Psychopathy and Comorbidity in a Young Offender Sample: Taking A Closer Look At Psychopathy's Potential Importance Over Disruptive Behavior Disorders.

The authors examined the construct of psychopathy as applied to 130 adolescent offenders using 3 psychopathy measures and a broad range of DSM-TV Axis I diagnoses and psychosocial problems. Measures used in the study included the following: (a) Psychopathy Checklist-Youth Version (PCL- PCLYV; A. E. Forth, D. S. Kosson, & R. D. Hare, 2003), (b) Antisocial Process Screening Device (APSD; YV; P. J. Frick & R. D. Hare, 2002), (c) a modified version of the Self-Report Psychopathy-II scale (SRP-II; R. D. Hare, 1991b), and (d) the Adolescent Psychopathology Scale (APS; W. M. Reynolds, 1998). Results from this study offer incremental support for the construct validity of psychopathy in youth. Psychopathy evidenced better convergent and discriminant validity results than did the disruptive behavior disorders (DBDs) such as oppositional-defiant disorder (ODD) and conduct disorder (CD). Despite this finding, psychopathy scales nonetheless correlated with other forms of psychopathology at a higher rate than was expected, suggesting that comorbidity is high even when psychopathy is used as a classification scheme. Also, hierarchical multiple regression was used to determine whether psychopathy offered an improvement in the prediction of previous violent and nonviolent offenses. The results for the current study were mixed, with only the PCL-YV significantly predicting previous violent and nonviolent offenses beyond the DBDs. The findings indicate that psychopathy may offer incremental improvement over DBDs with regard to level of comorbidity and perhaps even prediction. However, simply extending the adult construct of psychopathy to youth without considering the array of psychopathology that may accompany adolescent psychopathy could be misleading. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and suicide: A multisample investigation.

Evidence suggests that behavioral aspects of psychopathy are associated with suicidal behavior, whereas the affective and interpersonal aspects are not. The authors tested the robustness of this bifurcated association across 1,711 persons and 12 samples of adult and juvenile criminal offenders, forensic psychiatric patients, and civil psychiatric patients. The authors observed a small but significant partial correlation (.13) between the behavioral/impulsive lifestyle features of psychopathy and suicidality, but no effect for affective/interpersonal features. Several method and sample features (mental disorder; psychopathy and suicidality measurement format) significantly strengthened or weakened this association. The authors conclude that it is not possible to speak of "the" association between psychopathy and suicide, but that this relationship appears to be partially dependent on methodological (i.e., self-report vs. clinician-administered psychopathy measures) and sample composition (i.e., age; mental illness) factors. Recommendations for practice are provided, including that clinicians should not consider psychopathy a buffer against suicidal behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Group psychotherapy with incarcerated offenders: A research synthesis.

The purpose of this study was to evaluate the efficacy of group psychotherapy with incarcerated offenders. Meta-analytic techniques were applied to 26 empirical studies that used a treatment group versus a control group. The outcome measures assessed in this study included institutional adjustment, anger, anxiety, depression, interpersonal relations, locus of control, and self-esteem. The results indicate that positive treatment effects were found for the use of group psychotherapy with incarcerated offenders across all outcomes. Supplemental analyses were also included to identify factors that contribute to the efficacy of group psychotherapy and indicate that the use of homework exercises resulted in significantly improved outcomes. Furthermore, participants mandated to treatment did not negatively influence the efficacy of group psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy evidence in legal proceedings involving adolescent offenders.

Despite debates surrounding juvenile psychopathy, we do not know how frequently psychopathy evidence is presented in adolescent court cases or how this information is used. To address this gap, we reviewed 111 American and Canadian adolescent offender cases, which included 143 separate evaluations involving psychopathy. Results suggest that psychopathy evidence has been introduced in a sizable number of cases and is becoming increasingly common. While judges generally did not refer to psychopathy evidence in making ultimate legal decisions, psychopathy evidence appeared influential in some cases. In addition, consistent with concerns voiced by scholars, evidence of psychopathy was frequently used to infer that a youth would be difficult or impossible to treat. Conversely, the absence of psychopathy was occasionally interpreted as a sign of amenability and used to support more lenient sanctions. Whereas some cases appeared to attend to key issues that have been discussed in the research literature, such as the need for caution in applying psychopathy labels to youth and the importance of developmentally appropriate assessment strategies, other cases did not. The implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Investigating different factor structures of the Psychopathy Checklist: Youth version: Confirmatory factor analytic findings.

There has been a recent push to extend the construct of psychopathy into adolescence, primarily as a result of the impressive reliability, validity, and utility of this construct in samples of adults. The value of this work rests, however, on creating an equally reliable and valid assessment tool for adolescents. One promising measure is the Psychopathy Checklist: Youth Version (A. E. Forth, D. S. Kosson, & R. D. Hare, 2003). The current study uses a large, diverse sample of serious adolescent offenders to assess the overall fit of various underlying factor structures of this measure and to test the equivalence of these models across sex and race/ethnicity. The results suggest that either a 3- or 4-factor model provides the best overall fit and that these models are invariant across sex and race/ethnicity. The decision to use the 3- or 4-factor model will likely hinge on researchers' underlying conceptualization of psychopathy, specifically whether antisocial behavior is viewed as a core feature of this construct. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation between exposure to violence and social information processing among incarcerated adolescents.

Combining evidence from social learning theory with reports of the association between community violence exposure and aggressive behavior development, the authors examined the link between specific characteristics of violence exposure and social information-processing mechanisms (N. R. Crick & K. A. Dodge, 1994; K. A. Dodge, 1980, 1986) in a sample of highly aggressive, incarcerated adolescent boys (N?=?110). Results demonstrated that victimization by severe violence was significantly related to approval of aggression as a social response, problems with the interpretation of social cues, and maladaptive social goals. Witnessing severe violence, in contrast, was related to perceived positive outcomes for the use of aggression. These data suggest the importance of examining the severity and modality of exposure to community violence for understanding patterns of social–cognitive functioning among adolescents exposed to violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Application of Megan's law to juveniles.

This article examines (a) the history of registration and notification statutes for sex offenders and the concerns and legal challenges they have faced, (b) psychology's limited knowledge about normal versus abnormal sexual development, and (c) research that suggests rates of recidivism for sexual offenses may be lower for juveniles than for adults who have been discovered and received punishment and/or treatment. Although the behaviors of juvenile and adult sex offenders may appear similar, the underlying mechanisms triggering the behaviors may be different or juveniles' patterns of behaviors may be less established, accounting for some of the observed differences in recidivism rates. Although the authors recognize the critical objective of protecting victims and potential victims, this article focuses on intervention efforts with juvenile sex offenders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and Offending From Adolescence to Adulthood: A 10-Year Follow-Up.

This study examined the predictive validity of the Hare Psychopathy Checklist: Youth Version (PCL:YV; A. E. Forth, D. S. Kosson, & R. D. Hare, 2003) from adolescence to early adulthood. The authors coded the PCL:YV using file information and collected criminal record information over a 10-year follow-up period on 157 boys, ages 12 through 18, referred to Youth Forensic Psychiatric Services for assessment in 1986. The risk for violence into early adulthood was greater among those with high PCL:YV scores than among those with low scores, even after controlling for conduct disorder, age at first offence, and history of violent and nonviolent offending. These results indicate that the PCL:YV provides meaningful information about young offenders' risk for violence into early adulthood. Clinical implications are discussed, with reference to pertinent ethical issues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit measures of association in psychopathology research.

Studies obtaining implicit measures of associations in Diagnostic and Statistical Manual of Mental Disorders (4th ed., Text Revision; American Psychiatric Association, 2000) Axis I psychopathology are organized into three categories: (a) studies comparing groups having a disorder with controls, (b) experimental validity studies, and (c) incremental and predictive validity studies. In the first category, implicit measures of disorder-relevant associations were consistent with explicit beliefs for some disorders (e.g., specific phobia), but for other disorders evidence was either mixed (e.g., panic disorder) or inconsistent with explicit beliefs (e.g., pain disorder). For substance use disorders and overeating, expected positive and unexpected negative associations with craved substances were found consistently. Contrary to expectation, implicit measures of self-esteem were consistently positive for patients with depressive disorder, social phobia, and body dysmorphic disorder. In the second category, short-term manipulations of disorder-relevant states generally affected implicit measures as expected. Therapeutic interventions affected implicit measures for one type of specific phobia, social phobia, and panic disorder, but not for alcohol use disorders or obesity. In the third category, implicit measures had predictive value for certain psychopathological behaviors, sometimes moderated by the availability of cognitive resources (e.g., for alcohol and food, only when cognitive resources were limited). The strengths of implicit measures include (a) converging evidence for dysfunctional beliefs regarding certain disorders and consistent new insights for other disorders and (b) prediction of some psychopathological behaviors that explicit measures cannot explain. Weaknesses include (a) that findings were inconsistent for some disorders, raising doubts about the validity of the measures, and (b) that understanding of the concept “implicit” is incomplete. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Response perseveration in psychopathic women.

Recent attempts to validate the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991) as a measure of psychopathy in female offenders have been limited by a failure to examine laboratory correlates of the syndrome. We assessed 112 incarcerated women by using the PCL-R and examined their performance on a card perseveration task that has been used to demonstrate response perseveration in psychopathic men. Contrary to prediction, psychopathic women did not perseverate responding when the PCL-R was used either dimensionally or categorically. The authors discuss the implications of the results for the PCL-R and for female psychopathy more generally. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The Young Offenders Act: A revolution in Canadian juvenile justice.

Reviews the book, The Young Offenders Act: A revolution in Canadian juvenile justice by Alan Leschied, Peter Jaffe, and Wayne Willis. The recent historical development of how we deal with young criminals in Canada is well covered in this book. For most of this century, the treatment of young offenders was governed by the Juvenile Delinquents Act (JDA). A product of the reform movements of the end of the 19th century, this act was based on the rationale that young criminals were wayward children whose antisocial behaviour was a reaction to deprivation and neglect. Unfortunately, over the years the JDA became in operation often oppressive, with little attention to due process, and a smothering concern for the welfare of its clients that enmeshed them in a net from which they could not easily escape. The "solution" to these problems was the Young Offenders Act (YOA), implemented during the past decade. The central theme of the first seven chapters of the book--about half of the total--is how the old Welfare assumptions have been replaced by a Junior Justice model. As detailed therein, accused young offenders are now given legal safeguards equivalent to those afforded to adults, with the same rules of evidence, guarantees of defence lawyers and legal aid, and definite fixed sentences if convicted. As one might have expected, the "Revolution in Canadian Juvenile Justice" claimed by the book's subtitle is often much more profound at the level of legal philosophy than on the front lines where real decisions about kids' lives have to be made. Old problems have been replaced by new ones, for example the precipitous drop in the number of convicted youths in psychological treatment programs. Clearly, the roles of both lawyers and psychologists within the System have changed with the adoption of the YOA, and the balance of power has shifted away from treatment. However, as is clear after reading this book, working procedures under the new act are not all fixed by the legislation; rather, some procedures could probably be altered relatively easily. As well, some minor changes in the legislation might make the entire system much more amenable to treatment. The JDA evolved over time, and so will the YOA. This volume can serve as a good starting position for one to consider what the YOA can become and how it can be directed in its evolution, rather than decrying the very dubious value of what it replaced. It will certainly be of interest to psychologists and other professionals in the criminal justice field. It could also serve as a good introduction to criminal justice issues for other readers with interests in adolescent behaviour. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Multigroup Item Response Theory Analysis of the Psychopathy Checklist-Revised.

Item response theory was used to investigate the functioning of the Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991, 2003) in several offender populations. With male criminal offenders (N=3,847) as a reference group, differential item functioning analyses were performed for 3 comparison groups: female criminal offenders (N=1,219), male forensic psychiatric patients (N=1,246), and male criminal offenders scored from file reviews (N=2,626). Results are discussed in the context of the 2-factor, 4-facet model for the PCL-R (R. D. Hare, 2003; J. Parker, G. Sitarenios, & R. D. Hare, 2003). Application of a multigroup graded response model to all 4 groups suggests scalar equivalence may hold at least approximately for each population, although the PCL-R provided slightly greater information about the latent trait of psychopathy for male criminal offenders scored from the standard procedure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of interview and observation measures of mother behavior.

"In order to compare the adequacy of interviews and observations as methods, 30 mothers were studied by means of individual interviews and controlled observation while interacting with their children. Neither method was found to be completely superior to the other by the measures used… In general, it was concluded that the interview was a preferable method only because it allows coverage of a wider range of behavior than does an observation. However, it was found that observation of behavior discriminated 'defensive' mothers better than did the interview." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of direct, indirect, and fantasy measures of identification.

"This study was designed to investigate predicted relationships of three levels of directness of assessment (direct, indirect, and fantasy) to two aspects of parental identification, i.e., perceived similarity to a parent and degree of involvement with a parent… . It was predicted that (a) perceived similarity measures would be positively related, (b) involvement measures would be positively related, and (c) since both… are assumed to be components of identification, they should be positively associated with each other." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and Unlawful Confinement: An Examination of Perpetrator and Event Characteristics.

Given their particular constellation of interpersonal, affective, lifestyle, and antisocial features, we hypothesized that psychopaths would be more likely than other offenders to unlawfully confine another person. The present archival study investigated victim and offence characteristics, and the prevalence of psychopathy in offenders who perpetrated criminal acts of unlawful confinement. Of federal offenders incarcerated in the Pacific Region of Canada between the late 1960s and 1998, 136 (11.3%) had committed acts of unlawful confinement, 90 of whom had PCL-R assessments on file. Results indicated that 49% of these perpetrators were psychopathic (i.e., PCL-R > 30). These perpetrators typically were under the age of 30 years, and were characterized by a lack of formal education, substance abuse problems, psychiatric histories, and previous violence. Most of the offences appeared to be instrumental and involved sexual misconduct and the use of weapons. The majority were perpetrated against females, were of short duration, and rarely resulted in the victim's death. Implications for the criminal justice system are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dissemination and effectiveness of multisystemic treatment in New Zealand: A benchmarking study.

The transportability of Multisystemic Therapy (MST) for the treatment of juvenile offenders in a community-based context was examined in the current study. Results of this New Zealand study showed that significant pre- to posttreatment improvements occurred on most indicators of ultimate (i.e., offending behavior) and instrumental (i.e., youth compliance, family relations) treatment outcomes. Reductions in offending frequency and severity continued to improve across the 6- and 12-month follow-up intervals. In comparison to benchmarked studies, the current study demonstrated a more successful treatment completion rate. Additionally, overall treatment effect sizes were found to be clinically equivalent with the results of previous MST outcome studies with juvenile offenders and significantly greater than the effect sizes found in the control conditions. The findings of this evaluation add to the growing body of evidence that supports MST as an effective treatment for antisocial youth. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Canadian Children's Law: Cases, Notes and Materials.

Reviews the book, Canadian Children's Law: Cases, Notes and Materials by Nicholas Bala, Heino Lilies, and George Thomson (1982). This book contains a collection of articles, legal decisions, and comments on significant issues in relation to children. The authors divide the table of contents into two major groupings: Part I deals with child welfare and Part II deals with juvenile offenders. This book does not attempt to be exhaustive. For example, it does not cover legislation in other provinces, and the excerpts of articles are often too short to give an in-depth discussion of the issues. However, its greatest value is in raising questions that all mental health professionals should discuss within their own profession and with the legal profession and the judiciary so that a better working relationship can be achieved. I would recommend this book to all psychologists who arc involved in child welfare or delinquency matters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The comprehensibility and content of juvenile Miranda warnings.

Annually, more than 1.5 million juvenile offenders are arrested and routinely Mirandized with little consideration regarding the comprehensibility of these warnings. The current investigation examined 122 juvenile Miranda warnings from across the United States regarding their length, reading level, and content. Even more variable than general Miranda warnings, juvenile warnings ranged remarkably from 52 to 526 words; inclusion of Miranda waivers and other material substantially increased these numbers (64-1,020 words). Flesch-Kincaid reading estimates varied dramatically from Grade 2.2 to postcollege. Differences in content included such critical issues as (a) right to parent/guardian input, (b) specification of free legal services for indigent defendants, and (c) statements of right to counsel in conditional terms. Recommendations for simplified juvenile Miranda warnings are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of multisystemic therapy through midlife: A 21.9-year follow-up to a randomized clinical trial with serious and violent juvenile offenders.

Objective: Although current evidence suggests that the positive effects of multisystemic therapy (MST) on serious crime reach as far as young adulthood, the longer term impact of MST on criminal and noncriminal outcomes in midlife has not been evaluated. In the present study, the authors examined a broad range of criminal and civil court outcomes for serious and violent juvenile offenders who participated on average 21.9 (range = 18.3–23.8) years earlier in a clinical trial of MST (C. M. Borduin et al., 1995). Method: Participants were 176 individuals who were originally randomized to MST or individual therapy (IT) during adolescence and averaged 3.9 arrests for felonies prior to treatment. Arrest, incarceration, and civil suit data were obtained in middle adulthood when participants were on average 37.3 years old. Results: Intent-to-treat analyses showed that felony recidivism rates were significantly lower for MST participants than for IT participants (34.8% vs. 54.8%, respectively) and that the frequency of misdemeanor offending was 5.0 times lower for MST participants. In addition, the odds of involvement in family-related civil suits during adulthood were twice as high for IT participants as for MST participants. Conclusions: The present study represents the longest follow-up to date of an MST clinical trial and demonstrates that the positive impact of an evidence-based youth treatment such as MST can last well into adulthood. Implications of the authors' findings for policymakers and service providers are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of Treating the juvenile offender.

Reviews the book, Treating the juvenile offender edited by Robert D. Hoge, Nancy G. Guerra, and Paul Boxer (see record 2008-02979-000). This book rejuvenates interest in treatment for juvenile offenders, outlining the important advances that have been made, key challenges that remain, and useful principles for effectively meeting these challenges. Key themes that are emphasised include the importance of evidence-based approaches, interventions that are sensitive to the ecological systems within which youth are embedded, and rehabilitative strategies that are closely informed by research on youths’ risks, needs, and strengths. This book does not deliver a quick manual on how to deliver a particular program, but instead carefully models how to think about and approach treatment. While the book remains accessible to beginners, it is written in a manner which will be thought-provoking and informative even for experts. Furthermore, it is likely to have the positive effect of leaving readers with a desire to learn and do more to improve current practices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)