Encyclopedia of Adolescence

2018 Edition
| Editors: Roger J. R. Levesque

Callous-Unemotional Traits

  • Stuart F. WhiteEmail author
  • Paul J. Frick
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-33228-4_77


One of the most common reasons that adolescents are referred to mental health clinics (Frick and Silverthorn 2001) and residential treatment centers (Lynam and Campbell 1996) is for antisocial and aggressive behavior. Also, these behaviors are highly related to juvenile delinquency, which has very high costs for society. These costs include the high monetary costs associated with juvenile crime, the direct harm to victims of juvenile crime, and the reduction in the quality of life for those individuals who live in high-crime neighborhoods (Loeber and Farrington 2000). Finally, serious conduct problems in childhood predict later problems in adolescence and adulthood, including mental health problems (e.g., substance abuse), legal problems (e.g., risk for arrest), educational problems (e.g., school drop-out), social problems (e.g., poor marital adjustment), occupational problems (e.g., poor job performance), and physical health problems (e.g., poor respiratory function; Odgers...

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  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Blackford, J. U., & Pine, D. S. (2012). Neural substrates of childhood anxiety disorders: A review of neuroimaging findings. Child and Adolescent Psychiatric Clinics of North America, 21(3), 501–525.  https://doi.org/10.1016/j.chc.2012.05.002.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Blair, R. J. (2013). The neurobiology of psychopathic traits in youths. Nature Reviews. Neuroscience, 14(11), 786–799.  https://doi.org/10.1038/nrn3577.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Blair, R. J., Leibenluft, E., & Pine, D. S. (2014). Conduct disorder and callous-unemotional traits in youth. The New England Journal of Medicine, 371(23), 2207–2216.  https://doi.org/10.1056/NEJMra1315612.CrossRefPubMedGoogle Scholar
  5. Caldwell, M., Skeem, J., Salekin, R., & Van Rybroek, G. (2006). Treatment response of adolescent offenders with psychopathy features: A 2-year follow-up. Criminal Justice and Behavior, 33(5), 571–596.  https://doi.org/10.1177/0093854806288176.CrossRefGoogle Scholar
  6. Cooke, D. J., & Michie, C. (1997). An item response theory analysis of the hare psychopathy checklist – Revised. Psychological Assessment, 9(1), 3–14.  https://doi.org/10.1037/1040-3590.9.1.3.CrossRefGoogle Scholar
  7. Cooke, D. J., Michie, C., & Hart, S. D. (2006). Facets of clinical psychopathy: Toward clearer measurement. In C. J. Patrick (Ed.), Handbook of psychopathy (pp. 91–106). New York: Guilford Press.Google Scholar
  8. Dadds, M. R. S., & Salmon, K. (2003). Punishment insensitivity and parenting: Temperament and learning as interacting risks for antisocial behavior. Clinical Child & Family Psychology Review, 6(2), 69–86.CrossRefGoogle Scholar
  9. Dodge, K. A., Bierman, K. L., Coie, J. D., Greenberg, M. T., Lochman, J. E., & McMahon, R. J., et al. (2015). Impact of early intervention on psychopathology, crime, and well-being at age 25. American Journal of Psychiatry, 172, 59–70.  https://doi.org/10.1176/appi.ajp.2014.13060786.
  10. Edens, J. F., Skeem, J. L., Cruise, K. R., & Cauffman, E. (2001). Assessment of “juvenile psychopathy” and its association with violence: A critical review. Behavioral Sciences & the Law, 19(1), 53–80.  https://doi.org/10.1002/bsl.425.CrossRefGoogle Scholar
  11. Ezpeleta, L., Granero, R., de la Osa, N., & Domènech, J. M. (2015). Clinical characteristics of preschool children with oppositional defiant disorder and callous-unemotional traits. PLoS One, 10(9).  https://doi.org/10.1371/journal.pone.0139346.
  12. Fanti, K. A., Colins, O. F., Andershed, H., & Sikki, M. (2016a). Stability and change in callous-unemotional traits: Longitudinal associations with potential individual and contextual risk and protective factors. American Journal of Orthopsychiatry.  https://doi.org/10.1037/ort0000143.
  13. Fanti, K. A., Panayiotou, G., Lazarou, C., Michael, R., & Georgiou, G. (2016b). The better of two evils? Evidence that children exhibiting continuous conduct problems high or low on callous-unemotional traits score on opposite directions on physiological and behavioral measures of fear. Development and Psychopathology, 28(1), 185–198.  https://doi.org/10.1017/S0954579415000371.
  14. Forth, A. E., Kosson, D., & Hare, R. D. (2003). The psychopathy checklist: Youth version. Toronto: Multi-Health Systems.Google Scholar
  15. Frick, P. J. (2012). Developmental pathways to conduct disorder: Implications for future directions in research, assessment, and treatment. Journal of Clinical Child and Adolescent Psychology, 41(3), 378–389.  https://doi.org/10.1080/15374416.2012.664815.CrossRefPubMedGoogle Scholar
  16. Frick, P. J., & Morris, A. S. (2004). Temperament and developmental pathways to conduct problems. Journal of Clinical Child and Adolescent Psychology, 33(1), 54–68.  https://doi.org/10.1207/S15374424JCCP3301_6.CrossRefPubMedGoogle Scholar
  17. Frick, P. J., & Ray, J. V. (2015). Evaluating callous-unemotional traits as a personality construct. Journal of Personality, 83(6), 710–722.  https://doi.org/10.1111/jopy.12114.CrossRefPubMedGoogle Scholar
  18. Frick, P. J., & Silverthorn, P. (2001). Psychopathology in children. In P. B. Sutker, H. E. Adams, P. B. Sutker, & H. E. Adams (Eds.), Comprehensive handbook of psychopathology (3rd ed., pp. 881–920). New York: Kluwer/Plenum Publishers.Google Scholar
  19. Frick, P. J., & Viding, E. (2009). Antisocial behavior from a developmental psychopathology perspective. Development and Psychopathology, 21(4), 1111–1131.  https://doi.org/10.1017/S0954579409990071.CrossRefPubMedGoogle Scholar
  20. Frick, P. J., & White, S. F. (2008). Research review: The importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49(4), 359–375.  https://doi.org/10.1111/j.1469-7610.2007.01862.x.CrossRefPubMedGoogle Scholar
  21. Frick, P. J., Bodin, S. D., & Barry, C. T. (2000). Psychopathic traits and conduct problems in community and clinic-referred samples of children: Further development of the psychopathy screening device. Psychological Assessment, 12(4), 382–393.PubMedCrossRefGoogle Scholar
  22. Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014a). Annual research review: A developmental psychopathology approach to understanding callous-unemotional traits in children and adolescents with serious conduct problems. Journal of Child Psychology and Psychiatry, 55(6), 532–548.  https://doi.org/10.1111/jcpp.12152.CrossRefPubMedGoogle Scholar
  23. Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014b). Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychological Bulletin, 140(1), 1–57.  https://doi.org/10.1037/a0033076.CrossRefPubMedGoogle Scholar
  24. Hare, R. D. (1999). Without conscience: The disturbing world of the psychopaths among us. New York: Guilford Press.Google Scholar
  25. Hare, R. (2003). Manual for the hare psychopathy checklist – Revised. Toronto: Multi-Health Systems.Google Scholar
  26. Hawes, D. J., & Dadds, M. R. (2007). Stability and malleability of callous-unemotional traits during treatment for childhood conduct problems. Journal of Clinical Child & Adolescent Psychology, 36(3), 347–355.  https://doi.org/10.1080/15374410701444298.CrossRefGoogle Scholar
  27. Kahn, R. E., Frick, P. J., Youngstrom, E., Findling, R. L., & Youngstrom, J. K. (2012). The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 53(3), 271–282.PubMedCrossRefGoogle Scholar
  28. Kam, C.-M., Greenberg, M. T., & Walls, C. T. (2003). Examining the role of implementation quality in school-based prevention using the PATHS curriculum. Promoting Alternative THinking Skills curriculum. Prevention Science: The Official Journal of the Society for Prevention Research, 4(1), 55–63.CrossRefGoogle Scholar
  29. Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Munoz, L. C., … Morris, A. S. (2008). Assessing callous-unemotional traits in adolescent offenders: Validation of the inventory of callous-unemotional traits. International Journal of Law and Psychiatry, 31(3), 241–252.  https://doi.org/10.1016/j.ijlp.2008.04.002.
  30. Kimonis, E. R., Fanti, K. A., Frick, P. J., Moffitt, T. E., Essau, C., Bijttebier, P., & Marsee, M. A. (2015). Using self-reported callous-unemotional traits to cross-nationally assess the DSM-5 “With Limited Prosocial Emotions” specifier. Journal of Child Psychology and Psychiatry, 56(11), 1249–1261.  https://doi.org/10.1111/jcpp.12357.CrossRefPubMedGoogle Scholar
  31. Klingzell, I., Fanti, K. A., Colins, O. F., Frogner, L., Andershed, A.-K., & Andershed, H. (2015). Early childhood trajectories of conduct problems and callous-unemotional traits: The role of fearlessness and psychopathic personality dimensions. Child Psychiatry and Human Development.  https://doi.org/10.1007/s10578-015-0560-0.
  32. Kochanska, G. (1993). Toward a synthesis of parental socialization and child temperament in early development of conscience. Child Development, 64(2), 325–347.  https://doi.org/10.2307/1131254.CrossRefGoogle Scholar
  33. Kotler, J. S., & McMahon, R. J. (2005). Child psychopathy: Theories, measurement, and relations with the development and persistence of conduct problems. Clinical Child and Family Psychology Review, 8(4), 291–325.  https://doi.org/10.1007/s10567-005-8810-5.CrossRefPubMedGoogle Scholar
  34. Larson, J., & Lochman, J. E. (2011). Helping schoolchildren cope with anger: A cognitive-behavioral intervention (2nd ed.). New York: Guilford Press.Google Scholar
  35. Loeber, R., & Farrington, D. P. (2000). Young children who commit crime: Epidemiology, developmental origins, risk factors, early interventions, and policy implications. Development and Psychopathology, 12(4), 737–762.PubMedCrossRefGoogle Scholar
  36. Lynam, D. R., & Campbell, N. R. (1996). Treating children and adolescents in residential and inpatient settings: EBSCOhost. Retrieved January 20, 2016, from http://eds.a.ebscohost.com.proxy-hs.researchport.umd.edu/ehost/detail/detail?vid=6&sid=eeef7420-998b-4aa4-aa40-f35089442e71%40sessionmgr4001&hid=4102&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=1997-08177-000&db=psyh
  37. Malti, T., & Krettenauer, T. (2013). The relation of moral emotion attributions to prosocial and antisocial behavior: A meta-analysis. Child Development, 84(2), 397–412.  https://doi.org/10.1111/j.1467-8624.2012.01851.x.CrossRefPubMedGoogle Scholar
  38. Marsh, A. A., Finger, E. C., Mitchell, D. G., Reid, M. E., Sims, C., Kosson, D. S., … Blair, R. J. (2008). Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. The American Journal of Psychiatry, 165(6), 712–720.  https://doi.org/10.1176/appi.ajp.2007.07071145.
  39. McMahon, R. J., Witkiewitz, K., & Kotler, J. S. (2010). Predictive validity of callous–unemotional traits measured in early adolescence with respect to multiple antisocial outcomes. Journal of Abnormal Psychology, 119(4), 752–763.  https://doi.org/10.1037/a0020796.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Nunner-Winkler, G. (2007). Development of moral motivation from childhood to early adulthood. Journal of Moral Education, 36(4), 399–414.  https://doi.org/10.1080/03057240701687970.CrossRefGoogle Scholar
  41. Odgers, C. L., Caspi, A., Broadbent, J. M., Dickson, N., Hancox, R. J., Harrington, H., … Moffitt, T. E. (2007). Prediction of differential adult health burden by conduct problem subtypes in males. Archives of General Psychiatry, 64(4), 476–484.  https://doi.org/10.1001/archpsyc.64.4.476.
  42. Odgers, C. L., Moffitt, T. E., Broadbent, J. M., Dickson, N., Hancox, R. J., Harrington, H., … Caspi, A. (2008). Female and male antisocial trajectories: From childhood origins to adult outcomes. Development and Psychopathology, 20(2), 673–716.  https://doi.org/10.1017/S0954579408000333.
  43. Pardini, D., Stepp, S., Hipwell, A., Stouthamer-Loeber, M., & Loeber, R. (2012). The clinical utility of the proposed DSM-5 callous-unemotional subtype of conduct disorder in young girls. Journal of the American Academy of Child and Adolescent Psychiatry, 51(1), 62.e4–73.e4.  https://doi.org/10.1016/j.jaac.2011.10.005.CrossRefGoogle Scholar
  44. Patrick, C. J. (2007). Getting to the heart of psychopathy. In H. Hervé, J. C. Yuille, H. Hervé, & J. C. Yuille (Eds.), The psychopath: Theory, research, and practice (pp. 207–252). Mahwah: Lawrence Erlbaum Associates Publishers.Google Scholar
  45. Porter, S., & Woodworth, M. (2006). Psychopathy and aggression. In Handbook of psychopathy (pp. 481–494). New York: Guilford Press.Google Scholar
  46. Poythress, N. G., Dembo, R., Wareham, J., & Greenbaum, P. E. (2006). Construct validity of the Youth Psychopathic Traits Inventory (YPI) and the Antisocial Process Screening Device (APSD) with justice-involved adolescents. Criminal Justice and Behavior, 33(1), 26–55.  https://doi.org/10.1177/0093854805282518.CrossRefGoogle Scholar
  47. Somech, L. Y., & Elizur, Y. (2012). Promoting self-regulation and cooperation in pre-kindergarten children with conduct problems: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(4), 412–422.  https://doi.org/10.1016/j.jaac.2012.01.019.CrossRefPubMedGoogle Scholar
  48. Viding, E., Blair, R. J. R., Moffitt, T. E., & Plomin, R. (2005). Evidence for substantial genetic risk for psychopathy in 7-year-olds. Journal of Child Psychology & Psychiatry, 46, 592–597.  https://doi.org/10.1111/j.1469-7610.2004.00393.x.CrossRefGoogle Scholar
  49. Viding, E., Sebastian, C. L., Dadds, M. R., Lockwood, P. L., Cecil, C. A., De Brito, S. A., & McCrory, E. J. (2012). Amygdala response to preattentive masked fear in children with conduct problems: The role of callous-unemotional traits. The American Journal of Psychiatry, 169(10), 1109–1116.  https://doi.org/10.1176/appi.ajp.2012.12020191.CrossRefPubMedGoogle Scholar
  50. Viding, E., Jones, A. P., Frick, P. J., Moffitt, T. E., & Plomin, R. (2008). Heritability of antisocial behaviour at nine-years: Do callous-unemotional traits matter? Developmental Science, 11, 17–22.  https://doi.org/10.1111/j.1467-7687.2007.00648.x.CrossRefPubMedGoogle Scholar
  51. Viding, E., Price, T. S., Jaffee, S. R., Trzaskowski, M., Davis, O. S. P., Meaburn, E. L., … Plomin, R. (2013). Genetics of callous-unemotional behavior in children. PloS One, 8(7), e65789.  https://doi.org/10.1371/journal.pone.0065789.
  52. White, S. F., Marsh, A. A., Fowler, K. A., Schechter, J. C., Adalio, C., Pope, K., … Blair, R. J. (2012). Reduced amygdala response in youths with disruptive behavior disorders and psychopathic traits: Decreased emotional response versus increased top-down attention to nonemotional features. The American Journal of Psychiatry, 169(7), 750–758.  https://doi.org/10.1176/appi.ajp.2012.11081270.
  53. White, S. F., Frick, P. J., Lawing, K., & Bauer, D. (2013). Callous-unemotional traits and response to functional family therapy in adolescent offenders. Behavioral Sciences & the Law, 31(2), 271–285.  https://doi.org/10.1002/bsl.2041.CrossRefGoogle Scholar
  54. White, S. F., VanTieghem, M., Brislin, S. J., Sypher, I., Sinclair, S., Pine, D. S., … Blair, R. J. (2015). Neural correlates of the propensity for retaliatory behavior in youths with disruptive behavior disorders. The American Journal of Psychiatry.  https://doi.org/10.1176/appi.ajp.2015.15020250.
  55. Willoughby, M. T., Waschbusch, D. A., Moore, G. A., & Propper, C. B. (2011). Using the ASEBA to screen for callous unemotional traits in early childhood: Factor structure, temporal stability, and utility. Journal of Psychopathology and Behavioral Assessment, 33(1), 19–30.  https://doi.org/10.1007/s10862-010-9195-4.CrossRefPubMedPubMedCentralGoogle Scholar
  56. Zajac, K., Randall, J., & Swenson, C. C. (2015). Multisystemic therapy for externalizing youth. Child and Adolescent Clinics of North America, 24, 601–616.  https://doi.org/10.1016/j.chc.2015.02.007.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Boys Town National Research HospitalOmahaUSA
  2. 2.Louisiana State UniversityBaton RougeUSA
  3. 3.Australian Catholic UniversityMelbourneAustralia