The Dark Side of Personality Flashcards

(49 cards)

1
Q

16 Features of Psychopathy~ Cleckley 1941

A
  • Superficial charm and good intelligence
  • Absence of delusions
  • Lack of anxiety
  • Unreliability
  • Untruthfulness and insincerity
  • Lack of remorse and shame
  • Inadequately motivated antisocial behaviour
  • Failure to earn by experience
  • Ego centricity and incapacity for love
  • Lack of affect
  • Lack of self-reflection
  • Unresponsiveness in interpersonal relation
  • Suicide threats not carried out
  • Impersonal sex life, trivial
  • Failure to follow any life plan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Development of psycopathy as clinically defined as personality disorder

A

1952- sociopathic personality

2nd edition of DSM removed psychopathy and replace with ASPD

2012- DSM-V anti-social/ psychopathic disorder

1985- psychopathy checklist

1991- psychopathy checklist revised (PCI-R)- considered gold standard of diagnostic tool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Two factor model of psychopathy- Lykken (1948)

A

> Galvanised skin response test

> Anxiety levels differentiate psychopaths into two groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Two factor model of psychopathy- primary psychopathy

A

“Specific mental disease…. having in particular a virtual absence of any redeeming social interaction”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Two factor model of psychopathy- secondary psychopathy

A

“Presence of psychoses and neuroses that have a strong antisocial or delinquent aspect”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Characteristics of primary psychopathy (PP)

A

Personality and affective aspects of psychopathy:

  • Pathological lying
  • Manipulation
  • Lack of remorse
  • Predetermined behavior
  • Callousness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Characteristics of secondary psychopathy (SP)

A

Lifestyle and behavioural features of psychopathy:

  • Parasitic lifestyle
  • Impulsiveness
  • Re actively violent
  • Antisocial behaviour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Evidence for 2-factor model:
Primary psychopathy

A

> Inability to discriminate between pleasant and unpleasant sounds (Verona et al 2004)

> Poor perceptional processing of distracting stimuli- goal-focused (Zeier et al 2009)

> Reduced attention to emotion cues and ability to change mood (Malterer et al 2008)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Evidence for 2-factor model:
Secondary psychopathy

A

> Higher level of anxiety, depression and suicide idealisation (Vaughn et al 2009)

> Negative urgency- act impulsively to relieve currently experienced negative emotion (Anestis el al 2009)

> Borderline personality characteristics, poor interpersonal functioning mental disorders (Skeem et al, 2007)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Reinforcement sensitivity theory (Gray,1981)

A

Behavior inhibition system (BIS)
> Avoidance behaviour in response to threat and harm

Behavioral activation system (BAS)
> Regulates appetite behaviours, approach behaviours to reward and impulsivity

PP= weak BIS
SP= strong BAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Response modulation theory (Newman and colleges)- Attentional processing deficit

A

Can’t attend to peripheral info that prevents threat and distress cues (or insufficient allocation of attentional resources)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Response modulation theory (Newman and colleges)-
Higher order cognitive processes mediate neural functioning

A

> Preservation in gambling task (Newman and Kosson, 1986)

> Can’t alter attention focus

> Impairment in rule learning and error monitoring (von Borries et al 2009)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Low fear model of psychopathy (Blair 2005, 2006)

A

Deficient amygdala, paralimbic system and orbitofrontal cortex (neural regions associated with fear and emotion processing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does Low fear model of psychopathy explain?

A

> Deficient aversive conditioning

> Recued automatic response and startle threat to anticipated threat

> Poor passive avoidance learning

PP- neurological and cognitive deficits leads to inadequate moral socialisation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nuerobiolgocial characteristics of SP

A

> Deteriorated prefrontal cortex grey matter- bad decision making (Raine et al 2000

> Unequal balance of activity between PFC and subcortal regions

> Impulsive and not predetermined violence (raine et al 1998)

> Variours other neural regions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Neurotransmitters~ Serotonin transporter gene 5-HTTLPR (Long allele version associated with PP)

A
  • Attentional deficits
  • Impaired aversive conditioning
  • Perseveration
  • May shape amygdala functioning (Glenn,2011)
  • Neuronal hypoactivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Serotonin transporter gene 5-HTTLPR (Short allele associated with SP)

A

Associated with hypersensitive psychopaths such as depression, anxiety, and substance abuse (Glenn, 2011)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does psychopathy develop: callous unemotional (CU) traits (in children)

A

> Emerge from 2 years old

> Under strong genetic influence from 7-16 years (estimates 40%-78% heritability)

> Stability maintained genetically

> Children with CU traits- more pervasive and less treatable-failure of moral socialization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does psychopathy develop~ CU traits pertain more to PP

A

> Less likely to make eye contact with their mother

> Have problems recognizing fearful body poses and faces

> Emotionally unresponsive to others’ distress
Less responsive to fearful eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nature and Nurture

A

> CU traits may protect against adverse rearing environment

> Antisocial behavior (ASB) moderately influenced by genetics as well as shared and non-shared environmental factors

> Harsh parenting strongly related to ASB in children who are normal for CU traits

> CU traits promote high ASB and criminally beyond what would be expected by adverse parenting alone

> Gene X environment interactions (epigenetics) need to be considered (no longer nature vs nurture debate)

21
Q

“Successful” psychopathy

A

Psychopaths are charming; lack anxiety, and articulate, but also guiltless, callous, and self-entered (Lilienfeld et al 2015)- happy to deceive people

22
Q

“Successful” psychopathy~ Cleckley 1982

A

“The typical psychopath will seem particularly agreeable and make a distinctively positive impression when he is first encounted… indications of good sense and sound reasoning will emerge… normal and pleasant person is also one of high abilities”

23
Q

Successful psychopathy as primary psychopathy

A

> Interpersonal aspects- positively associated with verbal IQ, fluid intelligence, creativity, practicality and analytical thinking

> Useful for navigating social situations

> Overrepresented in high-achieving professions (eg lawyers, managers etc)

> Levels of psychopathy higher in business studies students (Wilson and MCcarty 2011)

> “Business psychopathy” (Francis and Lilienfeld 2012)

24
Q

Models of successful psychopaths

A

> Differential severity model

> Moderated expression model- protective factors eg good parenting and better higher-order thinking

> Differential configuration model- successful psychopaths higher in extraversion and conscientiousness and low levels of agreeableness and disinhibition

> Bond based on Yeo Thomas (WW1 special agent) “swashbuckling, charismatic, and daring” (Lilienfeld et al 2015)

25
How narcissism is different psychopathy
- Quiet often confused - Psychopathic individuals can be narcissistic - Narcissists not necessarily psychopathic
26
Grandiose narcissistic traits
- Superior sense of self - Egotism - Self-centered - Overconfident - Hyper competitive - Status seeking
27
Narcissism in some ways is better
- Sociable - Confident in social situations - Entertaining - Resilience and psychological well-being in context of high self-esteem - Low loneliness anxiety and neuroticism
28
Psychopathy as an evolutionary adaption
- “Male typical”, cheater strategy - Resources and mates through cheating - Short term relationships, risky sexual behavior, unrestricted sociosexuality, casual sex, exploitative and aggressive mating tactics
29
Primary psychopathy as an adaption
> Psychopathy as an adaption to altruistic social groups during Enrionment of Evolutionary Adaptedness (exploit trust) >Primary psychopathy as the genetically inherited, fast life history strategy “cheater strategy” > Frequency dependent- 1% of the population
30
SP as an adaption
> Developmental plasticity > Environmental conditions can change temporarily and spatially > Adaptive to be able to shift LHS accordingly > SP is a conditional adaptation to an adverse environment (Glenn 2011) > Still attractive members of the opposite sex (sensation seeking, impulsive, risk taking)
31
Sex similarities in psychopathy- PP
- Fear and emotion processing deficits - Low empathy - Resiliency against adverse life experiences - Lower anxiety - Less agreeableness
32
Sex similarities in psychopathy- SP
- Same adverse emotional style - Antisocial, violent and criminal behaviour - Alcohol and substance misuse - Mental health problems - High anxiety levels
33
Women and psychopathy
> Less likely to engage in proactive and reactive violence > Commit nonviolent crimes like theft and prostitution > Internalize behavior like self-harm and running away > Greater degree of psychopathology > Suicide attempts >Internalizing symptoms > Differences between PP and SP less distinct- report feelings of alienation and high stress
34
Why the difference in sex with psychopathy?
> Remains largely unexamined > Estrogen may be protective factor against abnormal neural functioning in psychopathy brain regions > Genes have stronger influences on ASB in women- for men environmental factors more important
35
Controversies with the 2-factor model(Skeem,Cooke & Michie)
> Emphasis on criminality – emphasis on “unsuccessful” psychopathy, and over-emphasis on antisocial and violent behaviour > What is measured by the PCL-R hasreplaced psychopathy as a construct
36
3-factor model (Cooke & Michie, 2001)
> Arrogant & deceitful personality style > Deficient affective experience > Impulsive & irresponsible behavioural style
37
How to diagnose psychopathy
- Based on Hare’s two-factor model: Factor 1: Interpersonal (1, 2, 4, 5) Affective (6, 7, 8, 16) Factor 2: Lifestyle (3, 9, 13, 14, 15) Antisocial (10, 12, 18, 19, 20) > Collateral and interview info used to score personality traits and behaviour > Score of >25 is concerning, >30 = psychopathy > Av score in general population is 5 > Women >18 for clinical consideration
38
Issues over assessment
> Reliability of inter-rater scoring (e.g.,Edens et al., 2010) > Which side the assessor is on in criminal case > Predictability of future behaviour > Co-morbidity
39
Psychopathy and treatment: We still don’t fully “know” what psychopathy is
> Not a single disorder but actually a “dimensional configuration of traits”(Polaschek & Daly, 2013) > Essential to differentiate between PP and SP – “failure to account for these variants... may dilute or conceal differential treatment effects” (Polaschek& Daly, 2013)
40
Psychopathy and treatment: What should be included in the diagnosis even?
> Adaptive aspects? > Adverse aspects? > Are criminal and AS behaviour part of the disorder or a symptom of it?
41
How to treat psychopathy?
> Only recently accepted that offenders are treatable > Best to view PCL-R diagnosis as indicative of a high-risk offender and therefore should receive intensive treatment > How is treatment judged? affected by psychopathy?
42
Background to controversy with psychopathy treatment
> Typically considered unlikely (Cleckley, 1941) > Various studies demonstrated that psychopaths not treatable or even made them worse (Rice et al.,1992) > But multiple confounding/unaccounted for factors – precise mechanism impossible to define >Other studies – issues with methodology and contradictory findings (Seta & Barbaree 1999; Barbaree,2005; Looman et al., 2005) > Very few studies – different levels of scrutiny (randomised control trials probably impossible)
43
Psychopathy and Crime
> Key predictor in violent offending > Factor 2 is more predictive (unstable antisocial lifestyle) than Factor 1 (Affective and Interpersonal) (Leistico etal., 2008; Coid et al., 2008) > 3 ½ times more likely to commit violent crimes(Hare & McPherson, 1984 > Psychopaths more likely to commit violent crimes for material gain while non-psychopaths motivated by strong emotional arousa > More likely to reoffend and at a quicker rate (Hart,Kropp and Hare, 1988; Harris, Rice and Cormier,1991) > Psychopathic murderers are much more likely to have committed predatory premeditated murder.
44
Psychopathy and sexual offending
> Olver & Wong (2006) studied psychopathy and recidivism in a sample of federally incarcerated sex offenders > Rapists and mixed offenders had higher total and Factor 2 psychopathy scores than child molesters and incest offenders. > PCL-R weak predictor of sexual recidivism but predicted non sexual violent recidivism and general recidivism
45
Psychopathy and criminal responsibility
> Are psychopaths fully criminally responsible for their actions? (defence?) > Can they understand court proceedings? (fit to plead) > Is psychopathy a mitigating or aggravating factor that should be considered when sentencing? > Is the crime relevant?
46
Does diagnosis of P have a prejudicial effect on jurors in capital punishment cases?:Edens et al. (2003)
> Pts significantly more likely to support the death sentence when offender was described as having psychopathic traits > The extent to which pts considered the offender to have psychopathic traits also significantly predicted support of the death penalty despite mitigating factors (adverse childhood)
47
Does diagnosis of P have a prejudicial effect on jurors in capital punishment cases?: Cox et al. (2013)
Defendants evaluated as being higher in psychopathic traits, more likely to be given the death sentence
48
Does diagnosis of P have a prejudicial effect on jurors in capital punishment cases?:Edens et al. (2005)
> Expert testimony – when psychopathy, 60% of participants supported the DP, compared to psychotic (30%) or not mentally disordered (38%) > Defendant is being put to death not for the offence but because of psychopathic traits
49
Does diagnosis of P have a prejudicial effect on jurors in capital punishment cases?: Lloyd et al. (2010)
PCL-R scores were related to trial outcome with regards to treatability