community: instrumental (i.e., providing tangible and concrete assistance), informational (i.e., advice, explanation, and information), and emotional (i.e., empathizing, encouraging, listening, and comforting) support. Factor and item analyses have revealed robust psychometric properties in samples drawn from the United States (US) and Iran. The US sample perceived higher community support from celebrities than the Iranian sample. In the Iranian sample, perceived celebrity support for the community was associated with more positive attitudes and less hatred of celebrity culture. In the US, perceived celebrity support was associated with negative attitudes and elevated hatred towards celebrities. The findings advance the literature by providing an instrument with which to measure positive aspects of celebrity influence across cultures.