We reviewed the current models of psychopathy that include both diagnostic systems (DSM-II, DSM-III, DSM-III-R, PCL) and psychometric methods (MCMI-II and MMPI). We focused on the recently developed ANT scale (Morey, Waugh, & Blashfield, 1985) and its importance to the assessment of psychopathy. We conducted two separate principal components analyses on samples of 289 nonforensic and 242 forensic patients. Two factor solutions evidenced moderate correspondence in factor loadings. For the nonforensic sample, the two factors (26.0% of the variance) were delinquency and dishonesty/dissatisfaction. For the forensic sample, the two factors (30.6% of the variance) were delinquency/substance abuse and dishonesty/contumacy. We discussed these findings in terms of larger conceptual issues posed by the DMS-I V revisions and offer recommendations for forensic evaluations.
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References
1.
Abram, K. M. (1989). The effect of co-occurring disorders on criminal careers: Interaction of antisocial personality, alcoholism, and drug disorders. International Journal of Law and Psychiatry, 12, 133-148.
2.
Abram, K. M. (1990). The problem of co-occurring disorders among jail detainees: Antisocial disorder, alcoholism, drug abuse, and depression. Law and Human Behavior, 14, 333-345.
3.
American Psychiatric Association . (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
4.
American Psychiatric Association . (1978). Diagnostic and statistical manual of mental disorders (3rd ed., draft version). Washington, DC: Author.
5.
American Psychiatric Association . (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
6.
American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
7.
Clark, C. R. (1988). Sociopathy, malingering, and defensiveness. In R. Rogers (Ed.), Clinical assessment of malingering and deception (pp. 54-64). New York: Guilford.
8.
Cleckley, H. (1976). The mask of insanity (4th ed.). St. Louis: Mosby.
9.
Collins, J. J. , Schlenger, W. E., & Jordan, K. (1988). Antisocial personality and substance abuse disorders. Bulletin of the American Academy and Psychiatry and the Law, 16, 187-198.
10.
Dahlstrom, W. G. , Welsh, G. S., & Dahlstrom, L. E. (1972). An MMPI handbook: Clinical interpretation (Vol. 1). Minneapolis: University of Minnesota Press.
11.
Everett, J. E. (1983). Factor comparability as a means of determining the number of factors and their rotation. Multivariate Behavioral Research, 18, 197-218.
12.
Gocka, E. (1965). American Lake norms for 200 MMPI scales. Unpublished materials, Veteran's Administration Hospital, American Lake, WA.
13.
Graham, J. R. (1987). The MMPI: A practical guide (2nd ed.). New York: Oxford University Press.
14.
Greene, R. L. (1991). The MMPI-2/MMPI: An interpretive manual. Boston: Allyn & Bacon.
15.
Hare, R. D. (1990). Development of an instrument for the assessment of psychopathy in the mentally disordered: Progress report. Unpublished manuscript, University of British Columbia, Vancouver.
16.
Hare, R. D. (1991). Manual for the revised psychopathy checklist. Toronto: Multi-Health Systems.
17.
Hare, R. D., Cox, D. N., & Hart, S. D. (1989). Preliminary manual for the Psychopathy Checklist: Clinical Version (PCL:CV). Unpublished manuscript, University of British Columbia, Vancouver.
18.
Hare, R. D. , Harpur, T. J., Hakstian, A. R., Forth, A. E., Hart, S. D., & Newman, J. P. (1990). The revised Psychopathy Checklist: Reliability and factor structure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 338-341.
19.
Hare, R. D. , & McPherson, L. M. (1984). Violent and aggressive behavior by criminal psychopaths. International Journal of Law and Psychiatry, 7, 35-50.
20.
Hare, R. D. , McPherson, L. M., & Forth, A. E. (1988). Male psychopaths and their criminal careers. Journal of Clinical and Consulting Psychology, 56, 710-714.
21.
Harpur, T. J. , Hakstian, A. R., & Hare, R. D. (1988). Factor structure of the psychopathy checklist. Journal of Consulting and Clinical Psychology, 56, 741-747.
22.
Harpur, T. J. , Hare, R. D., & Hakstian, A. R. (1989). Two-factor conceptualization of psychopathy: Construct validity and assessment implications. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 6-17.
23.
Harris, R. , & Lingoes, J. (1955). Subscales of the Minnesota Multiphasic Personality Inventory. Mimeographed materials, The Langley Porter Clinic.
24.
Hart, S. D. , Forth, A. E., & Hare, R. D. (1991). The MCMI-II and psychopathy. Journal of Personality Disorders, 5, 318-327.
25.
Hart, S. D. , Kropp, P. R., & Hare, R. D. (1988). Performance of male psychopaths following conditional release from prison. Journal of Consulting and Clinical Psychology, 56, 227-232.
26.
Hurt, S. W. , Clarkin, J. F., & Morey, L. C. (1990). An examination of the stability of the MMPI personality disorder scales. Journal of Personality Assessment, 54, 16-23.
27.
Lingoes, J. (1960). MMPI factors of the Harris and Weiner subscales. Journal of Consulting Psychology, 24, 74-83.
28.
Livesley, W. J. (1986). Trait and behavioral prototypes of personality disorder. American Journal of Psychiatry, 143, 728-732.
29.
Livesley, W. J. , Reiffer, L. I., Sheldon, A. E. R., & West, M. (1987). prototypicality ratings of DSM-III criteria for personality disorders. Journal of Nervous and Mental Disease, 175, 395-401.
30.
McCann, J. T. (1991). Convergent and discriminant validity of the MCMI-II and MMPI personality disorder scales. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 9-18.
Morey, L. C. , Blashfield, R. K., Webb, W. W., & Jewell, J. (1988). MMPI scales for DSM-III personality disorders: A preliminary study. Journal of Clinical Psychology, 44, 47-50.
33.
Morey, L. C. , & LeVine, D. J. (1988). A multitrait-multimethod examination of Minnesota Multiphasic Personality Inventory (MMPI) and Millon Clinical Multiaxial Inventory (MCMI). Journal of Psychopathology and Behavior Assessment, 10, 333-344.
34.
Morey, L. C. , Waugh, M. H., & Blashfield, R. K. (1985). MMPI scales for DSM-III personality disorders: Their derivation and correlates. Journal of Personality Assessment, 49, 245-256.
35.
Phillips, M. S. (1990). METFORS annual report. Toronto: Clarke Institute of Psychiatry.
36.
Rogers, R. , & Dion, K. L. (1991). Rethinking the diagnosis of antisocial personality disorder. Bulletin of the American Academy of Psychiatry and Law, 19, 21-31.
37.
Rogers, R. , Dion, K. L., & Lynett, E. (1992). Diagnostic validity of antisocial personality disorder: A prototypical analysis. Law and Human Behavior, 16, 677-689.
38.
Rogers, R. , Duncan, J. C., & Sewell, K. W. (1994). Prototypical analysis of antisocial personality disorder: DSM-IV and beyond. Law and Human Behavior, 18, 471-484.
39.
Rogers, R. , & Lynett, E. (1991). Role of Canadian psychiatry in dangerous offender testimony. Canadian Journal of Psychiatry, 36, 79-84.
40.
Rogers, R. , & Mitchell, C. N. (1991). Mental health experts and the criminal courts. Toronto: Carswell.
41.
Rogers, R. , & Ornduff, S. R. (1992). Role of psychopathy in forensic evaluations. Invited chapter submitted for publication.
42.
Rosch, E. (1973). On the internal structure of perceptual and semantic categories. In T. E. Moore (Ed.), Cognitive development and the acquisition of language (pp. 111-144). New York: Academic Press.
43.
Rosch, E. (1978). Principles of categorization. In E. Rosch & B. B. Lloyd (Eds.), Cognition and categorization (pp. 27-48). Hillsdale, NJ: Erlbaum.
44.
Swenson, W. M. , Pearson, J. S., & Osborne, D. (1973). An MMPI source book: Basic item, scale, and pattern data on 50,000 medical patients. Minneapolis: University of Minnesota Press.
45.
Walters, G. D. , White, T. W., & Denney, D. (1991). The lifestyle criminality screening form: Preliminary data. Criminal Justice and Behavior, 18, 406-418.
46.
Widiger, T. A. , & Corbitt, E. M. (in press). Antisocial personality disorder in DSM-IV. In W. J. Livesley (Ed.), DSM-IV personality disorders. New York: Guilford.
47.
Widiger, T. A. , Frances, A. J., Pincus, H. A., Davis, W. W., & First, M. B. (1991). Towards an empirical classification for the DSM-IV. Journal of Abnormal Psychology, 100, 280-288.
48.
Widiger, T. A. , & Sanderson, C. (1987). The convergent and discriminant validity of the MCMI as a measure of DSM-III personality disorders. Journal of Personality Assessment, 51, 228-242.
