Psychopathy (pronounced /saɪˈkɒpəθi/) is a personality disorder whose hallmark is a lack of empathy. Researcher Robert Hare, whose Hare Psychopathy Checklist is widely used, describes psychopaths as "intraspecies predators who use charisma, manipulation, intimidation, sexual intercourse and violence to control others and to satisfy their own needs. Lacking in conscience and empathy, they take what they want and do as they please, violating social norms and expectations without guilt or remorse". "What is missing, in other words, are the very qualities that allow a human being to live in social harmony."
Psychopaths are glib and superficially charming, and many psychopaths are excellent mimics of normal human emotion; some psychopaths can blend in, undetected, in a variety of surroundings, including corporate environments. There is neither a cure nor any effective treatment for psychopathy; there are no medications or other techniques which can instill empathy, and psychopaths who undergo traditional talk therapy only become more adept at manipulating others. The consensus among researchers is that psychopathy stems from a specific neurological disorder which is biological in origin and present from birth. It is estimated that one percent of the general population are psychopaths.
- See Diagnosis
The prototypical psychopath has deficits or deviances in several areas: interpersonal relationships, emotion, and self-control. Psychopaths gain satisfaction through antisocial behavior, and do not experience shame, guilt, or remorse for their actions.Psychopaths lack a sense of guilt or remorse for any harm they may have caused others, instead rationalizing the behavior, blaming someone else, or denying it outright. Psychopaths also lack empathy towards others in general, resulting in tactlessness, insensitivity, and contemptuousness. All of this belies their tendency to make a good, likable first impression. Psychopaths have a superficial charm about them, enabled by a willingness to say anything without concern for accuracy or truth. Shallow affect also describes the psychopath's tendency for genuine emotion to be short lived and egocentric with an overall cold demeanor. Their behavior is impulsive and irresponsible, often failing to keep a job or defaulting on debts. Psychopaths also have a markedly distorted sense of the potential consequences of their actions, not only for others, but also for themselves. They do not, for example, deeply recognize the risk of being caught, disbelieved or injured as a result of their behaviour.
Perceptual/emotional recognition deficits
Facial affect recognition
In a 2002 study, David Kosson and Yana Suchy, et al. asked psychopathic inmates to name the emotion expressed on each of 30 faces; compared to controls, psychopaths had a significantly lower rate of accuracy in recognizing disgusted facial affect but a higher rate of accuracy in recognizing anger. Additionally, when "conditions designed to minimize the involvement of left-hemispheric mechanisms" (i.e. sadness) were used, psychopaths had more difficulty accurately identifying emotions. This study did not replicate Blaire, et al. (1997)'s findings that psychopaths are specifically less sensitive to nonverbal cues of fear or distress.
Vocal affect recognition
In a 2002 experiment, Blair, Mitchell, et al. used the Vocal Affect Recognition Test to measure psychopaths' recognition of the emotional intonation given to connotatively neutral words. Psychopaths tended to make more recognition errors than controls with a particularly high rate of error for sad and fearful vocal affect.
A 2004 experiment tested the hypothesis of overselective attention in psychopaths using two forms of the Stroop color-word and picture-word tasks: with color/picture and word separated and with color/picture and word together. They found in the separated Stroop tasks, psychopaths performed significantly worse than controls; however, on standard Stroop tasks, psychopaths performed equally well as controls.
When split into low-anxious and high-anxious groups, low-anxious psychopaths and low-anxious controls showed less interference on the separated Stroop tasks than their high-anxious counterparts; for low-anxious psychopaths, interference was very nearly zero. They conclude the inability to integrate contextual cues depends on the cues' relationship to "the deliberately attended, goal-relevant information."
One twin study suggests that psychopathy has a strong genetic component. The study demonstrates that children with anti-social behavior can be classified into two groups: those who were also callous acquired their behavior by genetic influences, and those who were not callous acquired it from their environment.
Recent studies have triggered theories on determining whether there is a biological relationship between the brain and psychopathy. One theory suggests that psychopathy is associated with both the amygdala, which is associated with emotional reactions and emotion learning, and the prefrontal cortex, associated with impulse control, decision-making, emotional learning and behavioral adaptation. Some studies have shown a decrease in "gray matter" in these areas in psychopaths than non-psychopaths.
There is DT-MRI evidence of breakdowns in the white matter connections between these two important areas in a small British study of 9 criminal psychopaths. This evidence suggests that the degree of abnormality was significantly related to the degree of psychopathy and may explain the offending behaviors.
Currently, there are no diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders for psychopathy. Labeling a person as a psychopath involves forensic measurement, using a diagnostic tool such as the Hare Psychopathy Checklist (PCL-R). The PCL-R is widely considered the "gold standard" for assessing psychopathy. Psychopathy is most strongly correlated with DSM-IV antisocial personality disorder (ASPD), and the ICD-10 antisocial personality disorder and dissocial personality disorder (DPD). However, the PCL-R criteria for identifying a psychopath are stricter than the diagnostic criteria for ASPD or DPD; psychopaths represent a subset of those with ASPD, and psychopaths' traits are more severe.
Hare Psychopathy Checklist
Psychopathy is most commonly assessed with the PCL-R, which is a clinical rating scale with 20 items. Each of the items in the PCL-R is scored on a three-point (0, 1, 2) scale according to two factors. PCL-R Factor 2 is associated with reactive anger, anxiety, increased risk of suicide, criminality, and impulsive violence.
PCL-R Factor 1, in contrast, is associated with extroversion and positive affect. Factor 1, the so-called core personality traits of psychopathy, may even be beneficial for the psychopath (in terms of nondeviant social functioning). A psychopath will score high on both factors, whereas someone with APD will score high only on Factor 2. Both case history and a semi-structured interview are used in the analysis.
Because an individual's scores may have important consequences for his or her future, the potential for harm if the test is used or administered incorrectly is considerable. The test can only be considered valid if administered by a suitably qualified and experienced clinician under controlled conditions.
The following findings are for research purposes only, and are not used in clinical diagnosis. These items cover the affective, interpersonal, and behavioral features. Each item is rated on a score from zero to two. The sum total determines the extent of a person's psychopathy.
- Factor 1
- Aggressive narcissism
- Glibness/superficial charm
- Grandiose sense of self-worth
- Pathological lying
- Lack of remorse or guilt
- Emotionally shallow
- Callous/lack of empathy
- Failure to accept responsibility for own actions
- Factor 2
- Socially deviant lifestyle
- Need for stimulation/proneness to boredom
- Parasitic lifestyle
- Poor behavioral control
- Promiscuous sexual behavior
- Lack of realistic, long-term goals
- Juvenile delinquency
- Early behavioral problems
- Revocation of conditional release
- Traits not correlated with either factor
- Many short-term marital relationships
- Criminal versatility
Substance abuse has been associated with psychopathy , particularly Factor 2 (anti-social behaviour), but not Factor 1 (emotional) scores of the PCL-R. Conduct disorder and ADHD have both been associated with psychopathy; which may be explained by disruption to dorsolateral prefrontal cortex. This area is associated with executive function, which is affected in all three disorders.
There is some evidence of an association between ASPD and other personality disorders (i.e. histrionic, narcissistic and borderline personality disorders), however, evidence for a link with psychopathy is more tentative.
Anxiety may be associated positively with antisocial behaviour, but it is inversely associated with Factor I (emotional) scores on the PCL-R. Depression is inversely associated with psychopathy. Although violence may be associated with schizophrenia, there is no conclusive evidence for a link between psychopathy and schizophrenia.
It has been suggested that psychopathy may be comorbid with several other diagnoses than these, however limited work on comorbidity has been carried out. This may be because of difficulties in using inpatient groups from certain institutions to assess comorbidity, owing to the likelihood of some bias in sample selection. Furthermore, comorbidity may be more reflective of poor discriminant validity of categories in the DSM-IV than reflective of underlying aetiologically separate conditions.
No evidence for propensity to sexually-oriented murder
No clinical definition of psychopathy indicates that psychopaths are especially prone to commit sexually-oriented murders, and scientific studies do not suggest that a large proportion of psychopaths have committed these crimes. Although some claim a large proportion of such offenders have been classified as psychopathic, this evidence comes from a single, unrepeated research study using the Rorschach Inkblot Test, an invalid test for psychopathy and for sex offenders, references not considering psychopathy, and studies concerning sexual homicide, a somewhat different population than the general class of sex offenders and not from meta-studies combining repeatable results.
As a discrete disorder
Hare believes that the Diagnostic and Statistical Manual of Mental Disorders should list psychopathy as a unique disorder, given that psychopathy has no precise equivalent in either the DSM-IV-TR, where it is most strongly correlated with the diagnosis of antisocial personality disorder, or the ICD-10, which has a partly similar condition called dissocial personality disorder.
Primary psychopathy was defined by those following this theory as the root disorder in patients diagnosed with it, whereas secondary psychopathy was defined as an aspect of another psychiatric disorder or social circumstances. Today, primary psychopaths are considered to have mostly Factor 1 traits from the PCL-R (arrogance, callousness, manipulativeness, lying) whereas secondary psychopaths have a majority of Factor 2 traits (impulsivity, boredom proneness, irresponsibility, lack of long-term goals).
Secondary psychopaths show normal to above-normal physiological responses to (perceived) potential threats. Their crimes tend to be unplanned and impulsive with little thought of the consequences. According to those using this theory, this type have hot tempers and are prone to reactive aggression. They experience normal to above-normal levels of anxiety but are nevertheless highly stimulus-seeking and have trouble tolerating boredom. Their lifestyle may lead to depression and even suicide.
Mealey uses the term "primary psychopathy" to differentiate between psychopathy that is biological in origin and "secondary psychopathy" that results from a combination of genetic and environmental influences. Lykken prefers sociopathy to describe the latter.
Sellbom and Ben-Porath (2005) describe the distinction:
Some people who engage in violent behavior possess psychopathic personality traits, such as callousness, grandiosity, and fearlessness, and presumably engage in such conduct because they care little about others. Others are impulsive and experience considerable anger, anxiety, and distress and may commit violent acts as a reaction to negative emotions, which are sometimes referred to as "crimes of passion." Indeed, the distinction between primary and secondary psychopathy (including so-called neurotic psychopathy) has long been noted in the psychopathy literature (Karpman, 1947; Lykken, 1995).
Joseph P. Newman et al., who use this concept of psychopathy, have validated David T. Lykken's conceptualization of psychopathy subtypes in relation to Gray's behavioral activation system and behavioral inhibition system. Newman et al. found measures of primary psychopathy to be negatively correlated with Gray's behavioral inhibition system, a construct intended to measure behavioral inhibition from cues of punishment or nonreward. In contrast, measures of secondary psychopathy to be positively correlated with Gray's behavioral activation system, a construct intended to measure sensitivity to cues of behavioral approach.
Psychopathy vs. sociopathy
Hare writes that the difference between sociopathy and psychopathy may "reflect the user's views on the origins and determinates of the disorder."
David T. Lykken proposes psychopathy and sociopathy are two distinct kinds of antisocial personality disorder. He believes psychopaths are born with temperamental differences such as impulsivity, cortical underarousal, and fearlessness that lead them to risk-seeking behavior and an inability to internalize social norms. On the other hand, he claims sociopaths have relatively normal temperaments; their personality disorder being more an effect of negative sociological factors like parental neglect, delinquent peers, poverty, and extremely low or extremely high intelligence. Both personality disorders are the result of an interaction between genetic predispositions and environmental factors, but psychopathy leans towards the hereditary whereas sociopathy tends towards the environmental.
Recent statistical analysis using confirmatory factor analysis by Cooke and Michie indicated a three-factor structure, with those items from factor 2 strictly relating to antisocial behaviour (criminal versatility, juvenile delinquency, revocation of conditional release, early behavioural problems and poor behavioural controls) removed from the final model. The remaining items are divided into three factors: Arrogant and Deceitful Interpersonal Style, Deficient Affective Experience and Impulsive and Irresponsible Behavioural Style.
Hare and colleagues have published detailed critiques of the Cooke & Michie hierarchical ‘three’-factor model, citing severe statistical problems. Hare and colleagues note that the Cooke & Michie model actually contains ten factors, and results in impossible parameters (negative variances). Hare and colleagues also note conceptual problems with this model.
Discrete vs. continuous
As part of the larger debate on whether personality disorders are distinct from normal personality or extremes on various dimensions of normal personality is the debate on whether psychopathy represents something "qualitatively different" from normal personality or a "continuous dimension" shading from normality into severely psychopathic. Otto Kernberg believed psychopathy should fall under a spectrum of pathological narcissism, that ranged from narcissistic personality on the low end, malignant narcissism in the middle, and psychopathy at the high end.
Early taxonometric analysis from Harris and colleagues indicated a discrete category may underlie psychopathy, however this was only found for the behavioural Factor 2 items, indicating this analysis may be related to Anti-social Personality Disorder rather than psychopathy per se. Marcus, John, and Edens more recently performed a series of statistical analysis on previously attained PCL–R and PPI scores and concluded psychopathy may best be conceptualized as having a "dimensional latent structure" like depression.
Psychopathy is not normally diagnosed in children or adolescents, and some jurisdictions explicitly forbid diagnosing psychopathy and similar personality disorders in minors. Psychopathic tendencies can sometimes be recognized in childhood or early adolescence and, if recognised, are diagnosed as conduct disorder. It must be stressed not all children diagnosed with conduct disorder grow up to be psychopaths, or even disordered at all, but these childhood signs are found in significantly higher proportions in psychopaths than in the general population. Conduct disorder, as well as a related disorder, Oppositional Defiant Disorder, can sometimes develop into adult psychopathy. However, conduct disorder "fails to capture the emotional, cognitive and interpersonality traits - egocentricity, lack of remorse, empathy or guilt - that are so important in the diagnosis of psychopathy."
Children showing strong psychopathic precursors often appear immune to punishment; nothing seems to modify their undesirable behavior. Consequently parents usually give up, and the behavior worsens.
The following childhood indicators are to be seen not as to the type of behavior, but as to its relentless and unvarying occurrence. Not all must be present concurrently, but at least a number of them need to be present over a period of years 
- An extended period of bedwetting past the preschool years not due to any medical problem.
- Precocious sadism, often expressed as profound animal abuse.
- Pathological firesetting lacking in obvious homicidal intent. Not to be confused with playing with matches, which is not uncommon for preschoolers. This is the deliberate setting of destructive fires with utter disregard for the property and lives of others.
- Lying, often without discernible objectives, extending beyond a child's normal impulse not to be punished. These lies are so extensive it is often impossible to know lies from truth.
- Theft and truancy.
- Aggression to peers, not necessarily physical, which can include getting others into trouble or a campaign of psychological torment.
The three indicators—bedwetting, cruelty to animals and firestarting, known as the Macdonald triad—were first described by J.M. MacDonald as "red flag" indicators of psychopathy and future episodic aggressive behavior. However, subsequent research has found that bedwetting is not a significant factor.
The question of whether young children with early indicators of psychopathy respond poorly to intervention compared to conduct disordered children without these traits have only recently been examined in controlled clinical research. The empirical findings from this research have been consistent with broader anecdotal evidence, pointing to poor treatment outcomes.
In practice, mental health professionals rarely treat psychopathic personality disorders as they are considered untreatable and no interventions have proved to be effective.
It has been shown that punishment and behavior modification techniques do not improve the behavior of psychopaths. Psychopathic individuals have been regularly observed to become more cunning and better able to hide their behaviour. It has been suggested that traditional therapeutic approaches actually make psychopaths more adept at manipulating others and concealing their behavior. They are generally considered to be not only incurable but also untreatable.
In the United Kingdom, "Psychopathic Disorder" is legally defined in the Mental Health Act (UK) as, "a persistent disorder or disability of mind (whether or not including significant impairment of intelligence) which results in abnormally aggressive or seriously irresponsible conduct on the part of the person concerned." This term, which did not equate to psychopathy, was intended to reflect the presence of a personality disorder, in terms of conditions for detention under the Mental Health Act 1983. With the subsequent amendments to the Mental Health Act 1983 within the Mental Health Act 2007, the term 'psychopathic disorder' has been abolished, with all conditions for detention (e.g. mental illness, personality disorder, etc.) now being contained within the generic term of 'mental disorder'.
In England and Wales the diagnosis of dissocial personality disorder is grounds for detention in secure psychiatric hospitals under the Mental Health Act if they have committed serious crimes, but since such individuals are disruptive for other patients and not responsive to treatment this alternative to prison is not often used.
In the United States
Psychopathy has quite separate legal and judicial definitions that should not be confused with the medical definition. The American Psychiatric Association is vigorously opposing any non-medical or legal definition of what purports to be a medical condition "without regard for scientific and clinical knowledge."  Various states and nations have at various times enacted laws specific to dealing with psychopaths.
In the United States approximately twenty states currently have provisions for the involuntary civil commitment for sex offenders or sexual predators, under Sexually violent predator acts, avoiding the use of the term "psychopath." These statutes and provisions are controversial and are being reviewed by the U.S. Supreme Court as a violation of a person's Fourteenth Amendment rights. (See Foucha v. Louisiana for an example.)
Washington State Legislature  defines a "Psychopathic personality" to mean "the existence in any person of such hereditary, congenital or acquired condition affecting the emotional or volitional rather than the intellectual field and manifested by anomalies of such character as to render satisfactory social adjustment of such person difficult or impossible." The same statute defines the "sexual psychopath" as "any person who is affected in a form of psychoneurosis or in a form of psychopathic personality, which form predisposes such person to the commission of sexual offenses in a degree constituting him a menace to the health or safety of others" for prison sentencing purposes in the Sentencing Reform Act of 1981.
California enacted a psychopathic offender law in 1939, since greatly outmoded and revised , that defined a psychopath solely in terms of offenders with a predisposition "to the commission of sexual offenses against children." A 1941 law attempted to further clarify this to the point where anyone examined and found to be psychopathic was to be committed to a state hospital and anyone else was to be sentenced by the courts. However, these laws were enacted years before the American Psychiatric Association began publishing the Diagnostic and Statistical Manual of Mental Disorders which is used today for diagnosis and does not include "psychopathic offender". Hence, these laws are of historical interest only.
Release rate among convicted criminals
Findings indicate psychopathic convicts have a 2.5 time higher probability of being released from jail than undiagnosed ones even though they are more likely to recidivate.
- "The Unscrupulous Man will go and borrow more money from a creditor he has never paid ... When marketing he reminds the butcher of some service he has rendered him and, standing near the scales, throws in some meat, if he can, and a soup-bone. If he succeeds, so much the better; if not, he will snatch a piece of tripe and go off laughing."
In 1801, Philippe Pinel described patients who were mentally unimpaired but nonetheless engaged in impulsive and self-defeating acts. He saw them as la folie raisonnante ("insane without delirium") meaning they fully understood the irrationality of their behavior but continued with it anyway. By the turn of the century, Henry Maudsley had begun writing about the "moral imbecile", and was arguing such individuals could not be rehabilitated by the correctional system.
Maudsley included the psychopath's immunity to the reformational effects of punishment, owing to their refusal to anticipate further failure, and punishment. In 1904, Emil Kraepelin described four types of personalities similar to antisocial personality disorder. By 1915 he had identified them as defective in either affect or volition, dividing the types further into different categories, only some of which correspond to the current descriptions of antisocial personality disorder.
The Mask of Sanity by Hervey M. Cleckley, M.D., first published in 1941, is considered a seminal work and the most influential clinical description of psychopathy in the 20th century. The basic elements of psychopathy outlined by Cleckley are still relevant today. The title refers to the "mask" of normality that conceals the mental disorder of the psychopathic person.
Society and culture
Currently, many researchers focus on the neurological and biological aspects of psychopathy.
In other animals
- ↑ American Heritage Dictionary
- ↑ Merriam-Webster's Online Dictionary
- ↑ Ochberg; Brantley, AC; Hare, RD; Houk, PD; Ianni, R; James, E; O'Toole, ME; Saathoff, G (2003). [Expression error: Missing operand for > "Lethal predators: psychopathic, sadistic, and sane"]. International journal of emergency mental health 5 (3): 121–36. PMID 14608825.
- ↑ Simon, R. I. Psychopaths, the predators among us. In R. I. Simon (Ed.) Bad Men Do What Good Men Dream (pp. 21-46). Washington: American Psychiatric Publishing, Inc.1996
- ↑ E. Forth, Adelle; Cooke, David C.; Hare, Robert R. (1998). Psychopathy: theory, research and implications for society. Dordrecht: Kluwer Academic. ISBN 0-7923-4919-9.
- ↑ Heilbrun, K. (2003) (pdf). Violence Risk: from Prediction to Management. pp. 127. doi:10.1002/0470013397.ch5. http://www.cecintl.com/UploadedFiles/Carson%20risk%20management%20chapter%2010%2024%2002.pdf.
- ↑ Harris, G. T., Rice, M. E., & Lalumiére, M. Criminal violence: The roles of psychopathy, neurodevelopmental insults, and antisocial parenting. Criminal Justice and Behavior, 28(4), 402-426 2001.
- ↑ 8.0 8.1 Hare, Robert D, Psychopaths: New Trends in Research. The Harvard Mental Health Letter, September 1995
- ↑ Hare, Robert D. Without Conscience: The Disturbing World of Psychopaths Among Us, (New York: Pocket Books, 1993) pg 2.
- ↑ 10.0 10.1 Hare, Robert D. Without Conscience: The Disturbing World of Psychopaths Among Us, (New York: Pocket Books, 1993)
- ↑ Hare, Robert D with Paul Babiak Snakes in Suits: When Psychopaths Go to Work (2006)
- ↑ 12.0 12.1 Harris, Grant; Rice, Marnie (2006), [Expression error: Missing operand for > "Treatment of psychopathy: A review of empirical findings"], in Patrick, Christopher, Handbook of Psychopathy, pp. 555–572
- ↑ 13.0 13.1 Neumann, C. S.; Hare, R. D. (2008). [Expression error: Missing operand for > "Psychopathic traits in a large community sample: Links to violence, alcohol use, and intelligence"]. Journal of Consulting and Clinical Psychology 76 (5): 893–899. doi:10.1037/0022-006X.76.5.893. PMID 18837606.
- ↑ 14.0 14.1 "What "Psychopath" Means". Scientific American. http://www.sciam.com/article.cfm?id=what-psychopath-means.
- ↑ Jill S. Levenson, John W. Morin (2000) [Treating Nonoffending Parents in Child Sexual Abuse Cases] p. 7 SAGE, ISBN 0761921923
- ↑ Marvin Zuckerman (1991) Psychobiology of personality Cambridge University Press, p. 390. ISBN 0521359422
- ↑ Glenn D. Walters (2006) Lifestyle theory p. 42 Nova Publishers, ISBN 1600210333
- ↑ 18.0 18.1 Millon, Theodore; Davis, Roger D. "Chapter 11: The Five-Factor Model of Personality, pp. 173-177. Psychopathy: Antisocial, Criminal, and Violent Behavior.
- ↑ Dadds, M. R.; Perry, Y.; Hawes, D. J.; Merz, S.; Riddell, A. C.; Haines, D. J.; Solak, E.; Abeygunawardane, A. I. (2006). [Expression error: Missing operand for > "Attention to the eyes and fear-recognition deficits in child psychopathy"]. The British Journal of Psychiatry 189: 280. doi:10.1192/bjp.bp.105.018150. PMID 16946366.
- ↑ Kosson; Suchy, Y; Mayer, AR; Libby, J (2002). [Expression error: Missing operand for > "Facial affect recognition in criminal psychopaths"]. Emotion (Washington, D.C.) 2 (4): 398–411. PMID 12899372.
- ↑ Blair, RJ; Mitchell, DG; Richell, RA; Kelly, S; Leonard, A; Newman, C; Scott, SK (2002). [Expression error: Missing operand for > "Turning a deaf ear to fear: impaired recognition of vocal affect in psychopathic individuals"]. Journal of abnormal psychology 111 (4): 682–6. PMID 12428783.
- ↑ Hiatt (2004). [Expression error: Missing operand for > "Stroop tasks reveal abnormal selective attention among psychopathic offenders"]. Neuropsychology 18 (1): 50–59. doi:10.1037/0894-4220.127.116.11. PMID 14744187.
- ↑ Viding, E.; Blair, R. J. R.; Moffitt, T. E.; Plomin, R. (2005). [Expression error: Missing operand for > "Evidence for substantial genetic risk for psychopathy in 7-year-olds"]. Journal of Child Psychology and Psychiatry 46 (6): 592–597. doi:10.1111/j.1469-7610.2004.00393.x. PMID 15877765.
- ↑ Weber, S.; Habel, U.; Amunts, K.; Schneider, F. (2008). [Expression error: Missing operand for > "Structural brain abnormalities in psychopaths—a review"]. Behavioral Sciences & the Law 26: 7–9. doi:10.1002/bsl.802.
- ↑ Craig, M. C.; Catani, M.; Deeley, Q.; Latham, R.; Daly, E.; Kanaan, R.; Picchioni, M.; McGuire, P. K. et al. (2009). [Expression error: Missing operand for > "Altered connections on the road to psychopathy"]. Molecular Psychiatry 14 (10): 946. doi:10.1038/mp.2009.40. PMID 19506560.
- ↑ Craig, M.;Catani, M;Murphy, D "Brain difference gives psychopaths away", 2009.
- ↑ 27.0 27.1 Semple, David (2005). The Oxford Handbook of Psychiatry. USA: Oxford University Press. pp. 448–449. ISBN 0-19-852783-7. http://books.google.com/books?id=1MeRuoTs0loC&pg=PA448&lpg=PA448&dq=dissocial+personality+disorder&source=web&ots=1sArVHurz-&sig=byc_mQHwqvY51mMjs1ULFE3zuFI.
- ↑ Hare, 1991
- ↑ Davison, G.C., Neale, J.M., Blankstein, K.R., & Flett, G.L. (2002). Abnormal Psychology. (Etobicoke: Wiley)
- ↑ 30.0 30.1 Hare, R. D. (2003). Manual for the Revised Psychopathy Checklist (2nd ed.). Toronto, ON, Canada: Multi-Health Systems.
- ↑ 31.0 31.1 31.2 31.3 31.4 31.5 31.6 Blair, J; Mitchel D; Blair K (2005). Psychopathy, emotion and the brain. Wiley-Blackwell. pp. 25–27. ISBN 0631233369.
- ↑ 32.0 32.1 32.2 32.3 Losel, Frederick (1997). "Treatment and management of psychopaths". Psychopathy: Theory, Research and Implications for Society (NATO Science Series D). Springer. p. 309. ISBN 0792349199.
- ↑ 33.0 33.1 33.2 Nedopil, N; Hollweg, M; Hartmann, J; Jaser, R. "Comorbidity of psychopathy with major mental disorders". Psychopathy: Theory, Research and Implications for Society (NATO Science Series D). Springer. ISBN 0792349199.
- ↑ 34.0 34.1 Kantor, Martin (2006). The Psychopathy of Everyday Life. ISBN 0275987981.
- ↑ Gacono; Meloy, JR; Bridges, MR (2000). [Expression error: Missing operand for > "A Rorschach comparison of psychopaths, sexual homicide perpetrators, and nonviolent pedophiles: where angels fear to tread"]. Journal of clinical psychology 56 (6): 757–77. doi:10.1002/(SICI)1097-4679(200006)56:6<757::AID-JCLP6>3.0.CO;2-I. PMID 10877465.
- ↑ Stone, M. H. (2001). [Expression error: Missing operand for > "Serial Sexual Homicide: Biological, Psychological, and Sociological Aspects"]. Journal of Personality Disorders 15: 1–0. doi:10.1521/pedi.18.104.22.16846.
- ↑ doi:10.1176/appi.ajp.104.9.523
- ↑ 38.0 38.1 Lykken, David T. The Antisocial Personalities (1995).
- ↑ 39.0 39.1 Cleckley, M.D., Hervey (1982). The Mask of Sanity (Revised ed.). Mosbey Medical Library. ISBN 0-452-25341-1.
- ↑ Mealey, L. (1995). The sociobiology of sociopathy: An integrated evolutionary model. Behavioral and Brain Sciences, 18, 523–559.
- ↑ Sellbom; Ben-Porath, Y.; Lilienfeld, S.; Patrick, C.; Graham, J. (2005). [Expression error: Missing operand for > "Assessing psychopathic personality traits with the MMPI-2"]. Journal of personality assessment 85 (3): 334–343. doi:10.1207/s15327752jpa8503_10. PMID 16318573.
- ↑ 42.0 42.1 42.2 Newman; MacCoon, D.; Vaughn, L.; Sadeh, N. (2005). [Expression error: Missing operand for > "Validating a distinction between primary and secondary psychopathy with measures of Gray's BIS and BAS constructs"]. Journal of abnormal psychology 114 (2): 319–323. doi:10.1037/0021-843X.114.2.319. PMID 15869363.
- ↑ Hare, Robert D. Without Conscience: The Disturbing World of Psychopaths Among Us, (New York: Pocket Books, 1993) pg 23.
- ↑ 44.0 44.1 Cooke, D. J. (2001). [Expression error: Missing operand for > "Refining the construct of psychopath: Towards a hierarchical model"]. Psychological Assessment 13: 171–188. doi:10.1037/1040-3522.214.171.124.
- ↑ Hare, R. D.; Neumann, C. S. (2008). [Expression error: Missing operand for > "Psychopathy as a Clinical and Empirical Construct"]. Annual Review of Clinical Psychology 4: 217–246. doi:10.1146/annurev.clinpsy.3.022806.091452. PMID 18370617.
- ↑ Otto F., Kernberg (2004). Aggressivity, Narcissism, and Self-Destructiveness in the Psychotherapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders. Yale University Press. ISBN 0-300-10180-5.
- ↑ Harris; Rice, ME; Quinsey, VL (1994). [Expression error: Missing operand for > "Psychopathy as a taxon: evidence that psychopaths are a discrete class"]. Journal of consulting and clinical psychology 62 (2): 387–97. doi:10.1037/0022-006X.62.2.387. PMID 8201078. jason hatz is a perfect example of one
- ↑ Marcus; John, S.; Edens, J. (2004). [Expression error: Missing operand for > "A taxometric analysis of psychopathic personality"]. Journal of abnormal psychology 113 (4): 626–635. doi:10.1037/0021-843X.113.4.626. PMID 15535794.
- ↑ Hare, Robert D. Without Conscience: The Disturbing World of Psychopaths Among Us, (New York: Pocket Books, 1993) pg 159.
- ↑ Ramsland, Katherine, The Childhood Psychopath: Bad Seed or Bad Parents?
- ↑ doi:10.1300/J460v02n04_04
- ↑ J. M. MacDonald (1963). [Expression error: Missing operand for > "The Threat to Kill"]. American Journal of Psychiatry 120 (2): 125–130.
- ↑ Weatherby, G. A., Buller, D. M., & McGinnis, K. (2009). The Buller-McGinnis model of serial-homicidal behavior: An integrated approach, Journal of Criminology and Criminal Justice Research and Education, Vol. 3, Issue 1.
- ↑ Hawes; Dadds, M. (2005). [Expression error: Missing operand for > "The treatment of conduct problems in children with callous-unemotional traits"]. Journal of consulting and clinical psychology 73 (4): 737–741. doi:10.1037/0022-006X.73.4.737. PMID 16173862.
- ↑ The Treatment of Psychopathic and Antisocial Personality Disorders: A Review - Jessica H Lee, BSc., MSc., M.Phil. Clinical Decision Making Support Unit, Broadmoor Hospital
- ↑ The Mental Health Act (UK) Reforming The Mental Health Act, Part II, High risk patients Accessed June 26, 2006
- ↑ Paul Harrison & John Geddes. Lecture Notes: Psychiatry. Blackwell Publishing. pp. 163–165. http://books.google.com/books?id=xjaQa-OseQ0C&pg=PA165&lpg=PA165&dq=dissocial+personality+disorder&source=web&ots=Hx0rs036wg&sig=LwrheM2r9jmuQka5Gb-0eDY60Lg.
- ↑ doi:10.1111/j.1749-6632.2003.tb07328.x
- ↑ 59.0 59.1 Monahan, Steadman, Henry J. (1999). "Mentally Disordered Offenders: Perspectives from Law and Social Science". Springer-Verlag. doi:10.1007/b62130. http://books.google.com/books?id=vtN7qdxEJ0YC&pg=PR2&lpg=PR2&dq=%22mentally+disordered+offenders+perspectives+from+law+and+social+science%22&source=web&ots=k6fUbpIqj4&sig=0BslfZFdmRzd0jixh3K5n6MMtZE#PPA200,M1.
- ↑ Alexander, R. (1993). [Expression error: Missing operand for > "The Civil Commitment of Sex Offenders in Light of Foucha v. Louisiana"]. Criminal Justice and Behavior 20: 371. doi:10.1177/0093854893020004005.
- ↑ 61.0 61.1 Washington State Legislature Revised Code of Washington (RCW 71.06.010 ) Accessed December 28, 2007
- ↑ Statutes and Amendments to the Codes of California 1939, page 1783, ch. 447, enacted June 6, 1939
- ↑ Statutes and Amendments to the Codes of California 1941, page 2462, ch. 884, enacted June 28, 1941.
- ↑ Porter, S.; Ten Brinke, L.; Wilson, K. (2009). [Expression error: Missing operand for > "Crime profiles and conditional release performance of psychopathic and non-psychopathic sexual offenders"]. Legal and Criminological Psychology 14: 109–118. doi:10.1348/135532508X284310.
- ↑ Millon, Theodore; Roger D. Davis (1996). Disorders of Personality: DSM-IV and Beyond. New York: John Wiley & Sons, Inc.. p. 430. ISBN 0-471-01186-X.
- ↑ The pathology of mind, by Henry Maudsley, Chapter 3, p. 77
- ↑ Millon, Theodore (2002). "Psychopathy: Antisocial, Criminal, and Violent Behavior". Guidford Press. pp. 3–18. http://books.google.com/books?id=LSiBsdxcGigC&pg=PR7&lpg=PR7&dq=dissocial+personality+disorder&source=web&ots=nlRWyd2h4Z&sig=wJkDFh4LMfl7qukbGQZ6UFxORy0#PPA4,M1. Retrieved 2008-01-13.
- ↑ Meloy, J. Reid (1988). The Psychopathic Mind: Origins, Dynamics, and Treatment. Northvale, NJ: Jason Aronson Inc.. p. 9. ISBN 0-87668-311-1.
- ↑ Beauchaine; Klein, D.; Crowell, S.; Derbidge, C.; Gatzke-Kopp, L. (2009). [Expression error: Missing operand for > "Multifinality in the development of personality disorders: a Biology x Sex x Environment interaction model of antisocial and borderline traits"]. Development and psychopathology 21 (3): 735–770. doi:10.1017/S0954579409000418.. PMID 19583882.
- ↑ Gollan; Lee, R; Coccaro, EF (2005). [Expression error: Missing operand for > "Developmental psychopathology and neurobiology of aggression"]. Development and psychopathology 17 (4): 1151–71. PMID 16613435.
- ↑ Lee R, Coccaro ER. Neurobiology of impulsive aggression: Focus on serotonin and the orbitofrontal cortex. In: Flannery DJ, Vazsonyi AT, Waldman ID, editors. The Cambridge handbook of violent behavior and aggression. New York: Cambridge University Press; 2007. pp. 170–186. ISBN 9780521607858
- ↑ Van Goozen; Fairchild, G.; Snoek, H.; Harold, G. (2007). [Expression error: Missing operand for > "The evidence for a neurobiological model of childhood antisocial behavior"]. Psychological bulletin 133 (1): 149–182. doi:10.1037/0033-2909.133.1.149. PMID 17201574.
- Cleckley, Hervey M. The Mask of Sanity: An Attempt to Reinterpret the So-Called Psychopathic Personality, 5th Edition, revised 1984, PDF file download.
- Hare, Robert D. (1999). Without Conscience: The Disturbing World of the Psychopaths Among Us. New York: Guilford Press. ISBN 1-57230-451-0.
- Oakley, Barbara, Ph.D., Evil Genes: Why Rome Fell, Hitler Rose, Enron Failed, and My Sister Stole My Mother's Boyfriend. Prometheus Books, Amherst, NY, 2007, ISBN 1-59102-665-2.
- Michael H. Thimble, F.R.C.P., F.R.C. Psych. Psychopathology of Frontal Lobe Syndromes.
- Widiger et al., Thomas (1995). Personality Disorder Interview-IV, Chapter 4: Antisocial Personality Disorder. Psychological Assessment Resources, Inc.. ISBN 0-911907-21-1.
|Look up psychopathy in Wiktionary, the free dictionary.|
- Without Conscience Official web site for Dr. Robert Hare
- Malatesti, L, Psychopathy in Psychiatry and Philosophy: An Annotated Bibliography
- RCMP Gazette Vol. 66, Issue 3 2004, The psychopathic offender
- Understanding The Psychopath: (Key Definitions & Research)
- The Paradox of Psychopathy (uses DSM diagnostic categories of Antisocial personality disorder)
- Managing Dangerous People with Severe Personality Disorder
- Abbot, Alison Into the Mind of a Killer, Nature magazine - brain imaging studies venture into the legal minefield of research into criminal psychopathy.