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Law and Human Behavior

, Volume 16, Issue 6, pp 677–689 | Cite as

Diagnostic validity of antisocial personality disorder

A prototypical analysis
  • Richard Rogers
  • Kenneth L. Dion
  • Elizabeth Lynett
Articles

Abstract

Competing models of antisocial personality disorder have important consequences for mentally disordered offenders and their management in the criminal justice system. In order to provide a fresh perspective on these enduring diagnostic problems, we conducted a prototypical analysis on 250 adult subjects' perceptions of psychopathy from a set of criteria, which included DSM-II, DSM-III, DSM-III-R, and Psychopathy Checklist (PCL) scores. Through principal components analysis we identified four factors: (a) impaired relationships and deception, (b) aggressive behavior, (c) nonviolent delinquency, and (d) frequent sexual relationships not attributable to mental illness/substance abuse. These factors appear to be more closely allied with PCL and two new proposals for DSM-IV than the current DSM-III-R model.

Keywords

Principal Component Analysis Social Psychology Aggressive Behavior Criminal Justice Justice System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Abram, K. M. (1990). The problem of co-occurring disorders among jail detainees: Antisocial disorder, alcoholism, drug abuse, and depression.Law and Human Behavior, 14, 333–345.Google Scholar
  2. American Psychiatric Association (1968).Diagnostic and statistical manual of mental disorders (2nd. ed.). Washington, DC: author.Google Scholar
  3. American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: author.Google Scholar
  4. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed.-rev.). Washington, DC: author.Google Scholar
  5. Blouin, A. G., Perez, E., & Blouin, J. H. (1988). Computerized administration of the diagnostic interview schedule.Psychiatry Research, 33, 335–344.Google Scholar
  6. Broughton, R. (1990). The prototype concept in personality assessment.Canadian Psychology, 31, 26–37.Google Scholar
  7. Cantor, N., Smith, E. E., French, R. de S., & Mezzich, J. (1980). Psychiatric diagnosis as prototype categorization.Journal of Abnormal Psychology, 89, 181–193.PubMedGoogle Scholar
  8. Cleckley, H. (1976).The mask of insanity (4th ed.). St. Louis: Mosby.Google Scholar
  9. Collins, J. J., Schlenger, W. E., & Jordan, K. (1988). Antisocial personality and substance abuse disorders.Bulletin of the American Academy and Psychiatry and the Law, 16, 187–198.Google Scholar
  10. Conte, H. R., & Plutchik, R. (1981). A circumplex model for interpersonal traits.Journal of Personality and Social Psychology, 40, 701–711.Google Scholar
  11. Coolidge, F. L., Merwin, M. M., Wooley, M. J., & Hyman, J. N. (1990). Some problems with the diagnostic criteria of the antisocial personality disorder in DSM III-R: A preliminary study.Journal of Personality Disorders, 4, 407–413.Google Scholar
  12. Frances, A. J. (1982). The DSM III personality disorders section: A commentary.American Journal of Psychiatry, 137, 1050–1054.Google Scholar
  13. Frances, A. J. (1985). Introduction to personality disorders. In E. Michels, J. O. Cavenar, & A. M. Cooper (Eds.),Psychiatry (Vol. 1, Chap. 14). Philadelphia: J. B. Lippincott.Google Scholar
  14. Greene, R. L. (1989).The MMPI: An interpretive manual (2nd ed.). New York: Grune & Stratton.Google Scholar
  15. Hamparian, D. (1987). How well can we predict for juveniles? Juvenile delinquency and adult crime. In. F. N. Dutile & C. H. Fouts (Eds.),The prediction of criminal violence (pp. 169–184). Springfield, IL: C. C. Thomas.Google Scholar
  16. Hare, R. D. (1985a). Comparison of procedures for the assessment of psychopathy.Journal of Consulting and Clinical Psychology, 53, 7–16.PubMedGoogle Scholar
  17. Hare, R. D. (1985b).The psychopathy checklist. Unpublished manuscript, University of British Columbia, Vancouver, BC.Google Scholar
  18. Hare, R. D. (1990).Development of an instrument for the assessment of psychopathy in the mentally disordered: Progress report. Unpublished manuscript, University of British Columbia, Vancouver.Google Scholar
  19. Hare, R. D. (1991).Manual for the revised psychopathy checklist. Toronto: Multi-Health Systems.Google Scholar
  20. Hare, R. D., Cox, D. N., & Hart, S. D. (1989).Preliminary manual for the Psychopathy Checklist: Clinical Version (PCL:CV). Unpublished manuscript, University of British Columbia, Vancouver.Google Scholar
  21. Hare, R. D., Harpur, T. J., Hakstian, A. R., Forth, A. E., Hart, S. D., & Newman, J. P. (1990). The revised Psychopathy Checklist: Reliability and factor structure.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 338–341.Google Scholar
  22. Hare, R. D., Hart, S. D., & Harpur, T. J. (1991). Psychopathy and the DSM IV criteria for antisocial personality disorder.Journal of Abnormal Psychology, 100, 391–398.PubMedGoogle Scholar
  23. Hare, R. D., & McPherson, L. M. (1984). Violent and aggressive behavior by criminal psychopaths.International Journal of Law and Psychiatry, 7, 35–50.PubMedGoogle Scholar
  24. Harpur, A., Hakstian, R., & Hare, R. D. (1988). Factor structure of the psychopathy checklist.Journal of Consulting and Clinical Psychology, 56, 741–748.PubMedGoogle Scholar
  25. Harpur, T. J., Hare, R. D., & Hakstian, A. R. (1989). Two-factor conceptualization of psychopathy: Construct validity and assessment implications.Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 6–17.Google Scholar
  26. Hart, S. D., & Hare, R. D. (1991).Recent advances in the assessment of psychopathy. Unpublished manuscript, University of British Columbia.Google Scholar
  27. Hart, S. D., Kropp, P. R., & Hare, R. D. (1988). Performance of male psychopaths following conditional release from prison.Journal of Consulting and Clinical Psychology, 56, 227–232.PubMedGoogle Scholar
  28. Helzer, J. E., Robins, L. N., McEvoy, L. T., Spitznagel, E. L., Stoltzman, R. K., Farmer, A., & Brockington, I. F. (1985). A comparison of clinical and Diagnostic Interview Schedule diagnoses.Archives of General Psychiatry, 42, 657–666.PubMedGoogle Scholar
  29. Holden, R. R., Longman, R. S., Cota, A. A., Fekken, G. C. (1989). PAR: Parallel analysis routine for random data eigenvalue estimation.Applied Psychological Measurement, 13, 192.Google Scholar
  30. Horowitz, L. M., French, R. de S., & Anderson, C. A. (1982). The prototype of a lonely person. In L. A. Peplau & D. Perman (Eds.),Loneliness: A sourcebook of current theory, research and therapy (pp. 183–205). New York: Wiley.Google Scholar
  31. Horowitz, L. M., Post, D. L., French, R. de S., Wallis, K. D., & Siegelman, E. Y. (1981). The prototype as a construct in abnormal psychology: 2. Clarifying disagreement in psychiatric judgments.Journal of Abnormal Psychology, 90, 575–585.PubMedGoogle Scholar
  32. Horowitz, L. M., Wright, J. C., Lowenstein, E., & Parad, H. W. (1981). The prototype as a construct in abnormal psychology: 1. A method for deriving prototypes.Journal of Abnormal Psychology, 90, 568–574.PubMedGoogle Scholar
  33. Kiesler, D. J. (1985). Interpersonal methods of diagnosis and treatment. In E. Michels, J. O. Cavenar, & A. M. Cooper (Eds.),Psychiatry (Vol. 1, Chap. 4). Philadelphia: J. B. Lippincott.Google Scholar
  34. Livesley, W. J. (1985a). The classification of personality disorder: I. The choice of category concept.Canadian Journal of Psychiatry, 30, 353–358.Google Scholar
  35. Livesley, W. J. (1985b). The classification of personality disorder: II. The problem of diagnostic criteria.Canadian Journal of Psychiatry, 30, 359–362.Google Scholar
  36. Livesley, W. J. (1986). Trait and behavioral prototypes of personality disorder.American Journal of Psychiatry, 143, 728–732.PubMedGoogle Scholar
  37. Livesley, W. J., & Jackson, D. N. (1986). The internal consistency and factorial structure of behaviors judged to be associated with DSM III personality disorders.American Journal of Psychiatry, 143, 1473–1474.PubMedGoogle Scholar
  38. Livesley, W. J., Reiffer, L. I., Sheldon, A. E. R., & West, M. (1987). Prototypicality ratings of DSM III criteria for personality disorders.Journal of Nervous and Mental Disease, 175, 395–401.PubMedGoogle Scholar
  39. Loranger, A. W., Susman, V. L., & Russakfoff, L. M. (1987). The Personality Disorder Examination: A preliminary report.Journal of Personality Disorders, 1, 1–13.Google Scholar
  40. Megargee, E. I. (1977).The California Psychological Inventory handbook. San Francisco: Jossey-Bass.Google Scholar
  41. Mellsop, G., Varghese, F., Joshua, S., & Hicks, A. (1982). The reliability of axis II of DSM III.American Journal of Psychiatry, 139, 1360–1361.PubMedGoogle Scholar
  42. Meloy, J. R. (1988).The psychopathic mind: Origins, dynamics and treatment. Northvale, NJ: Jason Aronson.Google Scholar
  43. Millon, T. (1981).Disorders of personality: DSM III, Axis II. New York: Wiley.Google Scholar
  44. Murphy, G. E., Woodruff, M., Herjanic, M., & Fischer, J. R. (1974). Validity of clinical course of a primary affective disorder.Archives of General Psychiatry, 30, 757–761.PubMedGoogle Scholar
  45. Ogloff, J. R. P., Wong, S., & Greenwood, A. (1990). Treating criminal psychopaths in a therapeutic community program.Behavioral Sciences and the Law, 8, 181–190.Google Scholar
  46. Perry, J. C., Lavori, P. W., Cooper, S. H., Hoke, L., & O'Connell, M. E. (1987). The diagnostic interview schedule and DSM III antisocial personality disorder.Journal of Personality Disorders, 1, 121–131.Google Scholar
  47. Plutchik, R., & Conte, H. R. (1985). Quantitative assessment of personality disorders. In E. Michels, J. O. Cavenar, & A. M. Cooper (Eds.),Psychiatry (vol. 1, chap. 15). Philadelphia: Lippincott.Google Scholar
  48. Reid, W. H. (1978).The psychopath: A comprehensive study of antisocial disorders and behaviors. New York: Brunner-Mazel.Google Scholar
  49. Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. (1981). National institute of mental health diagnostic interview.Archives of General Psychiatry, 38, 381–389.PubMedGoogle Scholar
  50. Rogers, R., & Dion, K. L. (1991). Rethinking the DSM III-R diagnosis of antisocial personality disorder.Bulletin of the American Academy of Psychiatry and Law, 19, 21–31.Google Scholar
  51. Rogers, R., & Mitchell, C. N. (1991).Mental health experts and criminal trials. Scarborough, ON: Carswell.Google Scholar
  52. Rosch, E. (1973). On the internal structure of perceptual and semantic categories. In T. E. Moore (Ed.),Cognitive development and the acquisition of language (pp. 111–144). New York: Academic Press.Google Scholar
  53. Rosch, E. (1978). Principles of categorization. In E. Rosch & B. B. Lloyd (Eds.),Cognition and categorization (pp. 27–48). Hillsdale, NJ: Erlbaum.Google Scholar
  54. Schroeder, M. L., Schroeder, K. G., & Hare, R. D. (1983). Generalizability of a checklist for assessment of psychopathy.Journal of Consulting and Clinical Psychology, 51, 511–516.PubMedGoogle Scholar
  55. Simon, R., Endicott, J., & Nee, J. (1987). Intake diagnoses: How representative?Comprehensive Psychiatry, 28, 389–396.PubMedGoogle Scholar
  56. Skodol, A. E., Rosnick, L., Kellman, D., Oldman, J. M., & Hyler, S. E. (1988). Validating structured DSM III-R personality disorder assessments with longitudinal data.American Journal of Psychiatry, 145, 1297–1299.PubMedGoogle Scholar
  57. Spitzer, R. L. (1983). Psychiatric diagnosis: Are clinicians still necessary?Comprehensive Psychiatry, 24, 399–411.PubMedGoogle Scholar
  58. Spitzer, R. L., Forman, J. B. W., & Nee, J. (1979). DSM III field trials: I. Initial interater diagnostic reliability.American Journal of Psychiatry, 136, 815–817.PubMedGoogle Scholar
  59. Spitzer, R. L., Williams, J. B. W., Bibbon, M., & First, M. B. (1989).Instruction manual for the structured clinical interview for DSM III-R. New York: Biometrics Research.Google Scholar
  60. Stangel, D., Pfohl, B., Zimmerman, M., Bowers, W., & Corenthal, C. (1985). A structured interview for DSM III personality disorders.Archives of General Psychiatry, 42, 591–596.PubMedGoogle Scholar
  61. Vandiver, T., & Sher, K. J. (1991). Temporal stability of the Diagnostic Interview Schedule.Psychological Assessment: Journal of Consulting and Clinical Psychology, 3, 277–281.Google Scholar
  62. Widiger, T. A., & Sanderson, C. (1987). The convergent and discriminat validity of the MCMI as a measure of DSM III personality disorders.Journal of Personality Assessment, 51, 228–242.PubMedGoogle Scholar
  63. Wolfgang, M. E., & Tracy, P. E. (1982).The 1945 and 1958 birth cohorts: A comparison of the prevalence, incidence and severity of delinquent behavior.Philadelphia: Center for Studies in Criminology and Criminal Law, University of Pennsylvania.Google Scholar
  64. Zimmerman, M., & Coryell, W. (1989). The reliability of personality disorder diagnoses in a nonpatient sample.Journal of Personality Disorders, 3, 53–57.Google Scholar

Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Richard Rogers
    • 1
  • Kenneth L. Dion
    • 2
  • Elizabeth Lynett
    • 3
  1. 1.Department of PsychologyUniversity of North TexasDenton
  2. 2.Department of PsychologyUniversity of TorontoTorontoCanada
  3. 3.Forensic Training and Research Center, Department of PsyciatryUniversity of Massachusetts Medical CenterUSA

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