Psychopathy as an Emergent Interpersonal Syndrome: Further Reflections and Future Directions.

In our article (Lilienfeld et al., 2019), we hypothesized that psychopathy and some other personality disorders are emergent interpersonal syndromes (EISs): interpersonally malignant configurations of distinct personality subdimensions. We respond to three commentaries by distinguished scholars who raise provocative challenges to our arguments and intriguing suggestions for future research. We clarify the role of folk concepts in our understanding of psychopathy, offer further suggestions for testing our interactional hypotheses, consider the role of boldness in motivational accounts of psychopathy, and discuss future directions for incorporating developmental considerations and the role of victims in our EIS account. We are optimistic that this account will prove to be of heuristic value, and should encourage researchers and theoreticians to explore alternative models of psychopathy and other personality disorders.

Personality Disorders as Emergent Interpersonal Syndromes: Psychopathic Personality as a Case Example.

Personality disorders have long been bedeviled by a host of conceptual and methodological quandaries. Starting from the assumption that personality disorders are inherently interpersonal conditions that reflect folk concepts of social impairment, the authors contend that a subset of personality disorders, rather than traditional syndromes, are emergent interpersonal syndromes (EISs): interpersonally malignant configurations (statistical interactions) of distinct personality dimensions that may be only modestly, weakly, or even negatively correlated. Preliminary support for this perspective derives from a surprising source, namely, largely forgotten research on the intercorrelations among the subscales of select MMPI/MMPI-2 clinical scales. Using psychopathic personality as a case example, the authors offer provisional evidence for the EIS hypothesis from four lines of research and delineate its implications for personality disorder theory, research, and classification. Conceptualizing some personality disorders as EISs elucidates long-standing quandaries and controversies in the psychopathology literature and affords fruitful avenues for future investigation.

Do psychopathic birds of a feather flock together? Psychopathic personality traits and romantic preferences.

OBJECTIVE: The goal of the present studies was to investigate whether people are especially attracted to psychopathic traits, and whether there are individual differences in such attraction. METHOD: Female undergraduates (N = 270; Mage = 19; 57% White, 20% Asian, 8% Black) and female and male community members (N = 426; Mage = 37; 56% female; 81% Caucasian, 10% African American, 4% Asian) reported on their own personality and constructed their ideal mate for a dating, short-term, and long-term relationship from a list of 70 characteristics drawn from well-validated criteria for psychopathic personality and diagnostic criteria for DSM-5 personality disorders (PDs). RESULTS: Across both studies, absolute romantic preferences for psychopathic traits collapsed across time point were low on average, but higher than those for most all other PDs. In addition, they were higher for Factor 1 (i.e., interpersonal/affective) as opposed to Factor 2 (i.e., impulsive, antisocial) psychopathy traits. Participants with marked PD features, including Factor 2 psychopathy traits, were more inclined than others to endorse a preference for psychopathic males. CONCLUSIONS: Relative attraction to psychopathic males and observed homophily may be avenues through which psychopathic traits persist in the population across time.

Hervey Cleckley (1903-1984): Contributions to the study of psychopathy.

Hervey Cleckley (1903-1984) was probably among the most influential psychiatrists of the 20th century, but the history of his intellectual contributions to psychopathy is not especially well known. Not all of Cleckley's writings have stood the test of time, but others seem prescient, arguably anticipating current debates regarding such contentious issues as successful psychopathy and the treatability of psychopathy. Although Cleckley's seminal writings on psychopathy are familiar to many contemporary scholars, Cleckley's role as an expert witness and his writings on other topics, such as dissociative identity disorder, may be less familiar to many readers. Cleckley's rich and diverse body of work is worth revisiting for its keen insights regarding psychopathy and personality pathology more broadly. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Potential effects of severe bilateral amygdala damage on psychopathic personality features: A case report.

The fearlessness model posits that psychopathy is underpinned by a deficiency in the capacity to experience fear, predisposing to other features of the condition, such as superficial charm, guiltlessness, callousness, narcissism, and dishonesty. Nevertheless, it is unclear whether fearlessness is irrelevant, necessary, sufficient, or merely contributory to psychopathy. In the present case study, we sought to examine the fearlessness model by studying an extensively investigated female patient-S. M.-who experienced early emerging bilateral calcifications of the amygdala, resulting in a virtual absence of fear. We aimed to replicate findings regarding S. M.'s deficient experience of self-reported fear and examine her levels of triarchic psychopathy dimensions (boldness, meanness, disinhibition). We also examined S. M.'s history of heroic behaviors given conjectures that fearlessness contributes to both heroism and psychopathy. Compared with population-based norms, S. M. reported deficient levels of self-reported fear and self-control, as well as elevated levels of heroism. She did not, however, exhibit elevated levels of the core affective deficits of psychopathy, as reflected in measures of coldheartedness and meanness. These findings suggest that severe fear deficits may be insufficient to yield the full clinical picture of psychopathy, although they do not preclude the possibility that these deficits are necessary. (PsycINFO Database Record

Psychopathy and heroism in first responders: Traits cut from the same cloth?

Some scholars have posited that certain traits associated with psychopathy-namely, fearlessness, boldness, and willingness to take risks-are associated with greater engagement in heroic and altruistic acts; nevertheless, this conjecture has received little empirical attention. We examined the relations among psychopathic traits, heroism, altruism, workplace deviance, and leadership in first-responder (n = 138) and civilian (n = 104) samples recruited by means of an online platform. Across samples, fearless dominance, boldness, sensation seeking, and several other psychopathy-related variables were positively and significantly associated with everyday heroism and altruism. First responders scored significantly higher than did civilians on measures of psychopathy, fearlessness, boldness, heroism, and altruism, and reported significantly greater workplace deviance and participation in leadership activities. Our results support previous suggestions of ties between psychopathic traits, especially fearlessness and heroism, although they leave unresolved the question of why certain antisocial and prosocial behaviors appear to covary. (PsycINFO Database Record

The nature and correlates of the dark triad: The answers depend on the questions.

The past several decades have witnessed a proliferation of research on the dark triad (DT), a set of traits comprising Machiavellianism, narcissism, and psychopathy. The bulk of DT research has been marked by several core assumptions, most notably that each DT construct is a monolithic entity that is clearly separable from its counterpart DT constructs. To examine the tenability of these assumptions, we pooled data from 2 samples of North American community members (ns = 312 and 351) to explore (a) the external validity and profile similarities of DT indicators and (b) the factor structure of the DT. Using general personality dimensions as external criteria, we demonstrated that each DT measure is multidimensional and that subdimensions within DT measures often display sharply different and at times even opposing relations with personality domains; these opposing relations were largely obscured at the total score level adopted in most of the DT literature. In both samples, confirmatory factor analyses and exploratory structural equation models provided no clear support for the traditional tripartite DT structure delineated in the literature. Instead, various aspects of the DT constructs fractionated across a number of factors that represented more basic personality elements (e.g., emotional stability, grandiosity). Taken together, our findings raise serious questions regarding the standard model of DT research and suggest that the questions posed regarding the correlates of DT constructs hinge crucially on the specific DT measure and subdimension examined. (PsycINFO Database Record

The perils of unitary models of the etiology of mental disorders-The response modulation hypothesis of psychopathy as a case example: Rejoinder to Newman and Baskin-Sommers (2016).

We respond to Newman and Baskin-Sommers's (2016) criticisms of our meta-analytic and narrative synthesis of the response modulation hypothesis (RMH) of psychopathy (Smith & Lilienfeld, 2015). We concur with Newman and Baskin-Sommers that our results offer modest support for the RMH and that several of our arguments apply with equal force to rival etiological models of psychopathy. Nevertheless, we contend that Newman and Baskin-Sommers' criticisms of our findings and conclusions are unconvincing, and that the research support for the RMH is considerably more mixed than implied by Newman and Baskin-Sommers. We address a number of conceptual and methodological concerns regarding the RMH literature, especially (a) the ambiguous operationalization of a dominant response set, (b) selective and inconsistent interpretation of findings, (c) the failure of successive modifications in the RMH to bolster the model's predictive power, (d) the hazards of ex juvantibus logic (reasoning backward from what works), (e) reliance on a positive test strategy in theory testing, and (f) the questionable assumption that psychopathy is a monolithic entity, rendering it unlikely that the RMH provides a comprehensive causal account of psychopathy. We conclude with a discussion of broader lessons for the psychopathy field imparted by the RMH debate, with particular emphasis on the problematic track record of models of specific etiology in the field of psychopathology at large. (PsycINFO Database Record

Is boldness relevant to psychopathic personality? Meta-analytic relations with non-Psychopathy Checklist-based measures of psychopathy.

Two recent meta-analyses have suggested that boldness, as assessed by the Psychopathic Personality Inventory (PPI) Fearless Dominance dimension, is largely unrelated to total or factor scores on the Psychopathy Checklist-Revised (PCL-R), raising questions concerning the relevance of largely adaptive features to psychopathy. Nevertheless, given that the PCL was developed and validated among prisoners, it may place less emphasis than do other psychopathy measures on adaptive traits, such as fearlessness, social poise, and emotional resilience. We conducted a meta-analysis (N = 10,693) of the relations between (a) boldness, as assessed by the PPI and its derivatives or measures of the triarchic model of psychopathy, and (b) non-PCL-based psychopathy measures across 32 samples. The average weighted correlation between boldness and psychopathy was medium to large (r = .39) and considerably higher than reported in prior meta-analyses; when analyses were restricted to well-validated psychopathy measures, the correlation rose to r = .44. We did not find support for the position that boldness is significantly less related to psychopathy than are the other 2 dimensions of the triarchic model. Our findings strongly suggest that boldness is relevant to at least some well-validated measures of psychopathy, and raise further questions regarding the boundaries of this condition. (PsycINFO Database Record

The response modulation hypothesis of psychopathy: A meta-analytic and narrative analysis.

The causes of psychopathy, a condition characterized by interpersonal (e.g., superficial charm), affective (e.g., lack of empathy), and behavioral (e.g., impulsive actions) features, remain contested. The present review examines 1 of the most influential etiological models of psychopathy, the response modulation hypothesis (RMH), which proposes that psychopathic individuals exhibit difficulties in adjusting their behavior in the presence of a dominant response set. We conduct a meta-analysis and narrative literature review to examine the RMH quantitatively and qualitatively, estimate the statistical effects of response modulation (RM) deficits in psychopathic individuals, and ascertain the boundary conditions of the RMH. Ninety-four samples from published and unpublished studies involving 7,340 participants were identified for inclusion. Overall results provided some support for the RMH, revealing a small to medium relationship between psychopathy and RM deficits (r = .20, p < .001, d = .41) that extended to both psychopathy dimensions. Moreover, as predicted by the RMH, RM deficits were observed for both affectively neutral and affectively laden tasks. A number of moderators, such as anxiety, laboratory task, dependent measure, psychopathy measure, and race, contributed to significant variability in effect sizes; we also found evidence for potential publication bias using 2 methods, raising questions concerning the robustness of RM findings. An ancillary narrative review revealed that the RMH is inconsistent with a number of replicated findings in the psychopathy literature, suggesting that the RMH, at least in its present form, is unlikely to provide a comprehensive etiological account of psychopathy. Nevertheless, more recent attentional versions of the RMH may hold promise with respect to intervention. Further fruitful directions for research on the RMH, including the use of multiple dependent measures of RM and latent variable approaches, are delineated.

Identifying personality subtypes based on the five-factor model dimensions in male prisoners: implications for psychopathy and criminal offending.

The current study was designed to identify personality subtypes on the basis of the five-factor model dimensions in male prisoners. Participants included 110 Flemish male prisoners assessed by means of the Neuroticism, Extraversion, Openness Five Factor Inventory and different symptom, personality, and coping measures. We found two clusters: an emotionally stable/resilient cluster and an aggressive/undercontrolled cluster. Prisoners within the aggressive/undercontrolled cluster scored significantly higher on almost all Minnesota Multiphasic Personality Inventory-2 basic scales, (in)direct aggression measures, and depressive coping scales compared with resilients. They also scored higher on drug abuse and committed more sexual offenses than resilient prisoners. These two personality subtypes bear theoretically and practically important implications for psychopathy subtypes and different pathways to criminal offenses.

The double-edged sword of grandiose narcissism: implications for successful and unsuccessful leadership among U.S. Presidents.

Recent research and theorizing suggest that narcissism may predict both positive and negative leadership behaviors. We tested this hypothesis with data on the 42 U.S. presidents up to and including George W. Bush, using (a) expert-derived narcissism estimates, (b) independent historical surveys of presidential performance, and (c) largely or entirely objective indicators of presidential performance. Grandiose, but not vulnerable, narcissism was associated with superior overall greatness in an aggregate poll; it was also positively associated with public persuasiveness, crisis management, agenda setting, and allied behaviors, and with several objective indicators of performance, such as winning the popular vote and initiating legislation. Nevertheless, grandiose narcissism was also associated with several negative outcomes, including congressional impeachment resolutions and unethical behaviors. We found that presidents exhibit elevated levels of grandiose narcissism compared with the general population, and that presidents' grandiose narcissism has been rising over time. Our findings suggest that grandiose narcissism may be a double-edged sword in the leadership domain.