Shannon Toney Smith

An Investigation of Primary and Secondary Psychopathy in a Statewide Sample of Incarcerated Youth

There has been considerable interest in the identification of putative subtypes of psychopathy over the past several years although none of this research has focused on juveniles who are high in psychopathic traits. Using a statewide sample of juvenile offenders, the present study sought to identify subtypes consistent with theoretical notions of primary and secondary psychopathy. Among those youths high in psychopathic traits (n = 132), finite mixture modeling of various indicators of psychological distress resulted in a two-class solution. Consistent with theory, one subtype was characterized by higher levels of distress (e.g., anxiety, depression, suicidal ideation), whereas the other subgroup was lower on these dimensions and generally similar to nonpsychopathic control juveniles (n = 135). Analyses of theoretically relevant external correlates (e.g., offense history, drug use, victimization) suggested that the two subtypes differed from each other on certain key variables as well as differed from the nonpsychopathic controls.

The Role and Reliability of the Psychopathy Checklist—Revised in U.S. Sexually Violent Predator Evaluations: A Case Law Survey

The civil commitment of offenders as sexually violent predators (SVPs) is a highly contentious area of U.S. mental health law. The Psychopathy Checklist-Revised (PCL-R) is frequently used in mental health evaluations in these cases to aid legal decision making. Although generally perceived to be a useful assessment tool in applied settings, recent research has raised questions about the reliability of PCL-R scores in SVP cases. In this report, we review the use of the PCL-R in SVP trials identified as part of a larger project investigating its role in U.S. case law. After presenting data on how the PCL-R is used in SVP cases, we examine the reliability of scores reported in these cases. We located 214 cases involving the PCL-R, 88 of which included an actual score and 29 of which included multiple scores. In the 29 cases with multiple scores, the intraclass correlation coefficient for a single evaluator for the PCL-R scores was only .58, and only 41.4% of the difference scores were within 1 standard error of measurement unit. The average score reported by prosecution experts was significantly higher than the average score reported by defense-retained experts, and prosecution experts reported PCL-R scores of 30 or above in nearly 50% of the cases, compared with less than 10% of the cases for defense witnesses (κ = .29). In conjunction with other recently published findings demonstrating the unreliability of PCL-R scores in applied settings, our results raise questions as to whether this instrument should be admitted into SVP proceedings.

Assessing the External Correlates of Alternative Factor Models of the Psychopathic Personality Inventory–Short Form Across Three Samples

This study investigated various theoretically relevant correlates of a short form of the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996) using archival data from large undergraduate, foster care, and juvenile offender samples. External correlates of the 2 primary scales (PPI–I and PPI–II) and the Coldheartedness subscale were for the most part consistent with prior findings. Analyses for an alternate factor model in which the Fearlessness subscale loaded onto PPI–II (rather than PPI–I) resulted in relatively few substantial changes to the pattern of correlations with criterion measures, but a third factor that included the Coldheartedness and Carefree Nonplanfulness subscales functioned differently than Coldheartedness alone in these data.

Development and validation of triarchic psychopathy scales from the Multidimensional Personality Questionnaire.

Psychopathy is conceptualized by the triarchic model as encompassing 3 distinct phenotypic constructs: boldness, meanness, and disinhibition. In the current study, the Multidimensional Personality Questionnaire (MPQ), a normal-range personality measure, was evaluated for representation of these 3 constructs. Consensus ratings were used to identify MPQ items most related to each triarchic (Tri) construct. Scale measures were developed from items indicative of each construct, and scores for these scales were evaluated for convergent and discriminant validity in community (N = 176) and incarcerated samples (N = 240). Across the 2 samples, MPQ-Tri scale scores demonstrated good internal consistencies and relationships with criterion measures of various types consistent with predictions based on the triarchic model. Findings are discussed in terms of their implications for further investigation of the triarchic model constructs in preexisting datasets that include the MPQ, in particular longitudinal and genetically informative datasets.

Jury Panel Member Perceptions of Interpersonal‐Affective Traits of Psychopathy Predict Support for Execution in a Capital Murder Trial Simulation

Recent research with college undergraduate mock jurors suggests that how psychopathic they perceive a criminal defendant to be is a powerful predictor of whether they will support a death verdict in simulated capital murder trials. Perceived affective and interpersonal traits of psychopathy are especially predictive of support for capital punishment, with perceived remorselessness explaining a disproportionate amount of variance in these attitudes. The present study attempted to extend these findings with a more representative sample of community members called for jury duty (N = 304). Jurors reviewed a case vignette based on an actual capital murder trial, provided sentencing verdicts, and rated the defendant on several characteristics historically associated with the construct of psychopathy. Consistent with prior findings, remorselessness predicted death verdicts, as did the affective and interpersonal features of psychopathy - though the latter effect was more pronounced among jurors who were Caucasian and/or who described their political beliefs as moderate rather than conservative or liberal. Results are discussed in terms of the potentially stigmatizing effects of psychopathy evidence in capital cases.

Fearless Dominance and Self-Centered Impulsivity Interact to Predict Predatory Aggression among Forensic Psychiatric Inpatients

Recent research has begun to investigate the relationship between the Psychopathic Personality Inventory-Revised (PPI-R; Lilienfeld & Widows, 2005) and its primary subscales, Fearless Dominance (FD) and Self-Centered Impulsivity (SCI), and violent behavior. In this follow-up study, we examined the PPI-R subscales’ prospective relationship with predatory, impulsive and psychosis-motivated aggression in an inpatient forensic psychiatric facility (N = 200). FD and SCI each modestly predicted predatory aggression, and SCI was also modestly associated with any form of aggression. Neither subscale predicted impulsive or psychotic aggression. The statistical interaction between FD and SCI significantly improved the prediction of predatory aggression beyond the individual subscales, indicating that those high on both constructs were particularly at risk to engage in such conduct. Moreover, this interactive effect continued to predict predatory aggression even after controlling for the predictive utility of the Psychopathy Checklist-Revised (Hare, 2003).

Boldness and its relation to psychopathic personality: Prototypicality analyses among forensic mental health, criminal justice, and layperson raters.

Research on psychopathic personality has been dominated by a focus on criminality and social deviance, but some theoretical models argue that certain putatively adaptive features are important components of this construct. In 3 samples (forensic mental health practitioners, probation officers and a layperson community sample), we investigated adaptive traits as conceptualized in the Triarchic model of psychopathy (Patrick et al., 2009), specifically the relevance of boldness to construals of psychopathic personality. Participants completed prototypicality ratings of psychopathic traits, including 3 items created to tap components of boldness (Socially bold, Adventurous, Emotionally stable), and they also rated a series of attitudinal statements (e.g., perceived correlates of being psychopathic, moral judgments about psychopaths). The composite Boldness scale was rated as moderately to highly prototypical among forensic mental health practitioners and probation officers and positively associated with other theoretically relevant domains of psychopathy. Across samples, higher composite Boldness ratings predicted greater endorsement of adaptive traits (e.g., social skills) as characteristic of psychopathy. For the individual items, Socially bold was rated as highly prototypical and was associated with theoretically relevant correlates. Adventurous also was seen as prototypical, though to a lesser degree. Only forensic mental health practitioners endorsed Emotionally stable as characteristic of psychopathy. Our results provide partial support for the contention that the boldness concept is viewed as an important component of psychopathy, particularly among professionals who work directly with offender populations. (PsycINFO Database Record

Examining the Psychometric Properties of the Barratt Impulsiveness Scale-Brief Form in Justice-Involved Samples

Impulsivity is an important component of many forms of psychopathology. Though widely used as an index of this construct, the 30-item Barratt Impulsiveness Scale-11 (BIS-11) has demonstrated questionable psychometric properties in several research reports. An 8-item shortened version has recently been proposed, the Barratt Impulsiveness Scale-Brief (BIS-Brief) form, which was designed to overcome some of the limitations of the longer scale. In this report, we examine the internal structure and theoretically relevant external correlates of this new short form in large archival samples of individuals involved in the criminal justice system (prison inmates, substance abusers in mandatory treatment, and forensic inpatients). Confirmatory factor analysis of the BIS-Brief indicates adequate fit following a relatively minor modification. Correlations between the BIS-Brief and an array of criterion measures-other self-report scales, interview-based measures, and behavioral outcomes-are consistent with predictions and show relatively little or no decrement in predictive validity when compared with the 30-item BIS-11. Our results suggest that the BIS-Brief is a promising brief measure of impulsivity that evinces good psychometric properties across a range of offender samples.

Adapting the HCR-20V3 for Pre-trial Settings

The present study investigated the use of the HCR-20V3 (Douglas, Hart, Webster, & Belfrage, 2013) among a sample of 84 male inmates in a pre-trial correctional facility. Overall, results indicated that the newly revised instrument can be adapted for use in a pre-trial context, although some scoring obstacles (e.g., participants’ uncertain legal status) were encountered when attempting to rate certain HCR-20V3 items. Also, some group differences in risk ratings were found when comparing our sample to HCR-20V3 data collected from external psychiatric inpatient and post-adjudication samples. Implications for clinical forensic practice are reviewed, focusing on modifications that may be helpful or necessary for use in pre-trial settings.

Intentional inattention: Detecting feigned attention-deficit/hyperactivity disorder on the Personality Assessment Inventory.

Given the increasing number of college students seeking Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses as well as the potential secondary gains associated with this disorder (e.g., access to stimulant medication, academic accommodations), the detection of malingered symptom presentations in this population is a major concern. The present study examined the ability of validity indicators on the widely used Personality Assessment Inventory (PAI; Morey, 1991) to distinguish between individuals experiencing genuine ADHD symptoms and individuals instructed to present with ADHD symptomatology for secondary gain. Sixty-six participants who successfully simulated ADHD (based on elevations on the Conners’ Adult ADHD Rating Scale; Conners, Erhardt, & Sparrow, 1998) were compared with a sample of undergraduate students meeting diagnostic criteria for ADHD (N = 22) and an archival sample of adults who received an ADHD diagnosis at a university psychology clinic following a comprehensive psychological evaluation (N = 41). Successful simulators obtained significantly higher scores on all relevant PAI validity indicators compared with the clinical and archival comparison samples, with the Rogers Discriminant Function demonstrating the highest predictive accuracy (AUC = .86). Traditional cut scores on the Negative Impression (NIM) validity scale used to designate probable malingering, however, were not sensitive to simulated ADHD symptoms, although they did demonstrate excellent specificity. The PAI may be informative as an indicator of potentially exaggerated or malingered symptom presentation, but alternative cut scores for symptom validity indicators may be necessary to maximize its utility in these particular types of psychological evaluations.