Differentiating Psychopathy from General Antisociality Using the P3 as a Psychophysiological Correlate of Attentional Allocation

Recent studies have shown that while psychopathy and non-psychopathic antisociality overlap, they differ in the extent to which cognitive impairments are present. Specifically, psychopathy has been related to abnormal allocation of attention, a function that is traditionally believed to be indexed by event-related potentials (ERPs) of the P3-family. Previous research examining psychophysiological correlates of attention in psychopathic individuals has mainly focused on the parietally distributed P3b component to rare targets. In contrast, very little is known about the frontocentral P3a to infrequent novel events in psychopathy. Thus, findings on the P3 components in psychopathy are inconclusive, while results in non-psychopathic antisocial populations are clearer and point toward an inverse relationship between antisociality and P3 amplitudes. The present study adds to extant literature on the P3a and P3b in psychopathy by investigating component amplitudes in psychopathic offenders (N = 20), matched non-psychopathic offenders (N = 23) and healthy controls (N = 16). Also, it was assessed how well each offender group was able to differentially process rare novel and target events. The offender groups showed general amplitude reductions compared to healthy controls, but did not differ mutually on overall P3a/P3b amplitudes. However, the psychopathic group still exhibited normal neurophysiological differentiation when allocating attention to rare novel and target events, unlike the non-psychopathic sample. The results highlight differences between psychopathic and non-psychopathic offenders regarding the integrity of the neurocognitive processes driving attentional allocation, as well as the usefulness of alternative psychophysiological measures in differentiating psychopathy from general antisociality.     

Psychopathy and developmental instability

Psychopaths are manipulative, impulsive, and callous individuals with long histories of antisocial behavior. Two models have guided the study of psychopathy. One suggests that psychopathy is a psychopathology, i.e., the outcome of defective or perturbed development. A second suggests that psychopathy is a life-history strategy of social defection and aggression that was reproductively viable in the environment of evolutionary adaptedness (EEA). These two models make different predictions with regard to the presence of signs of perturbations or instability in the development of psychopaths. In Study 1, we obtained data on prenatal, perinatal, and neonatal signs of developmental perturbations from the clinical files of 643 nonpsychopathic and 157 psychopathic male offenders. In Study 2, we measured fluctuating asymmetry (FA, a concurrent sign of past developmental perturbations) in 15 psychopathic male offenders, 25 nonpsychopathic male offenders, and 31 male nonoffenders. Psychopathic offenders scored lower than nonpsychopathic offenders on obstetrical problems and FA; both psychopathic and nonpsychopathic offenders scored higher than nonoffenders on FA. The five offenders from Study 2 meeting the most stringent criteria for psychopathy were similar to nonoffenders with regard to FA and had the lowest asymmetry scores among offenders. These results provide no support for psychopathological models of psychopathy and partial support for life-history strategy models.     

White Matter Deficits in Psychopathic Offenders and Correlation with Factor Structure

Psychopathic offenders show a persistent pattern of emotional unresponsivity to the often horrendous crimes they perpetrate. Recent studies have related psychopathy to alterations in white matter. Therefore, diffusion tensor imaging followed by tract-based spatial statistics (TBSS) analysis in 11 psychopathic offenders matched to 11 healthy controls was completed. Fractional anisotropy was calculated within each voxel and comparisons were made between groups using a permutation test. Any clusters of white matter voxels different between groups were submitted to probabilistic tractography. Significant differences in fractional anisotropy were found between psychopathic offenders and healthy controls in three main white matter clusters. These three clusters represented two major networks: an amygdalo-prefrontal network, and a striato-thalamo-frontal network. The interpersonal/affective component of the PCL-R correlated with white matter deficits in the orbitofrontal cortex and frontal pole whereas the antisocial component correlated with deficits in the striato-thalamo-frontal network. In addition to replicating earlier work concerning disruption of an amygdala-prefrontal network, we show for the first time that white matter integrity in a striato-thalamo-frontal network is disrupted in psychopathic offenders. The novelty of our findings lies in the two dissociable white matter networks that map directly onto the two major factors of psychopathy.     

The association between affective psychopathic traits,time incarcerated,and cortisol response to psychosocial stress

Previous research has demonstrated that psychopathic personality traits are significantly predictive of blunted cortisol reactivity to a performance-based stressor task (Trier Social Stress Test; TSST) in college students. However, the relationship between cortisol reactivity and psychopathy has not been explored in high risk samples such as incarcerated populations. Further, the role of imprisonment in relation to cortisol stress reactivity has not been previously explored, but could have practical and conceptual consequences in regard to rehabilitation and biological sensitivity to context, respectively. The current study tested the hypotheses that both psychopathic personality traits and amount of time incarcerated are related to cortisol blunting in response to stress among incarcerated young adults. A sample of 49 young adult male offenders was recruited to complete the TSST. Salivary hormone samples were taken just prior to and 20 min post-stressor, and participants were interviewed with the Psychopathy Checklist-Youth Version. Variables quantifying the amount of time at the present facility prior to the date of testing and number of commitments in juvenile facilities were also collected. Correlational analyses indicated that only number of incarcerations was related to blunted cortisol. Hierarchical Linear Modeling revealed that time incarcerated and number of commitments were related to a blunted cortisol response among responders and declining cortisol reactivity among nonresponders, respectively. Controlling for time incarcerated, psychopathic traits were significantly related to cortisol decline in response to the stressor among nonresponders, but were not related to blunted cortisol among responders. Results of this project highlight the potential biological effects of prolonged and repeated incarcerations, and extend our understanding about the relationship between psychopathic traits and cortisol reactivity in an incarcerated sample.     

A prospective look at substance use and criminal behavior in urban ADHD youth: what is the role of maltreatment history on outcome?

Children with attention-deficit/hyperactivity disorder (ADHD) are at heightened risk of antisocial behavior during adolescence/early adulthood. Here, we characterize the antisocial outcomes of a sample of urban, lower-socioeconomic-status, ethnically diverse ADHD youth and investigate the impact of maltreatment history on criminal and substance use disorder (SUD) outcomes. Ninety-eight participants diagnosed with ADHD in childhood were re-assessed 10 years later and compared with controls. Regression analyses investigated the effect of maltreatment on antisocial outcomes among four groups based on ADHD and maltreatment status. ADHD subjects and controls did not differ in rates of arrest, conviction, incarceration, or recidivism. ADHD youth were younger at their first arrest with higher rates of SUDs when compared to controls. Controls and ADHD subjects with maltreatment had significantly higher rates of SUDs compared to the no-ADHD/no-maltreatment group. Only ADHD youth with maltreatment had significantly higher rates of arrest than the reference group. In contrast to prior studies, ADHD youth did not differ from controls on most measures of antisocial behavior. Maltreatment increased the rate of arrest only among ADHD youth, though increased the rate of SUD for ADHD youth and controls. This suggests that ADHD youth, in the absence of maltreatment, are at no greater risk of SUDs or arrest than controls without maltreatment.     

Psychopathic personality traits and cortisol response to stress: The role of sex, type of stressor, and menstrual phase

Previous research indicates that psychopathic personality traits are associated with lower cortisol secretion in response to stress in men but not in women. The current study explored whether prior null results for women were related to the latency of the cortisol stress response to two different types of stressors. Additionally, accuracy of self-reported menstrual phase was explored via salivary progesterone levels. A mixed-sex sample of 145 participants characterized by high (36 men, 37 women) and low (34 men, 38 women) scores on a screening measure of psychopathic personality traits were randomly assigned to either a performance-based stressor task or a social rejection stressor task. Salivary hormone samples were taken just prior to task onset (baseline) and at 0, 20, 40, and 60 min post-stressor. Results indicated that both men and women characterized by psychopathic personality traits exhibited lower stress-induced cortisol levels to the performance-based task in comparison with controls at 20 min post-stressor. The social rejection task produced a cortisol response 20 min post-stressor in the male controls only. Removal of women with low progesterone from the analyses strengthened the psychopathy group differences. Results could suggest that deficient cortisol production in response to stress might be another important neurobiological feature associated with psychopathic traits, and that biological verification of menstrual phase is an important aspect to obtaining accurate cortisol results in women.     

Impact of Psychopathy on Moral Judgments about Causing Fear and Physical Harm

Psychopathy is a personality variable associated with persistent immoral behaviors. Despite this, attempts to link moral reasoning deficits to psychopathic traits have yielded mixed results with many findings supporting intact moral reasoning in individuals with psychopathic traits. Abundant evidence shows that psychopathy impairs responses to others’ emotional distress. However, most studies of morality and psychopathy focus on judgments about causing others physical harm. Results of such studies may be inconsistent because physical harm is an imperfect proxy for emotional distress. No previous paradigm has explicitly separated judgments about physical harm and emotional distress and assessed how psychopathy affects each type of judgment. In three studies we found that psychopathy impairs judgments about causing others emotional distress (specifically fear) but minimally affects judgments about causing physical harm and that judgments about causing fear predict instrumental aggression in psychopathy. These findings are consistent with reports linking psychopathy to insensitivity to others’ fear, and suggest that sensitivity to others’ fear may play a fundamental role in the types of moral decision-making impaired by psychopathy.     

The strategy of psychopathy: primary psychopathic traits predict defection on low-value relationships

Recent evidence suggests that psychopathy is a trait continuum. This has unappreciated implications for understanding the selective advantage of psychopathic traits. Although clinical psychopathy is typically construed as a strategy of unconditional defection, subclinical psychopathy may promote strategic conditional defection, broadening the adaptive niche of psychopathy within human societies. To test this, we focus on a ubiquitous real-life source of conditional behaviour: the expected relational value of social partners, both in terms of their quality and the likely quantity of future interactions with them. We allow for conversational interaction among participants prior to their playing an unannounced, one-shot prisoner''s dilemma game, which fosters naturalistic interpersonal evaluation and conditional behaviour, while controlling punishment and reputation effects. Individuals scoring higher on factor 1 (callous affect, interpersonal manipulation) of the Levenson self-report psychopathy scale defected conditionally on two kinds of low-value partners: those who interrupted them more during the conversation, and those with whom they failed to discover cues to future interaction. Both interaction effects support the hypothesis that subclinical primary psychopathy potentiates defection on those with low expected relational value. These data clarify the function and form of psychopathic traits, while highlighting adaptive variation in human social strategies.     

Symptom covariance accounts for behavioral approach associations across impulse control disorders

Behavioral approach system (BAS) dysfunction has been identified as a correlate of and a potential mechanism for attention-deficit/hyperactivity disorder (ADHD) and comorbid disorders. This study examined the role of symptom covariation in the relations among BAS dysfunction, ADHD symptoms, and comorbid impulsive personality disorder features. Undergraduates (N = 207) completed measures of BAS functioning, ADHD symptoms, and borderline and antisocial personality disorder symptoms, and associated features (i.e., relational aggression). Hierarchical regression suggested that age, impulsive ADHD symptoms, and relational aggression were associated with BAS functioning. Adding other ADHD symptom dimensions (inattention, hyperactivity) and antisocial and borderline scores to the model did not increase variance accounted for beyond that accounted for by ADHD impulsivity scores. Results highlight a role of symptom covariance in the previously demonstrated relation between BAS, impulsive presentations of ADHD, and comorbid impulsive personality pathology. Implications for etiological models of ADHD and its co-occurrence with other disorders are discussed.     

Association of ADHD with reactive and proactive violent behavior in a forensic population

ADHD is associated with social problems and aggressive behavior. As hyperactive-impulsive traits are core symptoms of ADHD, it has been hypothesized that reactive-impulsive violence is more likely related to ADHD psychopathology than proactive-instrumental violence. One hundred and twenty-seven adult violent offenders participated in the study. Diagnosis of ADHD and ratings of reactive and proactive features of the committed crimes were performed using standardized instruments. According to DSM-IV, 16.5% subjects fulfilled diagnostic criteria for ADHD, 23.6% were diagnosed as ADHD in partial remission, and 59.8% had no ADHD. Univariate analyses revealed higher reactive violence ratings in both ADHD groups when compared to subjects without ADHD, whereas the opposite was found regarding proactive violence ratings. Using multivariate analyses of variance controlled for age, gender and comorbid substance use disorders, childhood ADHD psychopathology and current ADHD significantly increased the risk of reactive violence and decreased the risk of proactive violence. Significant impact of male gender on proactive violence was found. The findings suggest that ADHD is associated with reactive but not proactive violence in aggressive offenders.     

Exaggerated Intergroup Bias in Economical Decision Making Games: Differential Effects of Primary and Secondary Psychopathic Traits

Psychopathic personality traits are linked with selfish and non-cooperative responses during economical decision making games. However, the possibility that these responses may vary when responding to members of the in-group and the out-group has not yet been explored. We aimed to examine the effects of primary (selfish, uncaring) and secondary (impulsive, irresponsible) psychopathic personality traits on the responses of non-offending participants to the in-group and the out-group (defined in terms of affiliation to a UK University) across a series of economical decision making games. We asked a total of 60 participants to act as the proposer in both the dictator game and the ultimatum game. We found that across both tasks, those who scored highly for secondary psychopathic traits showed an elevated intergroup bias, making more generous offers toward members of the in-group relative to the out-group. An exaggerated intergroup bias may therefore represent a motivational factor for the antisocial behavior of those with elevated secondary psychopathic traits.     

The development of the SGI-16: a shortened sensory gating deficit and distractibility questionnaire for adults with ADHD

The Sensory Gating Inventory (SGI) is a questionnaire composed of 36 items designed to investigate abnormal perception related to the inability to control sensitivity to sensory stimuli frequently reported in adult with ADHD. This questionnaire can be considered too lengthy to be taken by people with ADHD, and a shortened version is needed. One hundred and sixty-three adults with ADHD responded to the SGI-36. An item reduction process took into account both the results of statistical analyses and the expertise of a steering committee. Construct validity, reliability, and external validity were tested for a short version (16 items). The structure of the SGI-16 was confirmed by principal components factor analysis. Cronbach’s alpha coefficients ranged from 0.78 to 0.89. The SGI-16 dimension scores were highly correlated with their respective SGI-36 dimension scores. The SGI-16 seems to be both appropriate and useful for use in clinical practice to investigate perceptual abnormalities in adults with ADHD.     

Everybody Else Is Doing It: Exploring Social Transmission of Lying Behavior

Lying is a common occurrence in social interactions, but what predicts whether an individual will tell a lie? While previous studies have focused on personality factors, here we asked whether lying tendencies might be transmitted through social networks. Using an international sample of 1,687 socially connected pairs, we investigated whether lying tendencies were related in socially connected individuals, and tested two moderators of observed relationships. Participants recruited through a massive open online course reported how likely they would be to engage in specific lies; a friend or relative responded to the same scenarios independently. We classified lies according to their beneficiary (antisocial vs. prosocial lies), and their directness (lies of commission vs. omission), resulting in four unique lying categories. Regression analyses showed that antisocial commission, antisocial omission, and prosocial commission lying tendencies were all uniquely related in connected pairs, even when the analyses were limited to pairs that were not biologically related. For antisocial lies of commission, these relationships were strongest, and were moderated by amount of time spent together. Randomly paired individuals from the same countries were also related in their antisocial commission lying tendencies, signifying country-level norms. Our results indicate that a person''s lying tendencies can be predicted by the lying tendencies of his or her friends and family members.     

A gene‐based evolutionary explanation for the association between criminal involvement and number of sex partners

Abstract

Empirical research has revealed a positive relationship between number of sex partners and involvement in antisocial behaviors. Most attempts to explain this association have taken an evolutionary perspective and argued that the same traits (e.g., impulsiveness, shortsightedness, and aggressiveness) that are related to a large number of sex partners are also related to criminal involvement However, there is also reason to believe that the covariation between sex partners and crime behaviors can be partially explained by a common genetic pathway, where genes that are related to sex partners are also related to antisocial conduct. We test this possibility by using data from the National Longitudinal Study of Adolescent Health (Add Health). Specifically, we examine whether variants of the dopamine transporter gene (DAT1) are associated with number of sexual partners and with adult criminal behavior. The results of our analyses reveal two broad findings. First, and in line with prior research, we find that there is a strong positive association between sex partners and antisocial behavior. Second, DAT1 explains variation in both number of sexual partners and in criminal conduct for males. We speak to the implications of our findings.     

注意缺陷多动障碍共患阅读障碍：认知-脑-基因的多维度研究进展

注意缺陷多动障碍（Attention-Deficit/Hyperactivity Disorder, ADHD）和发展性阅读障碍（Developmental Dyslexia, DD）是两种常见的神经发育性障碍,二者共患的比率高达25%～48%。本文拟从认知-脑-基因等多个维度对ADHD共患DD的研究进展进行综述。ADHD和DD共患的共同认知损害可能是加工速度缺陷,其作为内表型能够很好的帮助解释遗传因素如何通过影响认知功能进而导致出现ADHD共患DD的临床表型。而国内对ADHD共患DD的研究较少,已有的多项研究仅关注ADHD伴学习障碍,但缺乏标准的DD临床诊断标准。本文指出了统一诊断标准、结合多学科研究以及未来个体化训练的必要性。     

The role of oxytocin and oxytocin receptor gene variants in childhood-onset aggression

Aggressive antisocial behaviours are the most common reasons why adolescents are referred to mental health clinics. Antisocial behaviours are costly in social and financial terms. The aetiology of aggressive behaviours is unknown but growing evidence suggests it is heritable, and certain genetic variants have been implicated as contributing factors. The purpose of this study was to determine whether genes regulating the hormone oxytocin (OXT) were associated with aggressive antisocial behaviour. The case-control study sample consisted of 160 cases of children displaying extreme, persistent and pervasive aggressive behaviour. This case sample was compared with 160 adult controls. We used polymerase chain reaction (PCR) to determine the genotype for three oxytocin gene (OXT) single nucleotide polymorphisms (SNPs): rs3761248, rs4813625 and rs877172; and five oxytocin receptor gene (OXTR) SNPs: rs6770632, rs11476, rs1042778, rs237902 and rs53576. Genotypic analyses were performed using stata, while differences in haplotypic and allelic frequencies were analysed using Unphased. We also performed within-case analyses (n = 236 aggressive cases) examining genotypic and allelic associations with callous-unemotional (CU) scores (as measured by the psychopathic screening device). OXTR SNPs rs6770632 and rs1042778 may be associated with extreme, persistent and pervasive aggressive behaviours in females and males, respectively. These and haplotype results suggest gender-specific effects of SNPs. No significant differences were detected with respect to CU behaviours. These results may help to elucidate the biochemical pathways associated with aggressive behaviours, which may aid in the development of novel medications.     

The D2 dopamine receptor gene variant C957T affects human fear conditioning and aversive priming

Polymorphisms of DRD2 and A NKK1 have been associated with psychiatric syndromes where there is believed to be an underlying learning process deficit such as addiction, post-traumatic stress disorder and psychopathy. We investigated the effects of the DRD2 C957T and ANKK1 Taq IA single nucleotide polymorphism (SNP), which have been associated with psychopathic traits in alcoholic patients, on fear conditioning and aversive priming in healthy volunteers. We found that the DRD2 C957T SNP, but not the ANKK1 Taq IA SNP, was associated with both differential conditioning of the skin conductance response and the aversive priming effect. There were no differences between the genotype groups with respect to the extinction of the skin-conductance conditioned response. These results suggest that the C957T SNP could be related to learning differences associated with the risk of developing psychiatric disorders in individuals that are carriers of the C homozygous genotype. Our genetic data raise the possibility that the dopaminergic system functional variations determined by this SNP could affect fear learning.     

The psycho gene

While the idea of a ‘criminal gene'' is nonsense, there is growing evidence that some psychopathic behaviour might indeed be grounded in genesThe notion that genes play an important role in many diseases has been widely accepted, but many find it much harder to acknowledge a similar link with particular behaviour or even predisposition to crime. Partly for this reason, the study of behavioural genetics remains a controversial topic, with disagreement not just over the science itself, but even more so about the therapeutic, societal and legal implications.Too much might have been made too soon of early findings that made correlations between alleles of certain genes and tendencies to antisocial or criminal behaviour. Indeed, most researchers in the field were appalled by the decision of an Italian appeal court in 2009 to cut the sentence of a convicted murderer by one year on the grounds that he had a version of the MAOA gene, which has been linked to aggression and violence (Feresin, 2009). There is equal dismay over some US courts that went the other way and accepted genetic factors as evidence for the prosecution, leading to higher sentences on the basis that people with particular alleles cannot be cured and will remain a risk to society for longer.“Taking genetic factors into account when sentencing is plain stupid, unless we are talking about something like Down''s syndrome or some other syndrome that drastically reduces intelligence and executive functioning,” insisted Anthony Walsh from the Criminal Justice Department at Boise State University in Idaho, USA. “This is the kind of “genetic determinism” that liberals have worried themselves silly over. They just have to take one or two neuroscience and genetic classes to dispense with their ‘my genes/neurons'' made me do it. Nothing relieves one of the obligation to behave civilized.”Nonetheless, the case against specific alleles has been accumulating, notably for the low-expression variant of MAOA, known as MAOA-L, which has been linked in various studies with increased risk of violent and aggressive behaviour. The gene MAOA encodes monoamine oxidase A, an enzyme that degrades amine neurotransmitters, such as dopamine, noradrenalin and serotonin. A rare genetic disorder caused by an MAOA mutation leads to MAOA deficiency and in turn an excess of monoamine transmitters, causing excessive impulsive behaviour including hypersexuality, sleep disorder and extreme mood swings as well as a tendency to violence, which is known as Brunner syndrome.…the study of behavioural genetics remains a controversial topic, with disagreement not just over the science itself, but even more so about the therapeutic, societal and legal implicationsBut while Brunner''s syndrome is rare, having only been identified in five males of one extended family, the MAOA-L variant is extremely common and occurs in about 40% of the population. Clearly, most of these people are peaceable and have never committed a crime, and yet a study involving researchers from Austria, Italy and the USA—headed by Andreas Meyer-Lindenberg, Director of the Central Institute of Mental Health in Mannheim, Germany—has discovered that at least males with this variant had neurobiological structural factors that would predispose them to violence (Meyer et al, 2006).Using structural MRI scanning, the study identified that people with MAOA-L were more likely to have a smaller limbic system—the hippocampus, amygdala, anterior thalamic nuclei and limbic cortex—which participates in emotion, behaviour and long-term memory. The team then applied functional MRI, which measures changes in blood flow, and discovered that the MAOA-L group also showed hyperresponsiveness of the amygdala during tasks such as copying facial expressions. The amygdala is associated with emotional processing and the MAOA-L group was less able to inhibit strong emotional impulses.But some trigger is still needed to tip MAOA-L people towards violence. An earlier study suggested that this trigger could be persistent maltreatment during childhood (Caspi et al, 2002). At first sight, this suggests that nearly half the human population are predisposed to violence given these triggers, but the situation is not quite that bad—it is merely nearly half of men. Women are protected in two ways: the MAOA gene is linked to the X chromosome so that women with the MAOA-L variety on one chromosome usually have a normal allele on the other; and there is circumstantial evidence that women are also protected by other genes from being disposed to violence.In any case, caution is needed to interpret the findings of Mayer-Lindenberg''s group about the MAOA-L allele, according to Ahmad Hariri, Investigator at the Institute for Genome Sciences & Policy at Duke University (Durham, NC, USA). “This is a significant basic science finding linking genes to brain to behaviour,” he said. “But it is not a significant clinical finding in and of itself. Only in as much as this very, very, very subtle bias in the brain tips the balance toward an aggressive response to provocation is this finding even remotely clinically relevant.” In fact, as Meyer-Lindenberg himself has commented, the MAOA-L allele is just one of several genes—most of which are still not identified—that increase risk of violent or antisocial behaviour.But the whole story takes a rather different turn in the case of psychopathy, which is now widely regarded as a congenital state characterized by lack of empathy or moral compass and defined at least partly by genes, in contrast to other forms of sociopathy or antisocial personality disorder (APD), in which environmental factors make a major contribution (Fontaine & Viding, 2008).“Taking genetic factors into account when sentencing is plain stupid…”“…it is useful to think of psychopathy as mainly the product of genes and sociopathy as more subject to environmental influences”“Psychopathy does seem to be heritable, and appears to have its basis at least in part in “biological” factors linked to basic emotional systems, so that the mature psychopath never develops a complete set of pro-social emotions like empathy, guilt, and the ability to truly care about and for others,” said Richard Wiebe, who specializes in the link between psychology and criminology at Fitchburg State College in Fitchburg, MA, USA. Wiebe added though that the heritability of underlying genetic factors had yet to be conclusively established. “In other words, we know that the dependent variable, that is psychopathy, is heritable, but not enough about its causes to say that they are heritable. Nevertheless it is useful to think of psychopathy as mainly the product of genes and sociopathy as more subject to environmental influences.”Environmental factors do play a part in the behaviour of psychopaths, but in a different way than in other people who develop antisocial tendencies. The condition is more common than was once thought and affects about 0.6% of the population, according to a recent study conducted in the UK (Coid et al, 2009). Obviously, psychopathy does not always lead to crime or extreme violent behaviour; indeed its occurrence in the population used to be significantly underestimated because it was diagnosed only in people who had already shown extreme behaviour when many psychopaths do not.As there is no genetic or clinical test as yet, psychopathy is still diagnosed in terms of behaviour, but taking account of various factors in combination. Robert Hare, who led the UK study and is now at the Department of Psychology of the University of British Columbia in Vancouver, Canada, has designed a test known as the ‘Psychopathy Checklist—Revised'' of about 20 symptoms that he uses to diagnose psychopathy. These include pathological lying, superficial charm, lack of empathy and guilt, proneness to boredom and sexual promiscuity.Although it is not part of the Hare checklist, psychopaths can also be detected by their lack of a “startle reflex”, which means failure of their nervous system to respond to images or events that frighten or shock other people, such as pictures of a decapitated corpse. These tests work just as well for psychopaths who have never indulged in violence and apparently lead normal lives. They can also be used to identify psychopathy in children, who exhibit the same symptoms, in particular pathological lying, lack of empathy, tendency to violence, and lack of startle reflex—in fact, several studies have found evidence of inherited psychopathy in quite young children (Viding et al, 2005).It also appears that psychopathy is more common in men than women. This supports the theory that psychopathy might be an adaptive personality trait that gives men a reproductive advantage through greater tendency and ability to form numerous relationships and so have more children. This is unproven, but it is certainly true that male psychopaths tend to form large numbers of short-term relationships and can have an almost seductive charm.However, the trait would lose its advantage if it became too common in the population. A particular trait tends only to be advantageous in certain environmental conditions as was pointed out in the context of psychopathy by Essi Viding, Co-Director of the Developmental Risk and Resilience Unit at the Department of Psychology at University College London, UK. “I think that the simple game of evolution is to ensure survival of the species under different environmental conditions,” she said. “In some conditions it may be adaptive to be anxious and cooperative, in other conditions it may be good to exploit and be antisocial. This of course is effectively contrasting alleles that have very different effects. Hence, the same allele may serve an individual very well (and in a socially acceptable manner) in one situation, but not in another.”…psychopathy might be an adaptive personality trait that gives men a reproductive advantage through greater tendency and ability to form numerous relationships and so have more childrenThis leads back to the observation that psychopathy seems to be more common in men than women, which could have two possible explanations. First, it might be true at the genetic and neurological level, in particular if some of the relevant genes are linked to the X chromosome. Yet, this is speculative as few genes have been identified that contribute specifically to psychopathy, with most of the evidence for its heritability being statistical. There is the case of the X-linked MAOA gene, but that has only been associated with general antisocial tendencies.…irrespective of where future research leads, genes should not influence sentencing decisions one way or the other because they can never be deemed responsible for behaviourThere is in any case an alternative explanation for the apparent gender difference in psychopathic prevalence. Alice Jones, specialist in childhood and adolescent psychopathy and antisocial behaviour at Goldsmiths College, University of London, UK, suggests that the condition could be much more common among women than studies suggest. It might be that women will, in many cases, fail to register on the Hare Psychopathy Checklist—Revised because the more extreme traits are cushioned by other female factors. “There is some evidence to support this idea,” said Jones, citing work by Randy Salekin at the University of Alabama, in the USA (Salekin et al, 1997) who found that just as many women as men pass the Hare test in terms of their lack of empathy, but not on the more violent and impulsive criteria. “So, while the interpersonal aspects of psychopathy seem to be present and similar in males and females, the behavioural aspects of psychopathy are very much male-heavy,” said Jones.This comes back to the question of treatment and sentencing. Viding argues that irrespective of where future research leads, genes should not influence sentencing decisions one way or the other because they can never be deemed responsible for behaviour. “Any gene alone will be neither necessary, nor sufficient to predispose someone to high levels of psychopathic traits and as such, the responsibility for choosing to offend still resides with an individual,” she said. “Most ‘risk genes'' are common in the population and yet do not cause the majority of the individuals carrying them to offend.”But the situation is different when it comes to treatment—the appropriate therapy will depend on underlying personality tendencies. Psychopaths tend not to respond well to punishment because they cannot associate it with acts they do not consider in any way morally wrong, according to Jones. But they are more likely to respond to reward. “One example of this is currently underway at a school in Buckinghamshire (UK) for primary aged children with Emotional and Behavioural Difficulties,” said Jones. “There have been very encouraging reports from teachers so far. The intervention is largely reward based, and the pupils gain rewards by working toward reaching their behavioural targets each week. Pupils can ‘cash-in'' their rewards daily, or they can save them up for a more substantial reward later in the week.”Whether this will help these children to lead constructive adult lives remains to be seen. It does provide further evidence though that while it might not be possible to cure psychopaths, it may be possible to direct their selfish tendencies away from crime and violence towards more positive and creative activities.     

Cool and Hot Executive Function Impairments in Violent Offenders with Antisocial Personality Disorder with and without Psychopathy

Background

Impairments in executive function characterize offenders with antisocial personality disorder (ASPD) and offenders with psychopathy. However, the extent to which those impairments are associated with ASPD, psychopathy, or both is unknown.

Methods

The present study examined 17 violent offenders with ASPD and psychopathy (ASPD+P), 28 violent offenders with ASPD without psychopathy (ASPD−P), and 21 healthy non-offenders on tasks assessing cool (verbal working memory and alteration of motor responses to spatial locations) and hot (reversal learning, decision-making under risk, and stimulus-reinforcement-based decision-making) executive function.

Results

In comparison to healthy non-offenders, violent offenders with ASPD+P and those with ASPD−P showed similar impairments in verbal working memory and adaptive decision-making. They failed to learn from punishment cues, to change their behaviour in the face of changing contingencies, and made poorer quality decisions despite longer periods of deliberation. Intriguingly, the two groups of offenders did not differ significantly from the non-offenders in terms of their alteration of motor responses to spatial locations and their levels of risk-taking, indicated by betting, and impulsivity, measured as delay aversion. The performance of the two groups of offenders on the measures of cool and hot executive function did not differ, indicating shared deficits.

Conclusions

These documented impairments may help to explain the persistence of antisocial behaviours despite the known risks of the negative consequences of such behaviours.