YEAR

PSYCHOPATHY

AUTHOR SOURCE SELECTION ABSTRACT
2008 Are psychopaths treatable? Duclos-Robinson A

This talk will address the controversial question of whether psychopathic individuals are "treatable." Discussion will include the current definition of psychopathy and how it is similar and different from Antisocial Personality Disorder and sociopathy. In order to treat psychopathy there must first be a consistent and accurate definition of what constitutes a psychopathic individual. Current measures such as the MMPI-2 and the PCL may aid in identifying individuals with these traits, but without a clear definition outcome studies are unreliable. Answering the question of whether an individual is treatable also lies in understanding the goal of the clinician. The ambiguity as to whether psychopaths are treatable will be illustrated by reviewing current understanding of psychopathic behaviors, definitions of psychopathy, common measurement tools and outcome research.
2008 A case report of a highly gifted aristocrat who demonstrated episodic psychopathic behavior Willelm Martens MD, PhD Psychiatry journal 8094 A case report is presented of a patient who demonstrated episodic psychopathic and periodically normal and healthy social-emotional, cognitive and moral activities. The correlates of this episodically complete recovery (on a daily basis) and healthy attitude are also studied and discussed in this article.
2008 Are psychopaths treatable? Alisa Duclos-Robinson, Ph.D. psychiatry CD 10638 This talk will address the controversial question of whether psychopathic individuals are "treatable." Discussion will include the current definition of psychopathy and how it is similar and different from Antisocial Personality Disorder and sociopathy. In order to treat psychopathy there must first be a consistent and accurate definition of what constitutes a psychopathic individual. Current measures such as the MMPI-2 and the PCL may aid in identifying individuals with these traits, but without a clear definition outcome studies are unreliable. Answering the question of whether an individual is treatable also lies in understanding the goal of the clinician. The ambiguity as to whether psychopaths are treatable will be illustrated by reviewing current understanding of psychopathic behaviors, definitions of psychopathy, common measurement tools and outcome research.--Dr. Duclos-Robinson is a licensed psychologist at Kaiser Permanente, Adjunct Professor at Argosy University, and volunteer faculty for the San Diego Courthouse Department of Forensic Psychiatry.
2007 THE Case of Leopold and Loeb: The Potential Role of Autistic and Psychopathic Pathologies
J Arturo Silva MD
10377 In 1924, 18-year-old Nathan Leopold and 17-year-old Richard Loeb killed a 14-year-old boy, in an attempt to perpetrate the perfect crime. Their criminal case was defended by the legendary defense attorney Clarence Darrow, and from a psychiatric-legal perspective, became one of the most comprehensively analyzed cases of its time. In this presentation we revisit the case of Leopold and Loeb from a forensic psychiatric viewpoint. The case is analyzed from the perspective that both the concepts of autism and psychopathy may be relevant for an optimal understanding of the case. An in-depth diagnostic phenomenological psychohistorical analysis of both Loeb and Leopold was made and the results are presented. However, neuropsychiatric and cognitive-psychological perspectives are also important. The potential value of considering both higher functioning autism and psychopathic pathology in contemporaneous criminal cases is overviewed in this presentation.
2007 The Relationship Between a Psychopathic Personality and Violence in Schizophrenics
Helene Wallach PhD and Rami Mairaz MD psychiatry journal 7039 This study was undertaken to explore the major contribution of psychopathy to the level of violence among hospitalized schizophrenics. A secondary aim was to examine the differences among court referred and self or psychiatric referred schizophrenics. Fifty-two schizophrenic patients hospitalized through the court and forty-eight through psychiatric or self referral participated in this study. Psychopathy was rated using the Hare psychopathy checklist (PCL-SV). Ratings of violence were severity of last offense committed using Wolfgang et al.'s offense severity scale. Demographic and clinical variables were taken from the patients' files. As expected, level of psychopathy correlated with level of violence, as well as differentiating between court referred and psychiatric or self referred schizophrenics. These results point to the importance of considering psychopathy scores as major risk factors for violence among schizophrenics. In addition, the two groups (court referred versus self/psychiatric referral) appear to be fundamentally different, as suggested by psychopathy scores.
2007 The case of Leopold and Loeb: the potential role of autistic and psychopathic pathologies


J Arturo Silva MD psychiatry CD 10679 In 1924, 18-year-old Nathan Leopold and 17-year-old Richard Loeb killed a 14-year-old boy, in an attempt to perpetrate "the perfect crime." Their criminal case was defended by the legendary defense attorney Clarence Darrow, and from a psychiatric-legal perspective, became one of the most comprehensively analyzed cases of its time. In this presentation we revisit the case of Leopold and Loeb from a forensic psychiatric view point. The case is analyzed from the perspective that both the concepts of autism and psychopathy may be relevant for an optimal understanding of the case. An in-depth di agnostic phenomenological psychohistorical analysis of both Loeb and Leopold was made and the results are presented. However, neuropsychiatric and cognitive-psycho logical perspectives are also important. The potential value of considering both higher functioning autism and psychopathic pathology in contemporaneous criminal cases is overviewed in this presentation. Attendees will 1) learn the basic phenomenology of Asperger's Disorder and psychopathy; 2) learn about important diagnostic and psychiat ric-legal issues involving differential diagnostic issues involving Asperger's Disorder and psychopathy; and 3) gain an appreciation of the difficulties inherent in the psychohis torical analysis of forensic-psychiatric cases.--J. Arturo Silva, MD completed medical school and general psychiatry training at Stanford University. He trained in forensic psychiatry at the University of Southern California Institute of Psychiatry and the Law. Dr. Silva has a practice of forensic psychiatry in San Jose, California.
2006 General theory of psychopathy Dr. Z Bobich psychiatry journal 7060 no abstract
2005 Effects of psychopathy, violence and drug use on neuropsychological functioning Michael Selby PhD psychology journal 9008 Previous research has provided some evidence that neuropsychological dysfunction is present in individuals displaying violent and/or antisocial behavior however, the extent and nature of this relationship is unclear. The present study examined the differences in neuropsychological performance among violent, psychopathic and drug abusing male felons. A comprehensive neuropsychological battery was completed by 330 adult incarcerated male felons who were classified into six subgroups. Results showed psychopaths, drug users and violent offenders perform worse on measures of executive functioning than control groups of nonpsychopaths, non-drug users and nonviolent offenders. Findings provide support for past research indicating frontal lobe deficits among psychopaths, violent individuals and substance abusers. Frontal lobe deficits were also most pronounced when a combination of these behaviors occurred in the same individual.
2004 The inconsistent internal world of the psychopath Willem Martens MD, PhD psychiatry journal 1081 Psychopaths are characterized by pairs of opposite features such as charm and social-emotional alienation/isolation; supreme manipulative skills and incapacities to adequate social-emotional interactions/insight; good intelligence, absence of delusions or irrational thinking on one hand and specific lack of insight on the other, and so on. This contrast between unbridgeable and almost inescapable extremes makes the internal world of the psychopath surrealistic. Many psychopaths are in one area very successful and in other significant and hidden areas very unsuccessful. This shadow side, which is extremely difficult to observe (psychopaths try to hide their shadow side at all costs) is the matrix for the psychopath s suffering and vulnerability. In this article the internal inconsistent world of the psychopath will be examined.
2004 Involvement of remitted psychopaths in the therapy of psychopaths Willem Martens MD, PhD psychiatry journal 8083 no abstract
1999 Psychosocial profile of a female psychopath Marc Nesca PhD, J Thomas Dalby PhD
psychology journal 1168 The social history and personality dynamics of a severe female psychopath, Ms X, referred for pretrial assessment were investigated in this case study. She was accused of murdering her cellmate while serving a four-year sentence for armed robbery at a woman's correctional facility. File information raised the possibility of a sexual aspect to her homicide. Her social history was found to include the early onset of aggressive antisocial behavior, polysubstance abuse, and a perverse sexual history. Formal testing indicated a chronically angry, sexually aggressive personality organized along hysterical lines. Test results also indicated the presence of transient paranoid ideation and fluctuating levels of reality testing under conditions of intense affective arousal. However, formal testing failed to reveal evidence of global impulse control deficits or pathological narcissism. These results are discussed with reference to extant research and relevant theory.
1998 Childhood disruptive behavior disorders and adult psychopathy Romeo Vitelli PhD psychology journal 152 The relationship between childhood disruptive behavior disorders and adult Antisocial Personality Disorder (APD) was studied in a sample of 118 adult maximum-security inmates. The results confirmed the study hypotheses in that childhood Conduct Disorder (CD) and Attention Deficit Hyperactivity Disorder (ADHD) were significantly related to adult APD, psychopathy, and impulsivity. The results replicated prior findings with inmates reporting childhood CD differing significantly from nonCD inmates in childhood and adult violence, substance abuse, and institutional misconduct. The significance of these findings is discussed in terms of adult consequences of childhood disruptive behavior disorders and the need for early intervention.
1997 Cognitive therapy --irrational thoughts of the psychopath- sociopathic mind Robert L. Meyer, PhD psychology tape 1257 Presentation will emphasize the use of cognitive therapy and its application to incarcerated adults. Principles of cognitive therapy will be reviewed as well as underlying irrational thought patterns often associated with the continuation of criminal behavior, the replacement thoughts or more rational thoughts that had been associated with the maintenance of self-control, and the underlying belief systems which contribute to both rational and irrational thinking. Participants will identify a treatment approach that has demonstrated positive results with incarcerated felons from a cognitive behavioral point of view.
1994 Psychopathology of the serial killer - increasing contempt of women Michael Stone MD psychiatry tapes 1929 The psychopathology typical of serial killers is that of severe personality disorder characterized by psychopathy, extreme narcissism and paranoid features. Nearly half of this offender group exhibit schizoid traits, which appear to facilitate the gruesomeness of their crimes, indifference to the suffering of their victims and to their tendency to kill strangers. Serial homicide is also viewed as a societal symptom of increasing contempt toward women in an era when working class men especially feel threatened by the greater assertiveness and self-reliance of women. Fetishism and other paraphilias in adolescence along with delinquency are the norm, as are alcoholism or drug abuse later on as prelude to homicide. Psychosis is rare; legal insanity nonexistent.
1994 Psychopathology of the serial killer - increasing contempt of women Michael Stone MD psychiatry tapes
The psychopathology typical of serial killers is that of severe personality disorder characterized by psychopathy, extreme narcissism and paranoid features. Nearly half of this offender group exhibit schizoid traits, which appear to facilitate the gruesomeness of their crimes, indifference to the suffering of their victims and to their tendency to kill strangers. Serial homicide is also viewed as a societal symptom of increasing contempt toward women in an era when working class men especially feel threatened by the greater assertiveness and self-reliance of women. Fetishism and other paraphilias in adolescence along with delinquency are the norm, as are alcoholism or drug abuse later on as prelude to homicide. Psychosis is rare; legal insanity nonexistent.
1993 Family psychopathology as related to family law Gerald G. Pope, MD psychiatry tapes 10142 The family occupies a central position in law and psychiatry. Social decay and numerous social problems, including poverty and violence, have been attributed to family breakdown. Child-parent bond severance and alienation may result from family dissolution, producing severe psychophysiologic stress and psychopathology.
1993 Psychopathology in adult survivors of incest Jamshid Marvasti MD psychiatry journal 1162 Incest and child sexual abuse may not result in any specific symptoms. Almost all behavioral disorders seen in the victims/survivors can be present in "non-victims" who grew up in dysfunctional families. Many of the negative consequences of incest are also seen in siblings of victims who have no apparent sexual abuse history. However, the non-specific effects of incest should not prevent us from seeking a cause-effect relationship. Psychiatric literature has considered several clinical profiles as the negative consequence of incest and child sexual abuse. In this article the author has added a few other clinical presentations which are seen in survivors of incest, such as alexithymia, "delayed psychological puberty," and "homo-sensuality" (versus homosexuality). The concept of survivors being high risk for sexual exploitation by so called "therapists" is called by Kluft the "sitting duck syndrome." The author suggests the term "sitting doc (doctor) syndrome" for therapists (doctors) who are themselves incest survivors and are vulnerable in becoming the target of their patients sexual fantasy and activity.
1989 Psychopathic offenders (1 of 2) J Reid Meloy PhD psychology tape 1812 Psychopathic behavior viewed as a personality disorder characterized by inability to empathize, sadistic and masochistic behavior, based on the desire to dominate others.
1989 Psychopathic offenders (2 tapes) J Reid Meloy PhD psychiatry tapes 1815 Fundamental concepts of psychopathy that the presenter regards as disturbance of personality function. Also Dr. Meloy reviews the literature related to psychopaths and discusses psychobehavioral substrates of psychopathy.
1988 Criminal psychopaths- theories and discussion of causalities of criminal behavior Gerard Neuman PhD psychology tape 10164 Review of historical development in understanding psychopathy and problems in predicting future behavior and risk of dangerousness.
1987 Psychopathic personality disorder- review and diagnosis as a predictive tool Robert Pos MD psychiatry tapes 10208 Review of the psychopathic personality, stressing Cleckley's role and relating it to DSM's antisocial personality disorder and the ICD's sociopathic personality disorder and Millon's view.
1985 Ted Bundy- evolution, psychopathology and modus operandi of a serial killer (2 tapes) Rule Ann psychiatry tapes 10265 Guest speaker, Ann Rule, author of the book, The Stranger Beside Me, portrays the dichotomous personality of Ted Bundy, a law school student who worked side by side with her answering telephones at a suicide prevention service. In off hours, Bundy stalked and murdered a dozen young women, all strangers but similar in physical appearance.
1985 Sexual psychopathic murderers clinical observations Eric Marcus MD psychiatry tapes 10195 Psychiatrist outlines victimization, denial, psychosexual conflict and grandiosity displayed by the sexual psychopathic murderer and discusses reactions when confronted with simply overwhelming horror.