Psychopathy: A psychobiological perspective

After critically examining the concept of psychopathy and reviewing the major existing theories of psychopathy in the light of a psychobiological conception of abnormal behaviour (Öhman, 1981), this paper attempts to present an integrated, psychobiological model of psychopathy. Essentially this analyses psychopathy in terms of the predisposing influences, the triggering environmental events which initiate psychopathic behaviour, and the neurophsychological mechanisms which mediate it. It is suggested that individuals who show chronic antisocial behaviour, conforming to the North American term ‘sociopath’, may demonstrate a maturational deficit but do not necessarily show a psychopathic personality disorder. The latter is said to be characterised, at a personality trait level, by high Impulsiveness and Psychopathy (Blackburn, 1982 a, b), reflecting interactive deficits in goal direction and affect. At a dynamic (state) level, a psychopathic personality disorder is said to be characterised by a lack of coping, reflecting either, in the case of the secondary psychopath, a deficit in primary appraisal, (over-perception of threat), or in the case of the primary psychopath, a deficit in secondary appraisal (low perceived control over aversive environmental events). It is further suggested that a genetic predisposition to social withdrawal and exposure to an uncontrollably aversive early environment may interact to predispose an individual to develop a psychopathic personality disorder in adulthood.