Psychopathy as Predictor and Moderator of Multisystemic Therapy Outcomes among Adolescents Treated for Antisocial Behavior

Objective

The aim of the present study was to determine whether psychopathic traits act as a predictor and/or moderator of the effectiveness of Multisystemic Therapy (MST).

Method

The sample included N?=?256 adolescents (188 boys and 68 girls) referred for conduct problems, randomized to MST or Treatment As Usual (TAU). The mean age was 16 years (SD?=?1.31). Assessments were carried out before and immediately after treatment (6 months later). Three psychopathic traits (callous/unemotional traits, narcissism, and impulsiveness) were assessed with parent reports. Adolescents and parents were informants on externalizing problems.

Results

MST was more effective than TAU in decreasing externalizing problems for the “lower callous/unemotional” and “lower narcissism” group, but not for the “high callous/unemotional” and “high narcissism” group (moderators). Impulsiveness was found to predict more post-treatment externalizing problems rated by adolescents (predictor), but not more post-treatment externalizing problems rated by parents.

Conclusions

These findings point out the clinical relevance of adequately assessing psychopathic traits in adolescents referred for treatment of antisocial behaviour, and identifying those adolescents who show high levels of these traits. It is important to tailor MST specifically to meet the needs of juveniles with high levels of callous/unemotional traits and high levels of narcissism to obtain the same level of effectiveness as with juveniles scoring lower on these traits.     

Xenophobia and Tolerance Toward Immigrants in Adolescence: Cross-Influence Processes Within Friendships

To what extent do adolescents and their friends socialize each others’ attitudes toward immigrants? Can friends’ positive attitudes toward immigrants counter adolescents’ negative attitudes toward immigrants, and do friends’ negative attitudes decrease adolescents’ positive attitudes? These questions were examined by following a large (N?=?1,472) friendship network of adolescents (49.2 % girls; M _age?=?13.31 at first measurement) across three annual measurements. Selection and influence processes regarding tolerance and xenophobia were distinguished with longitudinal social network analyses, controlling for effects of age, gender, and immigrant background. Findings showed that friends’ tolerance predicted increases in adolescents’ tolerance and friends’ xenophobia predicted increases in adolescents’ xenophobia. Moreover, friends’ tolerance predicted a lower likelihood of adolescents’ xenophobia increasing. The current results suggest that interventions should distinguish between tolerance and xenophobia, as these appear to represent two separate dimensions that are each influenced in specific ways by friends’ tolerance and xenophobia.     

Threat and Right‐Wing Attitudes: A Cross‐National Approach

Threat relates to right‐wing ideological attitudes at the individual level. The present study aims to extend this relationship to the national level. More specifically, in a sample of 91 nations, we collected country‐level indicators of threat (including inflation, unemployment, gross national product, homicide rate, and life expectancy). Moreover, we analyzed data from the European and World Value Survey (total N = 134,516) to obtain aggregated country‐level indicators for social‐cultural and economic‐hierarchical right‐wing attitudes for each of these countries. In accordance with previous findings based on the individual level, a positive relationship between threat indicators and right‐wing attitudes emerged. This relationship was stronger than what was usually reported at the individual level. In the discussion, we focus on the mutually reinforcing influence at the individual and national levels in terms of right‐wing attitudes.     

The seriousness of crime: A study of popular morality

This article reports the findings from a study that explored how lay people determine the seriousness of criminal offenses. While previous research on this topic has assumed that the perceived seriousness of crimes was primarily determined by differences in physical injury and economic loss, the results of this study indicate that offense seriousness is also affected by judgments subjects make about intent, motive, purpose, “fair play”, and “real harm”.     

Deviance among professionals: The case of unnecessary surgery

This paper conceptualizes unnecessary surgery as a form of professional deviance and seeks to conduct a substantial review of the literature on the subject from that perspective. Borrowing from the very nature of professions, one may define deviance among professionals in terms of violating the public service norm. The role that expertise plays in establishing what conduct is deviant is illustrated. The effects of professional autonomy on observing and measuring deviance are explored. Finally, the research findings on unnecessary surgery are summarized. The resulting patterns suggest that applying more traditional theories of deviance to account for the phenomenon may be fruitful.     

Happy but still focused: failures to find evidence for a mood-induced widening of visual attention

In models of affect and cognition, it is held that positive affect broadens the scope of attention. Consistent with this claim, previous research has indeed suggested that positive affect is associated with impaired selective attention as evidenced by increased interference of spatially distant distractors. However, several recent findings cast doubt on the reliability of this observation. In the present study, we examined whether selective attention in a visual flanker task is influenced by positive mood induction. Across three experiments, positive affect consistently failed to exert any impact on selective attention. The implications of this null-finding for theoretical models of affect and cognition are discussed.     

The Broaching Attitudes and Behavior Survey (BABS): An Exploratory Assessment of Its Dimensionality

The continuum of broaching behavior is a conceptual framework explicating how counselors broach or have explicit discussions about racial, ethnic, and cultural factors with their clients during treatment ( Day‐Vines et al., 2007 ). Counselors can assume 5 particular broaching orientations: avoidant, isolating, continuing/incongruent, integrated/congruent, and infusing. The authors operationalized the continuum of broaching behavior using the Broaching Attitudes and Behavior Scale and found support for a 4‐factor model of broaching behavior. El espectro de comportamiento de abordamiento es un marco conceptual que explica cómo los consejeros abordan o tienen discusiones específicas sobre factores raciales, étnicos y culturales con sus clientes durante el tratamiento ( Day‐Vines et al., 2007 ). Los consejeros pueden asumir 5 orientaciones de abordamiento particulares: evasiva, aislante, continua/incongruente, integrada/congruente e infundida. Los autores operativizaron el espectro de comportamiento de abordamiento usando la Escala de Actitudes de Abordamiento y Comportamiento y hallaron respaldo para un modelo del comportamiento de abordamiento de 4 factores.     

Examining direct and indirect pathways to health behaviour: The influence of cognitive and affective probability beliefs

This study aimed to extricate the influence of rational (e.g. ‘I think …’) and intuitive (e.g. ‘I feel …’) probability beliefs in the behavioural decision-making process regarding skin cancer prevention practices. Structural equation modelling was used in two longitudinal surveys (sun protection during winter sports [N?=?491]; sun protection during summer [N?=?277]) to examine direct and indirect behavioural effects of affective and cognitive likelihood (i.e. unmediated or mediated by intention), controlled for attitude, social influence and self-efficacy. Affective likelihood was directly related to sun protection in both studies, whereas no direct effects were found for cognitive likelihood. After accounting for past sun protective behaviour, affective likelihood was only directly related to sun protection in Study 1. No support was found for the indirect effects of affective and cognitive likelihood through intention. The findings underscore the importance of feelings of (cancer) risk in the decision-making process and should be acknowledged by health behaviour theories and risk communication practices. Suggestions for future research are discussed.