The Cognitive Neuroscience of Psychopathy and Implications for Judgments of Responsibility
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Abstract
Psychopathy is a developmental disorder associated with specific forms of emotional dysfunction and an increased risk for both frustration-based reactive aggression and goal-directed instrumental antisocial behavior. While the full behavioral manifestation of the disorder is under considerable social influence, the basis of this disorder appears to be genetic. At the neural level, individuals with psychopathy show atypical responding within the amygdala and ventromedial prefrontal cortex (vmPFC). Moreover, the roles of the amygdala in stimulus-reinforcement learning and responding to emotional expressions and vmPFC in the representation of reinforcement expectancies are compromised. The implications of these functional impairments for responsibility are discussed.
Keywords
Psychopathy Emotion Amygdala ResponsibilityNotes
Acknowledgments
This research was supported by the Intramural Research Program of the NIH: NIMH.
References
- 1.Amaral, D.G., J.L. Price, A. Pitkanen, and S.T. Carmichael. 1992. Anatomical organization of the primate amygdaloid complex. In The amygdala: neurobiological aspects of emotion, memory, and mental dysfunction, ed. J.P. Aggleton, 1–66. New York: Wiley.Google Scholar
- 2.Aniskiewicz, A.S. 1979. Autonomic components of vicarious conditioning and psychopathy. Journal of Clinical Psychology 35: 60–67.CrossRefGoogle Scholar
- 3.Barratt, E.S., M.S. Stanford, L. Dowdy, M.J. Liebman, and T.A. Kent. 1999. Impulsive and premeditated aggression: a factor analysis of self-reported acts. Psychiatry Research 862: 163–173.CrossRefGoogle Scholar
- 4.Bechara, A., H. Damasio, A.R. Damasio, and G.P. Lee. 1999. Different contributions of the human amygdala and ventromedial prefrontal cortex to decision-making. Journal of Neuroscience 19: 5473–5481.Google Scholar
- 5.Berkowitz, L. 1993. Aggression: its causes, consequences, and control. Philadelphia: Temple University Press.Google Scholar
- 6.Birbaumer, N., R. Veit, M. Lotze, M. Erb, C. Hermann, W. Grodd, et al. 2005. Deficient fear conditioning in psychopathy: a functional magnetic resonance imaging study. Archives of General Psychiatry 627: 799–805.CrossRefGoogle Scholar
- 7.Blair, R.J.R. 1995. A cognitive developmental approach to morality: investigating the psychopath. Cognition 57: 1–29.CrossRefGoogle Scholar
- 8.Blair, R.J.R. 2006. The emergence of psychopathy: implications for the neuropsychological approach to developmental disorders. Cognition 101: 414–442.CrossRefGoogle Scholar
- 9.Blair, J. 2007. Dysfunctions of medial and lateral orbitofrontal cortex in psychopathy. Annals of the New York Academy of Sciences 1121(1): 461–479.CrossRefGoogle Scholar
- 10.Blair, R.J.R., L. Jones, F. Clark, and M. Smith. 1997. The psychopathic individual: a lack of responsiveness to distress cues? Psychophysiology 34: 192–198.CrossRefGoogle Scholar
- 11.Blair, R.J.R., E. Colledge, L. Murray, and D.G. Mitchell. 2001. A selective impairment in the processing of sad and fearful expressions in children with psychopathic tendencies. Journal of Abnormal Child Psychology 29(6): 491–498.CrossRefGoogle Scholar
- 12.Blair, R.J.R., D.G.V. Mitchell, E. Colledge, R.A. Leonard, J.H. Shine, L.K. Murray, et al. 2004a. Reduced sensitivity to other’s fearful expressions in psychopathic individuals. Personality & Individual Differences 37: 1111–1121.CrossRefGoogle Scholar
- 13.Blair, R.J.R., D.G.V. Mitchell, A. Leonard, S. Budhani, K.S. Peschardt, and C. Newman. 2004b. Passive avoidance learning in individuals with psychopathy: modulation by reward but not by punishment. Personality and Individual Differences 37: 1179–1192.CrossRefGoogle Scholar
- 14.Blair, R.J.R., D.G.V. Mitchell, and K.S. Blair. 2005. The psychopath: emotion and the brain. Oxford: Blackwell.Google Scholar
- 15.Blair, K.S., A.A. Marsh, J. Morton, M. Vythilingham, M. Jones, K. Mondillo, et al. 2006. Choosing the lesser of two evils, the better of two goods: specifying the roles of ventromedial prefrontal cortex and dorsal anterior cingulate cortex in object choice. Journal of Neuroscience 26(44): 11379–11386.CrossRefGoogle Scholar
- 16.Blonigen, D.M., B.M. Hicks, R.F. Krueger, C.J. Patrick, and W.G. Iacono. 2005. Psychopathic personality traits: heritability and genetic overlap with internalizing and externalizing psychopathology. Psychological Medicine 35: 637–648.CrossRefGoogle Scholar
- 17.Botvinick, M.M., J.D. Cohen, and C.S. Carter. 2004. Conflict monitoring and anterior cingulate cortex: an update. Trends in Cognitive Science 8(12): 539–546.CrossRefGoogle Scholar
- 18.Bremner, J.D., and E. Vermetten. 2001. Stress and development: behavioral and biological consequences. Development and Psychopathology 13: 473–489.CrossRefGoogle Scholar
- 19.Budhani, S., and R.J. Blair. 2005. Response reversal and children with psychopathic tendencies: success is a function of salience of contingency change. Journal of Child Psychology and Psychiatry 46(9): 972–981.CrossRefGoogle Scholar
- 20.Budhani, S., R.A. Richell, and R.J. Blair. 2006. Impaired reversal but intact acquisition: probabilistic response reversal deficits in adult individuals with psychopathy. Journal of Abnormal Psychology 115(3): 552–558.CrossRefGoogle Scholar
- 21.Budhani, S., A.A. Marsh, D.S. Pine, and R.J. Blair. 2007. Neural correlates of response reversal: considering acquisition. Neuroimage 34(4): 1754–1765.CrossRefGoogle Scholar
- 22.Bushman, B.J., and C.A. Anderson. 2001. Is it time to pull the plug on the hostile versus instrumental aggression dichotomy? Psychological Review 108(1): 273–279.CrossRefGoogle Scholar
- 23.Cohen, J.D., M. Botvinick, and C.S. Carter. 2000. Anterior cingulate and prefrontal cortex: who’s in control. Nature Neuroscience 3(5): 421–423.CrossRefGoogle Scholar
- 24.Cornell, D.G., J. Warren, G. Hawk, E. Stafford, G. Oram, and D. Pine. 1996. Psychopathy in instrumental and reactive violent offenders. Journal of Consulting and Clinical Psychology 64: 783–790.CrossRefGoogle Scholar
- 25.Crick, N.R., and K.A. Dodge. 1996. Social information-processing mechanisms on reactive and proactive aggression. Child Development 67(3): 993–1002.CrossRefGoogle Scholar
- 26.Damasio, A.R. 1994. Descartes’ error: emotion, rationality and the human brain. New York: Putnam (Grosset Books).Google Scholar
- 27.Davis, M., and P.J. Whalen. 2001. The amygdala: vigilance and emotion. Molecular Psychiatry 6(1): 13–34.CrossRefGoogle Scholar
- 28.Dias, R., T.W. Robbins, and A.C. Roberts. 1996. Dissociation in prefrontal cortex of affective and attentional shifts. Nature 380: 69–72.CrossRefGoogle Scholar
- 29.Dodge, K.A., G.S. Pettit, J.E. Bates, and E. Valente. 1995. Social information-processing patterns partially mediate the effect of early physical abuse on later conduct problems. Journal of Abnormal Psychology 104: 632–643.CrossRefGoogle Scholar
- 30.Dolan, M., and R. Fullam. 2006. Face affect recognition deficits in personality-disordered offenders: association with psychopathy. Psychological Medicine 36(11): 1563–1569.CrossRefGoogle Scholar
- 31.Everitt, B.J., R.N. Cardinal, J.A. Parkinson, and T.W. Robbins. 2003. Appetitive behavior: impact of amygdala-dependent mechanisms of emotional learning. Annual New York Academy of Sciences 985: 233–250.CrossRefGoogle Scholar
- 32.Fellows, L.K., and M.J. Farah. 2003. Ventromedial frontal cortex mediates affective shifting in humans: evidence from a reversal learning paradigm. Brain 126: 1830–1837.CrossRefGoogle Scholar
- 33.Finger, E.C., A.A. Marsh, D.G. Mitchell, M.E. Reid, C. Sims, S. Budhani, D.S. Kosson, G. Chen, K.E. Towbin, E. Leibenluft, D.S. Pine, and J.R. Blair. 2008. Abnormal ventromedial prefrontal cortex function in children with psychopathic traits during reversal learning. Archives of General Psychiatry 65(5): 586–594.CrossRefGoogle Scholar
- 34.Flor, H., N. Birbaumer, C. Hermann, S. Ziegler, and C.J. Patrick. 2002. Aversive Pavlovian conditioning in psychopaths: peripheral and central correlates. Psychophysiology 39: 505–518.CrossRefGoogle Scholar
- 35.Forth, A. E., D.S. Kosson, and R.D. Hare. 2003. The psychopathy checklist: youth version. Toronto, Ontario, Canada: Multi-Health Systems.Google Scholar
- 36.Frick, P.J. 1995. Callous-unemotional traits and conduct problems: a two-factor model of psychopathy in children. Issues in Criminological and Legal Psychology 24: 47–51.Google Scholar
- 37.Frick, P.J., and R.D. Hare. 2001. The antisocial process screening device. Toronto: Multi-Health Systems.Google Scholar
- 38.Frick, P.J., T.R. Stickle, D.M. Dandreaux, J.M. Farell, and E.R. Kimonis. 2005. Callous-unemotional traits in predicting the severity and stability of conduct problems and delinquency. Journal of Abnormal Child Psychology 33: 471–487.CrossRefGoogle Scholar
- 39.Gordon, H.L., A.A. Baird, and A. End. 2004. Functional differences among those high and low on a trait measure of psychopathy. Biological Psychiatry 567: 516–521.CrossRefGoogle Scholar
- 40.Hampton, A.N., P. Bossaerts, and J.P. O’Doherty. 2006. The role of the ventromedial prefrontal cortex in abstract state-based inference during decision making in humans. Journal of Neuroscience 2632: 8360–8367.CrossRefGoogle Scholar
- 41.Hare, R.D. 1991. The hare psychopathy checklist-revised. Toronto, Ontario: Multi-Health Systems.Google Scholar
- 42.Hare, R.D. 2003. Hare psychopathy checklist-revised PCL-R, 2nd Edn. Toronto: Multi Health Systems.Google Scholar
- 43.Hariri, A.R., V.S. Mattay, A. Tessitore, B. Kolachana, F. Fera, D. Goldman, et al. 2002. Serotonin transporter genetic variation and the response of the human amygdala. Science 297(5580): 400–403.CrossRefGoogle Scholar
- 44.Harpur, T.J., A.R. Hakstian, and R.D. Hare. 1988. The factor structure of the psychopathy checklist. Journal of Consulting and Clinical Psychology 56: 741–747.CrossRefGoogle Scholar
- 45.Harpur, T.J., and R.D. Hare. 1994. Assessment of psychopathy as a function of age. Journal of Abnormal Psychology 103: 604–609.CrossRefGoogle Scholar
- 46.Hooker, C.I., L.T. Germine, R.T. Knight, and M. D’Esposito. 2006. Amygdala response to facial expressions reflects emotional learning. Journal of Neuroscience 26(35): 8915–8922.CrossRefGoogle Scholar
- 47.Hornak, J., J. Bramham, E.T. Rolls, R.G.O. Morris, J. Doherty, et al. 2003. Changes in emotion after circumscribed surgical lesions of the orbitofrontal and cingulate cortices. Brain 126: 1691–1712.CrossRefGoogle Scholar
- 48.Izquierdo, A., and E.A. Murray. 2005. Opposing effects of amygdala and orbital prefrontal cortex lesions on the extinction of instrumental responding in macaque monkeys. European Journal of Neuroscience 22(9): 2341–2346.CrossRefGoogle Scholar
- 49.Izquierdo, A., R.K. Suda, and E.A. Murray. 2004. Bilateral orbital prefrontal cortex lesions in rhesus monkeys disrupt choices guided by both reward value and reward contingency. Journal of Neuroscience 24(34): 7540–7548.CrossRefGoogle Scholar
- 50.Kiehl, K.A. 2006. A cognitive neuroscience perspective on psychopathy: evidence for paralimbic system dysfunction. Psychiatry Research 142: 107–128.CrossRefGoogle Scholar
- 51.Kiehl, K.A., A.M. Smith, R.D. Hare, A. Mendrek, B.B. Forster, J. Brink, et al. 2001. Limbic abnormalities in affective processing by criminal psychopaths as revealed by functional magnetic resonance imaging. Biological Psychiatry 50: 677–684.CrossRefGoogle Scholar
- 52.Knutson, B., and J.C. Cooper. 2005. Functional magnetic resonance imaging of reward prediction. Current Opinion in Neurology 18(4): 411–417.CrossRefGoogle Scholar
- 53.Knutson, B., S. Rick, G.E. Wimmer, D. Prelec, and G. Loewenstein. 2007. Neural predictors of purchases. Neuron 53: 147–157.CrossRefGoogle Scholar
- 54.Leibenluft, E., R.J. Blair, D.S. Charney, and D.S. Pine. 2003. Irritability in pediatric mania and other childhood psychopathology. Annual New York Academy of Sciences 1008: 201–218.CrossRefGoogle Scholar
- 55.Levy, N. 2007. The responsibility of the psychopath revisited. Philosophy, Psychiatry and Psychology 14(2): 129–138.CrossRefGoogle Scholar
- 56.Linnoila, M., M. Virkkunen, M. Scheinin, A. Nuutila, R. Rimon, and F.K. Goodwin. 1983. Low cerebrospinal fluid 5-hydroxy indoleacetic acid concentration differentiates impulsive from nonimpulsive violent behavior. Life Sciences 33: 2609–2614.CrossRefGoogle Scholar
- 57.Lykken, D.T. 1957. A study of anxiety in the sociopathic personality. Journal of Abnormal and Social Psychology 55: 6–10.CrossRefGoogle Scholar
- 58.Lynam, D.R., A. Caspi, T.E. Moffitt, R. Loeber, and M. Stouthamer-Loeber. 2007. Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy. Journal of Abnormal Psychology 116(1): 155–165.CrossRefGoogle Scholar
- 59.Marsh, A.A., and R.J. Blair. 2007. Deficits in facial affect recognition among antisocial populations: a meta-analysis. Neuroscience and Biobehavioral Reviews 32(3): 454–465.CrossRefGoogle Scholar
- 60.Marsh, A.A., K.S. Blair, M. Vythilingam, S. Busis, and R.J. Blair. 2007. Response options and expectations of reward in decision-making: the differential roles of dorsal and rostral anterior cingulate cortex. Neuroimage 35(2): 979–988.CrossRefGoogle Scholar
- 61.Marsh, A.A., E.C. Finger, D.G.V. Mitchell, M.E. Reid, C. Sims, D.S. Kosson, et al. (2008). Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. American Journal of Psychiatry 165(6): 712–720.CrossRefGoogle Scholar
- 62.Meyer-Lindenberg, A., J.W. Buckholtz, B.A.R.H. Kolachana, L. Pezawas, G. Blasi, et al. 2006. Neural mechanisms of genetic risk for impulsivity and violence in humans. Proceedings of the National Academy of Sciences of the United States of America 103(16): 6269–6274.CrossRefGoogle Scholar
- 63.Mineka, S., and R. Zinbarg. 2006. A contemporary learning theory perspective on the etiology of anxiety disorders: it’s not what you thought it was. American Psychologist 61(1): 10–26.CrossRefGoogle Scholar
- 64.Mitchell, D.G.V., E. Colledge, A. Leonard, and R.J.R. Blair. 2002. Risky decisions and response reversal: Is there evidence of orbitofrontal cortex dysfunction in psychopathic individuals? Neuropsychologia 40: 2013–2022.CrossRefGoogle Scholar
- 65.Newman, J.P., and D.S. Kosson. 1986. Passive avoidance learning in psychopathic and nonpsychopathic offenders. Journal of Abnormal Psychology 95: 252–256.CrossRefGoogle Scholar
- 66.Newman, J.P., C.M. Patterson, and D.S. Kosson. 1987. Response perseveration in psychopaths. Journal of Abnormal Psychology 96: 145–148.CrossRefGoogle Scholar
- 67.Oxford, M., T.A. Cavell, and J.N. Hughes. 2003. Callous-unemotional traits moderate the relation between ineffective parenting and child externalizing problems: a partial replication and extension. Journal of Clinical Child and Adolescent Psychology 32: 577–585.CrossRefGoogle Scholar
- 68.Padoa-Schioppa, C., and J.A. Assad. 2006. Neurons in the orbitofrontal cortex encode economic value. Nature 441(7090): 223–226.CrossRefGoogle Scholar
- 69.Patrick, C.J. 1994. Emotion and psychopathy: startling new insights. Psychophysiology 31: 319–330.CrossRefGoogle Scholar
- 70.Pezawas, L., A. Meyer-Lindenberg, E.M. Drabant, B.A. Verchinski, K.E. Munoz, B.S. Kolachana, et al. 2005. 5-HTTLPR polymorphism impacts human cingulate-amygdala interactions: a genetic susceptibility mechanism for depression. Nature Neuroscience 8(6): 828–834.CrossRefGoogle Scholar
- 71.Rilling, J.K., J.T. Winslow, D. O’Brien, D.A. Gutman, J.M. Hoffman, and C.D. Kilts. 2001. Neural correlates of maternal separation in rhesus monkeys. Biological Psychiatry 49(2): 146–157.CrossRefGoogle Scholar
- 72.Rilling, J.K., A.L. Glenn, M.R. Jairam, G. Pagnoni, D.R. Goldsmith, H.A. Elfenbein, et al. 2007. Neural correlates of social cooperation and non-cooperation as a function of psychopathy. Biological Psychiatry 61(11): 1260–1271.CrossRefGoogle Scholar
- 73.Rolls, E.T., J. Hornak, D. Wade, and J. McGrath. 1994. Emotion-related learning in patients with social and emotional changes associated with frontal lobe damage. Journal of Neurology, Neurosurgery, and Psychiatry 57: 1518–1524.CrossRefGoogle Scholar
- 74.Rutter, M. 2005. Commentary: what is the meaning and utility of the psychopathy concept? Journal of Abnormal Child Psychology 33(4): 499–503.CrossRefGoogle Scholar
- 75.Schoenbaum, G., and M. Roesch. 2005. Orbitofrontal cortex, associative learning, and expectancies. Neuron 47(5): 633–636.CrossRefGoogle Scholar
- 76.Silva, J.A., D.V. Derecho, G.B. Leong, R. Weinstock, and M.M. Ferrari. 2001. A classification of psychological factors leading to violent behavior in posttraumatic stress disorder. Journal of Forensic Sciences 46(2): 309–316.Google Scholar
- 77.Silverthorn, P., and P.J. Frick. 1999. Developmental pathways to antisocial behavior: the delayed-onset pathway in girls. Development and Psychopathology 11(1): 101–126.CrossRefGoogle Scholar
- 78.Steiner, H., K. Saxena, and K. Chang. 2003. Psychopharmacologic strategies for the treatment of aggression in juveniles. CNS Spectrum 8: 298–308.Google Scholar
- 79.Verona, E., C.J. Patrick, and T.E. Joiner. 2001. Psychopathy, antisocial personality, and suicide risk. Journal of Abnormal Psychology 110(3): 462–470.CrossRefGoogle Scholar
- 80.Viding, E., R.J.R. Blair, T.E. Moffitt, and R. Plomin. 2005. Evidence for substantial genetic risk for psychopathy in 7-year-olds. Journal of Child Psychology and Psychiatry 46: 592–597.CrossRefGoogle Scholar
- 81.Wootton, J.M., P.J. Frick, K.K. Shelton, and P. Silverthorn. 1997. Ineffective parenting and childhood conduct problems: the moderating role of callous-unemotional traits. Journal of Consulting and Clinical Psychology 65: 292–300.CrossRefGoogle Scholar
- 82.Zoccolillo, M. 1992. Co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders: a review. Journal of the American Academy of Child and Adolescent Psychiatry 31(3): 547–556.CrossRefGoogle Scholar