Document 6534837
Transcription
Document 6534837
P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 13:2 Style file version June 25th, 2002 C 2004) Journal of Psychopathology and Behavioral Assessment, Vol. 26, No. 4, December 2004 ( Psychopathy and the Five Factor Model in a Noninstitutionalized Sample: A Domain and Facet Level Analysis Scott R. Ross,1,4 Catherine J. Lutz,2 and Steven E. Bailley3 Accepted January 4, 2004 The relationship of primary and secondary psychopathic dispositions as measured by the Levenson Self-Report Psychopathy (LSRP) Scales to NEO-PI-R domain and facet scales of the Five Factor Model (FFM) was examined in a sample (N = 463) of young adults. Previous investigations were extended by (1) addressing the relationship of higher- (i.e., domain) and lower-order (i.e., facet) FFM traits to primary and secondary psychopathy in noninstitutionalized persons, in an attempt to validate hypotheses by T. A. Widiger and D. R. Lynam (1998); (2) examining sex differences in FFM traits in relation to these two psychopathic dispositions; and (3) lending further evidence for the validity of the LSRP. LSRP primary psychopathy was marked by low Agreeableness whereas LSRP secondary psychopathy was characterized by high Neuroticism, low Agreeableness, and low Conscientiousness. Although few sex differences were found between primary and secondary psychopathy, findings support the use of NEO-PI-R domain and facet scales in the identification of personality disorder. KEY WORDS: psychopathy; Five Factor Model; personality; sex differences. The Five Factor Model (FFM) has recently emerged as a model for describing the basic traits comprising normal personality (Costa & McCrae, 1992; Digman & Takemoto-Chock, 1981; Goldberg, 1990). Although different investigators have variously referred to the “Big-Five” personality traits, they include Neuroticism– Emotional Stability, Extraversion–Introversion, Openness–Closedness to Experience, Agreeableness– Antagonism, and Conscientiousness–Undirectedness (Costa & McCrae, 1992). FFM Proponents argue that this model is useful in describing personality disorder as well as normal variations in trait dispositions (Costa & Widiger, 1994). A number of studies have already been conducted in an attempt to locate personality disorders as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; APA, 1994) in the FFM (Blais, 1997; Costa & McCrae, 1990; Dyce, 1997; Reynolds & Clark, 2001; Trull, 1992; Trull, Widiger, & Burr, 2001). However, fewer investigations have focused on personality pathology not explicit in the DSM-IV (APA, 1994). One such example is psychopathy, originally described by Cleckley (1976) as emotionally callous, irritable, impulsive, manipulative, and socially charming. Empirical investigations of psychopathic offenders suggest that they are among the most prolific and violent of criminals, committing a wider variety and number of crimes than the average criminal (Hare & McPherson, 1984; Hare, McPherson, & Forth, 1988). This theoretical construct is thought to underlie the DSM-IV diagnosis of antisocial personality disorder (ASPD; Spitzer, Endicott, & Robins, 1975). Specifically, ASPD is thought to correspond most closely to observable behavioral components of psychopathy such as repeated arrests and unstable employment history (Hare, Hart, & Harpur, 1991; Hare & Hart, 1995). In contrast, the more broadly defined construct of psychopathy emphasizes antisocial behavior, as well as characteristic traits like superficial charm and grandiosity (Hare, 1991; Harpur, Hakstian, & Hare, 1988). 1 Department of Psychology, DePauw University, Greencastle, Indiana. of Psychology, University of Dayton, Dayton, Ohio. 3 Private Practice, Houston, Texas. 4 To whom correspondence should be addressed at Department of Psychology, DePauw University, Greencastle, Indiana 46135; e-mail: [email protected]. 2 Department 213 C 2004 Springer Science+Business Media, Inc. 0882-2689/04/1200-0213/0 P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 214 Many have advocated a two-factor model of psychopathy as described by Karpman (1941) and Blackburn (1975). Karpman (1941) characterized primary psychopaths as callous, calculating, manipulative, and deceitful. In contrast, secondary psychopaths were hypothesized to suffer from a neurotic disorder that stimulates impulsive behavior. Because primary psychopaths are thought to be relatively free of depression and anxiety, they should be more likely to be successful in their antisocial acts, escaping punishment. Using MMPI profiles of violent offenders, Blackburn (1975) characterized primary and secondary psychopaths as aggressive, impulsive, and undersocialized with secondary psychopaths also exhibiting social introversion and guilt-proneness. In line with this conceptual distinction, it has been argued that ASPD largely represents characteristics of secondary psychopathy (Levenson, Kiehl, & Fitzpatrick, 1995). Although controversial, the distinction between primary and secondary psychopathy is gaining increased empirical support (Eysenck, 1994; Gudjonsson & Roberts, 1983; Lilienfeld & Hess, 2001; Lykken, 1995; Pollock, 1999; Ross & Rausch, 2001). Hare’s (1985) Psychopathy Checklist (PCL; and PCL-R; Hare, 1991) is the most widely used measure of psychopathy, with studies strongly supporting its reliability and validity. Factor analysis yields two PCLR dimensions, corresponding to primary and secondary psychopathy (Levenson et al., 1995). The first factor, reflecting primary psychopathy, includes features such as callousness, chronic lying, lack of remorse, and manipulativeness. The second factor, mapping onto secondary psychopathy, includes impulsivity, boredom susceptibility, early behavior problems, and delinquency. Most studies utilizing the PCL have been conducted using older, incarcerated adults where the base-rate of psychopathy is high. Additionally, the participants in psychopathy research in all but a few studies have exclusively been men (see Forth, Brown, Hart, & Hare, 1996; and Salekin, Rogers, & Sewell, 1997, for reviews). This approach to sampling may pose several difficulties for generalizing to the construct of psychopathy, broadly defined. In an effort to be more inclusive, there is an increasing focus on subclinical manifestations of psychopathy (Lilienfeld, 1994, 1998), after earlier but sporadic attempts to examine psychopathy in noninstitutionalized populations (see Widom, 1977; Sutker & Allain, 1983; Sutker, DeSanto, & Allain, 1985). Consistent with this redirection, instruments for the measurement of psychopathy in noninstitutionalized samples have been recently developed by Hart (1992, as cited in Forth et al., 1996), Levenson et al. (1995), and Lilienfeld and Andrews (1996). 13:2 Style file version June 25th, 2002 Ross, Lutz, and Bailley In terms of the FFM, Widiger and Lynam (1998) hypothesized that Agreeableness and Conscientiousness are domains that describe global psychopathy. They suggested that the first factor of the PCL-R corresponds to low Agreeableness; the second factor approximates low Agreeableness and low Conscientiousness. They secondarily implicated Neuroticism where lower levels characterize PCL factor 1 and higher levels characterize PCL factor 2. Consistent with this hypothesis, Harpur, Hare, and Hakstian (1989) found that anxiety and neuroticism are negatively related to PCL factor 1 scores and positively related to PCL factor 2 scores. In small samples of inmates and students, Harpur, Hart, and Hare (1994) examined the relationship between the NEO-PI-R and PCL scores. Although PCL total scores were negatively related to Agreeableness and Conscientiousness in inmates, the PCL was related to only Agreeableness in the student sample. This finding may be a reflection of more secondary than primary psychopaths among offenders. A more recent study by Lynam, Whiteside, and Jones (1999) examined the relationship between FFM traits as measured by the Big Five Inventory (BFI) and primary and secondary psychopathic attributes as measured by the Levenson Self-Report Psychopathy (LSRP; Levenson et al., 1995) scales in a student population. They found that primary psychopathy was negatively related to Extraversion, Agreeableness, and Conscientiousness. Secondary psychopathy was negatively related to Extraversion, Agreeableness, and Conscientiousness as well, but also demonstrated a positive relationship to Neuroticism. Lynam et al.’s findings for Neuroticism, Agreeableness, and Conscientiousness, and psychopathy are all in keeping with prior research. However, a negative relationship of Extraversion to primary psychopathy is unexpected. Others have argued that an examination of lowerorder (i.e., facet) FFM traits may be especially fruitful when making differential diagnoses regarding character pathology (Costa & Widiger, 1994). With regard to psychopathy, few studies have examined the importance of FFM facets (Harpur et al., 1994; Miller, Lynam, Widiger, & Leukefeld, 2001). However, Widiger and Lynam (1998) offer hypotheses for certain FFM facets, given previous findings for functional deficits in psychopathy. For example, Widiger and Lynam (1998) suggest that psychopathy may be characterized by lower levels of Deliberation and Self-Discipline on the NEO-PI-R, in keeping with response modulation (i.e., passive avoidance) deficits in psychopathy. Given that studies of response modulation have focused on low-anxious psychopaths, this hypothesis may be most applicable to primary psychopathy. Moreover, semantic aphasia as originally hypothesized by Cleckley (1976) and later supported by Williamson, Harpur, and P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 Psychopathic Attributes and the Five Factor Model Hare (1991) may suggest that psychopathic individuals lack an empathic understanding or appreciation for feelings not unlike alexithymics. To this end, the Feelings facet of Openness may be implicated. Finally, Widiger and Lynam suggest that social information processing deficits implicate the importance of Straighforwardness (reversely, as manipulation), Compliance (reversely, as aggression), and Trust (reversely, as mistrust) as important facets describing the psychopathic personality. Miller et al. (2001) tested predictions by Widiger and Lynam (1998) for FFM facets. Using expert ratings, they developed the Psychopathy Resemblance Index (PRI), representing the degree to which any one participant’s NEO-PI-R profile of facet scores are characteristic of the “prototypic psychopath.” Zero-order correlations between the PRI and NEO-PI-R resulted in findings that were generally consistent with Widiger and Lynam (1998). For men, positive relationships were found between the PRI and Neuroticism facets of Angry Hostility and Impulsivity. Conversely, negative relationships were found for Anxiety, Depression, Self-Consciousness, and Vulnerability. Negative relationships were found between the PRI and all facets of Agreeableness. For Extraversion facets, positive relationships were found with Gregariousness, Assertiveness, Activity, and Excitement-Seeking. Finally, male participants who were more likely to resemble psychopaths were less likely to be high in Conscientiousness facets of Dutifulness and Deliberation. Although Miller et al.’s (2001) measure of psychopathy is intriguing, they did not differentiate between primary and secondary psychopathy. Another issue of relevance is the construct validity of psychopathy across sexes. It has been assumed that criminal behavior in women is governed less by personality predispositions (Steffensmeier & Allan, 1995) and more by contextual forces (e.g., pressure to please a lover). Likewise, feminist scholars have assumed that female criminal behavior often reflects a reaction to male violence and control, as may be the case when a woman aggresses against an abusive lover (Chesney-Lind & Shelden, 1992). Despite the relative dearth of research in the area of psychopathy in women, a few reliable sex differences have been identified. Specifically, women demonstrate a later average age of onset of socially deviant behavior and show fewer signs of overt aggression (Silverthorn & Frick, 1999). Additionally, there are some indications that female psychopaths are more likely to be assigned comorbid diagnoses of histrionic personality disorder (Lilienfeld, Van Valkenburg, Larntz, & Akiskal, 1996; Salekin et al., 1997) or mood disruption such as anxiety and depression (Mulder, Wells, Joyce, & Bushnell, 1994). Miller et al. (2001) is one of the only studies that have explicitly examined sex differences in the relationship be- October 19, 2004 13:2 Style file version June 25th, 2002 215 tween psychopathy and the FFM. The results revealed that the pattern of relationships between psychopathy and the domains and facets of the NEO-PI-R were remarkably similar for men and women. However, a few interesting and potentially important differences were revealed. Female participants demonstrated weaker positive relationships between psychopathy and Activity, consistent with a later age of onset and less severe social deviance in women (Silverthorn & Frick, 1999). Female participants also demonstrated stronger negative associations between psychopathy and Conscientiousness as well as lower-order facets of Order and Discipline. These findings in conjunction with others indicating that female psychopaths are more likely to be labelled with comorbid psychiatric disorders (Lilienfeld, Van Valkenburg, et al., 1996; Mulder et al., 1994; Salekin et al., 1997) indicate that female psychopaths may more often resemble male secondary psychopaths than male primary psychopaths. Instruments like the LSRP scales afford researchers the opportunity to investigate the relationship between the FFM and psychopathy in subclinical samples. Although the descriptive ability of the FFM to capture personality pathology has drawn increased attention, Miller et al. (2001) noted that “the few studies available on the relation of psychopathy to the FFM are supportive, but not without their problems” (p. 258). Consequently, the current study extends previous findings by (1) addressing the relationship of higher- (i.e., domain) and lower-order (i.e., facet) FFM traits to primary and secondary psychopathy; (2) examining sex differences in FFM traits in relation to these two psychopathic dispositions; and, (3) lending further evidence for the use of the LSRP in noninstitutionalized persons. It was hypothesized that both primary and secondary psychopathy would be negatively related to the domain and facets of Agreeableness, consistent with FFM predictions by Widiger and Lynam (1998) for FFM based on social information processing deficits in psychopathy. Based on Widiger and Lynam’s review of FFM markers for factor 2 of the PCL, it was hypothesized that LSRP secondary psychopathy would be negatively related to domain and facets of Conscientiousness. If Conscientiousness is more related to secondary than primary psychopathy, it may suggest that response modulation (i.e., passive avoidance) deficits are more prominent in secondary psychopaths. Additionally, positive relationships between secondary psychopathy and the Neuroticism domain and facets were hypothesized. Consistent with pervasive emotional deficits in primary psychopathy, a negative relationship between LSRP primary psychopathy and the Feelings facet of Openness was posited. Finally, it was believed that there would be a significant Sex by Trait interaction in the prediction of psychopathy. Finding such an P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 13:2 Style file version June 25th, 2002 216 interaction would indicate that the pattern of relationships between psychopathy and the FFM differs across sexes. METHOD Participants and Procedure The study sample (N = 476) included male (30.7%) and female (68.5%) participants who had been recruited from introductory psychology classes over four semesters from 1995 through 1996 at a university in Ontario, Canada. The average age was 20.1 (SD = 3.4). Participants’ racial composition was White (80.8%), Black (6.9%), Asian (7.4%), or other (4.9%). All participants were administered measures in small groups of 5–25 per session. All participants completed the Psychopathic Attributes Scales, the Revised NEO Personality Inventory (form S of the NEO-PI-R; Costa & McCrae, 1992), and measures of symptom overreporting and defensiveness. Order of the measures was counterbalanced using a Latin Squares design. In addition, all participants were instructed to “answer honestly” to all questions in the study. All participants were informed of their rights as a research participant and signed a consent statement. Measures Psychopathic Attributes Levenson Self-Report Psychopathy (LSRP) Scales (Levenson et al., 1995). The LSRP were used to assess psychopathic attitudes and beliefs via self-report. Twentysix items comprise two subscales designed to measure both factors of the PCL-R in noninstitutionalized young adults. The primary psychopathy subscale consists of 16 items measuring an inclination to lie, lack of remorse, callousness, and manipulativeness, for example “For me, what’s right is whatever I can get away with” (agree) or “I enjoy manipulating other people’s feelings” (agree). Coefficient alpha for the current sample was .85. The secondary psychopathy subscale consists of 10 items measuring impulsivity, intolerance of frustration, quicktemperedness, and lack of long-term goals, for example, “I find myself in the same kinds of trouble, time after time” (agree) or “I have been in a lot of shouting matches with other people” (agree). Coefficient alpha in the current sample was .62. Initial validation studies by Levenson et al. indicate that the LSRP scales significantly predict reports of antisocial behavior and are positively related to boredom susceptibility and disinhibition in college samples. Ross, Lutz, and Bailley Further, only LSRP secondary psychopathy was related to anxiety, and in the positive direction, which is consistent with findings by Harpur et al. (1989) for factor 1 and factor 2 of the PCL. In two additional studies, Lynam et al. (1999) further support the validity of the LSRP scales visa´ -vis related self-report measures of antisocial tendencies and clinician prototype ratings of psychopathy. Finally, Brinkley, Schmitt, Smith, and Newman (2001) provide evidence for the validity of the LSRP in assessing psychopathy among institutionalized offenders. Five Factor Model Revised NEO Personality Inventory (NEO-PI-R; Costa & McCrae, 1992). The NEO-PI-R was used to assess the FFM personality traits of neuroticism, extraversion, openness, agreeableness, and conscientiousness. The NEO-PI-R consists of 240 items that measures these five basic personality domains. Coefficient alphas for the five domains in the current sample ranged from .86 (Conscientiousness) to .91 (Neuroticism). In addition, each factor trait or domain scale is composed of six lower-order traits or facet scales that are subsumed under each domain. For example, Neuroticism is composed of facet scales of Anxiety, Depression, Angry-Hostility, SelfConsciousness, Impulsiveness, and Vulnerability. Coefficient alphas for the facet scales ranged from .52 (Openness to Values) to .81 (Openness to Aesthetics). Response Bias The F (Infrequency), K (Correction), and L (Lie) scales of the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) were used to assess potential response biases in this sample. Items from these scales were interspersed among items from the Levenson scale and other filler items. The MMPI-2 L- and K -Correction scales are used to assess positive impression management whereas the F-Infrequency scale is used to assess symptom overreporting and negative impression management. Coefficient alphas for these scales in the current sample were .80, .61, and .42, respectively. RESULTS In order to minimize the potential effect of response bias in this study, persons with extreme scores on MMPI2 L, F, or K scales were excluded from further analyses. Based on suggestions by Butcher, Graham, and Ben-Porath (1995) for the use of MMPI-2 validity scales as screening measures in psychological research, cases P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 13:2 Style file version June 25th, 2002 Psychopathic Attributes and the Five Factor Model obtaining scores that were greater than or equal to 120 T on the F scale, or greater than or equal to 80 T on either the L or K scales were excluded from further analyses. This resulted in a final sample of 463 cases. Zero-order correlations revealed that LSRP primary and secondary scales were significantly correlated in both the male (r = .39, p < .001) and female (r = .46, p < .001) samples. Overall rates of endorsement of primary psychopathic attributes were higher in men (M = 35.54; SD = 6.99; Range = 17 to 57) than in women (M = 30.91; SD = 6.98; Range = 16 to 60; 217 t(2, 461) = 6.58, p < .001). However, no differences in endorsement rates for secondary psychopathy were noted between men (M = 21.99; SD = 3.83; Range = 12 to 30) and women (M = 21.86; SD = 4.12; Range = 11 to 34; t(2, 461) = 0.31, p > .05). Correlations between NEO-PI-R domain and facet scales and LSRP primary and secondary scales for male and female samples, respectively, are presented in Table I. Openness and Agreeableness were significantly negatively correlated with primary psychopathy in men whereas only Agreeableness was significantly negatively correlated with Table I. NEO-PI-R Domain and Facet Scale Correlations With LSRP Primary and Secondary Psychopathy in Men (n = 142) and Women (n = 321) Primary psychopathy NEO-PI-R domain or facet Neuroticism Anxiety Angry Hostility Depression Self-Consciousness Impulsiveness Vulnerability Extraversion Warmth Gregariousness Assertiveness Activity Excitement-Seeking Positive emotions Openness Fantasy Aesthetics Feelings Actions Ideas Values Agreeableness Trust Straightforwardness Altruism Compliance Modesty Tender-Mindedness Conscientiousness Competence Order Dutifulness Achievement-Striving Self-Discipline Deliberation Men .08 −.00 .33∗∗∗ −.05 −.03 .11 .03 .13 −.17 −.16 −.19 −.10 .33∗∗∗ −.11 −.22∗ −.08 −.25∗∗ −.23∗∗ −.16 −.10 −.01 −.67∗∗∗ −.35∗∗∗ −.58∗∗∗ −.45∗∗∗ −.44∗∗∗ −.47∗∗∗ −.48∗∗∗ −.12 −.08 −.05 −.16 −.12 −.14 −.10 Women .01 −.16∗∗ .33∗∗∗ −.08 −.11 .09 −.03 .01 −.34∗∗∗ −.01 .22∗∗∗ .10 .18∗∗∗ −.14∗ −.06 .09 −.07 −.12 .05 −.16∗∗ .01 −.44∗∗∗ −.35∗∗∗ −.34∗∗∗ −.39∗∗∗ −.41∗∗∗ −.13 −.16∗∗ −.05 −.06 .05 −.20∗∗∗ .10 .07 −.21∗∗∗ Sex difference r -to-z a 0.7 1.6 0 0.3 0.8 0.2 0.6 1.2 1.7 1.5 4.1∗ 2.0 1.5 0.3 1.6 1.7 1.8 1.1 2.1∗ 0.6 0.2 2.3∗ 0 2.4∗ 0.6 0.3 3.4∗ 3.2∗ 0.7 0.2 1.0 0.4 1.2 2.1∗ 1.1 Secondary psychopathy Men .55∗∗∗ .27∗∗∗ .50∗∗∗ .40∗∗∗ .35∗∗∗ .49∗∗∗ .39∗∗∗ −.16 −.18 −.01 −.13 −.13 .04 −.23∗∗ .07 .26∗∗ −.04 −.03 −.02 −.01 .09 −.28∗∗∗ −.27∗∗∗ −.24∗∗ −.28∗∗∗ −.29∗∗∗ −.09 −.01 −.54∗∗∗ −.43∗∗∗ −.31∗∗∗ −.40∗∗∗ −.44∗∗∗ −.48∗∗∗ −.39∗∗∗ Women .46∗∗∗ .15∗ .51∗∗∗ .37∗∗∗ .18∗∗∗ .40∗∗∗ .33∗∗∗ −.08 −.26∗∗∗ .04 −.04 −.04 .18∗∗∗ −.30∗∗∗ −.06 .09 −.07 −.12 .05 −.16∗∗ .01 −.44∗∗∗ −.35∗∗∗ −.34∗∗∗ −.39∗∗∗ −.41∗∗∗ −.13 −.16∗∗ −.51∗∗∗ −.36∗∗∗ −.27∗∗∗ −.39∗∗∗ −.23∗∗∗ −.42∗∗∗ −.51∗∗∗ Sex difference r -to-z a LSRP r -to-z b 0.9 0.8 0.1 0.3 1.7 0.9 0.6 0.8 0.8 0.5 0.9 0.9 1.4 0.7 0.7 1.7 0.3 0.9 0.7 1.5 0.8 1.6 0.8 1.0 1.1 1.2 0.4 1.5 0.3 0.7 0.4 0.1 2.1∗ 0.6 1.2 5.0∗∗ 2.9∗∗ 2.2∗∗ 3.2∗∗ 3.0∗∗ 3.5∗∗ 3.9∗∗ 1.5 0.6 0.8 1.1 1.1 1.9 1.6 0.8 1.0 0.6 0.6 0.4 0.3 0.3 1.5 0.3 1.2 0.6 0.6 1.1 2.1∗ 5.0∗∗ 3.2∗∗ 2.7∗∗ 2.1∗ 3.2∗∗ 4.7∗∗ 3.2∗∗ Note. NEO-PI-R = Revised NEO Personality Inventory; LSRP = Levenson Self-Report Psychopathy Scale. Difference r -to-z = z score for the differences in the correlations for men and women with NEO-PI-R domain and facet scales. b LSRP r -to-z = z score for the differences in weighted pooled correlations over men and women, comparing LSRP primary with secondary psychopathy. Bonferroni’s correction for multiple comparisons = p < .001. ∗ p < .01. ∗∗ p < .005. ∗∗∗ p < .001. a Sex P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 13:2 Style file version June 25th, 2002 218 Ross, Lutz, and Bailley primary psychopathy in women. In contrast, Neuroticism, Agreeableness, and Conscientiousness were significantly related to secondary psychopathy in both men and women. As predicted, more differences between the correlations for men and women were found with respect to primary psychopathy than to secondary psychopathy. Specifically, in terms of primary psychopathy, significant differences between the correlations for men and women were found for the Agreeableness domain as well as for six facet scales, three of which were from Agreeableness, as assessed by comparing r to z transformed values (Hays, 1988; see Table I). In contrast, in terms of secondary psychopathy no significant differences between the correlations for men and women were found for the domains and only one difference was found for facets. In order to determine the nonredundant relationships of the five factors to primary and secondary psychopathic dispositions and to test for possible sex differences, two hierarchical multiple regressions with simultaneous entry were computed with either LSRP primary or secondary scores as the criterion. In both equations, sex and the five factors were entered in the first step and the five Sex × Trait interactions were entered in the second step. The FFM significantly predicted both primary (Adj. R 2 = .58, p < .001) and secondary (Adj. R 2 = .50, p < .001) psychopathic attributes. Primary psychopathy was significantly predicted by Extraversion (+), Openness (−), Agreeableness (−), Conscientiousness (−), and sex (see Table II). In terms of sex differences, the result failed to reveal a significant R 2 change value on the second step (R 2 = .01, p > .05), suggesting that there were no significant sex differences in the associations between the FFM and primary psychopaTable II. Hierarchical Multiple Regression With Simultaneous Entry Predicting LSRP Primary Psychopathy from the NEO PI-R Domains and Gender Variable Step 1 Neuroticism Extraversion Openness Agreeableness Conscientiousness Gender Step 2 G×N G×E G×O G×A G×C β t Sig. R2 Sig. −.05 .08 .12 −.68 −.11 −.14 −1.29 2.40 −3.79 −21.52 −3.20 −4.17 .20 .02 .00 .00 .00 .00 .58 .00 .38 −.39 .08 .33 .17 −1.60 −1.52 0.31 −1.41 0.71 .11 .13 .75 .16 .48 .01 .20 Note. R 2 = .58 for step 1; R 2 = .59 for step 2. Table III. Hierarchical Multiple Regression With Simultaneous Entry Predicting LSRP Secondary Psychopathy from the NEO PI-R Domains and Gender Variable Step 1 Neuroticism Extraversion Openness Agreeableness Conscientiousness Gender Step 2 G×N G×E G×O G×A G×C β t Sig. R2 Sig. .32 .03 −.03 −.37 −.41 .03 8.31 0.90 −0.83 −10.64 −11.49 0.92 .00 .37 .41 .00 .00 .36 .50 .00 −.07 .35 −.26 −.51 −.35 −0.29 1.25 −1.01 −2.11 −1.33 .77 .21 .31 .04 .19 .01 .11 Note. R 2 = .50 for step 1; R 2 = .51 for step 2. thy. In contrast to the results for primary psychopathy, Neuroticism (+), Agreeableness (−), and Conscientiousness (−) significantly predicted secondary psychopathy (see Table III), which is consistent with the bivariate correlations reported in Table I. In keeping with predictions, the results revealed a nonsignificant R 2 change value on the second step (R 2 = .01, p > .05), indicating that there were no significant sex differences in the associations between the FFM and secondary psychopathy. Follow-up diagnostics for each regression model revealed no multivariate outliers, points of influence, or multicolinearity among predictor variables as indicated by tolerances and variance inflation values within normal limits (see Tabachnik & Fidell, 1996). Given these findings for domain scales of the NEOPI-R in the prediction of psychopathic dispositions, the facet scale contributors to standing on the FFM were examined. Stepwise multiple regressions were first computed with either LSRP primary or secondary score as the criterion. These analyses were conducted for each gender separately to avoid obscuring possible sex differences in the significant facet predictors of psychopathy. That is, if a facet scale was a predictor for only one gender but the analyses were computed for the entire sample, a stepwise regression procedure could result in a facet being falsely discarded. In order to reduce the number of variables, only facets that demonstrated significant zeroorder correlations with primary or secondary psychopathy respectively for either men or women were included. Hierarchical multiple regression equations with simultaneous entry using the entire sample were then computed with primary or secondary psychopathy as the criterion. Facets that were significant in the stepwise regressions for either P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 13:2 Style file version June 25th, 2002 Psychopathic Attributes and the Five Factor Model Table IV. Hierarchical Multiple Regression With Simultaneous Entry Predicting LSRP Primary Psychopathy from the NEO PI-R Facets and Gender Variable Step 1 Anxiety (N1) Excitement-Seeking (E5) Feelings (O3) Ideas (O5) Trust (A1) Straightforwardness (A2) Altruism (A3) Modesty (A5) Tender-Mindedness (A6) Deliberation (C6) Gender Step 2 G × N1 G × E5 G × O3 G × O5 G × A1 G × A2 G × A3 G × A5 G × A6 G × C6 β t Sig. R2 Sig. −.04 .19 −.21 −.06 −.12 −.35 −.17 −.20 −.05 −.04 −.10 −1.38 6.14 −6.15 −2.08 −3.74 −9.17 −4.54 −5.74 −1.64 −1.45 −3.18 .17 .00 .00 .04 .00 .00 .00 .00 .10 .15 .00 .64 .00 −.22 −.22 −.35 .28 −.29 −.21 .08 .02 .48 .30 −1.27 −1.07 −1.53 −1.83 −1.51 −0.91 0.29 0.13 2.16 1.70 .21 .29 .13 .07 .13 .36 .77 .90 .03 .09 .02 .03 Note. R 2 = .64 for step 1; R 2 = .66 for step 2. men or women were entered along with sex in the first step, and the Sex × Facet interactions were entered on the second step. Tables IV and V show the results of the hierarchical multiple regressions for LSRP primary and secondary scales, respectively. As one can see from Table IV, there were no Neuroticism facets that significantly predicted primary psychopathy, and Excitement-Seeking was the only Extraversion facet that significantly predicted primary psychopathy. Openness to Feelings and Openness to Ideas were negatively related to primary psychopathy. Finally, with the exception of Compliance and TenderMindedness, all Agreeableness facets negatively predicted primary psychopathy. Consistent with hypotheses, there were significant sex differences in facet scale predictors as indicated by the significant R 2 change of the second step (R 2 = .02, p < .05). Specifically, there was a significant Sex × Tender-Mindedness interaction, with Ideas and Deliberation demonstrating trends ( p < .10). As can be seen in Table V, the Neuroticism facets of Hostility, Depression, and Impulsivity were significant predictors of secondary psychopathy. The Agreeableness facets of Trust, Altruism, and Modesty were significant negative predictors of secondary psychopathy. Finally, the Conscientiousness facets of Competence, Order, and 219 Table V. Hierarchical Multiple Regression With Simultaneous Entry Predicting LSRP Secondary Psychopathy from the NEO PI-R Facets and Gender Variable Step 1 Hostility (N2) Depression (N3) Impulsivity (N5) Excitement-Seeking (E5) Trust (A1) Altruism (A3) Modesty (A4) Competence (C1) Order (C2) Dutifulness (C4) Deliberation (C6) Gender Step 2 G × N2 G × N3 G × N5 G × E5 G × A1 G × A3 G × A4 G × C1 G × C2 G × C4 G × C6 β t Sig. R2 Sig. .22 .16 .08 .05 −.13 −.12 −.12 −.13 −.13 −.07 −.23 .03 5.04 4.15 2.00 1.50 −3.39 −2.97 −2.69 −3.11 −3.52 −1.80 −5.64 0.94 .00 .00 .05 .13 .00 .00 .00 .00 .00 .08 .00 .35 .56 .00 −.14 −.01 −.36 .22 −.08 −.11 −.10 −.33 −.25 .40 −.26 −0.60 −0.07 −1.56 0.95 −0.35 −0.39 −0.43 −1.21 −1.25 1.52 −1.09 .55 .94 .12 .35 .72 .70 .67 .23 .21 .13 .28 .01 .58 Note. R 2 = .56 for step 1; R 2 = .57 for step 2. Deliberation were significant, negative predictors of secondary psychopathy. However, there were no significant sex differences in facet scale predictors. DISCUSSION In keeping with previous studies using a dimensional approach to personality pathology (e.g., Ross, Lutz, & Bailley, 2002; Trull, Widiger, & Burr, 2001), the FFM accounted for a large amount of descriptive variance in personality disorder characteristics; NEO-PI-R domain scales accounted for 50% of the variance in secondary and almost 60% of the variance in primary psychopathic dispositions as measured by the LSRP (Levenson et al., 1995). Although LSRP primary and secondary scales were moderately to strongly intercorrelated, they demonstrated notably different patterns of relationships with FFM traits. Consistent with Widiger and Lynam’s (1998) predictions for factor 1 and factor 2 of the PCL-R, and Lynam et al.’s (1999) findings for the LSRP and the FFM, Agreeableness was a robust predictor of psychopathy, correlating strongly with both primary and secondary psychopathy scales. P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 220 Bivariate and multivariate analyses of Agreeableness facet scales indicated that primary and secondary psychopathy are characterized by dishonesty, manipulation, and rulebreaking. These findings are consistent with Cleckley’s (1976) original conceptualizations of psychopathy as representing a pervasive style of acting against others in grandiose service of the self. Further, these results suggest that social information processing deficits likely characterize both primary and secondary psychopaths (Widiger & Lynam, 1998). Conscientiousness and Openness were also significant predictors of primary psychopathy across the entire sample. Within the domain of Openness, facets of Ideas and Feelings negatively predicted primary psychopathy, which is partially consistent with Lynam et al.’s findings and are consistent with FFM markers indicating an emotional processing deficit in primary psychopaths. On the surface, findings for Conscientiousness were inconsistent with the hypothesis that this trait would only be associated with secondary psychopathy. However, the observed magnitude of the relationships between Conscientiousness and primary psychopathy (r = −.12 and −.05) were much smaller than those found between Conscientiousness and secondary psychopathy (r = −.54 and −.51). Likely, significant findings with respect to Conscientiousness and primary psychopathy in multivariate analyses are largely a function of the large size of the current sample and reflect a small effect (e.g., β = −.11). In terms of secondary psychopathy, Neuroticism and Conscientiousness were found to be strong markers of this construct, consistent with earlier findings by Lynam et al. (1999) and hypotheses by Widiger and Lynam (1998). Secondary psychopathy was related to a tendency to experience general negative affectivity, including depression, anger, and anxiety. Additionally, the negative relationship noted with Conscientiousness seems to reflect the myopic view and lack of planning or concern for the consequences of one’s behavior associated with psychopathic traits (Lilienfeld, Hess, & Rowland, 1996). If these findings for Conscientiousness are generalizable, they may have important implications for psychopathy. Specifically, Widiger and Lynam point to Conscientiousness as the FFM trait likely underlying response modulation deficits. In keeping with Widiger and Lynam’s implications for Self-Discipline and Deliberation facets of Conscientiousness in passive avoidance, Nichols and Newman (1986) found that the likelihood of perseveration increased as the latency between the end of one trial and beginning of the next decreased in an experimental passive avoidance task. Thoughtfulness or “reflectivity” following punishment was predictive of fewer subsequent mistakes in the experimental paradigm. What is interesting is that a relatively weak relationship was found for Conscientiousness 13:2 Style file version June 25th, 2002 Ross, Lutz, and Bailley with primary psychopathy in the current study. If Conscientiousness is a trait manifestation underlying response modulation deficits, then it would appear that deficits in passive avoidance may be more of a problem for secondary psychopaths than primary psychopaths. In this sample, secondary psychopathy seems to reflect the characteristics of individuals who are largely unsuccessful, but not putatively failed psychopaths (i.e., criminals). Instead of losing in life, the noninstitutionalized secondary psychopath may be more of a “cheater”— characterized by covert hostility and subversion, as suggested by Ross and Rausch (2001). Although primary and secondary psychopaths seem to share manipulative and self-serving tendencies, the latter are hindered by poor organization and general distress, which creates interference and obstacles to optimal performance. In keeping with high levels of Neuroticism and low levels of Conscientiousness, their lives are likely colored by poor choices, maladaptive reactions to life stress, and internalizing (e.g., Major Depression, Borderline PD) as much as externalizing disorders (e.g., Antisocial PD). Rather than falling at either extreme, secondary psychopaths in the community seem to reflect those who “fall in between”— underachievers who function on a day-to-day basis but who also engage in a maladaptive and parasitic lifestyle and likely skirt legal interdiction. Because so little attention has been given to the gradations of psychopathic manifestation, future studies should continue to examine the nature of psychopathy across the full range of its expressions, from the criminally failed to the eminently successful. In contrast, Neuroticism demonstrated a weak and nonsignificant relationship with primary psychopathy. These results are at odds with Cleckley’s (1976) descriptions of psychopaths as notably lacking in “neuroticism” and differing from the “psychoneurotic type” (p. 339). However, they are consistent with Schmitt and Newman’s (1999) examination of psychopathy and anxiety. They point out that either (1) Cleckley’s belief that all psychopaths are low-anxious is incorrect or (2) “the PCLR is not an adequate measure of primary psychopathy” (p. 353). Schmitt and Newman found that the constructs of anxiety and fear, which had been equated by Cleckley and deemed absent in primary psychopaths, were largely independent and unrelated to psychopathy in their study. Additionally, Lynam et al. (1999) found that LSRP psychopathy was unrelated to Neuroticism as measured by the BFI. Lynam et al. suggest that the absence of a relationship between Neuroticism and the LSRP is a measurement limitation of the Levenson scales. An alternative explanation may be that subclinical primary psychopaths evidence a level of anxious arousal that is adequate and “prevents” P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 Psychopathic Attributes and the Five Factor Model them from making the more overt, passive avoidancetype errors that may result in their institutionalized counterparts’ legal apprehension. Although psychopathy has been repeatedly shown to be related to reoffending, the most commonly replicated finding of passive avoidance in (at least low-anxious) psychopaths (Schmitt & Newman, 1999) has not been examined as a predictor of reoffending in institutionalized offenders, or future incarceration in subclinical psychopaths who are initially assessed before social norm-breaking turns into law-breaking and criminality. This is curious, given the emphasis on understanding the reasons for incarceration and reoffending in psychopaths. Passive avoidance would appear to be the primary candidate mechanism by which repeated reoffending occurs in psychopaths. Adequate levels of anxiety in psychopaths is consistent with other findings by Sutker and Allain (1983) who found that “adaptive sociopaths” (e.g., young adults without a criminal record but exhibiting a psychopathic profile on the MMPI) were not lower in empathy, indicating adequate levels of arousal and sensitivity. Additionally, Lykken (1995) points out that Gray’s model predicts that antisocial behavior results when the behavioral inhibition system (embodied in the FFM as Neuroticism) is too weak. Although Lykken points out that there is strong support for this model, more recent conceptualizations of psychopathy in Gray’s model emphasize an overactive BAS, which is consistent with the impulsivity found in psychopaths. This view is also in keeping with the idea that Conscientiousness represents a more likely conceptual culprit in predicting passive avoidance. For instance, Widiger and Lynam (1998) specifically implicate Conscientiousness facets of Self-Discipline and Deliberation rather than Neuroticism facets such as Anxiety in response modulation deficits. Consequently, investigation of the role of Neuroticism and Conscientiousness in subclinical populations merits attention—especially if they act as partial moderators of the relationship between psychopathy (i.e., self-centered, norm-breaking tendencies) and successful behavior. For better or for worse, the vast majority of studies examining psychopathy and passive avoidance exclude those who score high on the PCL and high on anxiety. Future studies should directly examine differences in personality between putatively failed (e.g., incarcerated) and successful (e.g., community-based) psychopaths in order to adequately address this issue more fully. With the exception of few studies, investigations to date have focused on examining psychopathy in either incarcerated or community-based samples. Overall, investigations of sex differences in the manifestation of subclinical psychopathy appeared rather meager but included notable exceptions. Although Agreeable- October 19, 2004 13:2 Style file version June 25th, 2002 221 ness was a strong marker of primary and secondary psychopathy across sexes, corresponding facets of Straightforwardness, Modesty, and Tender-mindedness were more highly related to primary psychopathy in men than in women in the current study. Similarly, hard-mindedness contributed more to primary psychopathic standing in men than it did in women, possibly indicating a stronger commitment towards selfish gain in men. Additional sex differences for primary psychopathy were only noted for three additional facet scales of the NEO-PI-R (e.g., Assertiveness, Actions, and Self-Discipline). These differences seem to reflect a higher external orientation and impulsivity in the manifestation of primary psychopathy in men. Further, neither domain nor facet scales significantly differed between sexes for secondary psychopathy, with the exception of the facet of Achievement-Striving, which was lower in men. Consequently, the lack of motivation seen in secondary psychopaths seems to be more prominent in men. More generally, however, the similarities in the manifestation of psychopathy over men and women far outweigh the differences. After controlling for the main effects of sex and FFM traits in predicting psychopathy, the sex by trait interaction was significant only for facet scales in relation to primary psychopathy. These findings are consistent with Lynam et al. (1999) who failed to find sex differences in the factor structure of the LSRP. Although Salekin et al. (1997) and Forth et al. (1996) found evidence suggesting that validity for the distinction between primary (PCL-R factor 1) and secondary (PCL-R factor 2) psychopathy may be lower for women, the present data showed little evidence for this contention. However, Salekin et al. and Forth et al. focused on incarcerated or objectively failed psychopaths. Additionally, the PCL-R was validated almost exclusively on men. Using the Levenson scales, these differences appeared to be less prominent in subclinical manifestations of either primary or secondary psychopathy. Only Agreeableness consistently accounted for differences between men and women for primary psychopathy. In summary, this is one of the first explorations of the importance of FFM facet-level traits in the prediction of type-specific dimensions underlying personality pathology. Exceptions to this trend include recent studies by Miller et al. (2001), Reynolds and Clark (2001), and Trull, Widiger, and Burr (2001) that focus on FFM facet level traits in characterizing personality pathology. These findings also bear favorably on the construct validity of the LSRP in the assessment of psychopathy. Although primary and secondary subscales were moderately to strongly related, they demonstrated a notably different pattern of relationships with NEO-PI-R domain and facet scales. Of interest is that differential FFM correlates for P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 October 19, 2004 222 primary and secondary psychopathy may implicate different types of behavioral deficits, as predicted by Widiger and Lynam (1998), for primary and secondary subtypes. Finally, few differences were found between men and women for domains or facets of the NEO-PI-R in terms of primary or secondary psychopathy. Overall, these findings strongly support the use of the FFM, and the NEOPI-R specifically, in the description and characterization of psychopathy. REFERENCES American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.) Washington, DC: Author. Blackburn, R. (1975). An empirical classification of psychopathic personality. British Journal of Psychiatry, 127, 456–460. Blais, M. A. (1997). Clinician ratings of the five-factor model of personality and the DSM-IV personality disorders. Journal of Nervous and Mental Disease, 185, 388–393. Brinkley, C. A., Schmitt, W. A., Smith, S. S., & Newman, J. P. (2001). Construct validation of a self-report psychopathy scale: Does Levenson’s self-report psychopathy scale measure the same constructs as Hare’s psychopathy checklist-revised? Personality and Individual Differences, 31, 1021–1038. Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Minnesota Multiphasic Personality Inventory-2 (MMPI-2): Manual for administration and scoring. Minneapolis: University of Minnesota Press. Butcher, J. N., Graham, J. R., & Ben-Porath, Y. S. (1995). Methodological problems and issues in MMPI, MMPI-2, and MMPI-A research. Psychological Assessment, 7, 320–329. Chesney-Lind, M., & Shelden, R. G. (1992). Girls, Delinquency, and Juvenile Justice. Pacific Grove, CA: Brook/Cole. Cleckley, H. (1976). The mask of sanity (5th ed.). St. Louis, MO: Mosby. Cooke, D. J. (1995). Psychopathic disturbance in the Scottish prison population: The cross-cultural generalizability of the Hare Psychopathy Checklist. Psychology, Crime and Law, 2, 101–108. Cooke, D. J., & Michie, C. (2001). Refining the construct of psychopathy: Towards a hierarchical model. Psychological Assessment, 13, 171– 188. Costa, P. T., & McCrae, R. R. (1990). Personality disorders and the fivefactor model of personality. Journal of Personality Disorders, 4, 362–371. Costa, P. T., & McCrae, R. R. (1992). The Revised NEO Personality Inventory (NEO PI-R) professional manual. Odessa, FL: Psychological Assessment Resources. Costa, P. T., & Widiger, T. A. (1994). Personality disorders and the five factor model of personality. Washington, DC: American Psychological Association. Digman, J. M., & Takemoto-Chock, N. (1981). Factors in the natural language of personality: Reanalysis, comparison, and interpretation of six major studies. Multivariate Behavioral Research, 16, 149– 170. Dyce, J. A. (1997). The big five factors of personality and their relationship to personality disorders. Journal of Clinical Psychology, 53(6), 587–593. Eysenck, H. J. (1994). The biology of morality. In B. Puka (Ed.), Defining perspectives in moral development. Moral development: A compendium (Vol. 1, pp. 212–229). New York: Garland Publishing. Forth, A. E., Brown, S. L., Hart, S. D., & Hare, R. D. (1996). The assessment of psychopathy in male and female noncriminals: Reliability and validity. Personality and Individual Differences, 20, 531–543. Fowles, D. C. (1988). Psychophysiology and psychopathology: A motivational approach. Psychophysiology, 25, 373–391. 13:2 Style file version June 25th, 2002 Ross, Lutz, and Bailley Goldberg, L. R. (1990). An alternative “description of personality”: The Big Five factor structure. Journal of Personality and Social Psychology, 59, 1216–1229. Gray, J. A. (1987). Perspectives on anxiety and impulsivity: A commentary. Journal of Research in Personality, 21, 493–509. Gudjonsson, G. H., & Roberts, J. C. (1983). Guilt and self-concept in secondary psychopaths. Personality and Individual Differences, 4, 65–70. Hare, R. D. (1985). The Psychopathy Checklist. Unpublished manuscript, University of British Columbia, Vancouver, British Columbia, Canada. Hare, R. D. (1991). Manual for the Hare Psychopathy Checklist-Revised. Toronto, ON: Multi-Health Systems. Hare, R. D., & Hart, S. D. (1995). Commentary on antisocial personality disorder: The DSM-IV field trail. In W. J. Livesley (Ed.), The DSMIV Personality Disorders (pp. 127–134). New York: Guilford. Hare, R. D., Hart, S. D., & Harpur, T. J. (1991). Psychopathy and the proposed DSM-IV criteria for antisocial personality disorder. Journal of Abnormal Psychology, 100, 391–398. Hare, R. D., & McPherson, L. M. (1984). Violent and aggressive behavior by criminal psychopaths. International Journal of Law and Psychiatry, 7, 35–50. Hare, R. D., McPherson, L. M., & Forth, A. E. (1988). Male psychopaths and their criminal careers. Journal of Consulting and Clinical Psychology, 56, 710–714. 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. Harpur, T. J., Hare, R. D., & Hakstian, A. R. (1989). Two-factor conceptualization of psychopathy: Construct validity and assessment implications. Psychological Assessment, 1, 6–17. Harpur, T. J., Hart, S. D., & Hare, R. D. (1994). Personality of the psychopath. In P. T. Costa & T. A. Widiger (Eds.), Personality disorders and the five-factor model of personality (pp. 149–173). Washington, DC: American Psychological Association. Hays, W. L. (1988). Statistics (4th ed.). Orlando, FL: Harcourt Brace Jovanovich. Hobson, J., & Shine, J. (1998). Measurement of psychopathy in a UK prison population referred for long-term psychotherapy. British Journal of Criminology, 38, 504–515. Karpman, B. (1941). On the need for separating psychopathy into two distinct clinical types: Symptomatic and idiopathic. Journal of Criminology and Psychopathology, 3, 112–137. 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. Lilienfeld, S. O. (1994). Conceptual problems in the assessment of psychopathy. Clinical Psychology Review, 14, 17–38. Lilienfeld, S. O., & Andrews, B. P. (1996). Development and preliminary validation of a self-report measure of psychopathic personality traits in noncriminal populations. Journal of Personality Assessment, 66, 488–524. Lilienfeld, S. O., Hess, T., & Rowland, C. (1996). Psychopathic personality traits and temporal perspective: A test of the short-term horizon hypothesis. Journal of Psychopathology and Behavioral Assessment, 18, 285–314. Lilienfeld, S. O. (1998). Methodological advances and developments in the assessment of psychopathy. Behaviour Research and Therapy, 36, 99–125. Lilienfeld, S. O., & Hess, T. H. (2001). Psychopathic personality traits and somatization: Sex differences and the mediating role of negative emotionality. Journal of Psychopathology and Behavioral Assessment, 23, 11–24. Lilienfeld, S. O., Van Valkenburg, C., Larntz, K., & Akiskal, H. S. (1996). The relationship of histrionic personality disorder to antisocial personality and somatization disorders. American Journal of Psychiatry, 143, 718–722. Lykken, D. T. (1995). The antisocial personalities. Hillsdale, NJ: Earlbaum. P1: KEF Journal of Psychopathology and Behavioral Assessment (JOBA) pp1225-joba-487537 Psychopathic Attributes and the Five Factor Model Lynam, D. R., Whiteside, S., & Jones, S. (1999). Self-reported psychopathy: A validation study. Journal of Personality Assessment, 73, 110–132. Miller, J. D., Lynam, D. R., Widiger, T. A., & Leukefeld, C. (2001). Personality disorders as extreme variants of common personality dimensions: Can the five-factor model adequately represent psychopathy? Journal of Personality, 69, 253–276. Mulder, R. T., Wells, J. E., Joyce, P. R., & Bushnell, J. A. (1994). Antisocial women. Journal of Personality Disorders, 8, 279–287. Neary, A. (1990). DSM-III and Psychopathy Checklist assessment of antisocial personality disorder in Black and White female felons. Unpublished doctoral dissertation, University of Missouri, St. Louis. Nichols, S., & Newman, J. P. (1986). Effects of punishment on response latency in extraverts. Journal of Personality and Social Psychology, 50, 624–630. Pollock, P. H. (1999). When the killer suffers: Post-traumatic stress reactions following homicide. Legal and Criminological Psychology, 4, 185–202. Reynolds, S. K., & Clark, L. A. (2001). Predicting dimensions of personality disorder from domains and facets of the five-factor model. Journal of Personality, 69, 199–222. Ross, S. R., Lutz, C. J., & Bailley, S. E. (2002). Positive and negative symptoms of schizotypy in the Five Factor Model: A domain and facet level analysis. Journal of Personality Assessment, 79, 53–72. Ross, S. R., & Rausch, M. K. (2001). Psychopathic attributes and achievement dispositions in a college sample. Personality and Individual Differences, 30, 471–480. Rutherford, M. J., Cacciola, J. S., Alterman, A. I., & McKay, J. R. (1996). Reliability and validity of the revised Psychopathy Checklist in women methadone patients. Assessment, 3, 145–156. Salekin, R. T., Rogers, R., & Sewell, K. W. (1997). Construct validity of psychopathy in a female offender sample: A multitrait–multimethod evaluation. Journal of Abnormal Psychology, 106, 576–585. Schmitt, W. A., & Newman, J. P. (1999). Are all psychopathic individuals low-anxious? Journal of Abnormal Psychology, 108, 353–358. October 19, 2004 13:2 Style file version June 25th, 2002 223 Silverthorn, P., & Frick, P. J. (1999). Developmental pathways to antisocial behavior: The delayed-onset pathway in girls. Development and Psychopathology, 11, 101–126. Spitzer, R. L., Endicott, J., & Robins, E. (1975). Clinical criteria for psychiatric diagnosis and DSM-III. American Journal of Psychiatry, 131, 1187–1197. Steffensmeier, D., & Allan, E. (1995). Criminal behavior: Sex and age. In J. F. Sheley (Ed.), Criminology: A contemporary handbook (pp. 83–113). Belmont, CA: Wadsworth. Sutker, P. B., & Allain, A. N. (1983). Behavior and personality assessment in men labeled adaptive socipaths. Journal of Behavioral Assessment, 5, 65–79. Sutker, P. B., DeSanto, N. A., & Allain, A. N. (1985). Adjective self-descriptions in antisocial men and women. Journal of Psychopathology and Behavioral Assessment, 7, 178–181. Tabachnik, B. G., & Fidell, L. S. (1996). Using multivariate statistics. New York: HarperCollins. Trull, T. J. (1992). DSM-III-R personality disorders and the five-factor model of personality: An empirical comparison. Journal of Abnormal Psychology, 3, 553–560. Trull, T. J., Widiger, T. A., & Burr, R. (2001). A structured interview for the assessment of the five-factor model of personality: Facet-level relations to the axis II personality disorders. Journal of Personality, 69, 175–198. Widiger, T. A., & Lynam, D. R. (1998). Psychopathy and the five-factor model of personality. In T. Millon & E. Simonsen (Eds.), Psychopathy: Antisocial, criminal, and violent behavior (pp. 171–187). New York: Guilford. Widom, C. S. (1977). A methodology for studying noninstitutionalized psychopaths. Journal of Consulting and Clinical Psychology, 45, 674–683. Williamson, S., Harpur, T. J., & Hare, R. D. (1991). Abnormal processing of affective words by psychopaths. Psychophysiology, 28, 260–273. Zagon, I. K., & Jackson, H. J. (1994). Construct validity of a psychopathy measure. Personality and Individual Differences, 17, 125–135.