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.     

Collateral report of psychopathy: convergent and divergent validity of the psychopathic personality inventory-short form

Psychopathy is a personality syndrome comprised of interpersonal, affective, and behavioral features that has emerged as a correlate of intimate partner violence perpetration. One commonly used self-report measure of psychopathy is the Psychopathic Personality Inventory-Short Form (PPI-SF). The current study employed a multi-trait, multi-method approach to test convergent and discriminant validity of the measure in partner-violent couples by comparing males’ self-report of psychopathy to the informant report of their female partner (N = 114). It was hypothesized that the female partner report of the male’s psychopathy would be highly correlated with the male report of his own psychopathy, thus providing evidence for the construct validity and interrater reliability of the PPI-SF. Analyses found that male and female reports were correlated significantly on the two major factors of the PPI-SF. Furthermore, the female report explained a significant amount of variance over and above men’s self-report on PAI scales designed to indicate antisocial personality traits.     

Assessing psychopathy in young people: the validity of the Psychopathic Checklist: Youth Version for a sample of Spanish offenders

In this study, we assessed the validity of the Psychopathic Checklist: Youth Version (PCL:YV) in a Spanish sample of juvenile court-involved youths. Although recent Anglo-Saxon literature on the topic supports the usefulness of psychopathic traits in adolescent offenders for predicting recidivism and future violence, little is still known about their predictive ability for other cultures. The results of this study suggest that the PCL:YV possesses adequate concurrent criterion-related validity (by using self-reported version of Antisocial Process Screening Device) and retrospective validity (particularly as regards the antisocial, but also the affective–interpersonal domain). Specifically, retrospective validity was confirmed by positive correlations with history of truancy at school, poor parenting, parental delinquency, self-reported antisocial behaviour and illicit behaviour patterns including violent offences recorded in official files; however, careful analysis revealed that the Lifestyle and Antisocial factors are the main dimensions related to past offences, whether violent or otherwise. In conclusion, the PCL:YV is a convenient instrument for assessing psychopathy, and, hence, the risk of criminality, in youths.     

The "untreatability" of psychopathy and hospital commitment in the USA

One argument in support of a public policy of not subjecting persons with psychopathic disorders to civil or criminal commitment is that these disorders do not improve with treatment. This article examines the relationship between the assumption of untreatability of psychopathic disorders and outpatient civil commitment, inpatient civil commitment, and insanity acquittee commitment. Research on the treatability of psychopathy is reviewed and the treatment of conditions co-morbid with psychopathy is considered. Research evidence is insufficient to support the conclusion that psychopathy is improved, worsened or not affected by treatment. Evidence does support effective treatments for conditions that can be co-morbid with psychopathic disorders including impulsive aggression which can be interpreted as a manifestation of psychopathic disorder.The absence of evidence based treatment efficacy for psychopathic disorders is a logical reason for not subjecting individuals with only a psychopathic disorder to involuntary hospitalization. This assumption should not becloud the possibility of treatable co-morbid conditions which may or may not qualify for involuntary hospitalization. Where the primary mental disorder, for which an individual is involuntarily hospitalized, results in behavioral improvement, the continued presence of a psychopathic disorder itself, should not be sufficient reason to continue coerced confinement. Even so, where the primary disorder is incompletely treated, psychopathy can be considered a risk factor when deciding upon the appropriate time for discharge and when formulating a safe and effective after care plan.     

Juror decision making for juveniles tried as adults: the effects of defendant age,crime type,and crime outcome

This study examined the influences of the crime type (person or property) and the crime outcome (mild or severe) on mock jurors’ verdict and sentencing decisions for adult defendants and juvenile defendants tried as adults. Jurors read a trial summary depicting a defendant charged with aggravated robbery or second-degree burglary. The crimes had either mild or severe damage inflicted on the person or property, and the defendant's age was presented as 14 or 24. Neither the defendant age nor the crime outcome affected jurors’ verdicts; however, jurors were more likely to convict a defendant charged with a crime against a person. Jurors recommended longer sentences for an adult defendant, a defendant charged with a crime against a person, and a defendant charged with a crime with a severe outcome. The discussion explored these outcomes and the role of bias in jurors’ perceptions of defendants.     

Attempted Serial Neonaticides: Case Report and a Brief Review of the Literature

Neonaticide is an infant murder occurring on the day of birth. The case reports found in the literature are often focused on the mother as the agent in the context of pregnancy denial, dissociative symptoms, or psychosis. However, this report describes a rare case of attempted serial neonaticides, in which the acts were committed by a nurse at the nursery of a referral hospital in Brazil. The authors describe a forensic psychiatric evaluation for criminal responsibility and correlate the information from this particular case with relevant forensic themes, namely neonaticide, Munchausen by proxy syndrome, and serial healthcare killers.     

The inverse relation between psychopathy and faking good: not response bias,but true variance in psychopathic personality

The possibility to assess psychopathy through self-report is debated, amongst others, because psychopathic individuals may deliberately underreport psychopathic features (fake good). Meta-analytic research has shown an inverse relation between faking good and self-reported psychopathy, possibly indicating that faking good lowered psychopathy scores (response bias). Low faking good scores, could, however, also reflect true variance in psychopathic personality to the extent that it reflects a disregard of social conventions. Through a secondary analysis (n = 675), we show that controlling for faking good significantly weakens, rather than strengthens, the associations between psychopathy scores and antisocial behavior (alcohol and drug abuse, indirect aggression, and delinquency). These findings indicate that the inverse relation between faking good and self-reported psychopathy reflects true variance in psychopathy personality (i.e. low social desirability), not a response bias.     

The influence of pretrial exposure to community outrage and victim hardship on guilt judgments

Although the courts have explicitly expressed concerns about the effects of public sentiment on juries in highly publicized cases, no research has isolated the degree to which jurors’ exposure to community outrage and/or prospective social interactions in the community independently influence judgments of guilt. In the current research, jury eligible undergraduates were randomly assigned to conditions in a 2 (negative defendant facts pretrial publicity (PTP): present vs. absent)?×?2 (community outrage PTP: present vs. absent)?×?2 (anticipated social interaction: present vs. absent) between subjects factorial design. In an online session, participants read articles containing PTP (or not), and two days later they arrived at the lab to serve as mock jurors in a murder case – before the trial they were instructed (or not) that they would interact with people from the community in which the case was taking place. Neither PTP containing extra-evidentiary facts about the defendant nor prospective interaction with the community had main or interactive effects on guilt measures; however, mock jurors rated the defendant as more likely to be guilty when they read information about community outrage and hardships on victims. These findings suggest future avenues of PTP research focusing on community outrage and victim impacts.     

Examining psychopathy from an attachment perspective: the role of fear of rejection and abandonment

A key feature of psychopathy, a self-centered orientation towards others and a failure to truly connect, is poorly understood. The attachment framework can be used to examine underlying interpersonal mechanisms. Because of the overall failure to connect, we anticipated, and found, in a large undergraduate sample (n?=?1074) that both affective-interpersonal traits and impulsive-irresponsible psychopathy facets were positively related to attachment avoidance. Different dynamics may underlie this distancing from others, as evidenced by the fact that callous-unemotionality was negatively related to attachment anxiety, whereas grandiose-manipulative and impulsive-irresponsible traits were positively related to attachment anxiety. Although effect sizes were small and are of correlational nature, our results are in line with a dual deficit model that differential developmental trajectories, largely heritable callousness vs. neglecting and abusive parenting, may lead to adult psychopathy. The differentiating role of fear of rejection and abandonment for the psychopathy construct is discussed.     

The influence of processing instructions at encoding and retrieval on face recognition accuracy

Abstract

Current concerns in the U.K. about the management of dangerous severely psychopathically disordered individuals are reviewed in both historical and current contexts. Some reflections are offered on the reluctance on many professionals to engage with individuals showing this disorder.     

Participant gender,stalking myth acceptance,and gender role stereotyping in perceptions of intimate partner stalking: a structural equation modeling approach

The present research used a mock juror experiment (N = 360) to assess two primary goals: (1) to examine the direct and indirect effects of participant gender, stalking myth acceptance, and gender role stereotyping on guilt ratings in a stalking trial; and (2) to examine the role of perceived victim fear and distress, and defendant intended danger on perceptions of a stalking trial. Using structural equation modeling, we found an indirect effect of participant gender, and both direct and indirect effects of stalking myth acceptance and gender role stereotyping on guilt ratings. Men and participants who endorsed more traditional gender role stereotypes were associated with adherence to stalking myth acceptance beliefs. Endorsement of particular stalking myth acceptance beliefs offers a partial explanation for why women and men differed on perceptions of the defendant's intent to cause danger and the victim's perceived fear and distress. Results provide insight into the efficacy of current anti-stalking legislation that relies on a juror's capacity to evaluate an ‘objective’ interpretation (i.e., ‘reasonable person’) standard of fear for intimate partner stalking.     

Dangerous decisions: the impact of first impressions of trustworthiness on the evaluation of legal evidence and defendant culpability

Abstract

There is little support for the long-standing assumption that judges and jurors can accurately assess credibility. According to Dangerous Decisions Theory (DDT; Porter & ten Brinke, Legal and Criminological Psychology, 14, 119–134, 2009), intuitive evaluations of trustworthiness based on the face may strongly bias the interpretation of subsequent information about a target. In a courtroom setting, the assessment of evidence provided by or concerning a defendant may be fundamentally flawed if its interpretation is influenced by an initial, spontaneous assessment of trustworthiness. In an empirical test of DDT, participants were presented with two vignettes describing major or minor crimes, accompanied by a photograph of the supposed defendant, previously rated as highly trustworthy or untrustworthy in appearance. Participants evaluated culpability following the presentation of evidence in each case. Participants required less evidence to arrive at a guilty verdict and were more confident in this decision for untrustworthy-appearing defendants. The current evidence supports DDT and has implications for legal decision-making practices.     

Effects of genetic and environmental explanations of psychopathy and gender on perceptions of criminal behaviors

Genetic/biological evidence is increasingly introduced into courtrooms but findings regarding its impact are mixed. This study integrates research on psychopathy and the use of genetic evidence in legal contexts by considering how information on genetic causal accounts of psychopathy affect perceptions of culpability, recidivism, amenability to treatment, and sentencing severity. Perpetrator gender was examined as a moderator. Two-hundred thirty-eight undergraduates read a hypothetical violent crime vignette and mock expert testimony regarding psychopathy. The testimony included a diagnosis only, or a diagnosis plus genetic or environmental explanations of the etiology of psychopathy. Results indicated that a genetic account of psychopathy was not clearly perceived as aggravating or mitigating such that participants were more lenient in their perceptions of culpability yet more punitive in their sentencing recommendations when perpetrators were described to have genetically-caused psychopathy. An environmental account of psychopathy was mitigating but only for sentencing severity. In addition, although participants were more lenient in sentencing male and female perpetrators when provided with an environmental cause of psychopathy, participants judged male perpetrators most harshly when provided with a genetic cause of psychopathy. Implications of the relations between etiology and gender in legal decision-making are discussed.     

Predictors of sex offender treatment dropout: psychopathy,sex offender risk,and responsivity implications

Abstract

We examined sex offender treatment dropout predictors, in particular, the relationship of psychopathy and sex offender risk to treatment dropout in a sample of 154 federally incarcerated sex offenders treated in a high intensity sex offender treatment program. Demographic, criminal history, mental health and treatment-related data as well as data on risk assessment measures including the Static 99, Violence Risk Scale – Sexual Offender version (VRS-SO), and Psychopathy Checklist – Revised (PCL-R) were collected. Logistic regression and discriminant function analyses were used to identify predictors that made significant and unique contributions to dropout among all the variables under study. The Emotional facet of Factor 1 of the PCL-R and never being married were found to be the most salient predictors of treatment dropout and correctly identified about 70% of the cases. The implications of the findings for managing treatment dropout and for the treatment of psychopathic offenders are discussed.     

Comparing the effects of explicit and implicit false-evidence ploys on Mock Jurors' verdicts,sentencing recommendations,and perceptions of police interrogation

In police interrogation, an explicit false claim to have evidence raises important legal and constitutional questions. Therefore, some interrogation manuals recommend implicit false-evidence ploys (FEP) that ask suspects about potential evidence without making a direct claim to possess the evidence. Similar to the hypotheses in a recent study of implicit FEP and confession rates, we hypothesized that individuals would perceive implicit FEP as less coercive and deceptive when compared to explicit FEP that involve direct claims of false evidence. Although mock jurors rated all FEP as highly deceptive and coercive and as more deceptive than controls, we found that participants did not view implicit and explicit FEP differently and that ploy specificity (implicit or explicit) failed to affect verdicts or recommended sentences. These findings suggest that although interrogation trainers and scholars in law and psychology discriminate between the methods, jurors do not.     

Seclusion: the association with diagnosis,gender, length of stay and HoNOS-secure in low and medium secure inpatient mental health service

The use of seclusion is controversial. Using routinely collected data from low and medium secure service provider in the United Kingdom (n = 347) this study compared secluded and non-secluded Asperger’s syndrome, paranoid schizophrenia, organic personality disorder and emotionally unstable personality disorder patients. Analysis revealed that secluded patients were younger but did not differ on length of stay. Scores on the HoNOS-secure improved from entry to discharge on all diagnostic categories, indicating sensitivity to change. However, secluded patients with paranoid schizophrenia did not improve on the secure scale or personal and emotional well-being sub-scale factors, indicating HoNOS-secure should be used with caution in discharge decisions. Findings indicate that HoNOS-secure do not capture the factors linked to the use of seclusion in organic personality disorder and Asperger’s syndrome. HoNOS secure results outline differing needs and progress in the four diagnostic groups. Seclusion did not affect recovery as measured by HoNOS-secure clinical scale, providing evidence opposing the view that seclusion plays a major contribution to delaying recovery.     

Contact crimes in relation to neuroticism,impulsiveness, conscience formation and intelligence: An exploratory discriminant analysis in juvenile delinquents

Abstract

Using archival data, we investigate the relationship between the type of crime committed and personality characteristics from a sample of 100 juvenile Dutch delinquents, who had been screened at a bureau for ambulant youth care. Possibly confounding variables such as age, education and family background were controlled for using exploratory non-linear techniques.

It appeared that delinquents who had committed crimes that involved victim contact were on average more impulsive, less neurotic and often had a less well developed conscience than those juvenile delinquents who had committed crimes that involved no contact with a victim. The latter were on average less impulsive, more neurotic and more often had a sufficiently or partially developed conscience. The relation with intelligence was inconclusive.     

Moving beyond Ford,Atkins, and Roper: jurors' attitudes toward the execution of the elderly and the physically disabled

Abstract

The central purpose of the current study is to correlate level of support for the death penalty, death-qualification status, attitudes toward the death penalty (ATDP), legal authoritarianism (RLAQ (Revised Legal Attitudes Questionnaire)), and demographic indices with attitudes toward the execution of the elderly and the physically disabled. Two hundred and fifty residents of the 12th Judicial Circuit in Florida completed a booklet that contained the following: (1) one question that measured their level of support for the death penalty; (2) one question that categorized their death-qualification status; (3) the ATDP; (4) the RLAQ; (5) 20 questions that measured participants' attitudes toward the execution of the elderly and the physically disabled (EEPD); and (6) standard demographic questions. Results indicated that level of support for the death penalty, death-qualification status, attitudes toward the death penalty, legal authoritarianism, and demographic indices were significantly related to four components of the EEPD. Legal implications and applications are discussed.