Neurosurgery for Psychopaths? An Ethical Analysis

Recent developments in neuroscience have inspired proposals to perform deep brain stimulation on psychopathic detainees. We contend that these proposals cannot meet important ethical requirements that hold for both medical research and therapy. After providing a rough overview of key aspects of psychopathy and the prospects of tackling this condition via deep brain stimulation, we proceed to an ethical assessment of such measures, referring closely to the distinctive features of psychopathic personality, particularly the absence of subjective suffering and a lack of moral motivation. Scrutiny of these factors reveals that two essential bioethical criteria, individual medical benefit and voluntary informed consent, cannot be met in performing neurosurgical experiments or treatments on psychopathic inmates

The role of psychopathic traits among intimate partner-violent men: A systematic review

Spanish Ministry of Economy and Competitiveness [MINECO-17-PSI2016-77484-P]; Foundation for the Promotion of Applied Scientific Research and Technology in Asturias [BP13-134, BP14-153]; Spanish Ministry of Education, Culture and Sport [FPU 13/04310

Associations between psychopathic traits and brain activity during instructed false responding

Lying is one of the characteristic features of psychopathy, and has been recognized in clinical and diagnostic descriptions of the disorder, yet individuals with psychopathic traits have been found to have reduced neural activity in many of the brain regions that are important for lying. In this study, we examine brain activity in sixteen individuals with varying degrees of psychopathic traits during a task in which they are instructed to falsify information or tell the truth about autobiographical and non-autobiographical facts, some of which was related to criminal behavior. We found that psychopathic traits were primarily associated with increased activity in the anterior cingulate, various regions of the prefrontal cortex, insula, angular gyrus, and the inferior parietal lobe when participants falsified information of any type. Associations tended to be stronger when participants falsified information about criminal behaviors. Although this study was conducted in a small sample of individuals and the task used has limited ecological validity, these findings support a growing body of literature suggesting that in some contexts, individuals with higher levels of psychopathic traits may demonstrate heightened levels of brain activity

Nepotistic patterns of violent psychopathy: evidence for adaptation?

Psychopaths routinely disregard social norms by engaging in selfish, antisocial, often violent behavior. Commonly characterized as mentally disordered, recent evidence suggests that psychopaths are executing a well-functioning, if unscrupulous strategy that historically increased reproductive success at the expense of others. Natural selection ought to have favored strategies that spared close kin from harm, however, because actions affecting the fitness of genetic relatives contribute to an individual’s inclusive fitness. Conversely, there is evidence that mental disorders can disrupt psychological mechanisms designed to protect relatives. Thus, mental disorder and adaptation accounts of psychopathy generate opposing hypotheses: psychopathy should be associated with an increase in the victimization of kin in the former account but not in the latter. Contrary to the mental disorder hypothesis, we show here in a sample of 289 violent offenders that variation in psychopathy predicts a decrease in the genetic relatedness of victims to offenders; that is, psychopathy predicts an increased likelihood of harming non-relatives. Because nepotistic inhibition in violence may be caused by dispersal or kin discrimination, we examined the effects of psychopathy on (1) the dispersal of offenders and their kin and (2) sexual assault frequency (as a window on kin discrimination). Although psychopathy was negatively associated with coresidence with kin and positively associated with the commission of sexual assault, it remained negatively associated with the genetic relatedness of victims to offenders after removing cases of offenders who had coresided with kin and cases of sexual assault from the analyses. These results stand in contrast to models positing psychopathy as a pathology, and provide support for the hypothesis that psychopathy reflects an evolutionary strategy largely favoring the exploitation of non-relatives

The inventory of callous–unemotional traits: psychometric properties among referred and non-referred portuguese female juveniles

The presence of callous-unemotional (CU) traits delineates a subgroup of male youth with severe conduct disorder and antisocial behavior, but little research has been done among female youth. Drawing on 377 female adolescents (103 selected from forensic settings and 274 selected from school settings) from Portugal, the current study is the first to simultaneously examine the psychometric properties of the Inventory of Callous Unemotional Traits (ICU) in incarcerated female youth and community youth. The results support the use of the ICU in terms of its factor structure, and internal consistency despite the fact an item had to be removed from the Callousness dimension. Statistically significant positive associations were found with measures of psychopathic traits and aggression, as well as non-significant associations with empathy and social anxiety. Significant associations were also found with several indicators of delinquent careers including age of criminal onset, age of first contact with the law, Conduct Disorder symptoms and diagnosis, crime seriousness, previous violent offending, number of criminal charges, alcohol use, and drug use. Findings are discussed in terms of the use of the ICU among female juvenile offenders and community youths.European Social Fund (POPH/FSE

Exposure to criminal environment and criminal social identity in a sample of adult prisoners: The moderating role of psychopathic traits

The purpose of this study was to investigate the role of period of incarceration, criminal friend index (a retrospective measure intended to quantify criminal associations before first incarceration), and four psychopathy factors (interpersonal manipulation, callous affect, erratic lifestyle, and antisocial behavior) in criminal social identity (CSI) while controlling for age and gender. Participants were a sample of 501 incarcerated offenders (males n = 293; females n = 208) from three prisons located in Pennsylvania Sate. Moderated regression analyses indicated no significant direct association between period of incarceration and CSI or between criminal friend index and CSI. However, a significant moderating effect of interpersonal manipulation on the relationship between period of incarceration and CSI was observed. Period of incarceration was significantly positively correlated with CSI (particularly with in-group ties subscale) only for those offenders who scored high (1 SD above the mean) on interpersonal manipulation and significantly negatively correlated for those who scored low (1 SD below the mean) on interpersonal manipulation. Also, criminal friend index was positively significantly associated with in-group ties for high levels (1 SD above the mean) of callous affect. The main findings provide evidence for the claim that prisoners are likely to simulate changes in identity through the formation of bonds with other offenders and that this can be achieved using interpersonal manipulation skills

Theory of mind and mentalizing ability in antisocial personality disorders with and without psychopathy

Background. The literature on Theory of Mind (ToM) in antisocial samples is limited despite evidence that the neural substrates of theory of mind task involve the same circuits implicated in the pathogenesis of antisocial behaviour. Method. Eighty-nine male DSM-IV Antisocial Personality Disordered subjects (ASPDs) and 20 controls (matched for age and IQ) completed a battery of ToM tasks. The ASPD group was categorized into psychopathic and non-psychopathic groups based on a cut-off score of 18 on the Psychopathy Checklist: Screening Version. Results. There were no significant group (control v. psychopath v. non-psychopathic ASPD) dif- ferences on basic tests of ToM but both psychopathic and non-psychopathic ASPDs performed worse on subtle tests of mentalizing ability (faux pas tasks). ASPDs can detect and understand faux pas, but show an indifference to the impact of faux pas. On the face/eye task non-psychopathic ASPDs showed impairments in the recognition of basic emotions compared with controls and psychopathic ASPDs. For complex emotions, no significant group differences were detected largely due to task difficulty. Conclusions. The deficits in mentalizing ability in ASPD are subtle. For the majority of criminals with ASPD and psychopathy ToM abilities are relatively intact and may have an adaptive function in maintaining a criminal lifestyle. Our findings suggest the key deficits appear to relate more to their lack of concern about the impact on potential victims than the inability to take a victim perspective. The findings tentatively also suggest that ASPDs with neurotic features may be more impaired in mentalizing ability than their low anxious psychopathic counterparts

Theory of Mind and its Relation to Psychopathy

Psychopathy is a personality dysfunction wherein an individual is unemotional and has a deficit in empathy (Dolan & Fullam, 2004). Theory of mind is the ability to perceive other’s thoughts, beliefs, emotions, etc. (Vonk, Hill, Mercer & Noser, 2015). This is similar to empathy, and as such is likely to have a relationship with psychopathy, although no such research has been undertaken to date. In this study, I correlated measures of psychopathy with theory of mind, sampling from Butler’s undergraduate population. Due to my combined major in Psychology and Criminology, I then researched and discuss the similarities theory of mind has with the sociological term, role taking, which is the process of viewing oneself from another perspective (Crawford & Novak, 2014). Rather than being an aptitude that varies per person, as is theory of mind, role taking is seen as an innate ability and rather is looked at in terms of the propensity in which one engages in it. While there were no significant relationships between theory of mind and psychopathy detected, the results suggested that a study with more statistical power may be able to find such a relationship. If a relationship does not exist between theory of mind and psychopathy, this can be explained by role taking theory

Early Relationships, Pathologies of Attachment, and the Capacity to Love

Psychologists often characterize the infant’s attachment to her primary caregiver as love. Philosophical accounts of love, however, tend to speak against this possibility. Love is typically thought to require sophisticated cognitive capacities that infants do not possess. Nevertheless, there are important similarities between the infant-primary caregiver bond and mature love, and the former is commonly thought to play an important role in one’s capacity for the latter. In this work, I examine the relationship between the infant-primary caregiver bond and love. I argue that while these very early attachments do not represent genuine love, a fuller understanding of them can inform extant philosophical views of love

Investigating associations between empathy, morality and psychopathic personality traits in the general population

Although atypical moral and empathy processing are considered core features of psychopathic personality, little is known about how these constructs are associated with psychopathic traits in the general population. One-hundred and twenty-four adult males from the community were administered the Self-Report Psychopathy Scale 4 Short Form, as well as a wide battery of affect, empathy and morality tasks and questionnaires. Our findings indicate that both core affective-interpersonal, as well as lifestyle-antisocial features of psychopathy are associated with weaker empathic responses to fearful faces. However, only the unique variance of the affective-interpersonal features is associated with weaker empathic response to happy stories, lower propensity to feel empathic concern and less difficulty in making decisions on moral dilemmas. In contrast, the unique variance of the lifestyle-antisocial features is associated with greater propensity to feel empathic concern. These preliminary findings extend previous research and suggest that, while the joint variance between affective-interpersonal and lifestyle-antisocial features might drive some ‘deficits’ associated with psychopathy, there also appears also to be unique ‘deficits’ associated with the core affective-interpersonal features, particularly in relation to affective aspects of moral processing