Persistent Antisocial Behavior Research Articles

The Relationship between Emotional Recognition and Psychopathic Trait

The ability to recognize and understand emotions plays a fundamental role in human social interaction and is essential for effective communication and interpersonal relationships. Psychopathy, a personality disorder characterized by persistent antisocial behavior and impaired empathy, holds significant relevance in understanding criminal behavior, societal impact, and the implications of psychopathic traits on social functioning. In the intricate interplay between psychopathic traits and emotion recognition, prior research has highlighted the profound role of emotional processing in an individual's social functioning and development, alongside the considerable impact of psychopathic traits on these facets of life. To develop further into this complex relationship, this paper synthesizes existing research findings while elucidating current research gaps. These studies collectively revealed the diminished accuracy and efficiency in the emotional processing capabilities of high psychopathic individuals, as well as the emergence of atypical automatic emotional responses and subjective selection of emotional information in their interactions with emotional stimuli. Additionally, this review emphasizes the critical role played by primary psychopathic traits in shaping abnormal attention patterns, particularly the tendency of highly psychopathic individuals to divert their attention away from crucial emotion-carrying cues, such as the eyes of facial stimuli, especially when confronted with negative emotional expressions. The present review also recognizes certain limitations, mainly arising from sample size, self-report assessments, and the lack of comparison between clinical and nonclinical populations with high psychopathic traits. To address these constraints and further enrich people’s comprehension, future research should focus on conducting longitudinal studies within high-risk populations.

Does the Relationship between Age and Brain Structure Differ in Youth with Conduct Disorder?

Conduct disorder (CD) is characterised by persistent antisocial and aggressive behaviour and typically emerges in childhood or adolescence. Although several authors have proposed that CD is a neurodevelopmental disorder, very little evidence is available about brain development in this condition. Structural brain alterations have been observed in CD, and some indirect evidence for delayed brain maturation has been reported. However, no detailed analysis of age-related changes in brain structure in youth with CD has been conducted. Using cross-sectional MRI data, this study aimed to explore differences in brain maturation in youth with CD versus healthy controls to provide further understanding of the neurodevelopmental processes underlying CD. 291 CD cases (153 males) and 379 healthy controls (160 males) aged 9-18years (Mage = 14.4) were selected from the European multisite FemNAT-CD study. Structural MRI scans were analysed using surface-based morphometry followed by application of the ENIGMA quality control protocols. An atlas-based approach was used to investigate group differences and test for group-by-age and group-by-age-by-sex interactions in cortical thickness, surface area and subcortical volumes. Relative to healthy controls, the CD group showed lower surface area across frontal, temporal and parietal regions as well as lower total surface area. No significant group-by-age or group-by-age-by-sex interactions were observed on any brain structure measure. These findings suggest that CD is associated with lower surface area across multiple cortical regions, but do not support the idea that CD is associated with delayed brain maturation, at least within the age bracket considered here.

Correctly identifying and reacting to others’ sadness: investigating three parent-child interventions for limited prosocial emotions

ABSTRACT Recognizing and appropriately responding to others’ emotional expressions is important for children’s moral and social development. Impairments in the emotion recognition of individuals high on Callous-Unemotional (CU) traits are thought to explain their reduced empathic responding, interpersonal problems, and persistent antisocial behaviour. The current study uses accuracy ratings and physiological measures to assess changes in identifying and reacting to others’ sadness, respectively, among children high on CU traits who received one of three brief parenting interventions designed to address their emotional deficits. Participants were 68 children (M age = 7.50 years, SD = 1.49, 46% female), selected from a larger screening sample (N = 1,283). The study assessed emotional accuracy and skin conductance reactivity during the presentation of sad video scenes pre- and post-intervention. Parents and children participated in three intervention programmes (i.e., Parent-Child Interaction Therapy-CU, Coaching and Rewarding Emotional Skills, Emotional Engagement) designed to target the emotional deficits of children with CU traits. Findings support the amenability of emotional deficits related to empathic responding to others’ sad expressions among children high on CU traits. Specifically, children showed improved ability to accurately identify sad emotions as well as increased autonomic reactivity (i.e., skin conductance) to sad expressions at post-intervention. Our findings draw attention to the importance of parenting interventions aiming to enhance the emotional functioning of children high on CU traits.

A neurocognitive model of early onset persistent and desistant antisocial behavior in early adulthood.

It remains unclear which functional and neurobiological mechanisms are associated with persistent and desistant antisocial behavior in early adulthood. We reviewed the empirical literature and propose a neurocognitive social information processing model for early onset persistent and desistant antisocial behavior in early adulthood, focusing on how young adults evaluate, act upon, monitor, and learn about their goals and self traits. Based on the reviewed literature, we propose that persistent antisocial behavior is characterized by domain-general impairments in self-relevant and goal-related information processing, regulation, and learning, which is accompanied by altered activity in fronto-limbic brain areas. We propose that desistant antisocial development is associated with more effortful information processing, regulation and learning, that possibly balances self-relevant goals and specific situational characteristics. The proposed framework advances insights by considering individual differences such as psychopathic personality traits, and specific emotional characteristics (e.g., valence of social cues), to further illuminate functional and neural mechanisms underlying heterogenous developmental pathways. Finally, we address important open questions and offer suggestions for future research to improve scientific knowledge on general and context-specific expression and development of antisocial behavior in early adulthood.

Selective Amygdala Hypoactivity to Fear in Boys With Persistent Conduct Problems After Parent Training

BackgroundParenting interventions reduce antisocial behavior (ASB) in some children with conduct problems (CPs), but not others. Understanding the neural basis for this disparity is important because persistent ASB is associated with lifelong morbidity and places a huge burden on our health and criminal justice systems. One of the most highly replicated neural correlates of ASB is amygdala hypoactivity to another person’s fear. We aimed to assess whether amygdala hypoactivity to fear in children with CPs is remediated following reduction in ASB after successful treatment and/or if it is a marker for persistent ASB. MethodsWe conducted a prospective, case-control study of boys with CPs and typically developing (TD) boys. Both groups (ages 5–10 years) completed 2 magnetic resonance imaging sessions (18 ± 5.8 weeks apart) with ASB assessed at each visit. Participants included boys with CPs following referral to a parenting intervention group and TD boys recruited from the same schools and geographical regions. Final functional magnetic resonance imaging data were available for 36 TD boys and 57 boys with CPs. Boys with CPs were divided into those whose ASB improved (n = 27) or persisted (n = 30) following the intervention. Functional magnetic resonance imaging data assessing fear reactivity were then analyzed using a longitudinal group (TD/improving CPs/persistent CPs) × time point (pre/post) design. ResultsAmygdala hypoactivity to fear was observed only in boys with CPs who had persistent ASB and was absent in those whose ASB improved following intervention. ConclusionsOur findings suggest that amygdala hypoactivity to fear is a marker for ASB that is resistant to change following a parenting intervention and a putative target for future treatments.

Mild intellectual disability among individuals having conduct disorder: a common overlooked issue in forensic psychiatric practice

Intellectual disability defined as significant limitations in intellectual skills (learning, reasoning and problem solving) and limitations in adaptive behaviors (social, conceptual and practical skills) before the age of 18 years. Intellectual developmental disorder is classified into mild, moderate, severe and profound subtypes depending upon deficits in conceptual, social and practical domains. conduct disorder is one of the most common mental illnesses among boys especially in prisons. It is characterized by persistent antisocial and aggressive behaviors toward other children, adults and even animals, ranging from bullying, lying, theft and running away from home to more serious violations such as forced sexual acts, fire setting, destruction of property and even murder. Boys who receive diagnosis of conduct disorder are frequently involved in alcohol and substance abuse / dependence along with mild intellectual disability. Mild intellectual disability is commonly associated with conduct disorder among children and juveniles in forensic settings, which may masks symptoms of other disorders, makes treatment more difficult and carries worse prognosis overall. Prevalence of mild intellectual developmental disorders among conduct disordered children varies from one setting to another and from an age to other , thus special attention should be paid to IQ level evaluation to avoid tragic psychiatric, legal and social outcomes.

Developmental predictors of offending and persistence in crime: A systematic review of meta-analyses

Meta-analyses have provided major findings about developmental predictors of offending. However, there has been little focus on their relative ability to predict offending behaviour. Therefore, we conducted a systematic review of meta-analyses with two aims: 1) to summarize all well-established knowledge about developmental (explanatory) predictors of offending, and 2) to sort those predictors according to their effect size. The strongest predictors of general offending were related to family/parental dimensions. Delinquent peers, school/employment problems, family problems, certain types of mental health problems, and alcohol/substance abuse were the most important predictors of persistence in crime. Our findings suggest the crucial role of family-related developmental predictors in preventing offending. The predictors of persistence in crime highlight the multisystemic nature of persistent antisocial behaviour. • We conducted a systematic review of meta-analyses about developmental predictors of offending. • Family dimensions are the most important developmental predictors of general offending. • There is a constellation of multisystemic factors explaining persistence in crime.

Resisting aggression in social contexts: The influence of life-course persistent antisocial behavior on behavioral and neural responses to social feedback

Early adulthood has long been recognized as a potential turning point for the development of antisocial behavior, due to changes in social contexts and ongoing psychological and neurobiological maturation. However, it remains unclear how different developmental trajectories of antisocial behavior, their neural underpinnings, and individual differences in psychopathic traits may help explain the distinct developmental outcomes of individuals who persist in or desist from antisocial behavior in early adulthood - such as how they respond to others in social contexts. Therefore, in the current study, young adults (aged 18–30, 68% male) with a persistent or desistant antisocial trajectory (N = 54), as well as healthy controls (N = 39), completed the Social Network Aggression Task, during which they received positive, neutral, or negative feedback on a personal profile and got the opportunity to retaliate by blasting a loud noise. On a behavioral level, results indicated that in all groups, negative peer feedback evoked higher retaliatory aggression, compared to positive and neutral feedback. On a neural level, when receiving social feedback, individuals with persistent or desistent trajectories showed both similar and dissociable patterns of neural activity; desisting and persisting trajectory groups showed higher activity in the Insula, and the desisting trajectory group showed higher activity in dlPFC. Finally, when participants retaliated, they showed increased dlPFC and ACC activity following positive relative to neutral and negative feedback, where ACC activity correlated most strongly with inhibition of retaliatory responses in the desisting trajectory group. Together, these findings provide novel insights in dissociable patterns of brain activity that may increase our understanding of the mechanisms underlying different developmental trajectories of antisocial behavior.

Empathy and repeat offending of young offenders in Argentina

ABSTRACT Low empathy is an important psychological construct for understanding persistent criminal and antisocial behavior. In this study the affective empathy (the capacity to experience the emotions of others) and cognitive empathy (the capacity to understand the emotions of others) of 100 young male offenders (aged 16-17) in Buenos Aires was assessed using the Basic Empathy Scale. The level of empathy of young offenders who were repeat offenders (N=49) was then compared to one-time offenders (N=51). In addition, data on family criminality, school achievement and socioeconomic status was also obtained for both groups. The results showed that repeat offenders had significantly lower affective and cognitive empathy, and that these relationships held independently of the other related factors. These findings suggest that low empathy may be an important explanatory factor for repeat offending of juveniles in Argentina, and therefore may be a useful target for interventions designed to reduce repeat offending

Childhood Antisocial Behavior: A Neurodevelopmental Problem.

Early-onset disruptive, aggressive, and antisocial behavior is persistent, can become increasingly serious as children grow older, and is difficult to change. In 2007, our group proposed a theoretical model highlighting the interplay between neurobiological deficits and cognitive and emotional functioning as mediators of the link between genetic influences and early social adversity, on the one hand, and antisocial behavioral problems in childhood, on the other. In this article, we review the post-2007 evidence relevant to this model. We discuss research on genetics/epigenetics, stress/arousal regulation, and emotion and executive functioning in support of the argument that antisocial children, especially those who persist in engaging in antisocial behavior as they grow older, have a range of neuropsychological characteristics that are important in explaining individual differences in the severity and persistence of antisocial behavior. Current clinical practice tends not to acknowledge these individual neuropsychological risk factors or to target them for intervention. We argue that aggressive and disruptive behavior in childhood should be regarded as a neurodevelopmental problem and that intervening at the level of mediating neuropsychological processes represents a promising way forward in tackling these serious behavioral problems.

A Commentary on “The Rorschach and Violent Crime” (de Ruiter, 2021)

A Commentary on “The Rorschach and Violent Crime” (de Ruiter, 2021)

Sex matters: association between callous-unemotional traits and uncinate fasciculus microstructure in youths with conduct disorder

Among youths with conduct disorder, those with callous-unemotional traits are at increased risk for persistent antisocial behaviour. Although callous-unemotional traits have been found to be associated with white-matter brain abnormalities, previous diffusion imaging studies were conducted in small samples, preventing examination of potential sex by callous-unemotional traits interaction effects on white matter. Here, we used tract-based spatial statistics at a whole-brain level and within regions of interest to compare the white matter correlates of callous-unemotional traits in female vs. male youths with conduct disorder, in a sample (n = 124) recruited through a multi-site protocol. A sex-specific association between callous-unemotional traits and white matter was found in the left uncinate fasciculus, where callous-unemotional traits were positively associated with axial diffusivity in males, while an opposite pattern was found in females. These findings are in line with previous studies suggesting that the uncinate fasciculus is a key tract implicated in the development of psychopathy, but also add to recent evidence showing that sexual dimorphism needs to be taken into account when examining the structural correlates of mental disorders in general, and callous-unemotional traits in conduct disorder in particular.

Outcomes of serious antisocial behavior from childhood to early adulthood in two Puerto Rican samples in two contexts.

The patterns or trajectories of serious antisocial behavior (ASB) in children are examined to determine the extent to which context, gender, and the severity and persistence of ASB from childhood/early adolescence to later adolescence/early adulthood is associated with negative outcomes. A four wave longitudinal study obtained data on two multi-stage probability household samples of Puerto Rican background children (5-13years at baseline) living in the San Juan Metropolitan Area of Puerto Rico (PR) and the South Bronx (SBx) of New York. The outcomes studied were any psychiatric disorder including substance use disorders and teenage pregnancy. Both males and females raised in the SBx had much higher risk of serious ASB (42.3%) as compared to those in PR (17.8%). Concurrent ASB4 + in the fourth wave was strongly related to SUD and MDD for both males and females at Wave 4. Serious ASB is likely to persist at least to the next developmental period of a child and is likely to be associated with substance use disorders and major depression later in life.

Role of Callous and Unemotional (CU) Traits on the Development of Youth with Behavioral Disorders: A Systematic Review.

Numerous studies have shown that youth with behavioral disorders (BD) present an increased risk for developing severe and persistent antisocial behaviors in adulthood. Retrospective research notes that not all children and adolescents follow a negative trajectory and explains this heterogeneity in particular by the severity of CU traits. Our study examines how these traits affect the functioning of children and adolescents with BD. Method: A systematic literature review conducted through various databases and using different keywords made it possible to analyze 52 studies published from 2015 to 2020 that measured the bidirectional effects of CU traits on the functioning of young. Results: Out of the 52 studies, 47 analyzed links between CU traits and neurobiological or mental health, 20 examined family and school contexts, eight focused on social adjustment, 10 on social interactions and 19 measured links with cognitive functioning, especially executive functions. Conclusion: Consistent with previous recommendations in the field, our findings emphasize the importance of assessing the presence of UC traits in early childhood to prevent the emergence of comorbid disorders and to target multimodal (early) interventions to influence the life trajectories of youth with high CU traits.

Brain Basis of Psychopathy in Criminal Offenders and General Population.

Psychopathy is characterized by persistent antisocial behavior, impaired empathy, and egotistical traits. These traits vary also in normally functioning individuals. Here, we tested whether such antisocial personalities are associated with similar structural and neural alterations as those observed in criminal psychopathy. Subjects were 100 non-convicted well-functioning individuals, 19 violent male offenders, and 19 matched controls. Subjects underwent T1-weighted magnetic resonance imaging and viewed movie clips with varying violent content during functional magnetic resonance imaging. Psychopathic traits were evaluated with Levenson Self-Report Psychopathy Scale (controls) and Psychopathy Checklist-Revised (offenders). Psychopathic offenders had lower gray matter density (GMD) in orbitofrontal cortex and anterior insula. In the community sample, affective psychopathy traits were associated with lower GMD in the same areas. Viewing violence increased brain activity in periaqueductal grey matter, thalamus, somatosensory, premotor, and temporal cortices. Psychopathic offenders had increased responses to violence in thalamus and orbitofrontal, insular, and cingulate cortices. In the community sample, impulsivity-related psychopathy traits were positively associated with violence-elicited responses in similar areas. We conclude that brain characteristics underlying psychopathic spectrum in violent psychopathy are related to those observed in well-functioning individuals with asocial personality features.

Operationalizing the triarchic model of psychopathy in adolescents using the MMPI-A-RF (Restructured Form).

The triarchic model is an increasingly influential multidimensional model of psychopathy that focuses on three distinct phenotypic domains of boldness, meanness, and disinhibition. Although originally operationalized through the Triarchic Psychopathy Measure (TriPM), the triarchic model has also been operationalized through items of existing psychopathy and personality measures that provide sufficient content coverage of the triarchic dimensions. The current study aimed to provide a means for enhancing understanding of psychopathic features in adolescents through the development and validation of triarchic scales using items from the Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form (MMPI-A-RF). The MMPI-A-RF normative sample and a large sample of juveniles undergoing court-ordered evaluations were used for formal scale development and the juvenile-court sample was also used for validation analyses. The MMPI-A-RF triarchic scales demonstrated adequate internal consistency in both the normative and juvenile offender samples, and were largely related to criterion variables, including measures of personality, psychopathology, interpersonal functioning, and adolescent concerns as predicted based on the triarchic model. Canonical correlation analyses revealed unexpected and novel findings of (variable-centered) patterns of associations between our predictor triarchic scales and criterion variables that resemble "primary" and "secondary" psychopathy variants or subtypes. Overall, findings suggest that the triarchic model as indexed by the MMPI-A-RF scales can be useful for understanding how psychopathy may manifest in youth and for identifying youth at risk for severe and persistent antisocial behavior. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Quantifying the psychopathic stare: Automated assessment of head motion is related to antisocial traits in forensic interviews

Clinicians have long noted that individuals with high psychopathic traits exhibit unique interpersonal style often observable during forensic interviews. Here we develop an automated approach for quantifying head dynamics during video-recorded naturalistic clinical interviews. We expected head dynamics would be related to psychopathic traits. As predicted, dwell times indicate that those with higher levels of psychopathic traits are characterized by more stationary head positions, focused directly towards the camera/interviewer, than were individuals low in psychopathic traits. These associations were primarily driven by developmental/antisocial features of psychopathy, indicating that those with severe and life-course persistent antisocial behavior exhibit more rigid and focused orienting of their head during interpersonal communication. These results encourage more research into the automated quantification of behavioral manifestations of personality to support clinical observations that psychopaths exhibit unique qualities in non-verbal interpersonal communication.

Identification of Multisystemic Therapy (MST) Subgroups with Distinct Trajectories on Ultimate Outcomes in Norway

The effect of Multisystemic Therapy (MST) treatment for serious behavior problems among adolescents has been established through multiple studies. However, variations across individuals should also be examined to better understand how MST works or for whom. In this study, we explored and identified subgroups of youth with serious problems in Norway regarding their responses to MST in terms of ultimate MST outcomes (e.g., living at home, abstaining from violence) over time. We further explored whether immigrant background, in addition to gender and age of the youth at intake, predicted belonging to the subgroups. Data came from 1674 adolescents (MeanAge = 14.55, SDAge = 1.58; 60.7% boys) and their families referred to MST treatment by the municipal Child Welfare Services for serious and persistent antisocial behavior. The outcomes were assessed at five time-points from intake to 18-months after discharge for youth and families who completed the treatment. Latent class growth analyses revealed heterogeneous trajectories regarding youths’ responses to MST. Results indicated a high and sustained degree of improvement across the ultimate outcomes for the vast majority of the youths. However, there was still variation in the groups, with improvement and deterioration trajectories for various outcomes. Most of these trajectories were predicted by gender and youth’s age at intake, but not by immigrant status. Not every youth-at-risk responds similarly to MST, and more studies examining heterogeneity will help us to identify factors to be targeted to better tailor the MST interventions for youth with serious problems.

Capitalizing on Neuroplasticity Across Development to Redirect Pathways from Juvenile Justice Involvement.

Adolescence is an exquisitely sensitive period of development during which pathways branch toward success in school and prosocial pursuits or, conversely, toward behavior problems and involvement in high-risk activities and systems, such as juvenile justice (JJ). Adverse childhood experiences (ACEs) such as poverty, family dysfunction, and child maltreatment, have been strongly and repeatedly associated with JJ involvement. A significant body of research from neuroscience has established that ACEs can alter facets of neurodevelopment that undergird self-regulation throughout childhood and adolescence, thereby increasing susceptibility to behaviors that attract attention of the JJ system. Because the ability to intervene prior to system-entrenchment is crucial to disrupting an adverse developmental pathway, we look toward neuroscience to offer insights into how to do so more effectively. In this chapter, evidence is summarized that informs an understanding of how neurodevelopmental pathways may lead to JJ involvement. Because neurodevelopment is malleable in response to both detrimental and positive experiences, there is potential for well-targeted interventions to normalize brain and cognitive development, especially during sensitive periods of maturation. This discussion is followed by a proposed research agenda to determine how to exploit these critical windows of opportunity to divert youth from persistent antisocial behavior and JJ involvement. Lastly, a review of neuroscience findings regarding the ability of intervention to strengthen brain systems that modulate self-regulation is presented. This research has direct practical significance with potential to be translated into meaningful policy change.

Bottom-up and top-down approaches to understanding oppositional defiant disorder symptoms during early childhood: a mixed method study

BackgroundChildren with clinical levels of conduct problems are at high risk of developing mental health problems such as persistent antisocial behavior or emotional problems in adolescence. Serious conduct problems in childhood also predict poor functioning across other areas of life in early adulthood such as overweight, heavy drinking, social isolation and not in employment or education. It is important to capture those children who are most at risk, early in their development. The Diagnostic and Statistical Manual of Mental Disorders (DSM–5) is commonly used in clinical settings, to identify children with conduct problems such as oppositional defiant disorder (ODD).This paper presents a cross-sectional study in a clinical setting, and describes behaviors in 3- to 8-year-olds with ODD. Our aim was to investigate whether there were problematic behaviors that were not captured by the diagnosis of ODD, using two different methods: a clinical approach (bottom-up) and the nosology for the diagnosis of ODD (top-down).MethodFifty-seven children with clinical levels of ODD participated in the study. The mothers were interviewed with both open questions and with a semi-structured diagnostic interview K-SADS. The data was analyzed using a mixed method, convergent, parallel qualitative/quantitative (QUAL + QUAN) design. For QUAL analysis qualitative content analysis was used, and for QUAN analysis associations between the two data sets, and ages-groups and gender were compared using Chi-square test.ResultsIn the top-down approach, the ODD criteria helped to identify and separate commonly occurring oppositional behavior from conduct problems, but in the bottom-up approach, the accepted diagnostic criteria did not capture the entire range of problematic behaviors-especially those behaviors that constitute a risk for antisocial behavior.ConclusionsThe present study shows a gap between the diagnoses of ODD and conduct disorder (CD) in younger children. Antisocial behaviors manifest in preschool and early school years are not always sufficiently alarming to meet the diagnosis of CD, nor are they caught in their entirety by the ODD diagnostic tool. One way to verify suspicion of early antisocial behavior in preschool children would be to specify in the ODD diagnosis if there also is subclinical CD.