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Structural models of psychopathy

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Abstract

Psychopathy traditionally is defined by a cluster of inferred personality traits and socially deviant behaviors. The accepted standard for the reliable and valid assessment of psychopathy is the Psychopathy Checklist-Revised (PCL-R). Because of its importance in basic and applied research, and in the mental health and criminal justice systems, the PCL-R has been subjected to intense scrutiny by researchers and clinicians. In this article we discuss issues surrounding its structural properties and those of its derivatives. Using factor analysis, item response theory, and multidimensional scaling, we propose that the PCL-R and its derivatives are underpinned by at least four correlated factors: Interpersonal, Affective, Lifestyle, and Antisocial. We argue that attempts to characterize antisocial behaviors as merely “downstream” manifestations of more central traits are inconsistent with the structural properties of the PCL-R and with evidence that the development of traits and actions are interactive and reciprocal. We also report new evidence that psychopathy and its factors are dimensional in nature, perhaps extreme variants of normal personality traits and behaviors.

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References and Recommended Reading

  1. Millon T, Simonsen E, Birket-Smith M: Historical conceptions of psychopathy in the United States and Europe. In Psychopathy: Antisocial, Criminal, and Violent Behaviors. Edited by Millon T, Simonsen E, Birket-Smith M, Davis RD. New York: Guilford Press; 1998:3–31.

    Google Scholar 

  2. Berrios GE: The History of Mental Symptoms: Descriptive Psychopathology Since the Nineteenth Century. Cambridge: Cambridge University Press; 1996.

    Google Scholar 

  3. Hare RD: The Hare Psychopathy Checklist-Revised, 2nd Edition. Toronto: Multi-Health Systems; 2003.

    Google Scholar 

  4. Millon T, Simonsen E, Birket-Smith M, Davis RD: Psychopathy: Antisocial, Criminal, and Violent Behaviors. New York: Guilford Press; 1998.

    Google Scholar 

  5. Cleckley H: The Mask of Sanity, 5th Edition. St. Louis, MO: Mosby; 1976.

    Google Scholar 

  6. Hart SD, Cox DN, Hare RD: The Hare Psychopathy Checklist: Screening Version. Toronto: Multi-Health Systems; 1995.

    Google Scholar 

  7. Forth AE, Kosson D, Hare RD: The Hare Psychopathy Checklist: Youth Version. Toronto: Multi-Health Systems; 2003.

    Google Scholar 

  8. Hare RD, Neumann CS: The PCL-R assessment of psychopathy: Development, structural properties, and new directions. In Handbook of Psychopathy. Edited by Patrick CJ. New York: Guilford; 2004, In press. This is a detailed overview of the development and structural properties of the PCL-R and its derivatives.

    Google Scholar 

  9. Barnes GE, Murray RP, Patton D, et al.: The Addiction Prone Personality: Longitudinal Research in the Social Sciences. New York: Plenum Publishers; 2000.

    Google Scholar 

  10. Harpur TJ, Hare RD, Hakstian R: A two-factor conceptualization of psychopathy: Construct validity and implications for assessment. Psychological Assessment: A Journal of Consulting and Clinical Psychology 1989, 1:6–17.

    Google Scholar 

  11. Hare RD: The Hare Psychopathy Checklist-Revised. Toronto: Multi-Health Systems; 1991.

    Google Scholar 

  12. Neumann CS, Kosson D, Salekin R: Exploratory and confirmatory factor analysis of the psychopathy construct: Methodological and conceptual issues. In Psychopathy: Theory, Research, and Social Implications. Edited by Hervè H, Yuille, JC. New York: Lawrence Erlbaum; 2004, In press. This is a thorough discussion of the principles and applications of factor analysis, with emphasis on psychopathy.

    Google Scholar 

  13. Cooke DJ, Michie C: Refining the construct of psychopathy: Towards a hierarchical model. Psychological Assessment 2001, 13:171–188.

    Article  PubMed  CAS  Google Scholar 

  14. Frick PJ, Marsee MA: Psychopathy and developmental pathways to antisocial behavior in youth. In Handbook of Psychopathy. Edited by Patrick CJ. New York: Guilford Press; 2004, In press. This chapter describes an extensive developmental research program, one of the first to begin with the assessment of callous-unemotional traits early in childhood.

    Google Scholar 

  15. Harris GT, Rice ME: Research on the treatment of psychopathy. In Handbook of Psychopathy. Edited by Patrick CJ. New York: Guilford Press; 2004, In press.

    Google Scholar 

  16. Robins LN: Deviant Children Grown Up. Baltimore: Williams & Wilkins; 1966.

    Google Scholar 

  17. Mealey L: The sociobiology of sociopathy: An integrated evolutionary model. Behav Brain Sci 1995, 18:523–599.

    Article  Google Scholar 

  18. Zuckerman M: Psychobiology of Personality. New York: Cambridge University Press; 1991.

    Google Scholar 

  19. Slutske WS: The genetics of antisocial behavior. Curr Psychiatry Rep 2001, 3:158–162.

    Article  PubMed  CAS  Google Scholar 

  20. Blonigen DM, Carlson SR, Krueger RF, Patrick CJ: A twin study of self-reported psychopathic personality traits. Pers Individ Differ 2003, 35:179–197.

    Article  Google Scholar 

  21. Viding E, Blair RJR, Moffitt TE, Plomin R: Evidence for substantial genetic risk for psychopathy in 7-year-olds. J Child Psychol Psychiatry. 2004, In press. This is a large-sample twin study of callous-unemotional traits and antisocial behavior. Heritability was particularly high for those with both callous-unemotional traits and antisocial behaviors.

  22. Vitacco MJ, Rogers R, Neumann CS, et al.: A comparison of factor models on the PCL-R with mentally disordered offenders: The development of a four-factor model. Criminal Justice Behav. 2004, In press.

  23. Vitacco MJ, Neumann CS, Jackson R: Testing a four-factor model of psychopathy and its association with ethnicity, gender, intelligence, and violence. J Consul Clin Psychol 2004, In press. The authors provide strong support for a four-factor model of psychopathy using data from the MacArthur Risk Assessment Study.

  24. Hill C, Neumann CS, Rogers R: Confirmatory factor analysis of the Psychopathy Checklist: Screening Version (PCL:SV) in offenders with Axis I Disorders. Psychol Assess 2004, 16:90–95.

    Article  PubMed  Google Scholar 

  25. Salekin RT, Neumann CS, Leistico AM, et al.: Construct validity of psychopathy in a youth offender sample: Taking a closer look at psychopathy’s potential importance over disruptive behavior disorders. J Abnorm Psychol. 2004, In press.

  26. Muthen LK, Muthen BO: Mplus User’s Guide, 2nd Edition. Los Angeles: Muthen & Muthen; 2001.

    Google Scholar 

  27. Steadman HJ, Silver E, Monahan J, et al.: A classification tree approach to the development of actuarial violence risk assessment tools. Law Hum Behav 2000, 24:83–100.

    Article  PubMed  CAS  Google Scholar 

  28. Walsh ZT, Swogger MT, Kosson DS: The nature of violence in psychopathic and nonpsychopathic offenders: Instrumentality and related constructs. Society for Research in Psychopathology, Toronto, October, 2003.

  29. Frick PJ, Cornell AH, Barry CT, et al.: Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-reported delinquency. J Abnorm Child Psychol 2003, 31:474–470.

    Article  Google Scholar 

  30. Vitacco M, Neumann CS, Robertson A, Durrant S: Contributions of Impulsivity and Callousness in the Assessment of Adjudicated Adolescent Males: A Prospective Study. J Pers Assess 2002, 78:87–103.

    Article  PubMed  Google Scholar 

  31. Dowson JH, Sussams P, Grounds AT, Taylor JC: Associations of past conduct disorder with personality disorders in ‘nonpsychotic’ psychiatric patients. Euro J Psychiatry 2001, 16:49–56.

    Article  CAS  Google Scholar 

  32. Lynam DR: Early identification of the fledgling psychopath: Locating the psychopathic child in the current nomenclature. J Abnorm Psychol 1998, 107:566–575.

    Article  PubMed  CAS  Google Scholar 

  33. Knight RA, Sims-Knight JE: The developmental antecedents of sexual coercion against women: testing alternative hypotheses with structural equation modeling. Ann N Y Acad Sci 2003, 989:72–85.

    Article  PubMed  Google Scholar 

  34. Anderson CA, Berkowitz L, Donnerstein E, et al.: The influence of media violence on youth. Psychol Sci Public Interest 2003, 4:81–110.

    Article  Google Scholar 

  35. Bolt D, Hare RD, Vitale J, Newman JP: A multigroup item response theory analyses of the Hare Psychopathy Checklist-Revised. Psychol Assess 2004, 16:155–168. The reports on the application of item response theory to very large samples of male and female offenders assessed with the PCL-R. The results indicated that the PCL-R has good generalizability across different samples.

    Article  PubMed  Google Scholar 

  36. Cooke DJ, Kosson DS, Michie C: Psychopathy and ethnicity: Structural, item and test generalizability of the Psychopathy Checklist Revised (PCL-R) in Caucasian and African-American participants. Psychol Assess 2001, 13:531–542.

    Article  PubMed  CAS  Google Scholar 

  37. Cooke DJ, Michie C: An item response theory analysis of the Hare Psychopathy Checklist-Revised. Psychol Assess 1997, 9:3–14.

    Article  Google Scholar 

  38. Cooke DJ, Michie C, Hart SD, Hare RD: The functioning of the Clinical Version of the Psychopathy Checklist: An item response theory analysis. Psychol Assess 1999, 11:3–13.

    Article  Google Scholar 

  39. Shye S, Elizur D: Introduction to Facet Theory: Content Design and Intrinsic Data Analysis in Behavioral Research. Newbury Park, CA: Sage, 1994.

    Google Scholar 

  40. Campbell JS, Belfrage H, Douglas K, Strand S: Multidimensional Scaling of the PCL:SV in Swedish Samples. International Association of Forensic Mental Health Services, Stockholm, June 6–9, 2004.

  41. Bishopp D, Hare RD: A Multidimensional Scaling Analysis of the PCL-R. In submission.

  42. Lynam DR: Psychopathy from the perspective of the Fivefactor model of personality. In Personality Disorders and the Five-Factor Model of Personality. Edited by Costa PT, Widiger TA. Washington, DC: American Psychological Association; 2002:325–350.

    Chapter  Google Scholar 

  43. Neumann CS, Vitacco MJ: Psychopathy and symptoms of psychopathology in the prediction of latent variable growth in violence. Society for Research in Psychopathology, St. Louis MO, October 7–10, 2004.

  44. Harris GT, Rice ME, Quinsey VL: Psychopathy as a taxon: Evidence that psychopaths are a discrete class. J Consult Clin Psychol 1994, 62:387–397.

    Article  PubMed  CAS  Google Scholar 

  45. Marcus DK, John SL, Edens JF: A taxometric analysis of psychopathic personality. J Abnorm Psychology. 2004, In press.

  46. Guay JP, Knight RA: Assessing the Underlying Structure of Psychopathy Factors using Taxometrics. Developmental and Neuroscience Perspectives on Psychopathy, Madison, WI, July 17–19, 2003.

  47. Guay JP, Ruscio J, Hare RD, Knight RA: The latent structure of psychopathy: When more is simply more. Society for Research in Psychopathology, St. Louis MO, October 7–10, 2004.

  48. Cooke DJ, Michie C, Hart SD, Clark DA: Reconstructing psychopathy: Clarifying the significance of antisocial and socially deviant behavior in the diagnosis of psychopathic personality disorder. J Pers Disord 2004, 18:337–356.

    PubMed  Google Scholar 

  49. Neumann CS, Vitacco M, Hare RD: Re-construing the reconstruction of psychopathy: A reply to Cooke, Michie, Hart, & Clark. In submission.

  50. Forman DR, Aksan N, Kochanska G: Toddlers’ responsive imitation predicts preschool-age conscience. Psychol Sci 2004, 15:699–704.

    Article  PubMed  Google Scholar 

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Hare, R.D., Neumann, C.S. Structural models of psychopathy. Curr Psychiatry Rep 7, 57–64 (2005). https://doi.org/10.1007/s11920-005-0026-3

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