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Are there sex differences regarding psychopathy? If yes, which ones?
Big difference in antisocial & delinquent behaviors & aggression between psychopathological women & men
women: inflict psychological harm
men: inflict physical harm
Difference in manipulation
women: manifested through flirtatious & sexual behaviour
men: manifested through conning behaviour
→ psychopathological women exhibit less delinquency, but more sexually promiscuous behaviour
Which 3 dimensions does the 3-factor conceptualization of psychopathy include?
1) Behavioral dimension
2) Affective dimension
3) Interpersonal dimension
Which kind of behaviour is less relevant for female psychopathology & which dimension does this fall under?
Interpersonal dimension: antisocial behaviour less crucial for female psychopathology
Recent finding: what does the untreatable psychopath entail? What makes them untreatable?
Many forms of psychotherapy don’t have successful results on these psychopaths
Psychopaths willing to cooperate in treatment & patients with higher PCL-R score → higher chance on recidivism
Why do psychopaths who cooperate in treatment have a higher chance on recidivism than the ones who don’t cooperate?
Cooperative psychopaths might come to new insights in treatment to manipulate people even more
Why is there therapeutic pessimism when it comes to psychopathy (3 reasons)?
1) Disorder has an unclear etiology → hard to create treatment
2) Patients lack illness insight → don’t seek help
3) They’re resistant against external influence
What are successful treatments for psychopathy focused on?
Cognitive & affective problems of psychopathy
Treatment for psychopaths are based on the RNR principle. Which 3 basic principles does this entail?
Risk profile
evaluate risk of person with high levels of psychopathy who has already committed criminal acts
low, moderate or high risk of relapse
Reduce criminogenic needs of the patient
factors related to recidivism that matter in criminal behaviour
modifiable, ex. impulsivity
Responsivity
connecting with patient so that they respond to treatment
What is often the problem with the risk profile (RNR principle)? Tip: think of the 2 degrees of risks.
Low-risk patients often over-treated
High-risk patients often under-treated
