The association between psychopathic personality traits and health-related outcomes

Purpose

Psychopathy and psychopathic personality traits (PPT) have been linked to a long list of negative life outcomes. To date, however, few studies have provided a systematic analysis of whether psychopathic personality traits contribute to increased health burden. The current study was designed to address this gap in the literature.

Method

This study analyzed data from the National Longitudinal Study of Adolescent Health and employed a measure of PPT derived from the five-factor model of personality. Analyses were conducted using OLS, logistic, and Poisson regression techniques.

Results

The results revealed that relatively higher scores on psychopathic personality traits were associated with a slight increase in a wide range of negative health outcomes. These significant associations were detected for both males and females.

Conclusions

We speak to the importance of these findings for the potential to reduce health burden among psychopaths and those who score relatively high on measures of psychopathic personality traits.     

Emotional Intelligence: Painting Different Paths for Low-Anxious and High-Anxious Psychopathic Variants

Psychopathic individuals may be disaggregated into low-anxious (emotionally stable “primary psychopaths”) and high-anxious (emotionally disturbed “secondary psychopaths”) variants that may differ in their capacity for adaptive behavior. In turn, the skills encompassed by emotional intelligence (EI) predict social and business success. Based on a sample of 188 male undergraduates, we evaluate the performance of low-anxious psychopathic, high-anxious psychopathic, and low psychopathic comparison groups on a measure of EI. High-anxious psychopaths manifested significantly lower EI than the other two groups, particularly with respect to managing emotions and facilitating thoughts. In contrast, low-anxious psychopaths manifested intact EI, with skill in facilitating thoughts. High-anxious (but not low anxious) psychopaths were more likely than low psychopathic comparisons to manifest violence. These results are consistent with the notion that primary psychopaths have greater capacity to attain success in traditional society than secondary psychopaths, and invite a direct test of this hypothesis in future research.     

The genetic origins of psychopathic personality traits in adult males and females: Results from an adoption-based study

Purpose

Research has consistently revealed that measures of psychopathy and psychopathic personality traits represent some of the most consistent predictors of violent criminal involvement. As a result, there has been a considerable amount of interest in trying to identify the various etiological factors related to psychopathy. The current study builds on this existing body of literature by examining the genetic foundations to psychopathic personality traits.

Methods

An adoption-based research design is used to estimate genetic effects on psychopathic personality traits. Adoptees are drawn from the National Longitudinal Study of Adolescent Health.

Results

Analyses revealed that having a biological criminal father was related to psychopathic personality traits for male adoptees, but not for female adoptees. For males, having a criminal biological father increased the odds of scoring in the extreme of the psychopathic personality trait scale by a factor ranging between 4.3 and 8.5. However, there was no association between having a biological criminal mother and psychopathic personality traits for adoptees.

Conclusions

Psychopathic personality traits are transmitted from father-to-offspring due to genetic reasons.     

More than meets the eye: the role of psychopathic traits in attention to distress

ABSTRACT

Although psychopathic traits have long been associated with predation and violence, it is unclear how individuals high in psychopathic traits choose victims. Victim selection and violence perpetration may be facilitated by attention to, or unawareness of, distressful facial expressions. Using a novel eye-tracking paradigm, the present study aimed to identify whether psychopathic traits are associated with unconscious attentional biases to expressions of distress. A sample of 138 undergraduates (23 males, 115 females, M_age?=?20.4) viewed 80 paired images portraying a neutral, and authentic expression of either fear, pain, embarrassment, startle, or sadness. Psychopathic traits did not predict initial orientation to distressing over neutral expressions. However, callous-affective traits negatively predicted attentional maintenance to expressions of embarrassment and pain, whereas criminal tendencies and erratic lifestyle positively predicted attentional maintenance to embarrassment and pain, respectively. Findings offer insight into perceptual processing of others’ distress, with implications for violence and victim selection.     

Psychological distress and severity of personality disorder symptomatology in prisoners convicted of violent and sexual offences

Abstract

Background: There have been recent proposals in England and Wales to develop services aimed at reducing the risk to the public posed by offenders with so-called “severe personality disorder”. The emphasis of the proposals is on risk. However, prisoners with personality disorder may have psychiatric treatment needs other than those purely relating to public protection. The aim of the study was to examine the association between severity of self reported personality disorder pathology and psychological distress in serious offenders.

Method: All male prisoners in two prisons, convicted of violent or sexual offences, were sent the Personality Diagnostic Questionnaire 4+(PDQ?4+) and the Symptom Checklist 90-R (SCL-90-R).

Results: High levels of self reported personality pathology were associated with high levels of psychological distress.

Conclusions: Offenders with the most severe self reported personality disorder pathology experience distress that may be clinically significant. Services for offenders with personality disorder will need to address their associated psychiatric symptoms.     

Examining the relationship among substance abuse, negative emotionality and impulsivity across subtypes of antisocial and psychopathic substance abusers

Growing evidence suggests that individuals with Antisocial Personality Disorder (ASPD) can be categorized into theoretically meaningful subtypes. This study builds on earlier cluster-analytic research (Poythress et al., 2010) that identified four subtypes of ASPD in a large sample of prison inmates and offenders ordered into mandatory substance abuse treatment. These four subtypes (primary, secondary, and “fearful” psychopathic and non-psychopathic ASPD) differed in theoretically important ways on various criterion measures. Of those participants in substance abuse treatment (N = 571), we compare the four clusters, as well as non-ASPD substance abusers, in terms of (a) the severity of their self-reported alcohol and drug problems and (b) whether the severity of their substance abuse is predicted by similar etiologically important correlates (i.e., negative emotionality, impulsivity). There were modest subgroup differences in abuse, although as expected secondary psychopaths reported more severe misuse than primary psychopaths. Associations between impulsivity and negative emotionality and drug use for the total sample were in the expected direction, though relatively modest in magnitude. Unexpectedly, these associations were weaker among psychopathic subtypes relative to the non-psychopathic subgroups. These findings suggest that the etiology of drug use may differ across subgroups of chronically antisocial individuals.     

Antisocial personality disorder comorbid with borderline pathology and psychopathy is associated with severe violence in a forensic sample

Background: Evidence suggests the relationship between personality disorder (PD) and violence in offenders might be clarified by considering sub-groups of PD offenders defined by patterns of PD comorbidity. Aim: to identify patterns of PD comorbidity associated with severe violence, defined by its severity, quantity and age of onset (Violence Index: VI) in a forensic sample of 100 PD offenders. Methods: Correlations were first computed between VI and a range of personality and criminological variables; next, patients with antisocial/borderline comorbidity were compared with other PD patients; finally, regression analysis was conducted to identify unique predictors of VI. Results: The antisocial deviance factor of psychopathy and antisocial/borderline comorbidity were each significantly and independently associated with severe violence. Patients showing both a high psychopathy score and antisocial/borderline comorbidity had a significantly greater VI than those without these characteristics. Conclusion: PD patients with high psychopathy co-occurring with borderline and antisocial PDs show a criminal profile characterised by a high degree of serious violence.     

Psychopathy and intelligence in high-risk violent women

There has been a longstanding debate and mixed evidence on the link between psychopathy and intelligence. Most of the existing research comes from male prisoners, with the literature on female psychopathy and intelligence remaining sparse. Thus, the current study explored the correlational association between psychopathy and intelligence in a sample of high-risk violent female offenders. This is the first study of its kind from the Offender Personality Disorder (OPD) pathway for women in the United Kingdom (UK). The sample includes high-risk violent women presenting with severe personality disorder. In the present study, we conducted a correlational examination between total scores, and the 2-factor and 4-facet structure of the Psychopathy Checklist-Revised (PCL-R) with intelligence using the Wechsler Adult Intelligence Scale (WAIS). No significant associations were found between total PCL-R scores, or factor 2, and intelligence. Positive associations were found between verbal comprehension and factor 1 and the interpersonal facet. Thus, the results suggest high-risk violent female offenders with interpersonal psychopathic traits demonstrate higher levels of verbal comprehension skills. This finding may help explain why psychopathic female offenders, who can be characterized by deceitful and egocentric behaviours, may be able to successfully charm and con others for their own personal gain.     

Examining the relationships between sub-clinical psychopathic traits with shame,guilt and externalisation response tendencies to everyday transgressions

Although many theories of psychopathy include reference to some form of emotional deficit, surprisingly little research has examined the relationships between psychopathic traits and important self-conscious moral emotions such as shame and guilt. The present study sought to examine these relationships in a sub-clinical sample, taking into account the important theoretical differences between the two emotions. Participants (N = 739) completed a measure of psychopathic traits and a measure of self-conscious affect style. Both primary and secondary psychopathic traits were found to be inversely related to guilt-proneness; however, the effect size was greater for primary psychopathic traits. Primary psychopathic traits were unrelated to shame-proneness, while secondary psychopathic traits were positively related to shame-proneness. Both primary and secondary traits were positively related to externalisation; however the effect size was greater for primary over secondary traits. The findings provide support for affective differences between psychopathy variants.     

Psychopathic personality traits,intelligence, and economic success

A wealth of research has revealed that psychopathy and psychopathic personality traits are associated with criminal involvement. Comparatively less research, however, has examined whether psychopathic personality traits influence economic outcomes in adulthood. The current study addresses this gap in the literature by analyzing data drawn from the National Longitudinal Study of Adolescent Health. The results of the analyses indicate that psychopathic personality traits are negatively related to a number of economic outcomes, including household income and employment history measures. Individuals with high levels of psychopathic personality traits were found to have lower household incomes and to be fired more frequently than individuals with lower levels of psychopathic personality traits. Unexpectedly, psychopathic personality traits were also found to be negatively associated with household debt. There was also some evidence that the effect of psychopathic personality traits was moderated by intelligence in the prediction of household income. We discuss what these findings mean for the psychopathy and economics literatures.     

Ethnic differences in the relationship between psychopathy and (re)offending in a sample of juvenile delinquents

The present study focused on the relationship between psychopathy and delinquency in a multiethnic sample of juvenile offenders (N=207, n=105 native Dutch, and n=102 immigrants) referred to a treatment program. Aims were (1) to examine the cross-ethnic equivalence of the Antisocial Process Screening Device (APSD); (2) to compare the mean levels of psychopathic traits in native Dutch and immigrant juvenile delinquents and (3) the strength of the associations between psychopathic traits and delinquency in both the native Dutch and immigrant samples. Measurement invariance was established for APSD factors assessing callous-unemotional (CU) traits and impulsivity. However, there were ethnic differences in the factor structure of narcissism. No differences were found between ethnic groups in mean levels of CU traits and impulsivity. Finally, the association between impulsivity and self-reported delinquency was stronger for native Dutch than for immigrant juveniles. Further research is needed in order to make the treatment of juvenile delinquents with psychopathic traits in ethnic minority groups more effective according to the specific needs of these juveniles.     

Psychopathic Personality and Negative Parent-to-Child Affect: A Longitudinal Cross-lag Twin Study

Purpose

Previous studies that have explored the relationship between parenting style and children’s antisocial behavior have generally found significant bidirectional effects, whereby parenting behaviors influence their child’s antisocial outcomes, but a child’s behaviors also lead to changes in parenting style.

Methods

The present study investigated the genetic and environmental underpinnings of the longitudinal relationship between negative parent-to-child affect and psychopathic personality in a sample of 1,562 twins. Using a biometrical cross-lag analysis, bidirectional effects were investigated across two waves of assessment when the twins were ages 9-10 and 14-15, utilizing both caregiver and youth self-reports.

Results

Results demonstrated that negative parental affect observed at ages 9-10 influenced the child’s later psychopathic personality at ages 14-15, based on both caregiver and youth self-reports. For these ‘parent-driven effects’, both genetic and non-shared environmental factors were important in the development of later psychopathic personality during adolescence. There were additional ‘child-driven effects’ such that children’s psychopathic personality at ages 9-10 influenced negative parent-to-child affect at ages 14-15, but only within caregiver reports.

Conclusions

Thus, children’s genetically influenced psychopathic personality seemed to evoke later parental negativity at ages 14-15, highlighting the importance of investigating bidirectional effects in parent-child relationships to understand the development of these traits.     

人与人格分离技术的形成、发展与变迁——兼论德国民法中的权利能力

人格是特定社会的准入条件,因而生物人与法律人的分离,乃是法律人格制度的基本模式。这个模式中核心的要素,就是法律人格的“适格判断”的标准。在法律文明的早期,血缘、地域、财产等身份要素,充当着法律人格的判别标准,由此所引起的身份人格必然带有不平等的色彩。近代法律人格的基本特点,就是个人的伦理属性成为了法律人格的适格标准,由此奠定了近代法律人人平等的基础。《德国民法典》上的“权利能力”概念,是由实定法所界定的法律人格的适格条件,这一实定法上的概念,仍然是建立在关于人的伦理性判断的基础之上的。     

Psychopathic personality and utilitarian moral judgment in college students

Purpose

Although psychopathy is characterized by amoral behavior, literature on the association between psychopathy and moral judgment pattern is mixed. Recent evidence suggests that this may be due to the moderation effect of anxiety (Koenigs, Kruepke, Zeier, & Newman, 2011). The current study aims to examine the psychopathy-utilitarian judgment association in college students.

Method

In this study, a group of 302 college students completed a moral judgment test involving hypothetical dilemmas. Their psychopathic traits were assessed by the Psychopathic Personality Inventory – Short Form (PPI-SF) (Lilienfeld & Andrews, 1996).

Results

Individuals with higher psychopathic traits were more likely to make utilitarian responses to moral dilemmas. Furthermore, the association between utilitarian responses and psychopathy was more salient for the behavioral factor of psychopathy (PPI-II), and this association was mediated by self-reported aggression. However, the moderating effect of anxiety was not found.

Conclusions

These results build upon work on utilitarian moral judgment in psychopathic individuals in a non-incarcerated, non-institutionalized sample, and have important implications for the behavioral correction system.     

Psychopathy and Recidivism Among Female Inmates

Despite a plethora of studies investigating psychopathy among male offenders, little is known about the applicability of this construct to female populations. Research has shown that prevalence rate, symptom presentation, and diagnostic comorbidity differ for females as compared to males. The current study is the first to examine the relationship between psychopathy and recidivism among women. Recidivism data on a sample of 78 female inmates were examined at a 1-year interval in relation to the Psychopathy Checklist-Revised (PCL-R), inclusion criteria for the Antisocial Personality Disorder Diagnosis from the Personality Disorder Examination (PDE), and selected scales from the Personality Assessment Inventory (PAI; Antisocial and Aggression scales). The egocentricity subscale of the PAI, Factor 1 of the PCL-R, and the verbal aggression subscale of the PAI were the best predictors of future recidivism. Specific differences emerged between male and female offenders when comparing the present data with previous studies of male psychopaths.     

TRAITS AND STATES: INTEGRATING PERSONALITY AND AFFECT INTO A MODEL OF CRIMINAL DECISION MAKING*

We propose and test a model of criminal decision making that integrates the individual differences perspective with research and theorizing on proximal factors. The individual differences perspective is operationalized using the recent HEXACO personality structure. This structure incorporates the main personality traits, but it carries the advantage of also incorporating Self‐Control within its personality sphere, and an additional trait termed Honesty‐Humility. Furthermore, the model offers a new perspective on proximal predictors, “states,” of criminal decisions by adding affect (i.e., feelings) to the rational choice–crime equation. The proposed model is tested using scenario data from a representative sample of the Dutch population in terms of gender, age, education level, and province (N = 495). As predicted by the model, personality was both directly and indirectly related to criminal decision making. Specifically, the traits Emotionality, Self‐Control, and Honesty‐Humility were mediated by both affect and rational choice variables. Conscientiousness operated only indirectly on criminal decision making via rational choice. Together, the findings support a trait‐state model of criminal decision making.     

A multidimensional scaling analysis of the Hare PCL-R: Unfolding the structure of psychopathy

Abstract

Recent studies examining the Psychopathy Checklist – Revised (PCL-R) have argued for a range of factorial solutions to describe and explain the dimensions of psychopathy. This study details an empirical analysis of North American PCL-R data for 4630 male offenders, using multidimensional scaling (MDS) as a non-linear alternative to factor analysis. The emergent structure of Hare's psychopathy psychometric can be interpreted in more than one way and at different levels of specificity. The multidimensional scalograms reveal a set of facets consistent with the two- and four-factor solutions that emerge from the same data. Equally the structure of the PCL-R can be interpreted through personality theory as a set of core traits and behavioural manifestations, consistent with an evolutionary basis for psychopathic tendencies. These analyses provide support for a multidimensional structure within the PCL-R, and suggest that psychopathy can be viewed as an extreme variant of multiple dimensions of personality.     

Rejoinder—Personality and crime: Toward knowledge construction

In his response to “Personality and Crime,” Professor Gibbons took issue with several of our specific points. Several of these points are reviewed in this rejoinder, and we list our rationalizations for naming names (or for what Gibbons calls our “verbal thumping” of individual criminologists). More important, we find that Gibbons agrees on the need for a self-consciously “social” criminology to display greater respect for both evidence and human diversity. The paper closes with a specification of the criterion variable within the psychology of crime and with an appeal for an openness to the full range of potential covariates of that criterion variable, be they biological, personal, or social.