Moral judgment and conduct disorder intensity in adolescents involved in delinquency: matching controls by school grade

Most studies that have found associations between delinquency and moral judgment generally compare incarcerated juveniles with adolescents in normal schooling. However, this comparison is subject to two criticisms. First, a large number of adolescents in school who are not charged with any crime in the legal system are still involved in unlawful behaviour. Second, adolescents involved with delinquency often have difficulties at school. The aim of the present study was to measure this association by matching a sample of adolescents involved with delinquency (n=18, M age=15.8, SD=1.1) to adolescents not involved in delinquency (n=42, M age=15.8, SD=0.8) according to their school grade and Conduct Disorder Intensity as measured by a self-report index using DSM-IV diagnostic criteria. Participants who met four or more criteria were assigned to the High Conduct Disorder group (n=28), and the rest were assigned to the Low Conduct Disorder group (n=32). Their level of moral judgment was evaluated with the French version of the Sociomoral Reflection Measure-Short Form by Gibbs, Basinger, and Fuller, inspired by Kohlberg's model of moral development. Findings demonstrate that in both samples, adolescents in the High Conduct Disorder group presented moral judgment that was significantly less mature than that of adolescents in the Low Conduct Disorder group. However, the majority of participants in the Low Conduct Disorder group also scored low on the Sociomoral Reflection Measure-Short Form, suggesting more immature moral judgment. The bias introduced by the mode of recruitment in most comparisons of adolescents involved with delinquency to adolescents with no delinquency problems is discussed, and an argument is made for the importance of analysing moral judgment development within a framework of general cognitive development.     

Neuropsychological subgroups of adolescents with conduct disorder

Närhi, V., Lehto‐Salo, P., Ahonen, T. & Marttunen, M. (2010). Neuropsychological subgroups of adolescents with conduct disorder. Scandinavian Journal of Psychology, 51, 278–284. In group‐level studies adolescents with conduct disorder (CD) have been found to have deficiencies in verbal and executive functions. Teichner and Golden (2000) addressed the neuropsychological heterogeneity of CD, and hypothesized the existence of six neuropsychologically different subgroups. We used that theoretical basis to identify subgroups among 77 adolescents with CD and 48 controls. Among subjects with CD we identified subjects with no, diffuse, verbal and executive function deficits, but none with specific memory or visuo‐spatial deficits. In total, neuropsychological deficits altogether were more common among subjects with CD relative to controls, as were specific verbal deficits. Subgroups did not differ in gender distribution, comorbidity of psychiatric disorders, type or severity of CD, or number of psychosocial risk factors. Among subjects with CD, learning disabilities were common. CD is neuropsychologically a heterogeneous disorder, and neuropsychological deficits should be taken into account in assessing and planning interventions for adolescents with CD.     

A Rational-Emotive Treatment program with conduct disorder and attention-deficit hyperactivity disorder adolescents

This study investigated the effects of a 12-week treatment program, based on Rational-Emotive Therapy, with conduct disorder (CD) and attention-deficit hyperactivity disorder (ADHD) adolescents. Two independent homogeneous CD (N=12) and ADHD (N=12) groups were selected on the basis of the DSM-111-R and use of methylphenidate. The dependent variables were irrational thinking, depression, and anger. Lecture, discussion, and theYou Can Do It!Motivational Program video were used in the treatment intervention. Discriminant function analysis of pretest scores revealed that 96% of the students were correctly classified (CD=100%, ADHD=92%). Multivariate analysis of pre-posttest scores revealed that the CD group significantly changed on all dependent variables, while no significant differences were found with the ADHD group. A comparison of posttest scores on the measure of irrational thinking revealed that the CD group accepted responsibility for their upsetness and were more willing to change than the ADHD group. The results of the study are interpreted in terms of the distinguishing characteristics of each group.G. Barry Morris Ph.D., is Director of the Canadian Institute for Rational-Emotive Therapy. He is a Fellow and training supervisor in Rational-Emotive Therapy, a professor at the University of Saskatchewan, a licensed psychologist, and is engaged in private practice.     

Relationship quality,trait similarity,and self-other agreement on personality ratings in college roommates

Previous research has shown that the level of self-other agreement for personality trait ratings increases with the length of acquaintanceship between the target and the informant. These findings emerge exclusively from studies of well-acquainted pairs in natural relationships and relative strangers interacting in laboratory and classroom settings. The present study examines self-other correlations for trait ratings using the NEO Five Factor Inventory (NEO-FFI; Costa & McCrae, 1992) with 103 pairs of previously unacquainted female college roommates. Assessments were obtained at approximately 2 weeks and again at approximately 15 weeks subsequent to the roommates' initial introduction. Self-other correlations increased for all five NEO-FFI scores and agreement correlations for Conscientiousness were significantly higher than for Extraversion at both occasions. Differences in relationship quality did not moderate self-other agreement for any of the traits. However, better relationship quality was associated with higher other-ratings of Extraversion, Agreeableness, and Conscientiousness and lower other-ratings of Neuroticism after controlling for self-ratings on the same trait. Higher similarity in self-ratings of Neuroticism and Openness was associated with higher self-other agreement for these ratings, and similarity in Conscientiousness was associated with higher relationship quality. These results are considered in light of existing theories of differential trait observability and the effects of unique contexts on trait perception.     

Mood-congruent thoughts and personality disorder pathology

The primary aim of this research was to investigate associations that depression severity and trait anxiety have with reactions to specific, identifiable thoughts experienced by persons with varying levels of personality disorder (PD) pathology as they went about their day-to-day lives. Ninety-eight psychotropic medication-free persons participated in an experience sampling assessment procedure over four consecutive days, during which participants recorded specific thoughts experienced moments before a page signal was received and corresponding ratings of thought discomfort. Thought discomfort, regarded as an emotional reaction to thoughts or their evaluation, was moderately associated with several forms of PD pathology, particularly Cluster C pathology. Once depression severity and trait anxiety were controlled, however, associations between PD pathology and thought discomfort were eliminated. Findings from this research generally support the mood-congruence of negatively valenced thoughts in relation to PD pathology.     

Friends and strangers: acquaintanceship, agreement, and the accuracy of personality judgment

We examined the effect of acquaintanceship on interjudge agreement in personality ratings. Approximately 150 undergraduates described their own personalities using the Q-sort. They were also described by two close acquaintances and by two "strangers" who knew them only via a single, spontaneous interaction viewed on videotape. The effect of acquaintanceship was powerful: Judgments by close acquaintances agreed with each other and with subjects' self-judgments much better than did judgments by strangers, even though strangers' judgments agreed with each other and with subjects' self-judgments beyond a chance level. This result implies that agreement among acquaintances' judgments must derive at least partly from experience with and observation of the person who is judged. The same traits that yielded better agreement among acquaintances also yielded better agreement among strangers and tended to be rated higher in subjective visibility, suggesting that people are intuitively knowledgeable about the traits they can judge with more and less agreement.     

Personality characteristics of a community sample of adolescents with conduct disorders

The Millon Adolescent Personality Inventory (MAPI) was used to compare the personality styles, expressed concerns, and behavioral correlates of a community sample of conduct-disordered (n = 13) and non-conduct-disordered (n = 137) adolescents. Structured interviews with adolescents and parents were used to classify subjects using DSM-III criteria. Significant differences were found between groups. Conduct-disordered youth reported being very critical, harsh, and not respectful of others. They tended to seek out the unpredictable and to be moody and pessimistic. They expressed a lack of confidence in school performance and dissatisfaction with family life. These results support the usefulness of self-report measurements with troubled adolescents in general, and the validity of the MAPI in particular. Implications for diagnosis and treatment are discussed.     

The Dutch HEXACO Personality Inventory: psychometric properties, self-other agreement, and relations with psychopathy among low and high acquaintanceship dyads

The HEXACO model (Lee & Ashton, 2004, 2006) of personality structure is based on 6 dimensions that have been recovered in lexical studies of personality in various languages. In this study, we examined a Dutch version of the HEXACO Personality Inventory (HEXACO-PI; Lee & Ashton, 2004) and found it to have satisfactory psychometric properties. Additionally, we examined the level of self-other agreement for the HEXACO-PI variables and the relation of HEXACO-PI Honesty-Humility with the Self-Report Psychopathy Scale (Williams, Paulhus, & Hare, 2007) at varying levels of self-other acquaintanceship. Self-other agreement was found to be high, especially among dyads with high levels of acquaintanceship. Self-reported and other-reported Honesty-Humility and Emotionality were the strongest predictors of psychopathy. The relation between other-reported Honesty-Humility and self-reported psychopathy was near zero for dyads with low levels of acquaintanceship but was moderately strong for dyads with high levels of acquaintanceship.     

Personality judgment at zero acquaintance: agreement, assumed similarity, and implicit simplicity

Previously unacquainted participants (N = 218) were assessed in small-group sessions in which they rated themselves and each other on (a) the Big Five (e.g., Costa & McCrae, 1992) and (b) an instrument assessing various traits not traditionally measured in the Big Five taxonomy as well as sociopolitical attitudes. Replicating earlier research, we obtained a significant self-stranger correlation on Extraversion; in addition, we found significant agreement on ratings of thriftiness, athleticism, traditionalism, conservatism, and attractiveness. Assumed similarity correlations were substantial for Neuroticism, Agreeableness, and Conscientiousness; furthermore, consistent with previous findings, there was a strong inverse relation between agreement and assumed similarity across the assessed characteristics. Finally, the correlations between Neuroticism, Openness, Agreeableness, and Conscientiousness were significantly greater in the strangers' ratings than in the self-ratings, indicating that these peer judgments are less complex. We also compared our Big Five findings with those from previous samples of varying acquaintanceship; these analyses indicated that the strangers' ratings were characterized by lower levels of self-other agreement (for all traits except Extraversion) and somewhat higher levels of assumed similarity (for ratings of Neuroticism and Agreeableness).     

Personality and mood correlates of avoidant personality disorder

Avoidant personality disorder (APD) has been recognized as prevalent and clinically important; however, it is not clear how APD maps onto established personality and mood dimensions. In this cross-sectional survey study, 365 college students completed questionnaires assessing APD features and theoretically relevant personality and mood dimensions. Based on these self-report data, 6.6% may meet DSM-IV criteria for APD. Hierarchical regression analyses showed that APD features were associated with introversion, neuroticism, low self-esteem, and pessimistic expectancies. Additionally, APD features were linked with self-reports of elevated emotional responsiveness to threats and reduced emotional responsiveness to incentives (the behavioral inhibition system and behavioral activation system scales). After controlling for the effects of other personality, temperament, and cognitive measures, affective distress (i.e., anger, anxiety, and depression) was no longer related to APD. Results are consistent with APD models that emphasize the joint influences of emotional vulnerability and social-cognitive triggering and sustaining factors.     

Level of agreement between self and spouse in the assessment of personality pathology

Informant reports can provide important information regarding the presence of pathological personality traits, and they can serve as useful supplements to self-report instruments. Ratings from a spouse may be a particularly valuable source of personality assessment because spouses are very well acquainted with the target person, have typically known the person for a long time, and witness behaviors across a variety of situations. In the current study, self- and spouse report measures based on the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) personality disorder criteria were collected from a nonclinical sample of 82 couples (N = 164). Agreement between self- and spouse report for several pathological personality factors was significant and somewhat higher than has been found for self and peer agreement. Nevertheless, the magnitude of self-spouse agreement was still moderate in size (mean r = .36). Findings are discussed with regard to using spouse report in the assessment of personality pathology.     

The burden of disease among adolescents with personality pathology: quality of life and costs

In adults, personality disorders are associated with a low quality of life and high societal costs. To explore whether these findings also apply to adolescents, 131 adolescent patients were recruited from a mental health care institute in The Netherlands. Axis I and Axis II disorders were diagnosed using semi-structured interviews. The EuroQol EQ-5D was used to measure quality of life and costs were measured by the Trimbos and Institute for Medical Technology Assessment Questionnaire on Costs Associated with Psychiatric Illness. The mean EQ-5D index value was 0.55. The mean direct medical cost in the year prior to treatment was €14,032 per patient. The co-occurrence of Axis I and Axis II disorders was a significant predictor of a low quality of life. Direct medical costs were higher for the depressive personality disorder. This study shows that the burden of disease among adolescents with personality pathology is high. This high burden provides evidence to suggest that further research and development of (cost-)effective treatment strategies for this population may be worthwhile.     

Asymmetry in self-other agreement on attachment style among romantic partners

This research reports about asymmetrical relations in self-other ratings of attachment style. Specifically, results showed that romantic partners hold relatively accurate perceptions of each other’s attachment styles with one exception: women’s ability to judge their male partner’s level of attachment-related anxiety was compromised compared with the other agreement indices measured. The effect was not moderated by acquaintanceship length or relationship satisfaction, but it was affected by men’s interpersonally oriented self-control. The findings appear to reflect men’s reluctance from appearing anxious to their female partners and from the nature of the anxiety dimension of attachment. Anxiety (as compared with avoidance) has a less consistent interpersonal behavioral manifestation and thus is more concealable among those motivated and capable of doing so.     

Personality in DSM-5: helping delineate personality disorder content and framing the metastructure

The transition from the Diagnostic and Statistical Model of Mental Disorders (4th ed., text revision [DSM-IV-TR]; American Psychiatric Association, 2000 ) to the fifth edition (DSM-5) represents an unprecedented opportunity to integrate dimensional personality trait models into the official nosology. Not surprisingly, a variety of issues have arisen in contemplating this challenging integration. In this article, we address how a dimensional personality trait model could be a helpful component of DSM-5, from the perspective of our roles as work group members and advisors involved in the creation of a trait model and corresponding assessment instrument. We focus in particular on two potential roles for a trait model in DSM-5 that are under official consideration. First, a dimensional personality trait model might be helpful in delineating the content of personality disorders. Second, a trait model might assist in organizing the "metastructure" of DSM-5 (i.e., the arrangement of chapters and other broader classificatory rubrics).     

Externalizing pathology and the five-factor model: a meta-analysis of personality traits associated with antisocial personality disorder, substance use disorder, and their co-occurrence

In this meta-analysis we examined Five-Factor Model of personality (FFM) characteristics of externalizing disorders. Two pathologies, Antisocial Personality Disorder (APD) and Substance Use Disorder (SUD), have significant levels of co-occurrence that may be due to shared personality traits. Results from 63 samples (N = 15,331) were analyzed in order to summarize and compare five-factor results for APD, SUD, and co-occurring APD/SUD. Shared and unique personality features were identified at both the domain and the facet level of the FFM. Moderation analyses indicated that sample source (clinical versus community) and diagnosis (psychopathy versus DSM-based APD) accounted for some of the variability at the domain level. Results are discussed with respect to personality and externalizing disorders.     

Reconceptualizing personality pathology in DSM-5: limitations in evidence for eliminating dependent personality disorder and other DSM-IV syndromes

The DSM-5 Personality and Personality Disorders Workgroup proposed that five DSM-IV personality disorders be eliminated as formal diagnostic categories (paranoid, schizoid, histrionic, narcissistic, and dependent), because these syndromes purportedly have low clinical utility and minimal evidence for validity. Scrutiny of studies cited in support of this proposal reveals difficulties in three areas: (1) Inadequate information regarding parameters of the literature search; (2) Mixed empirical support for proposed changes; and (3) Selective attention to certain disorders and not others. Review of validity and clinical utility data related to dependent personality disorder indicates that evidence regarding this syndrome does not differ from that of syndromes proposed for retention in DSM-5. Limitations in the research base cited by the workgroup illuminates gaps in the personality disorder literature, and may serve as a starting point for systematic research on personality pathology so that adequate empirical data are available to decide which syndromes to retain, revise, or remove in future versions of the diagnostic manual.     

The impact of parenting on conduct disorder in Jamaican male adolescents.

The present study examined the feasibility of using a new theoretical model to determine the association between parenting factors and conduct disorder in Jamaican male adolescents. The issues are discussed within the framework of family, peer group, and biological factors associated with conduct disorder.