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Psychopathy in Youth: Pursuing Diagnostic Clarity

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Abstract

Psychopathy in youth has received increased recognition as a critical clinical construct for the evaluation and management of troubled adolescents (e.g., Frick, P. J. (1998). In Cooke, D. J., Forth, A. E., and Hare, R. D. (eds.), Psychopathy: Theory, Research and Implications for Society. Kluwer Academic Publishers, Boston, MA, pp. 161–187; Lynam, D. R. (1998). J. Abnorm. Psychol., 107: 566–575). To date, clinical research has examined psychopathy simply as a global construct rather than focusing on its specific criteria. In addition, researchers have tended to utilize downward extensions of adult conceptualizations of psychopathy to understand this syndrome in youth. This study was designed to assist in clarifying the construct of psychopathy in youth from a fresh perspective via prototypical analysis. Psychologists from the Clinical Child Psychology Section of the American Psychological Association (i.e., Division 53; N = 511) rated the prototypicality of the psychopathy construct for both male and female youth. Factor analyses for both genders resulted in 2 dimensions that reflected both personality and behavioral components of the disorder. Prototypicality ratings revealed important adult-to-child and male-to-female differences. In addition, child psychologists' views of their effectiveness at treating psychopathy in youth was surveyed. Contrary to the prevailing pessimism, clinical child psychologists reported that children and adolescents made moderate gains in psychotherapy. These results provide a framework for clinical child psychologists in their evaluations and treatment of psychopathic youth.

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REFERENCES

  • Allen-Hagen, B., and Sickmund, M. (1993). Juveniles and Violence: Juvenile Offending and Victimization. Office of the Juvenile Justice and Delinquency Prevention, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1968). Diagnostic and Statistical Manual of Mental Disorders (2nd edn.). APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd edn.). APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd edn.-rev.). APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn.). APA, Washington, DC.

    Google Scholar 

  • Bettencourt, B. A., and Miller, N. (1996). Gender differences in aggression as a function of provocation: A meta-analysis. Psychol. Bull. 119: 422–447.

    Google Scholar 

  • Birchwood, M., Todd, P., and Jackson, C. (1998). Early intervention in psychosis: The critical period hypothesis. Int. Clin. Psychopharmacol. 13: 31–40.

    Google Scholar 

  • Burns, G. L. (2000). Problem of item overlap between the psychopathy screening device and attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder rating scales. Psychol. Assess. 12: 447–450.

    Google Scholar 

  • Butcher, J. N., Williams, C. L., Graham, J. R., Archer, R. P., Tellegen, A., Ben-Porath, Y. S., and Kaemmer, B. (1992). Manual for the Administration, Scoring, and Interpretation of the MMPIAdolescent. The University of Minnesota Press, Minneapolis, MN.

    Google Scholar 

  • Caspi, A., and Bem, D. (1990). Personality continuity and change across the life course. In Pervin, L. (ed.), Handbook of Personality: Theory and Research. Guilford Press, New York, pp. 549–575.

    Google Scholar 

  • Christian, R., Frick, P. J., Hill, N., Tyler, A. L., and Frazer, D. (1997). Psychopathy and conduct problems in children: II. Implications for subtyping children with conduct problems. J. Am. Acad. Adolesc. Psychiatry 36: 233–241.

    Google Scholar 

  • Clark, L. A., and Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychol. Assess. 7: 309–319.

    Google Scholar 

  • Cleckley, H. (1941). The Mask of Sanity. Mosby, St Louis, MO.

    Google Scholar 

  • Cloninger, C. R. (1978). The antisocial personality. Hosp. Pract. 13: 97–106.

    Google Scholar 

  • Edwards, J., and McGorry, P. D. (1998). Early intervention in psychotic disorders: A critical step in the prevention of psychological morbidity. In Perris, C., McGorry, P. D., et al. (eds.), Cognitive Psychotherapy of Psychotic and Personality Disorders: Handbook of Theory and Practice. American Ethnological Press, Chichester, England.

    Google Scholar 

  • Elmy, H., Jurkovicova, J., and Aghova, L. (1994). Methodical possibilities of early hearing screening in prevention of hearing loss. Studia Psychologica 36: 369–373.

    Google Scholar 

  • Eme, R. F., and Kavanaugh, L. (1995). Sex differences in conduct disorder. J. Clin. Child Psychol. 24: 406–426.

    Google Scholar 

  • Falloon, I. R. H., Shanahan, W., and Laporta, M. (1992). Prevention of major depressive episodes: Early intervention with family-based stress management. J. Ment. Health 1: 53–60.

    Google Scholar 

  • Forness, S. R., Kavale, K. A., MacMillan, D. L., and Asarnow, J. R. (1996). Early detection and prevention of emotional or behavioral disorders: Developmental aspects of systems care. Behav. Disord. 21: 226–240.

    Google Scholar 

  • Forth, A. E., and Burke, H. C. (1998). Psychopathy in adolescence: Assessment, violence, and developmental precursors. In Cooke, D. J., Forth, A. E., and Hare, R. D. (eds.), Psychopathy: Theory, Research and Implications for Society. Kluwer Academic Publishers, Boston, MA, pp. 205–229.

    Google Scholar 

  • Forth, A. E., Hare, R. D., and Hart, S. D. (1990). Assessment of psychopathy in male young offenders. Psychol. Assess. 2: 342–344.

    Google Scholar 

  • Frick, P. J. (1998). Callous-unemotional traits and conduct problems: Applying the two-factor model of psychopathy to children. In Cooke, D. J., Forth, A. E., and Hare, R. D. (eds.), Psychopathy: Theory, Research and Implications for Society. Kluwer Academic Publishers, Boston, MA, pp. 161–187.

    Google Scholar 

  • Frick, P. J., Lahey, B. B., Loeber, R., Stouthamer-Loeber, M., Green, S., Hart, E. L., and Christ, A. G. (1991). Oppositional defiant disorder and conduct disorder in boys: Patterns of behavioral covariation. J. Clin. Child Psychol. 20: 202–208.

    Google Scholar 

  • Frick, P. J., O'Brien, B. S., Wootton, J. M., and McBurnett, K. (1994). Psychopathy and conduct problems in children. J. Abnorm. Psychol. 103: 700–707.

    Google Scholar 

  • Friedman, L. C., Webb, J. A., Bruce, S., and Weinberg, A. D. (1995). Skin cancer prevention and early detection intentions and behavior. Am. J. Prev. Med. 11: 59–65.

    Google Scholar 

  • Frodi, A., Macauley, J., and Thorne, P. R. (1977). Are women always less aggressive than men? A review of the experimental literature. Psychol. Bull. 84: 634–660.

    Google Scholar 

  • Grisso, T. (1996). Society's retributive response to juvenile violence: A developmental perspective. Law Hum. Behav. 20: 229–247.

    Google Scholar 

  • Hamilton, S., Rothbart, M., and Dawes, R. M. (1986). Sex bias, diagnosis, and the DSM-III. Sex Roles 15: 269–274.

    Google Scholar 

  • Hare, R. D. (1991). Manual for the Revised Psychopathy Checklist. Multi Health Systems, Toronto, ON.

    Google Scholar 

  • Hare, R. D., and Hart, S. D. (1993). Psychopathy, mental disorder, and crime. In Hodgins, S. (ed.), Mental Disorders and Crime. Sage, Newbury Park, CA, pp. 104–115.

    Google Scholar 

  • Hare, R. D., McPherson, L. M., and Forth, A. E. (1988). Male psychopaths and their criminal careers. J. Consult. Clin. Psychol. 56: 710–714.

    Google Scholar 

  • Haynes, S. N., Richard, D. C. S., and Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychol. Assess. 7: 238–247.

    Google Scholar 

  • Kazdin, A. E. (1987). Treatment of antisocial behavior in children: Current status and future directions. Psychol. Bull. 102: 187–203.

    Google Scholar 

  • Kazdin, A. E., Mazurick, J. L., and Bass, D. (1993). Risk of attrition in treatment of antisocial children and families. J. Clin. Child Psychol. 22: 2–16.

    Google Scholar 

  • Kolko, D. J., and Kazdin, A. E. (1991). Aggression and psychopathology in matchplaying and firesetting children: A replication and extension. J. Clin. Child Psychol. 20: 191–201.

    Google Scholar 

  • Lahey, B. B., and Loeber, R. (1994). Framework for a developmental model of oppositional defiant disorder and conduct disorder. In Routh, D. K. (ed.), Disruptive Behavior Disorders in Childhood. Plenum Press, New York, pp. 139–180.

    Google Scholar 

  • Lahey, B. B., Loeber, R., Quay, H. C., Frick, P. J., and Grimm, J. (1992). Oppositional defiant and conduct disorders: Issues to be resolved for DSM-IV. J. Am. Acad. Child Adolesc. Psychiatry 31: 539–546.

    Google Scholar 

  • Lilienfeld, S. O. (1994). Conceptual problems in the assessment of psychopathy. Clin. Psychol. Rev. 14: 17–38.

    Google Scholar 

  • Loeber, R. (1982). The stability of antisocial and delinquent child behavior: A review. Child Dev. 53: 1431–1446.

    Google Scholar 

  • Loeber, R., and Dishion, T. (1983). Early predictors of male delinquency: A review. Psychol. Bull. 94: 68–99.

    Google Scholar 

  • Loeber, R., Green, S. M., Keenan, K., and Lahey, B. B. (1995). Which boys will fare worse? Early predictors of the onset of conduct disorder in a six-year longitudinal study. J. Am. Acad. Child Adolesc. Psychiatry 34: 499–509.

    Google Scholar 

  • Loeber, R., Lahey, B. B., and Thomas, C. (1991). Diagnostic conundrum of oppositional defiant disorder and conduct disorder. J. Abnorm. Psychol. 100: 379–390.

    Google Scholar 

  • Lorion, R. P. (1993). Counting the stitches that count: Preventative intervention promises and public health. Am. J. Community Psychol. 21: 673–679.

    Google Scholar 

  • Lykken, D. T. (1995). The Antisocial Personalities. Erlbaum, Hillsdale, NJ.

    Google Scholar 

  • Lynam, D. R. (1996). Early identification of chronic offenders: Who is the fledgling psychopath? Psychol. Bull. 120: 209–234.

    Google Scholar 

  • Lynam, D. R. (1997). Pursuing the psychopath: Capturing the psychopath in a nomological net. J. Abnorm. Psychol. 106: 425–438.

    Google Scholar 

  • Lynam, D. R. (1998). Early identification of the fledgling psychopath: Locating the psychopathic child in the current nomenclature. J. Abnorm. Psychol. 107: 566–575.

    Google Scholar 

  • Maccoby, E. E. (1986). Social groupings in childhood: Their relationship to prosocial and antisocial behavior in boys and girls. In Olweus, D., Block, J., and Radke-Yarrow, M. (eds.), Development of Antisocial Behavior: Research, Theories, and Issues. Academic Press, Orlando, FL, pp. 263–284.

    Google Scholar 

  • Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy. Psychol. Rev. 100: 674–701.

    Google Scholar 

  • Moffitt, T. E., Caspi, A., Belsky, J., and Silva, P. (1992). Childhood experience and the onset of menarche: A test of a sociobiological model. Child Dev. 63: 47–58.

    Google Scholar 

  • Offord, D. R., Adler, R. J. M., and Boyle, M. H. (1986). Prevalence and sociodemographic correlates of conduct disorder. Am. J. Soc. Psychiatry 6: 272–278.

    Google Scholar 

  • Offord, D. R., Boyle, M. H., and Racine, Y. A. (1991). The epidemiology of antisocial behavior in childhood and adolescence. In Pepler, D. J., and Rubin, K. H. (eds.), The Development and Treatment of Childhood Aggression. Erlbaum, Hillside, NJ, pp. 31–54.

    Google Scholar 

  • Ogloff, J. R. P., Wong, S., and Greenwood, A. (1990). Treating criminal psychopaths in a therapeutic community. Behav. Sci. Law 8: 181–190.

    Google Scholar 

  • Ollendick, T. H., and Vasey, M. W. (1999). Developmental theory and the practice of clinical child psychology. J.Clin. Child Psychol. 28: 457–466.

    Google Scholar 

  • Puzzanchera, C. M. (1998). The Youngest Offenders. Office of the Juvenile Justice Department Program, Washington, DC.

    Google Scholar 

  • Rice, M. E., Harris, G. T., and Cormier, C. A. (1992). An evaluation of a maximum security therapeutic community for psychopaths and other mentally disordered offenders. Law Hum. Behav. 16: 399–412.

    Google Scholar 

  • Rogers, R., Dion, K. L., and Lynett, E. (1992). Diagnostic validity of antisocial personality disorder: A prototypical analysis. Law Hum. Behav. 16: 677–689.

    Google Scholar 

  • Rogers, R., Johansen, J., Chang, J., and Salekin, R. T. (1997). Predictors of adolescent psychopathy: Oppositional and conduct-disordered symptoms. J. Am. Acad. Psychiatry Law 25: 261–271.

    Google Scholar 

  • Rosch, E. H. (1973). On the internal structure of perceptual and semantic categories. In Moore, T. E. (ed.), Cognitive Development and the Acquisition of Language. Acadamic press, New York, pp. 111–144.

    Google Scholar 

  • Rosch, E. H. (1978). Principles of categorization. In Rosch, E. H., and Lloyd, B. B. (eds.), Cognition and Categorization. Erlbaum, Hillsdale, NJ, pp. 27–48.

    Google Scholar 

  • Russo, M. F., Loeber, R., Lahey, B. B., and Keenan, K. (1994). Oppositional defiant and conduct disorders: Validation of the DSM-III-R and alternative diagnostic option. J. Clin. Child Psychol. 23: 56–68.

    Google Scholar 

  • Rutherford, M. J., Alterman, A. I., Cacciola, J. S., and Snider, S. C. (1995). Gender differences in diagnosing antisocial personality in methadone patients. Am. J. Psychiatry 152: 1309–1316.

    Google Scholar 

  • Salekin, R. T. (in press a). Psychopathy and therapeutic pessimism: Clinical lore or clinical reality? Clin. Psychol. Rev.

  • Salekin, R. T. (in press b). Juvenile waiver to adult court: How can developmental and child psychology inform policy decision making. In Bottoms, B., Kovera, M. B., and McAuliff, B. (eds.), Children and the Law: Social Science and Policy. Cambridge University Press, Cambridge, MA.

  • Salekin, R. T., Rogers, R., and Sewell, K. W. (1996). A review and meta-analysis of the Psychopathy Checklist and Psychopathy Checklist-Revised. Clin. Psychol. Sci. Pract. 3: 203–215.

    Google Scholar 

  • Salekin, R. T., Rogers, R., and Sewell, K. W. (1997). Construct validity of psychopathy in a female offender sample: A multitrait-multimethod evaluation. J. Abnorm. Psychol. 106: 576–585.

    Google Scholar 

  • Salekin, R. T., Rogers, R., Ustad, K. L., and Sewell, K.W. (1998). Psychopathy and recidivism among female inmates. Law Hum. Behav. 22: 109–128.

    Google Scholar 

  • Silverman, W. K., and Ollendick, T. H. (eds.). (1999). Developmental Issues in the Clinical Treatment of Children. Allyn and Bacon, Boston, MA.

    Google Scholar 

  • Silverthorn, P., and Frick, P. J. (1999). Developmental pathways to antisocial behavior: The delayed onset pathway in girls. Dev. Psychopathol. 11: 101–126.

    Google Scholar 

  • Stone, M. H. (1993). Abnormalities of Personality: Within and Beyond the Realm of Treatment. W. W. Norton and Company, New York.

    Google Scholar 

  • Zimring, F. E. (1999). American Youth Violence. Oxford University Press, New York.

    Google Scholar 

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Salekin, R.T., Rogers, R. & Machin, D. Psychopathy in Youth: Pursuing Diagnostic Clarity. Journal of Youth and Adolescence 30, 173–195 (2001). https://doi.org/10.1023/A:1010393708227

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