Jessica L. Maples-Keller

Psychopathy and Machiavellianism: A Distinction Without a Difference?

A robust literature has emerged on the Dark Triad (DT) of personality-Machiavellianism (MACH), psychopathy, and narcissism. Questions remain as to whether MACH and psychopathy are distinguishable and whether MACHs empirical and theoretical networks are consistent. In Study 1 (N = 393; MTurk research participants), factor analyses were used to compare two-factor (MACH and psychopathy combined + narcissism) and three-factor models, with both fitting the data equally well. In Studies 1 and 2 (N = 341; undergraduate research participants), DT scores were examined in relation to a variety of external criteria, including self- and informant ratings of personality, adverse developmental experiences, and psychopathological symptoms/behaviors. In both studies, MACH and psychopathy manifested nearly identical empirical profiles and both were significantly related to disinhibitory traits thought to be antithetical to MACH. In Study 3 (N = 36; expert raters), expert ratings of the Five-Factor Model traits prototypical of MACH were collected and compared with empirically derived profiles. Measures of MACH yielded profiles that were inconsistent with the prototypical expert-rated profile due to their positive relations with a broad spectrum of impulsivity-related traits. Ultimately, measures of psychopathy and MACH appear to be measuring the same construct, and MACH assessments fail to capture the construct as articulated in theoretical descriptions.

Using online, crowdsourcing platforms for data collection in personality disorder research: The example of Amazon’s Mechanical Turk.

The use of crowdsourcing platforms such as Amazon’s Mechanical Turk (MTurk) for data collection in the behavioral sciences has increased substantially in the past several years due in large part to (a) the ability to recruit large samples, (b) the inexpensiveness of data collection, (c) the speed of data collection, and (d) evidence that the data collected are, for the most part, of equal or better quality to that collected in undergraduate research pools. In this review, we first evaluate the strengths and potential limitations of this approach to data collection. Second, we examine how MTurk has been used to date in personality disorder (PD) research and compare the characteristics of such research to PD research conducted in other settings. Third, we compare PD trait data from the Section III trait model of the DSM–5 collected via MTurk to data collected using undergraduate and clinical samples with regard to internal consistency, mean-level differences, and factor structure. Overall, we conclude that platforms such as MTurk have much to offer PD researchers, especially for certain kinds of research (e.g., where large samples are required and there is a need for iterative sampling). Whether MTurk itself remains the predominant model of such platforms is unclear, however, and will largely depend on decisions related to cost effectiveness and the development of alternatives that offer even greater flexibility.

Vulnerable Narcissism Is (Mostly) a Disorder of Neuroticism

OBJECTIVE Increasing attention has been paid to the distinction between the dimensions of narcissistic grandiosity and vulnerability. We examine the degree to which basic traits underlie vulnerable narcissism, with a particular emphasis on the importance of Neuroticism and Agreeableness. METHOD Across four samples (undergraduate, online community, clinical-community), we conduct dominance analyses to partition the variance predicted in vulnerable narcissism by the Five-Factor Model personality domains, as well as compare the empirical profiles generated by vulnerable narcissism and Neuroticism. RESULTS These analyses demonstrate that the lions share of variance is explained by Neuroticism (65%) and Agreeableness (19%). Similarity analyses were also conducted in which the extent to which vulnerable narcissism and Neuroticism share similar empirical networks was tested using an array of criteria, including self-, informant, and thin slice ratings of personality; interview-based ratings of personality disorder and pathological traits; and self-ratings of adverse events and functional outcomes. The empirical correlates of vulnerable narcissism and Neuroticism were nearly identical (MrICC  = .94). Partial analyses demonstrated that the variance in vulnerable narcissism not shared with Neuroticism is largely specific to disagreeableness-related traits such as distrustfulness and grandiosity. CONCLUSIONS These findings demonstrate the parsimony of using basic personality to study personality pathology and have implications for how vulnerable narcissism might be approached clinically.

The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders

Learning objectives After participating in this activity, learners should be better able to: • Evaluate the literature regarding the effectiveness of incorporating virtual reality (VR) in the treatment of psychiatric disorders • Assess the use of exposure-based intervention for anxiety disorders Abstract Virtual reality (VR) allows users to experience a sense of presence in a computer-generated, three-dimensional environment. Sensory information is delivered through a head-mounted display and specialized interface devices. These devices track head movements so that the movements and images change in a natural way with head motion, allowing for a sense of immersion. VR, which allows for controlled delivery of sensory stimulation via the therapist, is a convenient and cost-effective treatment. This review focuses on the available literature regarding the effectiveness of incorporating VR within the treatment of various psychiatric disorders, with particular attention to exposure-based intervention for anxiety disorders. A systematic literature search was conducted in order to identify studies implementing VR-based treatment for anxiety or other psychiatric disorders. This article reviews the history of the development of VR-based technology and its use within psychiatric treatment, the empirical evidence for VR-based treatment, and the benefits for using VR for psychiatric research and treatment. It also presents recommendations for how to incorporate VR into psychiatric care and discusses future directions for VR-based treatment and clinical research.

Viewing the triarchic model of psychopathy through general personality and expert-based lenses.

The recently articulated and increasingly prominent triarchic model of psychopathy (TPM) posits the existence of 3 components of meanness, disinhibition, and boldness. In the current studies, 2 issues are addressed. First, although typically conceptualized in isolation from trait models of personality, the TPM components may be manifestations of basic personality dimensions. In Study 1 (N = 335), we test whether basic traits from the five-factor model (FFM) can account for the TPMs psychopathy domains. The FFM domains (Mean R2 = .65) and facets (Mean R2 = .75) accounted for substantial variance in the TPM domains, suggesting that the TPM can be viewed as being nested within a broader trait framework. Second, there is disagreement about which personality components are necessary and sufficient for psychopathy. In Study 2, we examine this issue using a between subject design in which expert raters (N = 46) were asked to view an FFM profile of the TPM domains and total score derived in Study 1 and rate the degree to which an individual with this profile would manifest symptoms of psychopathy, Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) personality disorders, and a variety of other psychiatric disorders. As expected, the profile associated with boldness was rated as less emblematic of psychopathy and related disorders (e.g., antisocial personality disorder; externalizing disorders) than the profiles for meanness or the total TPM score. These findings contribute to an ongoing debate addressing the degree to which domains like those articulated in the TPM are necessary or sufficient for the construct of psychopathy. (PsycINFO Database Record

Virtual Reality-Enhanced Extinction of Phobias and Post-Traumatic Stress

Virtual reality (VR) refers to an advanced technological communication interface in which the user is actively participating in a computer-generated 3-dimensional virtual world that includes computer sensory input devices used to simulate real-world interactive experiences. VR has been used within psychiatric treatment for anxiety disorders, particularly specific phobias and post-traumatic stress disorder, given several advantages that VR provides for use within treatment for these disorders. Exposure therapy for anxiety disorder is grounded in fear-conditioning models, in which extinction learning involves the process through which conditioned fear responses decrease or are inhibited. The present review will provide an overview of extinction training and anxiety disorder treatment, advantages for using VR within extinction training, a review of the literature regarding the effectiveness of VR within exposure therapy for specific phobias and post-traumatic stress disorder, and limitations and future directions of the extant empirical literature.

Investigating Relationships Between PTSD Symptom Clusters Within Virtual Reality Exposure Therapy for OEF/OIF Veterans

Several cognitive behavioral therapeutic approaches have been demonstrated to be effective in reducing post-traumatic stress disorder (PTSD) symptoms (Foa, Keane, Friedman, & Cohen, 2008). The bulk of PTSD treatment research has relied on pre-post designs, which are limited in their ability to investigate the therapeutic process over time. The present study investigated the relations between PTSD symptom clusters using symptom assessment at pretreatment, midtreatment, and posttreatment using cross-lagged panel design over the course of Virtual Reality Exposure (VRE) treatment. Participants were 156 Iraq and/or Afghanistan veterans who met DSM-IV criteria for PTSD due to military trauma. Using structural equation modeling, the final reexperiencing model demonstrated good fit, χ2(34)=39.95, p=.22; RMSEA=.034, 90% CI: [0.00, 0.07], CFI=.993, and results suggested that reexperiencing at pretreatment demonstrated a significant effect on numbing, avoidance, hyperarousal at midtreatment, and reexperiencing symptoms at midtreatment demonstrate a significant effect on each of the three symptom clusters at posttreatment. These findings suggest that reexperiencing symptoms are indeed a key aspect of the therapeutic process within exposure therapy for PTSD. Additional research examining the impact of reexperiencing-focused intervention strategies on treatment outcomes is warranted.

Targeting memory reconsolidation to prevent the return of fear in patients with fear of flying

When a memory is recalled, it may again exist in a labile state and stored information becomes amenable to change, a psychobiological process known as reconsolidation. Exposure therapy for anxiety disorders involves accessing a fear memory and modifying it with less fearful information. A preclinical study reported that providing a reminder of a fear memory 10 min prior to extinction training in humans decreased fear up to 1 year later (Schiller et al., 2010). Methods: For this pilot clinical study, we used virtual reality exposure therapy (VRE) for fear of flying (FoF) to determine if using a cue to reactivate the memory of the feared stimulus 10 min prior to exposure sessions leads to fewer anxiety‐related behaviors and a more durable response compared to a neutral cue. FoF participants (N = 89) received four sessions of anxiety management training followed by four sessions of VRE. Participants were randomly assigned to receive an FoF cue (reactivation group) or a neutral cue (control group) prior to the VRE sessions. Heart rate (HR) and skin conductance levels (SCLs) were collected during posttreatment and 3‐month follow‐up assessments as objective markers of fear responding. Results: Treatment was effective and all clinical measures improved equally between groups at posttreatment with maintained gains through follow‐ups. Significant differences were identified with regard to HR and SCL indices. Conclusions: These results suggest that memory reactivation prior to exposure therapy did not have an impact on clinical measures but may enhance the effect of exposure therapy at the physiological level.

Examining the Relations Among the DSM–5 Alternative Model of Personality, the Five-Factor Model, and Externalizing and Internalizing Behavior.

Given long-standing criticisms of the DSM’s reliance on categorical models of psychopathology, including the poor reliability and validity of personality-disorder diagnoses, the American Psychiatric Association (APA) published an alternative model (AM) of personality disorders in Section III of the Diagnostic and Statistical Manual of Mental Disorders (DSM–5; APA, 2013), which, in part, comprises 5 pathological trait domains based on the 5-factor model (FFM). However, the empirical profiles and discriminant validity of the AM traits remain in question. We recruited a sample of undergraduates (N = 340) for the current study to compare the relations found between a measure of the DSM–5 AM traits (i.e., the Personality Inventory for DSM–5; PID-5; Krueger, Derringer, Markon, Watson, & Skodol, 2012) and a measure of the FFM (i.e., the International Personality Item Pool; IPIP; Goldberg, 1999) in relation to externalizing and internalizing symptoms. In general, the domains from the 2 measures were significantly related and demonstrated similar patterns of relations with these criteria, such that Antagonism/low Agreeableness and Disinhibition/low Conscientiousness were related to externalizing behaviors, whereas Negative Affectivity/Neuroticism was most significantly related to internalizing symptoms. However, the PID-5 demonstrated large interrelations among its domains and poorer discriminant validity than the IPIP. These results provide additional support that the conception of the trait model included in the DSM–5 AM is an extension of the FFM, but highlight some of the issues that arise due to the PID-5’s more limited discriminant validity.

Insight and the Dark Triad: Comparing Self- and Meta-perceptions in Relation to Psychopathy, Narcissism, and Machiavellianism.

The “Dark Triad” consists of 3 partially overlapping trait configurations that manifest in problematic interpersonal outcomes: narcissism, psychopathy, and Machiavellianism. Comparing meta-perception-based reports of personality, or how people believe others see them, to self-reports in relation to informant-reports allows for a direct test of the extent to which people are accurate in understanding how they are perceived by others. The present study (n = 993 target participants) investigated how Dark Triad personality styles are viewed from multiple perspectives, including self-report, meta-perception, informant-report (n = 213), and informant perceived meta-perception (n = 178) in an undergraduate sample. Absolute level differences were investigated; self-report ratings were associated with significantly more Machiavellianism and less narcissism than both informant-reports and meta-perceptions. The relative convergence between meta-perceptions and informant-reports was moderate, and similar to the convergence between self-reports and informant-reports. Multiple regression analyses in which self-reports and meta-perceptions predicted informant-reports identified several significant differences, with meta-perceptions more frequently emerging as a stronger predictor of informant-reports. These findings suggest that while self-reports and meta-perceptions are closely related, the latter perspective provides some incremental validity with regard to the constructs that comprise the Dark Triad.