A new method for assessing the interpersonal behavior of psychopathic individuals: Preliminary validation studies.

Two studies examined whether increased attention to interpersonal behaviors would improve assessments of the personality core underlying psychopathy. After item analysis, 21 items measuring interpersonal interactions and nonverbal behaviors associated with psychopathy were retained as the Interpersonal Measure of Psychopathy (IM-P). Federal prison inmates (Study 1, N?=?98) and undergraduates (Study 2, N?=?92) were rated on occurrence of these behaviors during an interview conducted to complete either Hare's Psychopathy Checklist—Revised (PCL-R) or Psychopathy Checklist: Screening Version (PCL: SV). In both studies, IM-P scores correlated more highly with PCL Factor 1 than with PCL Factor 2 scores. Regression analyses indicated that, after controlling for demographic variables and PCL factor scores, IM-P scores predicted interviewer emotional responses and participants' adult fighting (Study 1) and ratings of participants' interpersonal dominance (Study 2). Thus, measurement of interpersonal behavior appears to permit improved prediction of several criteria linked to the personality core of psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of the Personality Assessment Inventory to assess psychopathy in offender populations.

The authors investigated the validity of the Antisocial Features (ANT) scale of the Personality Assessment Inventory (PAI; L. C. Morey, 1991) with respect to assessments of psychopathy in 2 offender samples. Study 1 included 46 forensic psychiatric inpatients who were administered the Screening Version of the Hare Psychopathy Checklist (PCL:SV; S. D. Hart, D. N. Cox, and R. D. Hare, 1995). In Study 2, 55 sex offenders were administered the Hare Psychopathy Checklist—Revised (PCL—R; R. D. Hare, 1991). ANT scores correlated highly with the PCL:SV total score (r?=?.54) and moderately with the PCL—R total score (r?=?.40). ANT tapped primarily behavioral symptoms of psychopathy rather than interpersonal and affective symptoms. Also, ANT had low to moderate diagnostic efficiency regarding diagnoses of psychopathy, suggesting that it may be better used as a dimensional rather than categorical measure of this construct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of the structure of self-report psychopathy measures and their relations with general traits and externalizing behaviors.

Self-report assessment of psychopathy is plagued by inconsistencies among the relations of the various psychopathy factors. We examined the factor structure of 3 prominent self-report measures of psychopathy—the Self-Report Psychopathy Scale–III (SRP–III; Williams, Paulhus, & Hare, 2007), the Levenson Self-Report Psychopathy Scale (LSRP; Levenson, Kiehl, & Fitzpatrick, 1995), and the Psychopathic Personality Inventory–R (PPI–R; Lilienfeld & Widows, 2005). A coherent 4-factor structure resulted from conducting an exploratory factor analysis (EFA) of the psychopathy subscales along with the domains from the five-factor model. Two of these factors were consistent with traditional conceptualizations of a 2-factor structure of psychopathy (i.e., Factor 1, which loaded negatively with Agreeableness; Factor 2, which loaded negatively with Conscientiousness), while 2 additional factors emerged, 1 of which emphasized low Neuroticism and 1 of which emphasized traits related to novelty/reward-seeking and dominance-related personality traits (high Extraversion). We also investigated the relations of these factors with a variety of externalizing behaviors (EB). The psychopathy scales indicative of interpersonal antagonism (i.e., Factor 1) were most consistently and strongly related to EB. Our findings are discussed in terms of the importance of a trait-based perspective in the assessment of psychopathy. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Is criminal behavior a central component of psychopathy? Conceptual directions for resolving the debate.

The development of the Psychopathy Checklist—Revised (PCL–R; R. D. Hare, 2003) has fueled intense clinical interest in the construct of psychopathy. Unfortunately, a side effect of this interest has been conceptual confusion and, in particular, the conflating of measures with constructs. Indeed, the field is in danger of equating the PCL–R with the theoretical construct of psychopathy. A key point in the debate is whether criminal behavior is a central component, or mere downstream correlate, of psychopathy. In this article, the authors present conceptual directions for resolving this debate. First, factor analysis of PCL–R items in a theoretical vacuum cannot reveal the essence of psychopathy. Second, a myth about the PCL–R and its relation to violence must be examined to avoid the view that psychopathy is merely a violent variant of antisocial personality disorder. Third, a formal, iterative process between theory development and empirical validation must be adopted. Fundamentally, constructs and measures must be recognized as separate entities, and neither reified. Applying such principles to the current state of the field, the authors believe the evidence favors viewing criminal behavior as a correlate, not a component, of psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessing the basic traits associated with psychopathy: Development and validation of the Elemental Psychopathy Assessment.

A new self-report assessment of the basic traits of psychopathy was developed with a general trait model of personality (five-factor model [FFM]) as a framework. Scales were written to assess maladaptive variants of the 18 FFM traits that are robustly related to psychopathy across a variety of perspectives including empirical correlations, expert ratings, and translations of extant assessments. Across 3 independent undergraduate samples (N = 210–354), the Elemental Psychopathy Assessment (EPA) scales proved to be internally consistent and unidimensional, and were strongly related to the original FFM scales from which they were derived (mean convergent r = .66). The EPA scales also demonstrated substantial incremental validity in the prediction of existing psychopathy measures over their FFM counterparts. When summed to form a psychopathy total score, the EPA was substantially correlated with 3 commonly used psychopathy measures (mean r = .81). Finally, in a small male forensic sample (N = 70), the EPA was significantly correlated with scores on a widely used self-report psychopathy measure, disciplinary infractions, alcohol use, and antisocial behavior. The EPA provides an opportunity to examine psychopathy and its nomological network through smaller, more basic units of personality rather than by scales or factors that blend these elements. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effects of impression management and self-deception on the predictive validity of personality constructs.

This study tests whether 2 types of response distortion (self-deception and impression management) affect the predictive validity of 2 of the "Big 5" personality dimensions, conscientiousness and emotional stability, in 2 applicant samples of long-haul semitruck drivers (n?=?147 and n?=?139). As hypothesized, conscientiousness (p?=?–.26 and –.26) and emotional stability (p?=?–.23 and –.21 ) were valid predictors of voluntary turnover in the 2 samples. Also as hypothesized, conscientiousness was a valid predictor of supervisory ratings of performance (p?=?.41 and .39 ) in the 2 samples. Although not hypothesized, emotional stability was also significantly related to supervisor ratings of performance (p?=?.23 and .27). Results from structural equations modeling indicated that applicants did distort their scores on both personality dimensions and the distortion occurred both through self-deception and impression management; however, neither type of distortion attenuated the predictive validities of either personality construct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are all psychopathic individuals low-anxious?

Theorists commonly assume that true or primary psychopathic individuals experience little anxiety or neurotic conflict. This study examined the relationship between psychopathy and anxiety in 104 Caucasian and 113 African American incarcerated men using the Psychopathy Checklist—Revised (PCL—R; R. D. Hare, 1991) and multiple self-report measures to tap diverse interpretations of the anxiety construct (i.e., neuroticism, traditional definitions of anxiety, and fear). Analyses involving zero-order, semipartial, and point-biserial correlations indicate that PCL—R psychopathy and the anxiety construct are essentially independent. These findings suggest that either (a) the traditional belief that all psychopathic individuals are low-anxious is incorrect or (b) the PCL—R is not an adequate measure of primary psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

One measure does not a construct make: Directions toward reinvigorating psychopathy research—reply to Hare and Neumann (2010).

In our article by J. L. Skeem & D. J. Cooke, (2010), we outlined the dangers inherent in conflating the Psychopathy Checklist—Revised (PCL–R; R. Hare, 1991) with psychopathy itself. In their response, R. Hare and C. Neumann (2010) seemed to agree with key points that the PCL–R should not be confused with psychopathy and that criminal behavior is not central to psychopathy; at the same time, they said we provided no clear directions for theory or research. In this rejoinder, we clarify our argument that progress in understanding the unobservable construct of psychopathy hinges upon setting aside procrustean dependence on a monofocal PCL–R lens to test (a) actual theories of psychopathy against articulated validation hierarchies and (b) the relation between psychopathy and crime. In specifying these conceptual and applied directions, we hope to promote constructive dialogue, further insights, and a new generation of research that better distinguishes between personality deviation and social deviance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and conduct problems in children.

Factor analysis of a measure of psychopathy was conducted in a sample of 95 clinic-referred children between the ages of 6 and 13 yrs. These analyses revealed 2 dimensions of behavior, one associated with impulsivity and conduct problems (I/CP) and one associated with the interpersonal and motivational aspects of psychopathy (callous/unemotional: CU). In a subset of this sample (n?=?64), analyses indicated that scores on the I/CP factor were highly associated with traditional measures of conduct problems. In contrast, scores derived from the CU factor were only moderately associated with measures of conduct problems and exhibited a different pattern of associations on several criteria that have been associated with psychopathy (e.g., sensation seeking) or childhood antisocial behavior (e.g., low intelligence, poor school achievement, and anxiety). These analyses suggest that psychopathic personality features and conduct problems are independent, yet interacting, constructs in children, analogous to findings in the adult literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Refining the construct of psychopathy: Towards a hierarchical model.

Psychopathy is characterized by diverse indicators. Clinical accounts have emphasized 3 distinct facets: interpersonal, affective, and behavioral. Research using the Psychopathy Checklist–Revised (PCL–R), however, has emphasized a 2-factor model. A review of the literature on the PCL–R and related measures of psychopathy, together with confirmatory factor analysis of PCL–R data from North American participants, indicates that the 2-factor model cannot be sustained. A 3-factor hierarchical model was developed in which a coherent superordinate factor, Psychopathy, is underpinned by 3 factors: Arrogant and Deceitful Interpersonal Style, Deficient Affective Experience, and Impulsive and Irresponsible Behavioral Style. The model was cross-validated on North American and Scottish PCL–R data, Psychopathy Screening Version data, and data derived from the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) antisocial personality disorder field trial. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A multimethod assessment of juvenile psychopathy: Comparing the predictive utility of the PCL:YV, YPI, and NEO PRI.

The current study compares 3 distinct approaches for measuring juvenile psychopathy and their utility for predicting short- and long-term recidivism among a sample of 1,170 serious male juvenile offenders. The assessment approaches compared a clinical interview method (the Psychopathy Checklist: Youth Version [PCL:YV]; Forth, Kosson, & Hare, 2003), a new self-report measure (the Youth Psychopathic Traits Inventory; Andershed, Kerr, Stattin, & Levander, 2002), and a personality-based approach (the NEO Psychopathy Resemblance Index; Lynam & Widiger, 2007). Results indicate a modest overlap between the 3 measures (rs = .26–.36); however, youths were often identified as psychopathic by 1 measure but not by others. Measures were weakly correlated with reoffending during subsequent 6- and 12-month periods. Findings suggest that although such scores may be useful indicators of the need for heightened monitoring in the short term, care should be taken when making predictions about long-term recidivism among adolescents. Moreover, the lack of long-term predictive power for the PCL:YV and the inconsistent psychopathy designations obtained with different measures raise serious questions about the use of such measures as the basis for legal or clinical treatment decisions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliability of the Revised Psychopathy Checklist in substance abuse patients.

Examined the 1-mo test–retest reliability of the revised Psychopathy Checklist (PCL—R) in 88 methadone-maintained male patients (average age nearly 40 yrs) as well as the effects of increased information (interview, clinical chart review, partial and complete criminal records) on PCL—R scores and on 2 diagnostic derivations of the PCL—R. PCL—R scores and diagnostic proportions were not found to differ significantly between baseline and 1 mo. However, increased amounts of rater information resulted in significantly higher PCL—R scores and more positive diagnoses. Test–retest reliabilities of PCL—R scores were found to be excellent, and the reliabilities of each of its 2 factors were also quite good. Diagnostic reliabilities were also good, based on the interview alone, but appeared to improve with increasing information available to the rater. The findings suggest that the PCL—R continues to show promise as a research tool. However, because clinical and criminal records may be difficult to obtain for nonprison populations and settings, there may be limitations in the use of the PCL—R to diagnose psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clarifying the factors that undermine behavioral inhibition system functioning in psychopathy.

Psychopathic individuals are generally unresponsive to motivational and emotional cues that facilitate behavioral regulation. A putative mechanism for this deficiency is Gray's (1981) behavioral inhibition system (BIS). To evaluate the association between psychopathy and BIS functioning, we administered a laboratory-based assessment of BIS functioning to a group of psychopathic offenders assessed with the Psychopathy Checklist–Revised (PCL–R; Hare, 2003). In addition, we tested the hypothesis that the effects of working memory load on BIS functioning would interact differentially with the PCL–R factors. Replicating previous results, psychopathic offenders were less sensitive to BIS-related cues than controls. As predicted, working memory load interacted with Factor 2 (antisocial/impulsive), with higher scores predicting weaker BIS functioning under high-load though not low-load conditions. Results suggest new insights concerning the relationship among working memory, reward sensitivity, and BIS functioning in psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and validation of the Eating Disorder Diagnostic Scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder.

This article describes the development and validation of a brief self-report scale for diagnosing anorexia nervosa, bulimia nervosa, and binge-eating disorder. Study 1 used a panel of eating-disorder experts and provided evidence for the content validity of this scale. Study 2 used data from female participants with and without eating disorders (N?=?367) and suggested that the diagnoses from this scale possessed temporal reliability (mean κ?=?.80) and criterion validity (with interview diagnoses; mean κ?=?.83). In support of convergent validity, individuals with eating disorders identified by this scale showed elevations on validated measures of eating disturbances. The overall symptom composite also showed test–retest reliability (r?=?.87), internal consistency (mean α?=?.89), and convergent validity with extant eating-pathology scales. Results implied that this scale was reliable and valid in this investigation and that it may be useful for clinical and research applications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multimethod assessment of psychopathy in relation to factors of internalizing and externalizing from the Personality Assessment Inventory: The impact of method variance and suppressor effects.

Research to date has revealed divergent relations across factors of psychopathy measures with criteria of internalizing (INT; anxiety, depression) and externalizing (EXT; antisocial behavior, substance use). However, failure to account for method variance and suppressor effects has obscured the consistency of these findings across distinct measures of psychopathy. Using a large correctional sample, the current study employed a multimethod approach to psychopathy assessment (self-report, interview and file review) to explore convergent and discriminant relations between factors of psychopathy measures and latent criteria of INT and EXT derived from the Personality Assessment Inventory (Morey, 2007). Consistent with prediction, scores on the affective–interpersonal factor of psychopathy were negatively associated with INT and negligibly related to EXT, whereas scores on the social deviance factor exhibited positive associations (moderate and large, respectively) with both INT and EXT. Notably, associations were highly comparable across the psychopathy measures when accounting for method variance (in the case of EXT) and when assessing for suppressor effects (in the case of INT). Findings are discussed in terms of implications for clinical assessment and evaluation of the validity of interpretations drawn from scores on psychopathy measures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy in female inmates: The SCID-II Personality Questionnaire and the PCL-R.

The authors examined the relationship between personality disorders, as measured by a self-report screening instrument, and psychopathy as measured by the Psychopathy Checklist (PCL-R; R. D. Hare, 1991) in female inmates. Participants included 136 women from a maximum security state prison. There was a positive relationship between the Antisocial Personality Disorder (APD) scale, which measures conduct disorder before age 15, and the Factor 2 scale of the PCL-R; no other significant relationships with other personality scales were obtained, and there were no evident relationships between any of the personality scales and the Factor 1 scale of the PCL-R. A discriminant function analysis and follow-up receiver operating characteristics analysis indicated that the use of a criterion of 3 endorsed conduct disorder items from the 15-item APD scale was sufficient to correctly identify 71.9% of the women who had been identified as meeting the criterion for psychopathy using the PCL-R interview. However, the scale evidenced poor prediction of nonpsychopaths (specificity = 52.8%). Results indicate the value of using the self-report of conduct disorder items as part of a screening procedure in concert with other measures to select inmates who require further assessment of psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Construct validity of the Psychopathic Personality Inventory two-factor model with offenders.

Much of the research on psychopathy has treated it as a unitary construct operationalized by total scores on one (or more) measures. More recent studies on the Psychopathic Personality Inventory (PPI) suggest the existence of two distinct facets of psychopathy with unique external correlates. Here, the authors report reanalyses of two offender data sets that included scores on the PPI along with various theoretically relevant criterion variables. Consistent with hypotheses, the two PPI factors showed convergent and discriminant relations with criterion measures, many of which would otherwise have been obscured when relying on PPI total scores. These results highlight the importance of examining facets of psychopathy as well as total scores. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The MMPI—2 Antisocial Practices Content Scale: Construct validity and comparison with the Psychopathic Deviate Scale.

Little is known regarding the construct validity of the Minnesota Multiphasic Personality Inventory—2 Antisocial Practices (ASP) content scale or its differences from the Psychopathic Deviate (Pd) scale. In 3 studies with undergraduates (Ns?=?95, 110, and 100), the ASP scale exhibited convergent and discriminant validity with self-report, interview, family history, and observer measures of psychopathy, personality disorders, and personality traits. The ASP and Pd scales had many similar correlates, but the ASP scale correlated more positively with measures of Machiavellianism and more negatively with interviewer-rated honesty than the Pd scale. The ASP scale demonstrated incremental validity over and above the Pd scale for global indexes of psychopathy and antisocial behavior. Neither scale related highly to the absence of stress and interpersonal anxiety characteristic of psychopathy. The ASP and Pd scales, although overlapping in content, appear to measure somewhat different facets of the psychopathy construct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment of psychopathy in a population of incarcerated adolescent offenders.

The reliability, validity, and factor structure of a modified version of the Psychopathy Checklist—Revised (PCL—R) for adolescents was investigated, completed using file information only, in a sample of incarcerated Black and White male adolescents. Interrater reliability and internal consistency were high, and confirmatory factor analyses and coefficients of congruence showed that the factor structure in this sample resembled the 2-factor solution found in adults. No significant racial differences were found for reliability or mean PCL—R scores. In addition, relationships between PCL—R scores and psychometric measures and behavioral indicators of maladjustment were similar to those previously found in adult populations. The construct of psychopathy, as defined by the PCL—R modified for use with adolescents, appears applicable to both Black and White adolescent male offenders. The study gives evidence for the structural and substantive validity of the modified PCL—R in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)