Psychopathic personality and racial/ethnic differences reconsidered: a reply to Lynn (2002)

Differential Item Functioning of the Youth Psychopathic Traits Inventory Across Race/Ethnicity and Gender Among a Sample of Justice-Involved Youth: An Item Response Theory Analysis

Research is yet to examine whether the items of the Youth Psychopathic Traits Inventory (YPI) function equally well across race/ethnicity and gender. The current study applies an item response theory analysis to detect differential item functioning (DIF) of the YPI subscale across White, Black, and Hispanic youth and males and females among a sample of justice-involved youth. Significant DIF was detected for several items between Black youth and White youth and Black youth and Hispanic youth. Few incidences of DIF emerged between White and Hispanic youth and between males and females. The findings suggest that subscales of the YPI provide more information for White and Hispanic youth compared with Black youth. They also suggest that while there was significant DIF in the difficulty of items, the direction of DIF did not substantially favor one group or another. Thus, the findings suggest that the YPI produces comparable estimates of psychopathic traits for females and males and for White and Hispanic youth. However, the results raise concerns about comparing YPI subscale scores between White and Black youth and Hispanic and Black youth. The findings have important implications for the use of the YPI subscales among diverse samples.

Explicating the role of empathic processes in substance use disorders: A conceptual framework and research agenda

ISSUES

Elucidating the role of empathic processes in developmental pathways to substance use disorders could have important implications for prevention.

APPROACH

We searched the biomedical and social sciences literature to determine what is known about empathy and psychopathological manifestations of severe lack of empathy in the initiation, development and maintenance of psychoactive substance use. Thirty-seven empirical studies were identified and formally reviewed.

KEY FINDINGS

Adults with alcohol and stimulant use disorders exhibited detectable impairments in both cognitive and affective empathy, measured behaviourally, neuroanatomically and by self-report, relative to controls. There were no developmental studies specifically designed to test the role of empathy in substance use pathways, but several studies that included measures of empathy suggest that empathy may be protective. Studies on severe empathic deficits were mixed regarding a unique role of empathy in substance use trajectories, independent of interpersonal style, impulsivity and social deviance. Implications and Conclusions. In the context of findings and methodological limitations of this review, we recommend more rigorous examination of empathy across the spectrum of substance use behaviour. Future work should utilise the following: (i) prospective assessment of empathic capacity in substance abusers during and following treatment; (ii) large, developmentally based prospective designs beginning prior to substance initiation incorporating multiple measures of empathy; (iii) assessment of the moderating role of gender, race and ethnicity; and (iv) prospective study of empathy in children at elevated risk for substance use disorders. [Massey SH, Newmark RL, Wakschlag LS. Explicating the role of empathic processes in substance use disorders: A conceptual framework and research agenda.

The social construction of violence among Northern Plains tribal members with antisocial personality disorder and alcohol use disorder

Whereas recent reports from national studies have presented extremely high rates for many personality disorders in American Indian communities, persistent concerns about the meaning of these symptoms have left many troubled by these reports. American Indians as a group are known to suffer disproportionately from a number of violent experiences, but the dynamics of this violence have received little attention. This paper examines perspectives on violence in the lives of 15 northern plains tribal members who met criteria for antisocial personality disorder and comorbid alcohol use disorder. It explores how study participants constructed and understood their own violent encounters, as well as the motivations they described (characterized here as reputation, leveling, retaliation, catharsis, and self-defense). Violence was gendered in this study, with men generally presenting as perpetrators and women as victims. Men often described themselves as ready participants in a violent world, while women were quite clear that aggression for them was often simply required as they tried to defend themselves from male violence. While this analysis does not replace clinical analyses of violence in antisocial personality disorder, it does reveal an underlying cultural logic that may play a role in shaping the recourse to violence for that minority of individuals for whom it appears to be the obvious choice.

Callous-unemotional traits and the emotional processing of distress cues in detained boys: Testing the moderating role of aggression, exposure to community violence, and histories of abuse

Callous-unemotional (CU) traits in antisocial youth have been associated with deficits in the processing of emotionally distressing stimuli in a number of past studies. In the current study, we investigated moderators of this association in a sample of 88 ethnically diverse detained boys (mean age = 15.57, SD = 1.28). Overall, emotional processing of distressing stimuli using a dot-probe task was not related to CU traits and there was no moderating effect of ethnicity. However, CU traits were related to deficits in emotional processing in youth high on aggression and youth high on exposure to community violence. Further, youth high on CU traits but with enhanced orienting to distressing stimuli had stronger histories of abuse, supporting the possibility that there may be environmentally influenced pathways in the development of these traits.

Psychopathy: a confusing clinical construct

Although psychopathy has traditionally been cited as a disorder of personality, confusion arises as the term is used interchangeably with the terms antisocial personality disorder and dissocial personality disorder, both of which are largely behaviorally based. This paper aims to provide an overview of the literature on the topic of psychopathy, which examines this conundrum. Included in the discussion are definitions of psychopathy, incidence, approaches to diagnosis, and the debates that surround causes, manifestations, and treatability. Experimental studies and theoretical papers have been included if considered to be informative and of relevance to forensic nursing practice. The review demonstrates that studies are fragmented and no clear consensus seems to emerge concerning any of the discussion areas or even the construct of psychopathy itself. It is concluded that further research is required in psychopathy as encountered in both institutional and community settings. Until complete clarification is provided by the research community, forensic nurses need to maintain positive views about their own role when working with people with this challenging condition and strive to maintain a therapeutic ward atmosphere.

Psychopathy and violence: increasing specificity

A large body of literature has established that the construct of psychopathy is broadly related to violence, and the clinical application of the psychopathy construct as a predictor of violence appears to be increasing. This increased application warrants further specification of this relationship. That is, it may be important to identify factors that moderate relationships between psychopathy and violence, and to determine the extent to which subcomponents of the syndrome account for the relationships between psychopathy and specific types of violence. The present review summarises initial attempts to address these goals. We begin by summarising recent trends in the forensic application of the psychopathy construct. We then examine evidence bearing on the extent to which the predictive power of psychopathy for violence is moderated by other factors. Finally, we examine relationships between subcomponents of the psychopathy construct and specific types of violent and aggressive behaviour to examine whether relationships between psychopathy and violence are accounted for by specific components of psychopathy.

Psychopathy and violent crime: a prospective study of the influence of socioeconomic status and ethnicity

The relationship between psychopathy and violence is well-established. However, few studies have examined the extent to which this relationship is influenced by sociodemographic predictors of violent criminality. In this prospective study we examine the power of psychopathy to predict criminal violence across ethnicity and levels of socioeconomic status in 199 European American and African American U.S. county jail inmates. A Psychopathy x SES x Ethnicity interaction was identified such that among European Americans psychopathy predicted recidivism at lower levels of SES but was unrelated to recidivism at higher levels of SES. The predictive power of psychopathy was relatively stable across SES among African Americans. The implications of our results for psychopathy and violence prediction are discussed.

Do black and white youths differ in levels of psychopathic traits? A meta-analysis of the psychopathy checklist measures

Putative ethnic group differences in various forms of psychopathology may have important theoretical, clinical, and policy implications. Recently, it has been argued that individuals of African descent are more likely to be psychopathic than those of European descent (R. Lynn, 2002). Preliminary evidence from the Psychopathy Checklist: Youth Version (A. Forth, D. Kosson, & R. Hare, 2003) offers some support for this contention, with Black youths rated as moderately higher (Cohen's d = .61) than White youths in a large institutional sample (n = 945). To examine this issue more exhaustively, the authors meta-analyzed adolescent psychopathy data from several studies (combined N = 2,199) and obtained a much smaller mean difference (dw = .20, p = .03), although considerable heterogeneity was evident among the effect sizes.

Psychopathy in women: a review of its clinical usefulness for assessing risk for aggression and criminality

Despite a flurry of studies examining psychopathy in women, and the recent release of the second version of the Hare Psychopathy Checklist--Revised manual, there is still little consensus whether the lateral extension of the current conceptualization of psychopathy to women is appropriate. In particular, very little agreement exists concerning the clinical utility of the Hare psychopathy measures to assess women's risk of future offending and violence. This article presents a comprehensive review of studies of the association between psychopathy, antisocial behavior, and violence, in diverse samples of women, and looks at similarities and differences between these constructs in males and females. Findings from inmates and offenders, civil and forensic psychiatric patients, substance abusers, and community samples indicate a consistently lower base rate of psychopathy among women than among men. With some exceptions, correlates of psychopathy in women relevant to risk assessments for crime and violence tend to be modest and significant, generally mirroring what we see in men. Clinicians and policy makers charged with the care and management of women at risk for criminal offending and violence are likely to find the PCL-R and PCL:SV have clinical utility; however, cautious application is called for and ongoing research is required.

Gender and psychopathy: an overview of important issues and introduction to the special issue

One of the most important concepts to ever emerge in forensic psychology and law is psychopathy. It would be difficult to exaggerate the profound effect the construct has had on research and practice in correctional psychology, psychiatry, and criminology. Much less pronounced has been an interest in understanding the potential relevance and practical implications that this personality disorder might have for providing insights into antisocial behaviors and crimes committed by girls and women. In this paper we provide an overview of some of the pressing issues confronting clinicians and researchers and provide an introduction to this special issue dedicated to gender and psychopathy.

Psychopathic traits predict attitudes toward a juvenile capital murderer

The current study manipulated the presence/:absence of psychopathic traits and the ethnicity (Black/:White) of a juvenile capital murderer to examine their impact on layperson attitudes regarding what types of legal sanction were appropriate. Participants (N=360) reviewed a newspaper article concerning a death row inmate who was appealing his sentence primarily based on the fact that he committed the crime when he was 16 years of age. Compared to those in the control condition, those who read a scenario in which the defendant had been described at trial as exhibiting psychopathic traits (e.g. remorselessness, pathological lying) were significantly more likely to support a death sentence and less likely to believe he should receive any treatment in prison. Moreover, participant ratings of the extent to which they believed the defendant exhibited prototypically psychopathic traits (regardless of whether they were in the psychopathy or control condition) also significantly predicted these criterion measures. Ethnic status was relatively less influential, although participants were somewhat more punitive towards a Black defendant than a White defendant when considering the relevance of possible mitigating factors (e.g. history of sexual abuse).