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Flashcards covering the definitions, legal categories, ethical dilemmas, and neurobiological aspects of psychopathy based on official lecture notes.
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Psychopathy
A personality disorder defined by:
Lack of empathy
Lack of guilt or remorse
Irresponsibility
Impulsivity
Poor planning and decision making
Prevalence of psychopathy
About 1.2% of U.S. adult men and 0.3% to 0.7% of U.S. adult women
15% to 25% of inmates
Prevalence of psychopathy (con’t)
30% of the population displays some degree of reduced empathy, risk-taking, and overly high self-regard
Scope of psychopathy
It spans
Socioeconomic status
Race, gender, and culture
High-functioning executives to prison inmates to people whose psychopathic symptoms may reflect difficult life circumstances
People eligible for diagnosing psychopathy
People in criminal or forensic settings
People in inpatient or community mental health settings
Psychopathy and the Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
Psychopathy was replaced by antisocial personality disorder (ASPD) in the third edition
Psychopathy and the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) [con’t]
Focuses mainly on the behavioral aspects of psychopathy, but only minimally on personality characteristics
e.g. Aggression, impulsivity, and violations of others’ rights,
Psychopathy and the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) [III]
Only about a third of those diagnosed with ASPD also meet the criteria for psychopathy, according to research using validated scales, which often leads to confusion over how and if the two conditions are related
Callous unemotional (CU) traits
Proposed by Paul Frick,
Manifests as a lack of guilt and remorse
A callous lack of empathy
A lack of concern about one’s performance on important activities
A general lack of emotional expression
Triarchic model
Three separable trait constructs underlying psychopathic symptoms which consist of:
Disinhibition
Meanness
Boldness
Triarchic model (con’t)
Opens the door to understanding psychopathic symptoms in more flexible and nuanced ways and to a framework for integrating research that employs different theories and assessment instruments
Disinhibition
Includes tendencies toward impulsiveness, irresponsibility, difficulty regulating one’s emotions and behavior, and mistrust of others
Meanness
Involves deficits in empathy, contempt toward and inability to bond with others
Boldness
Includes dominance, social assurance, emotional resilience, and adventurousness
Psychopathy red flags
Warning signs such as deficient emotional responding to fear and distress in others
More severe and planned aggression
Reduced amygdala activity
Genetic factors such as parental behaviours
Secondary psychopathy
Proposed by Abigail Marsh, when have truly terrible life experiences caused their development to go awry
Thinking and ASPD
Information-processing difficulties emanate from problems in executive functioning or planning ahead, especially when these individuals are responding to situations that involve rewards or emotional information
I.e. Inhibition, planning, abstract reasoning, and working memory
Exaggerated attention bottleneck
When people with psychopathy become so myopically focused on one small part of their attention, their brain processes the rest of the information too slowly to inform the next step
Treatment for psychopathy
Therapy involving video games centred around facial cues,
Caregivers and children working together on positive reinforcement [Parent-Child Interaction Therapy (PCIT)]
Treatment camps such as Boys Town in Nebraska
Modus Operandi (MO)
The specific method used by the UNSUB (unknown subject) to commit a crime, which may be modified over time as the criminal gains experience.
e.g. Stabbing, beheading
Determination of modus operandi (MO)
The type of restraints used on the victim, wound patterns
Type of weapon used: knife, blunt object, or gun.
Tools used to gain entry to victim’s home.
Time of day when the crime was committed
Signature
Stable and unique behaviours that serve a criminal’s emotional and psychological needs
I.e. A personal 'calling card' for gratification.
Examples of signature
Level of injury to the victim: minimal or excessive.
Specific location or sequence to the criminal act (e.g., always under a bridge)
Personal items taken from the victim (e.g., a necklace or a finger)
Criterion for why the victim was targeted (e.g. College women)
First-Degree Murder
A killing that is intentional, planned (scheme in advance), and deliberate (not impulsive).
First-Degree Murder (con’t)
Occurs during the commission of certain offences (e.g. Kidnapping, hijacking, terrorism) or, is the murder of a police officer or prison guard
Second-Degree Murder
An intentional killing that is neither planned nor deliberate and doesn’t occur during specified crimes.
e.g. Someone gets mad and stabs another person which results in death; there was intent to kill, but no plan
Manslaughter
Any culpable homicide that is unintentional and unplanned, and is caused by an unlawful act or criminal negligence without intent to kill.
e.g. While speeding, the driver unintentionally hits a pedestrian who suddenly walks in front of the car, which kills them
Other reasons why people kill
Self-defence as a last resort
Line of duty
War and conflict
Medical Assistance In Dying (MAID)
Utilitarian Ethical Decision
A moral framework focused on 'maximizing goodness' where the right action is the one that helps the greatest number of people.
e.g. The trolley problem where 1 person dies to save 5 people
Deontological Ethical Decision
A principles-based moral framework where certain actions, such as killing, are considered inherently wrong regardless of the outcome.
Psychopaths and the footbridge problem
They were more likely to push a stranger off a bridge to save others, whereas 80-90% of “normal” people refused.
Psychopathic Inferiority
A term introduced by Julius Koch in 1888 to describe mental dysfunctions resulting from organic brain disease in a morally non-judgemental way.
Psychopathic Inferiority (con’t)
Koch believed that such people had diminished responsibility and should be treated in separate institutions
The Mask of Sanity
A 1941 book by Hervey Cleckley that describes psychopathy as a deep-rooted pathology hidden by an outward appearance of sociability and good mental health.
The Mask of Sanity (con’t)
Psychopathic individuals appear to be confident, sociable, and well-adjusted. Over time, their psychopathic tendencies are revealed through their actions and attitudes
Antisocial Personality Disorder (ASPD)
A DSM-5 Cluster B disorder defined by a pervasive pattern of disregard for and violation of the rights of others occurring since or before age 15.
e.g. Fighting, lying, stealing, repeated rule-breaking, etc
Psychopathy Checklist-Revised (PCL-R)
A clinical and forensic tool developed to identify the degree of a person’s psychopathic tendencies, with scores ranging from 0 to 40.
Core focus of ASPD
Behavioural patterns, especially criminal and antisocial acts with no remorse nor violence and high feelings of anger and frustration
Core focus of ASPD (con’t)
Affective/interpersonal traits are only minimally emphasized, with usage mostly in clinical and forensic settings within DSM framework
Core focus of psychopathy
Affective & Interpersonal + Antisocial behaviour
A lack of remorse and empathy, guilt, as well as emotional depth, all with calculated violence
No specified age groups
Core focus of psychopathy (con’t)
Superficial charm
Shallow emotions
Clinical usage in forensic settings, research and risk assessment tools
Key focus of ASPD
Repeated unlawful behaviour
Deceitfulness
Impulsivity
Irritability/aggressiveness
Disregard for safety, irresponsibility
Lack of remorse
Key focus of psychopathy
Glibness/superficial charm
Grandiosity
Manipulativeness
Shallow affect
Lack of empathy
Pathological lying
Failure to accept responsibility
Impulsivity of ASPD vs. Psychopathy
People with ASPD may be more likely to be impulsively aggressive
People with psychopathy tend to plan out aggressive acts.
Severity of ASPD vs. Psychopathy
Psychopathy can cause a much larger disruption in someone's life than ASPD.
Predictability of ASPD vs. Psychopathy
People with ASPD are less predictable than psychopaths, and are more prone to spontaneous outbursts
Diagnosis of ASPD vs. Psychopathy
ASPD is better assessed than psychopathy.
Psychopathy is usually diagnosed in prison settings (using tools like the Psychopathy Checklist).
Comorbidity of ASPD vs. Psychopathy
ASPD and psychopathy are highly comorbid (co-occurring) with each other.
Causes of ASPD vs. Psychopathy
Both conditions can occur due to genetic or environmental factors, and psychopathy can also be causally related to Traumatic Brain Injuries
Treatment of ASPD vs. Psychopathy
There is no cure for either condition, but treatments can help manage and control symptoms.
Shallow Affect
A modern descriptive symptom of psychopathy characterized by a diminished ability to react emotionally.
Charles Manson
An American criminal and cult leader who was imprisoned for life in 1972 at California State Prison, and died in 2017
Charles Manson (con’t)
Though Manson never killed anyone himself (but wanted to start a race war), he and his followers were charged and convicted of committing nine murders at four locations in 1969
Charles Manson (III)
Victims were stabbed dozens of times and disemboweled. Messages scrawled in blood were left at the crime scene.
Charles Manson (IV)
Viewed others as maniacs because he saw himself as a reflection of society's own negative
e.g. He’s been “playing for his life” while the media works for money
Charles Manson’s views on women
Manson said he likes women and finds them "nice" and "soft and spicy," provided they "keep their mouths shut and do what they're supposed to do."
Charles Manson’s views on death
He noted that dying makes him nervous, but said dying is easier and that living scares him
Charles Manson’s views on the world
He compares his love for his prison world to then-President Reagan loving his world.
Charles Manson’s views on the world (con’t)
He claimed to be a "reflection of your negative," suggesting that society sees its own darker aspects in him
Charles Manson’s views on pain
Manson claimed he had no depth of pain or suffering, nor knowledge of ridicule
Charles Manson’s views on pain (con’t)
Manson said pain can teach lessons
e.g. The resulting pain from putting a hand in a fire teaches the individual not to perform that action again
Charles Manson’s education
Manson performed poorly in traditional school but claims he did very well in reform school and prison.
Robert “Willy” Picton
Was charged with murdering 26 women but was convicted of only 6 of them
Robert “Willy” Picton (con’t)
Confessed his actions to an undercover cop who was posing as his cellmate
Robert “Willy” Picton (III)
Said he was sloppy in his kills because he wanted to accumulate 50 victims, and called it his downfall
Victims for which Robert Picton was convicted for
Georgina Papin
Serena Abotsway
Mona Wilson
Andrea Joesbury
Brenda Wolfe
Marine Frey
Psychosis
A mental disorder involving delusions and hallucinations, which is distinct from the personality traits of psychopathy.
e.g. Schizophrenia
Prison population and psychopathy
In the U.S., about 1% of the general male population over 18 are psychopaths
Criminality and psychopathy (con’t)
15 – 20% of the adult males who are in prison, jail, parole, or probation are psychopaths
Psychopath methods
They can be very charming and personable (snakes in suits)
They divide the world into other predators or prey and may use the internet to find targets
They crave power, and will do whatever they want to get it
Ventromedial Prefrontal Cortex (vmPFC)
The brain region located at the bottom of the frontal cortex responsible for:
Processing risk
Inhibiting emotional responses
Cognitive evaluation of morality
Decision making and self-control
Brain Differences in Psychopaths
Functional connectivity between the right amygdala and anterior Ventromedial Prefrontal Cortex (vmPFC) is reduced in psychopaths
MAO-A Gene
A gene located on the X chromosome that, when combined with specific brain damage and environmental factors, is associated with violence in males.
MAO-A Gene and psychopathy
Psychopathy can be genetically passed down from parents; is more common in males, as they only get one X chromosome
Glibness
A core interpersonal trait of psychopathy characterized by superficial charm.
Comorbidity
The simultaneous presence of two conditions in a patient, such as the high co-occurrence of ASPD and psychopathy.
Functional Connectivity
The communication link between the right amygdala and the vmPFC, which is found to be reduced in those with psychopathy.
Instrumental Aggression
A type of calculated aggression often associated with psychopathy, as opposed to the impulsive aggression frequently seen in ASPD.
Social Predator
A term used to describe psychopaths who divide the world into predators and prey, often targeting vulnerable or marginalized individuals.
Psychopathy Checklist Revised (PCL-R)
Is used for diagnosing psychopathy in individuals for clinical, legal or research purposes.
Psychopathy Checklist Revised (PCL-R) [con’t]
Developed in the early 1990s, the test was originally designed to identify the degree of a person's psychopathic tendencies.
Psychopathy Checklist Revised (PCL-R) method
Three possible scores for each question:
0 = item does not apply
1 = item applies somewhat
2 = item definitely applies
Scores range from 0 – 40.
Who’s qualified to use the PCL-R?
Only experienced individuals and professionals should administer the PCL-R
e.g. Advanced degrees (M.D., Ph.D., or D.Ed.) in a medical, behavioural, or social science field, or working with convicted or accused criminals or several years of related on-the-job training.
Psychopathy and the workplace
A certain degree of nonconformity and unconventionality is needed to drive innovation and entrepreneurship, but leaders need to have a minimum level of etiquette with their employees and everyone around them
Edmund Kemper
A serial killer who had immense internal conflict and turned himself in after killing his mother due to a cathartic effect
Edmund Kemper (con’t)
Had fantasies of killing "dozens more people" and leaving a "trail of bodies across the country," before stopping
Edmund Kemper (III)
Says he would’ve lived a normal life and started a family had he not given in to the impulse of murder
How can hypnotherapy help with overcoming phobias
Can help shift beliefs about the object(s) in question
Can help one prepare for an encounter with the phobia through role-play scenarios with neutral objects