Differential endophenotypic markers of narcissistic and antisocial personality features: A psychophysiological investigation

This study investigated the differential psychophysiological correlates of narcissistic and antisocial personality features in a college student sample. Skin conductance (SC), respiratory sinus arrhythmia (RSA), and pre-ejection period (PEP) were monitored while participants watched a countdown to an aversive noise blast and viewed emotionally valenced slides. Results indicated that narcissistic personality features were unrelated to SC reactivity during the countdown, whereas antisocial personality features were negatively related to SC reactivity. Narcissistic personality features were also related to RSA decreases and PEP shortening while viewing happy slides, whereas antisocial personality features were not. Taken together, these findings suggest differential endophenotypic markers of narcissistic and antisocial personality features despite their clinical similarities.     

Meditative interventions and antisocial personality disorder

Empathic functioning and inhibitory control deficits are two symptoms of antisocial personality disorder (ASPD). Despite their deleterious effects, limited research exists on interventions that would ameliorate these specific symptoms. We suggest that meditative interventions may help to increase empathic functioning and inhibitory control in ASPD individuals. Using Luria’s working brain framework, we present research showing that meditative interventions influence the same brain regions associated with empathic functioning and inhibitory control. Implications for the counseling profession and directions for further research are discussed.     

Entrepreneurial personality: The role of narcissism

Research has established a number of personality features and behaviours associated with business creation and success. The similarities between these traits and narcissism, a concept with roots in clinical psychology and psychiatry, led the authors to conduct this study, which proposes to measure whether entrepreneurs score higher on a narcissism scale than other vocational groups. The second goal of this study is to measure the role of narcissism on intention to start a business. Student entrepreneurs have been compared with non-entrepreneur students, city workers, and employees and managers from a branch of a large financial institution. Then, students filled out measures of general self-efficacy, locus of control and risk propensity as well as a narcissism scale. Results indicate that student entrepreneurs score significantly higher than all other vocational groups on a measure of narcissism. Results also indicate that narcissism is positively correlated with general self-efficacy, locus of control and risk propensity. Moreover, narcissism plays a significant role in explaining entrepreneurial intentions, even after controlling for self-efficacy, locus of control and risk propensity. Overall, these findings shed new light on the underlying personality traits of entrepreneurs and entrepreneurial intentions and suggest new directions in the study of entrepreneurs’ personality profile.     

Treatment of antisocial personality, psychopathy, and other characterologic antisocial syndromes

Treatment of antisocial personality disorder (APD) and ";core" psychopathy is usually considered a pessimistic clinical exercise. This paper reviews the importance of accurate diagnosis (including differences between APD and other antisocial syndromes), limited techniques for predicting and preventing adult antisocial syndromes, several kinds of treatment that have been attempted with varying success, management of specific antisocial behaviors, and the frustrations-even dangers-of working with severely antisocial patients.     

The future of Rorschach in personality assessment

This article considers the Rorschach and its prospects for the next century in the context of two broad issues in psychology, as well as some test specific challenges confronting those interested in the Rorschach and its applications. The broad issues are the matters of personality as a topic of study in psychology, and the relation of findings about personality to treatment planning. The specific issues concern the definition of the Rorschach, research about the test stimuli, and the expansion of information concerning the interpretive usefulness of some structural variables that are poorly conceptualized or for which interpretation may be overly generalized. Some recommendations concerning collaborative research efforts are also offered.     

Power and control in the male antisocial personality

In this article, “cognitive analysis” and interviews are used to identify specific irrational processes and beliefs which underlie the behavioral patterns defining antisocial personality disorder. The antisocial often acts aggressively without overt anger, emotional distress or provocation. It is hypothesized that he is compelled to antisocial behavior by the belief that he can and must obtain power and control over others. When others conform to his desires due to his intimidation and aggression, then the antisocial believes that he can control them. Oppositional behavior occurs when the antisocial believes that those in authority will control him if he follows their orders. Antisocials are empowered when they are taught the ABC's of emotions and understand that they can only control their own thoughts, feelings and behaviors. Oppositional behavior is also curtailed because they learn that no one can control them. The REBT therapist can be most effective with antisocial clients by confronting the irrational processes and beliefs that lead to antisocial behavior and by encouraging them to take responsibility for their own emotional and behavioral choices.     

Testosterone,aggressiveness, and antisocial personality

Testosterone levels were examined in prisoners convicted of violent crimes (n = 13), in men previously convicted of violent crimes but currently not in prison (n = 15), in nonviolent alcoholics (n = 15), and in randomly selected control males (n = 16). Morning, afternoon, and evening testosterone levels were assessed after a minimum alcohol abstinence period of 24 hr. Violent and nonviolent men did not differ in plasma total testosterone level on any sampling occasion. In violent men, however, testosterone levels were significantly correlated with hostility, as measured by the Derogatis Symptom Check List. Most violent men were diagnosed with Antisocial Personality Disorder (ASP) [DSM‐III‐R; 301.70], and the unweighted ASP symptom count also correlated significantly with testosterone levels in these subjects. We suggest that individuals whose life histories involve numerous antisocial behaviors tend to have high testosterone levels even when interpersonal violence is excluded. This, however, does not eliminate the possibility that males who are characterized by high hostility may also have elevated testosterone levels. Violent predisposition and antisocial conduct beginning in early adolescence predict adult aggressive behaviors, which are augmented by power‐related alcohol expectancies and alcohol abuse. Aggr. Behav. 25:113–123, 1999. © 1999 Wiley‐Liss, Inc.     

Psychopathy, antisocial personality, and suicide risk

H. Cleckley (1976) maintained that psychopaths are relatively immune to suicide, but substantial evidence exists for a relationship between antisocial deviance and suicidal acts. This study was the first to explicitly examine suicidal history among psychopathic individuals as defined by R. D. Hare's (1991) Psychopathy Checklist--Revised (PCL-R). Male prison inmates (N = 313) were assessed using the PCL-R and DSM-III-R and DSM-IV criteria (American Psychiatric Association, 1987, 1994) for antisocial personality disorder (APD), and they completed A. Tellegen's (1982) Multidimensional Personality Questionnaire (MPQ). Presence or absence of prior suicide attempts was coded from structured interview and prison file records. Suicide history was significantly related to PCL-R Factor 2 (which reflects chronic antisocial deviance) and to APD diagnosis but was unrelated to PCL-R Factor 1, which encompasses affective and interpersonal features of psychopathy. Higher order MPQ dimensions of Negative Emotionality and low Constraint were found to account for the relationship between history of suicidal attempts and antisocial deviance, indicating that temperament traits may represent a common vulnerability for both.     

Subgrouping in obesity based on Rorschach personality characteristics

Conceptual (a priori) subgroups in obesity based on personality findings from the Rorschach Comprehensive System were suggested for 100 obese patients. The subgroups were further compared in terms of general anamnestic and behavioral data. The largest subgroup was Rorschach characterized by difficulties with emotions and a tendency towards depression. Demographic and behavioral data for this subgroup revealed intermediate or higher education, regular meals, eating disorders like binge eating, periodic variations in eating during the year and experiencing body size as having a psychological meaning. The other subgroup was characterized by coping liabilities and was further associated with a lower socio-economic level and irregular or chaotic meal patterns. For the group with emotional difficulties, the results suggest a more complex psychological pattern, where eating and emotions could be closely related. The group with coping liabilities could have difficulties other than emotional ones concerning food and eating, such as finding a structure for eating and making changes in lifestyle and habits.     

Psychosocial predictors of adult antisocial personality and adult convictions

In the Cambridge Study in Delinquent Development, 411 South London males have been followed up since age 8. This article investigates the ability of psychosocial risk factors measured at age 8 - 10 to predict antisocial personality measures at ages 18 and 32 and convictions between ages 21 and 40. The most important childhood predictors were a convicted parent, large family size, low intelligence or attainment, and child-rearing factors, including a young mother and a disrupted family. The accuracy of prediction of antisocial personality at age 32 on the basis of childhood risk factors measured more than 20 years before was surprising: nearly half of boys with a convicted parent at age 10 were antisocial at age 32, compared with one in six of the remainder. Over 60% of boys very high risk at age 8 - 10 became antisocial at age 32. While the present research shows how far adult antisocial and criminal behavior can be predicted in childhood, more research is needed to establish the precise causal mechanisms involved.     

A twin study of the association between pathological gambling and antisocial personality disorder

Many individuals with a history of pathological gambling (PG) also have a history of engaging in antisocial behaviors, and this has often been interpreted as a result of the former causing the latter. In a sample of 7,869 men in 4,497 twin pairs from the Vietnam Era Twin Registry, the authors examined (a) the association between PG and antisocial personality disorder (ASPD), (b) the extent to which PG might be differentially associated with childhood conduct disorder (CD) and adult antisocial behavior (AAB), and (c) the contribution of genetic and environmental factors to the association of PG with ASPD, CD, and AAB. PG was significantly associated with all 3 antisocial behavior disorders, and the association of PG with ASPD, CD, and AAB was predominantly explained by genetic factors. The results of this study suggest that the greater-than-chance co-occurrence of PG and antisocial behavior disorders is partially due to their sharing a common genetic vulnerability. The antisocial behavior observed among many individuals with PG probably cannot be interpreted as being simply a consequence of the PG.     

A Rorschach investigation of mothers of behaviorally disturbed infants

This investigation focuses on one facet of the interactional family, parent-child, mother-infant matrix of behaviorally disturbed infants: the personality of mother as primary caregiver. Rorschach test behavior of mothers (N = 30) of behaviorally disturbed infants were compared with two normative samples. The Rorschach test was found to indicate certain atypical psychological patterns among these mothers. Differences emerged in intellectual sphere variables: number of responses (R), common detail responses (D), rare detail responses (Dd), number of accurate form percepts (F+), percentage of form percepts that are accurate (F+%), percentage of responses with animal content (A%), and popular percepts (P). Other response trends emerged in the affective sphere: percentage of pure form responses (F%) and in the interpersonal sphere: whole human content (H) and the ratio of the whole human content to human detail content (H:Hd), as well as to the test as a whole. Based on these results, hypotheses are generated for further investigation, particularly of traits in the areas of cognitive processing and the capacity for interpersonal relations.     

Preschool personality antecedents of narcissism in adolescence and young adulthood: A 20-year longitudinal study

This prospective study examined relations between preschool personality attributes and narcissism during adolescence and emerging adulthood. We created five a priori preschool scales anticipated to foretell future narcissism. Independent assessors evaluated the participants’ personality at ages 14, 18, and 23. Based upon these evaluations, we generated observer-based narcissism scales for each of these three ages. All preschool scales predicted subsequent narcissism, except Interpersonal Antagonism at age 23. According to mean scale and item scores analyses, narcissism increased significantly from age 14 to 18, followed by a slight but non-significant decline from age 18 to 23. The discussion focused on a developmental view of narcissism, the need for research on automatic processing and psychological defenses, and links between narcissism and attachment.     

The Rorschach in the context of performance-based personality assessment

In this article, I draw on literature concerning the current status of the Rorschach Inkblot Method (Exner, 2002), performance-based personality measurement, direct versus indirect personality assessment, and dual-process models to suggest a reconceptualization of the Rorschach. The goal is to offer an updated conceptual framework for thinking about the Rorschach that can potentially be used both to enhance the image of the method and to provide direction for future research on the validity of specific Rorschach scores.     

Psychopathy and the DSM-IV criteria for antisocial personality disorder

The Axis II Work Group of the Task Force on DSM-IV has expressed concern that antisocial personality disorder (APD) criteria are too long and cumbersome and that they focus on antisocial behaviors rather than personality traits central to traditional conceptions of psychopathy and to international criteria. We describe an alternative to the approach taken in the rev. 3rd ed. of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R; American Psychiatric Association, 1987), namely, the revised Psychopathy Checklist. We also discuss the multisite APD field trials designed to evaluate and compare four criteria sets: the DSM-III-R criteria, a shortened list of these criteria, the criteria for dyssocial personality disorder from the 10th ed. of the International Classification of Diseases (World Health Organization, 1990), and a 10-item criteria set for psychopathic personality disorder derived from the revised Psychopathy Checklist.     

Identifying persistently antisocial offenders using the Hare Psychopathy Checklist and DSM antisocial personality disorder criteria

Early starting, lifetime criminal persistence has been called sociopathy, antisocial personality disorder, and psychopathy. There is, however, disagreement about its core features and which measure is best for identifying such individuals. In the 1st of 2 studies of male offenders (n = 74), we found a large association between scores on the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991) and the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) antisocial personality disorder criteria scored as a scale. The second study (n = 684) replicated this finding and found that, as previously shown for PCL-R scores, a discrete class (or taxon) also underlies scores on items reflecting antisocial personality disorder. The high association among these sets of items and their similarity in predicting violence suggested that the same natural class underlies each. Results indicated that life-course-persistent antisociality can be assessed well by measures of psychopathy and antisocial personality disorder.     

Correspondence between self-report and interview-based assessments of antisocial personality disorder

Antisocial personality disorder (ASPD) is associated with suicide, violence, and risk-taking behavior and can slow response to first-line treatment for Axis I disorders. ASPD may be assessed infrequently because few efficient diagnostic tools are available. This study evaluated 2 promising self-report measures for assessing ASPD--the ASPD scale of the Personality Diagnostic Questionnaire-4 (PDQ-4; S. E. Hyler, 1994) and the Personality Assessment Inventory (PAI; L. Morey, 1991, 2007)--as well as the ASPD module of the Structured Clinical Interview for DSM-IV Axis II (SCID-II; M. B. First, R. L. Spitzer, M. Gibbon, J. B. W. Williams, & L. S. Benjamin, 1997). The measures were administered to 1,345 offenders in court-mandated residential substance abuse treatment programs and prisons. PDQ-4 and PAI scores related strongly to SCID-II symptom counts (rs = .67 and .51, respectively), indicating these measures convey useful clinical information about the severity of offenders' ASPD pathology. The dimensional association between the measures was relatively invariant across gender, race, and site, although differences in mean scores were observed. Levels of agreement of the SCID-II with the PDQ-4 (kappa = .31) and PAI (kappa = .32) in classifying participants as ASPD was limited. Alternative thresholds for both self-report measures were identified and cross-validated.