Lecture 15 Psychopathy Behavioural Neuroscience Univ of
Ottawa PSY 3301
Behavioural Neuroscience (University of Ottawa)
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15 - Psychopathy
Brief History
1801 - Mania without delirium
1810 - Moral insanity
1818 - Psychopath
1920 - Constitutional psychopathic inferiority
1930 - Cleckley’s primary psychopath
1941 - Cleckley’s Mask of Sanity
1940-1950s - Psychiatry couldn’t cure so dismissed it as something external – Sociopath
1958 - DSM sociopathic personality
1968 – Antisocial Personality Disorder (APD)
1993 – Hares Without Conscience
2006 - Snakes in Suits
Importance
Psychopaths make up 25% of male prison population but perform > 50% of violent crime
Psychopaths recidivate 3 - 4x more than non-psychopaths following release from prison
Psychopaths are not all in jail and are not all criminals. “Successful” psychopaths use the system
and people to get what they want
PSYCHOPATHY
Interpersonally - egocentric, manipulative, dominant, cold-hearted
Affectively - labile emotions, no long lasting bonds to people or principles or goal, lack of
empathy or guilt
Behaviourally - impulsive, sensation-seeking, violate social norms
Hare Psychopathy Checklist –Revised (PCL-R)
Uses
- assessing and diagnosing psychopathy for research and clinical purposes
- parole board hearings / dangerous offender verdicts
- best predictive tool for recidivism / risk assessments
The Checklist
- 20 characteristics
- semi-structured interview and collateral information
- childhood, relationships, work experience, family history, criminal history, general view of life
and people
PCL-R Items
Factor 1 - affective/interpersonal Factor 2 - antisocial
1. Glib/Superficial Charm 3. Need for Stimulation
2. Grandiose Sense of Self Worth 9. Parasitic Lifestyle
4. Pathological Lying 10. Poor Behavioral Controls
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