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psychopath
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posted:
11/11/2011
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A “criminal personality?”

• Antisocial Personality Disorder (APD)

from DSM-IV

1. Disregard for the rights of others. At least

three of the following:

behaves in a way that is grounds for arrest, deceitful

and manipulative, impulsive, aggressive,

irresponsible, lack of remorse

2. Age 18 or older

3. A history of child conduct disorder

4. Antisocial behavior not a product of

schizophrenic episode

The “psychopath”

• Hervey Cleckley’s (1982) The Mask of

Sanity



• Key features: Manipulative, Superficial charm,

Above-average intelligence, Absence of psychotic

symptoms, Absence of anxiety, Lack of remorse,

Failure to learn from experience, Egocentric, Lack of

emotional depth

• Other Characteristics: Trivial Sex life, Unreliable,

Failure to follow a life plan, Untruthful, Suicide

attempts rarely genuine, Impulsive, Antisocial

behavior

The Lingo

• Psychopath (suggest biology/personality)

• Sociopath (environment)

• Most people now use psychopath,

regardless of causes.



• Serial Killers? Some are psychopaths

– BUT: Some are not, and the vast majority of

psychopaths are not serial killers

How do I know a psychopath when

I see one?

• OLD: Clinical Diagnosis, NOW…

• Robert Hare (Canadian Psychologist)

– Hare PCL (now PCL-R)

– Score characteristics (from Cleckley) on 0-2 scale

based on a structured INTERVIEW

• Ask some “canned” questions, but looking at how they

answer more than what they answer

– Draw “cut-off” for psycho status (28-32)

Interesting stuff from the PCL

• 10 to 25% of inmates are psychopaths

– But, what percent of any cohort?

• Rehabilitation Outcomes

• Differences in Learning

• Individual Differences?

– Speech differences

– Neurological

– Affect/Emotional

Psychopaths do not Benefit From

Treatment



• Rice, Harris, and Cormier (1992)

– Assessed the effectiveness of a therapeutic

community program for psychopaths and

non

– “Violent recidivism rate”

– NON-Psychopaths

• Treatment = 22%; No treatment = 39%

– Psychopaths

• Treatment = 77%; No treatment = 55%

Learning Experiments

• Psychopaths do not learn as quickly

– Played longer in computer card game with

declining chances of success

Individual Differences I: Speech



• Language / Speech

– Logical inconsistencies

– Language is superficial; can’t grasp

abstract/deep Speech Differences

• Williamson (1991): scored audiotaped

interviews with offenders for

cohesion/coherence

– Psychopaths less coherent; get “off track”

Individual Differences II: Emotion



• Affection / Emotional

– Know “rules of game” but can’t appreciate the

emotional significance of situations

• Interview with graphic detail

– Read others reactions to tap into

emotions

Individual Differences III: Biology



• Many of the “correlates” discussed in

Rowe:

– Low cortical arousal

– Low nesting heart rate, Skin conductance

Issues in Psychopathy

• Difference in “kind” or “quantity?”

– Does everyone have a little psychopathy?

• Psychopaths that escape detection?

– Study in prison (high base rate, access to

records)

• Primary vs. Secondary?

– Can some psychopaths turn emotion on and

off?

Policy Implications



• Responsivity Issue

– Keep out of Rx, especially group therapy

– Treatment specifically for psychopaths?





• Issues of Responsibility

– Quacks testifying on behalf of the state


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