The Psychopath Whisperer: The Science of Those Without Conscience (40 page)

BOOK: The Psychopath Whisperer: The Science of Those Without Conscience
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Chapter 4: The Psychopath Electrified

1.
According to the 2011 US Census, there were approximately 68,873,400 adult males (ages 18–50) in the United States. If 1 in 150 men meets criteria for psychopathy there are 459,156 male psychopaths in the United States. The US Department of Justice reports that there are 2,266,832 inmates in the US jail and prison systems, or about 1,772,073 males ages 18–50 after subtracting females, juveniles, and men over age 50. Assuming 20 percent of these inmates meet criteria for psychopathy, then approximately 354,414 psychopaths are incarcerated or 77 percent of psychopaths in the United States are in prison. Note that men over 50 can be psychopaths, but research shows the majority of antisocial behavior occurs prior to age 50.

2.
Szymanski, M. D., Bain, D. E., Kiehl, K. A., Pennington, S., Wong, S., & Henry, K. R. (1999). Killer whale (Orcinus orca) hearing: Auditory brainstem response and behavioral audiograms.
Journal of the Acoustical Society of America
106 (2), 1134–1141.

3.
Sutton, S., Braren, M., Zubin, J., & John, E. R. (1965). Evoked-potential correlates of stimulus uncertainty.
Science
150 (700), 1187–1188.

4.
Halgren, E., & Marinkovic, K. (1996). General principles for the physiology of cognition as suggested by intracranial ERPs. In C. Ogura, Y. Koga, & M. Shimokochi (Eds.),
Recent Advances in Event-Related Brain Potential Research
(pp. 1072–1084). Amsterdam; New York: Elsevier.

Kiehl, K. A., Stevens, M. C., Laurens, K. R., Pearlson, G., Calhoun, V. D., & Liddle, P. F. (2005). An adaptive reflexive processing model of neurocognitive function: Supporting evidence from a large scale (n = 100) fMRI study of an auditory oddball task.
Neuroimage
25 (3), 899–915.

Chapter 5: The Psychopath Magnetized

1.
Yamaguchi, S., & Knight, R. T. (1993). Association cortex contributions to the human P3. In W. Haschke, A. I. Roitbak, & E.-J. Speckmann (Eds.),
Slow Potential Changes in the Brain
(pp. 71–84). Boston: Birkhauser.

2.
Good, C. D., Johnsrude, I. S., Ashburner, J., Henson, R. N., Friston, K. J., & Frackowiak, R. S. (2001). A voxel-based morphometric study of ageing in 465 normal adult human brains.
Neuroimage
14 (1, Pt. 1), 21–36.

3.
Ross, E. D. (1981). The aprosodias. Functional-anatomic organization of the affective components of language in the right hemisphere.
Archives of Neurology
38, 561–569.

4.
Winner, E., & Gardner, H. (1977). The comprehension of metaphor in brain-damaged patients.
Brain
100, 717–729.

Gardner, H., & Denes, G. (1973). Connotative judgments by aphasic patients on a pictorial adaptation of the semantic differential.
Cortex
9 (2), 183–196.

Cicone, M., Wapner, W., & Gardner, H. (1980). Sensitivity to emotional expressions and situations in organic patients.
Cortex
16, 145–158.

5.
Kwong, K. K., Belliveau, J. W., Chesler, D. A., Goldberg, I. E., Weisskoff, R. M., Poncelet, B. P., et al. (1992). Dynamic magnetic resonance imaging of human brain activity during primary sensory stimulation.
Proceedings of the National Academy of Sciences of the United States of America
89 (12), 5675–5679.

Chapter 6: Bad Beginnings

1.
According to
https://www.cia.gov/library/publications/the-world-factbook/geos/xx.html
, there are 252 worldwide births per minute (one per 2.4 seconds). A conservative estimate puts the rate of psychopathy in the general population at .05 percent. This means a psychopath is born every
47.6 seconds. Of course, if we have underestimated the rate of psychopathy in the general population (some have argued it is 1 percent), then this birth rate could be much higher. Site last visited 11/11/11.

2.
MacDonald, J. M. (1961).
The Murderer and His Victim
. Springfield: C. C. Thomas. See also MacDonald, J. M. (1963). The threat to kill.
American Journal of Psychiatry
120, 125–130.

3.
Bradley, W. E. (1986). Physiology of the urinary bladder. In P. C. Walsh, B. F. Gittes, A. D. Perlmutter, et al. (Eds.),
Campbell’s Urology
(pp. 129–185). Philadelphia: W. B. Saunders.

Bradley W. E., & Andersen, J. T. (1977). Techniques for analysis of micturition reflex disturbances in childhood.
Pediatrics
59, 546.

Bradley, W. E., Rockswold, G. L., Tinim, G. W., et al. (1976). Neurology of micturition.
Journal of Urology
115, 481.

4.
The staff in my laboratory call it the Kiehl-MacDonald Triad hypothesis.

5.
Perepletchikova, F., & Kazdin, A. E. (2005). Oppositional defiant disorder and conduct disorder. In K. Cheng & K. M. Myers (Eds.),
Child and Adolescent Psychiatry: The Essentials
(pp. 73–88). Philadelphia: Lippincott, Williams & Wilkins. See also Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical practice research and practice, enhance the knowledge base, and improve patient care.
American Psychologist
63 (3), 146–159.

6.
One could use an auditory version of the Child Psychopathy Scale and simply read the questions to the youth and have them select their responses orally. This would potentially mitigate the illiteracy criticism of self-report inventories.

7.
Frick, P. J., & Hare, R. D. (2001).
The Antisocial Process Screening Device
. Toronto: Multi-Health Systems.

8.
The Hare Psychopathy Checklist-Youth Version (PCL-YV) is validated only for youth 12 to 18 years old. Researchers are actively examining whether the PCL-YV can be used with younger samples.

9.
Fink, B. C., Tant, A., Tremba, K., & Kiehl, K. A. (in press). Assessment of psychopathic traits in a youth forensic sample: A methodological comparison.
Journal of Abnormal Child Psychology
.

10.
Frick, P. J., Kimonis, E. R., Dandreaux, D. M., & Farell, J. M. (2003). The 4 year stability of psychopathic traits in non-referred youth.
Behavior Science & the Law
21 (6), 713–736.

Lynam, D. R., Caspi, A., Moffitt, T. E., Loeber, R., & Stouthamer-Loeber, M. (2007). Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy.
Journal of Abnormal Psychology
116 (1), 155–165.

Munoz, L. C., & Frick, P. J. (2007). The reliability, stability, and predictive utility of the self-report version of the Antisocial Process Screening Device.
Scandinavian Journal of Psychology
48 (4), 299–312.

Obradovic, J., Pardini, D. A., Long, J. D., & Loeber, R. (2007). Measuring interpersonal callousness in boys from childhood to adolescence: An examination of longitudinal invariance and temporal stability.
Journal of Clinical Child & Adolescent Psychology
36 (3), 276–292.

11.
McMahon, R. J., Witkiewitz, K., & Kotler, J. S. (2010). Predictive validity of callous-unemotional traits measured in early adolescence with respect to multiple antisocial outcomes.
Journal of Abnormal Psychology
119 (4), 752–763.

12.
Burke, J. D., Loeber, R., & Lahey, B. B. (2007). Adolescent conduct disorder and interpersonal callousness as predictors of psychopathy in young adults. [Research Support, N.I.H., Extramural].
Journal of Clinical Child Adolescent Psychology
36 (3), 334–346.

13.
Lynam, D. R., Caspi, A., Moffitt, T. E., Loeber, R., & Stouthamer-Loeber, M. (2007). Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy.
Journal of Abnormal Psychology
116 (1), 155–165.

14.
O’Keefe, T. O., Liddle, P. F., & Kiehl, K. A. (2003, March).
Neural sources underlying emotional lexical decision
. Poster presented at the annual meeting of the Cognitive Neuroscience Society, New York, NY.

15.
Levenson, M. R., Kiehl, K. A., & Fitzpatrick, C. M. (1995). Assessing psychopathic attributes in a noninstitutionalized population.
Journal of Personality and Social Psychology
68, 151–158.

16.
Loney, B. R., Frick, P. J., Clements, C. B., Ellis, M. L., & Kerlin, K. (2003). Callous-unemotional traits, impulsivity, and emotional processing in adolescents with antisocial behavior problems.
Journal of Clinical Child and Adolescent Psychology
32 (1), 66–80.

17.
Jones, A. P., Laurens, K. R., Herba, C. M., Barker, G. J., & Viding, E. (2009). Amygdala hypoactivity to fearful faces in boys with conduct problems and callous-unemotional traits.
American Journal of Psychiatry
166 (1), 95–102.

18.
Finger, E. C., Marsh, A. A., Blair, K. S., Reid, M. E., Sims, C., Ng, P., & Blair, J. R. (2011). Disrupted reinforcement signaling in the orbitofrontal cortex and caudate in youths with conduct disorder or oppositional defiant disorder and a high level of psychopathic traits.
American Journal of Psychiatry
168, 152–162.

Finger, E. C., Marsh, A. A., Mitchell, D. G., Reid, M. E., Sims, C., Budhani, S., & Blair, J. R. (2008). Abnormal ventromedial prefrontal cortex
function in children with psychopathic traits during reversal learning.
Archives of General Psychiatry
65, 586–594.

Chapter 7: Ivy League Lessons

1.
According to the 2011 US Census, there were approximately 68,873,400 adult males (ages 18–50) in the United States. If 1 in 150 men meets criteria for psychopathy, there are 459,156 male psychopaths in the United States.

2.
Kiehl, K. A., Hare, R. D., McDonald, J. J., & Brink, J. (1999). Semantic and affective processing in psychopaths: An event-related potential study.
Psychophysiology
36, 765–774.

3.
Kiehl, K. A., Liddle, P. F., Smith, A. S., Mendrek, A., Forster, B. B., &

Hare, R. D. (1999). Neural pathways involved in the processing of concrete and abstract words.
Human Brain Mapping 7
, 225–233.

4.
Kiehl, K. A., Smith, A. M., Mendrek, A., Forster, B. B., Hare, R. D., & Liddle, P. F. (2004). Temporal lobe abnormalities in semantic processing by criminal psychopaths as revealed by functional magnetic resonance imaging.
Psychiatry Research: Neuroimaging
130, 27–42.

5.
Kiehl, K. A. (2006). A cognitive neuroscience perspective on psychopathy: Evidence for paralimbic system dysfunction.
Psychiatry Research
142 (2–3), 107–128.

6.
Harlow, J. (1848). Passage of an iron rod through the head.
Boston Medical Surgical Journal
34, 389–393.

7.
Blumer, D., & Benson, D. F. (1975). Personality changes with frontal lobe lesions. In D. F. Benson & D. Blumer (Eds.),
Psychiatric Aspects of Neurological Disease
(pp. 151–170). New York: Grune & Stratton.

8.
Damasio, A. R. (1994).
Descartes’ Error: Error, Reason, and the Human Brain
. New York: Grosset/Putnam.

9.
Malloy, P., Bihrle, A., Duffy, J., & Cimino, C. (1993). The orbitomedial frontal syndrome.
Archives of Clinical Neuropsychology
8, 185–201.

Stuss, D. T., Benson, D. F., & Kaplan, E. F. (1983). The involvement of orbitofrontal cerebrum in cognitive tasks.
Neuropsychologia
21, 235–248.

10.
Schnider, A. (2001). Spontaneous confabulation, reality monitoring, and the limbic system—a review.
Brain Research Reviews
36 (2–3), 150–160.

11.
Anderson, S. W., Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (1999). Impairment of social and moral behavior related to early damage in human prefrontal cortex.
Nature Neuroscience
2 (11), 1032–1037.

Chapter 8: Teenage “Psychopaths”

1.
Source:
http://ctjja.org/resources/pdf/factsheet-juvenilecosts.pdf
. Annual cost per youth housed in the maximum-security Connecticut Juvenile Training School (CJTC). In addition to the latter annual operating costs, the State of Connecticut spent over $57,000,000 to build the facility, the depreciation of which is not included in the above estimate. It might be relevant to note that Connecticut governor John Rowland served ten months in federal prison for fraud and tax evasion, in part for granting the building contract for CJTC to a construction company in return for free renovations on his vacation home. Site last visited 1/10/12.

2.
Across all states (that reported data), the average annual cost for incarcerating a youth is approximately $100,000 per year in secure residential custody (2011 dollars). This estimate includes youth sentenced to secure group homes, residential treatment facilities, and secure custody facilities. As a youth moves to more secure custody, like maximum-security juvenile prisons, the costs escalate. Source:
http://www.justicepolicy.org/images/upload/09_05_REP_CostsofConfinement_JJ_PS.pdf
. Average estimate in 2007 was $88,000 per year per youth. Using
http://www.usinflationcalculator.com/
this translates to approximately $96,000 in 2011 dollars. Sites last visited 1/10/12.

3.
Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy.
Psychological Review
100 (4), 674–701.

4.
Forth, A. E., Kosson, D. S., & Hare, R. D. (2003).
The Psychopathy Checklist-Youth Version
. Toronto: Multi-Health Systems.

5.
Lynam, D. R., Caspi, A., Moffitt, T. E., Loeber, R., & Stouthamer-Loeber, M. (2007). Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy.
Journal of Abnormal Psychology
116, 155–165.

Barry, T. D., Barry, C. T., Deming, A. M., & Lochman, J. E. (2008). Stability of psychopathic characteristics in childhood—the influence of social relationships.
Criminal Justice and Behavior
35 (2), 244–262.

Frick, P. J., Kimonis, E. R., Dandreaux, D. M., & Farell, J. M. (2003). The 4 year stability of psychopathic traits in non-referred youth.
Behavioral Sciences and the Law
21 (6), 713–736.

Obradovic, J., Pardini, D. A., Long, J. D., & Loeber, R. (2007). Measuring interpersonal callousness in boys from childhood to adolescence: An examination of longitudinal invariance and temporal stability.
Journal of Clinical Child and Adolescent Psychology
36 (3), 276–292.

6.
Corrado, R. R., Vincent, G. M., Hart, S. D., & Cohen, I. M. (2004). Predictive
validity of the
Psychopathy Checklist: Youth Version
for general and violent recidivism.
Behavioral Sciences & the Law
22 (1), 5–22.

Penney, S. R., & Moretti, M. M. (2007). The relation of psychopathy to concurrent aggression and antisocial behavior in high-risk adolescent girls and boys. [Research Support, Non-U.S. Gov’t]
Behavioral Sciences & the Law
25 (1), 21–41.

Gretton, H. M., Hare, R. D., & Catchpole, R. E. (2004). Psychopathy and offending from adolescence to adulthood: A 10-year follow-up.
Journal of Consulting and Clinical Psychology
72 (4), 636–645.

Salekin, R. T., Leistico, A. M., Neumann, C. S., DiCicco, T. M., & Duros, R. L. (2004). Psychopathy and comorbidity in a young offender sample: Taking a closer look at psychopathy’s potential importance over disruptive behavior disorders.
Journal of Abnormal Psychology
113 (3), 416–427.

7.
Frick, P. J., & White, S. F. (2008). Research review: The importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. [Review]
Journal of Child Psychology and Psychiatry
49 (4), 359–375.

8.
Viljoen, J. L., MacDougall, E. M., Gagnon, N. C., & Douglas, K. S. (2010). Psychopathy evidence in legal proceedings involving adolescent offenders.
Psychology, Public Policy, and Law
16, 254–283.

Salekin, R. T. (2008). Psychopathy and recidivism from mid-adolescence to young adulthood: Cumulating legal problems and limiting life opportunities.
Journal of Abnormal Psychology
117 (2), 386–395.

9.
Fazel, S., & Grann, M. (2004). Psychiatric morbidity among homicide offenders: A Swedish population study.
American Journal of Psychiatry
161, 2129–2131.

Coid, J. (1983). The epidemiology of abnormal homicide and murder followed by suicide.
Psychological Medicine
13, 855–860.

Wallace, C., Mullen, P., Burgess, P., Palmer, S., Ruschena, D., & Browne, C. (1998). Serious criminal offending and mental disorder: Case linkage study.
British Journal of Psychiatry
172, 477–484.

10.
Nielssen, O., & Large, M. (2010). Rates of homicide during the first episode of psychosis and after treatment: A systematic review and meta-analysis.
Schizophrenia Bulletin
36, 702–712.

11.
Nielssen, O., & Large, Rates of homicide.

Large, M., & Nielssen, O. (2008). Evidence for a relationship between the duration of untreated psychosis and the proportion of psychotic homicides prior to treatment.
Social Psychiatry and Psychiatric Epidemiology
43, 37–44.

Large, M., Smith, G., Swinson, N., Shaw, J., & Nielssen, O. (2008). Homicide
due to mental disorder in England and Wales over 50 years.
British Journal of Psychiatry
193, 130–133.

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