Abstract:A wealth of research has underscored the strong relationship between PCL-R scores and recidivism. However, mounting criticism cites the PCL-R's cumbersome administration procedures and failure to adequately measure core features associated with the construct of psychopathy (Skeem, Polaschek, Patrick, & Lilienfeld, 2011). In light of these concerns, this study examined the PPI and the PPI-R, which were designed to measure core personality features associated with psychopathy (Lilienfeld & Andrews, 1996; Lilienf… Show more
“…Furthermore, even forensic samples comprised of individuals with relatively low PCL-R scores (e.g. mean PCL-R = 14.5) ( Gonsalves et al. , 2013 ) have significantly higher psychopathic traits than the general population ( Blonigen et al.…”
A fundamental question in neuropsychiatry is whether a neurobiological continuum accompanies the behavioral continuum between subclinical and clinical traits. Impulsivity is a trait that varies in the general population and manifests severely in disorders like psychopathy. Is the neural profile of severe impulsivity in psychopathy an extreme but continuous manifestation of that associated with impulsivity in the general population (different by degree)? Or is it discontinuous and unique (different by kind)? Here, we compare systematic reviews of the relationship between impulsivity and gray matter in psychopathy and in the general population. The findings suggest that the neural profile associated with extreme impulsivity in psychopathy (increased gray matter in rostral and ventral striatum and prefrontal cortex) is distinct from that associated with impulsivity in the general population (decreased gray matter in rostral and ventral prefrontal cortex). Severe impulsivity in psychopathy may therefore arise from a pathophysiological mechanism that is unique to the disorder. These findings prompt the need for future studies to directly test the effect of group on the impulsivity-gray matter relationship in samples comprised of healthy individuals and individuals with psychopathy. The results caution against the use of community samples to examine impulsive psychopathic traits in relation to neurobiology.
“…The Psychopathy Checklist-Revised (PCL-R) is the most widely used assessment tool in clinical forensic and penitential populations (Hare, 1991), but considerable debate persists about the most appropriate construct of psychopathy (Cooke and Michie, 2001;Hare and Neumann, 2008). This has led to the use of other tools including self-report questionnaires, which may have lower reliability, since individuals with ASPD+/-P might not tell the truth or have enough insight (Brinkley et al, 2001;Sellbom et al, 2007;Gonsalves et al, 2013). The assessment of community-dwelling individuals with subclinical psychopathic traits also limits the ability to form a consistent understanding of psychopathy (e.g., Esser and Eisenbarth, 2021;Friedman et al, 2021).…”
September
CITATIONGriem J, Kolla NJ and Tully J ( ) Key challenges in neurocognitive assessment of individuals with antisocial personality disorder and psychopathy.
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