Providing the evidence for evidenced-based practice.
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Publications and source records attributed to Paul J Frick.
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Research shows that individuals with psychopathic traits differ in how they process negative emotional stimuli. However, it is unclear whether these differences are specific to certain types of negative emotional stimulus and whether they are more strongly associated with psychopathic traits or aggression. Further, it is not clear whether or not deficits in emotional processing generalize to females and ethnic minority individuals with psychopathic traits. In this study, we examined the emotional processing of visual stimuli using a dot-probe task in 50 non-referred girls and boys (mean age of 9.30; SD = 2.00). Overall, there was a significant association between proactive aggression and reduced responsiveness to distressing stimuli. In addition, the predicted association between psychopathic traits and reduced responsiveness to distressing stimuli was only found for children high on aggression. Also, the associations among aggression, psychopathic traits, and responsiveness to distressing stimuli did not differ for boys and girls.
Conduct disorder refers to a pattern of severe antisocial and aggressive behavior manifested in childhood or adolescence. This psychiatric diagnosis has been one of the most widely studied of all childhood disorders, and this extensive body of research has documented a large number of dispositional and contextual risk factors that can play a role in the etiology of this disorder. In this article, we provide a model for understanding these risk factors that use developmental theory to specify how these risk factors can negatively affect normative developmental mechanisms to place a child at risk for acting in an aggressive and antisocial manner, and recognize that there may be different mechanisms operating among individuals with this disorder. This approach for understanding the development of conduct disorder has important implications for diagnostic classification systems and for designing more effective interventions for youth with conduct disorder.
This article highlights how a developmental approach to understanding the causes of conduct disorder (CD) could be critical for understanding and preventing delinquent and violent behavior in youth. The approach recognizes that there may be multiple causal pathways leading to CD. It also integrates developmental research and theory with research on antisocial and aggressive behavior to explain how normal developmental mechanisms may be disrupted to place a child at risk for showing problem behavior. The article reviews research outlining several such pathways that differ in the age at which serious conduct problems develop and that differ on the presence or absence of callous-unemotional traits. The presence of these different developmental pathways has important implications for how research is conducted to study CD and interventions are implemented to prevent or treat children who have CD.
This study examined the structure, distribution, and correlates of a new measure of self-reported callous-unemotional (CU) traits in 1,443 adolescents (774 boys, 669 girls) between the ages of 13 to 18 years. The Inventory of Callous-Unemotional Traits was subjected to exploratory factor analysis and confirmatory factor analysis. Exploratory factor analysis produced three factors: callousness, uncaring, and unemotional. Fit indexes suggested that the three-factor model, with a single higher-order factor, represented a satisfactory solution for the data. This factor structure fits well for both boys and girls. CU traits correlated significantly with measures of conduct problems and psychosocial impairment. Furthermore, the traits showed predicted associations with sensation seeking and the Big Five personality dimensions, supporting the construct validity of the measure of CU traits.
The current study investigated the association of psychopathic traits with aggression and delinquency in a non-referred sample of boys (n=86) and girls (n=114) in the fifth through ninth grades at two public schools in a large urban area. Psychopathic traits were measured by both teacher- and self-report ratings, whereas aggression and delinquency were assessed through self-report ratings. Self-reported psychopathic traits were associated with both aggression and delinquency and teacher-reported psychopathic traits were associated with higher levels of aggression. There were no clear differences for the callous-unemotional, narcissism, or impulsivity dimensions in their associations with aggression and delinquency. Also, psychopathic traits predicted aggression and delinquency for both boys and girls. The one clear gender difference was in the stronger associations between psychopathic traits and relational aggression for girls.
The current study tests whether the presence of callous-unemotional (CU) traits designates a group of children with conduct problems who show an especially severe and chronic pattern of conduct problems and delinquency. Ninety-eight children who were selected from a large community screening of school children in grades 3, 4, 6 and 7 were followed across four yearly assessments. Children with conduct problems who also showed CU traits exhibited the highest rates of conduct problems, self-reported delinquency, and police contacts across the four years of the study. In fact, this group accounted for at least half of all of the police contacts reported in the sample across the last three waves of data collection. In contrast, children with conduct problems who did not show CU traits continued to show higher rates of conduct problems across the follow-up assessments compared to non-conduct problem children. However, they did not show higher rates of self-reported delinquency than non-conduct problem children. In fact, the second highest rate of self-reported delinquency in the sample was found for the group of children who were high on CU traits but without conduct problems at the start of the study.
The current paper introduces the special issue on research attempting to extend the construct of psychopathy to child and adolescent samples. Past special sections and reviews have typically focused on the implications of this research for forensic research and practice. The current special issue focuses on topics relevant for integrating this research within the broader literature on childhood psychopathology. Papers included in this special issue focus on the structure of psychopathic traits in youth, the relation of these traits to other important psychopathological and personality constructs in children and adolescents, and the utility of these traits for identifying a distinct subgroup of antisocial youth who differ on important cognitive processes and on the severity and stability of their problem behavior. These empirical works are followed by commentary provided by two prominent scholars who outline the potential importance of the construct for advancing our understanding of childhood psychopathology. In addition, these scholars provide a discussion of important directions for future research.
Using taxometric procedures, the latent structure of psychopathy was investigated in two studies of children and adolescents. Prior studies have identified a taxon (i.e., a natural category) associated with antisocial behavior in adults as well as children and adolescents. However, features of this taxon suggest that it is not psychopathy but rather a broader class consistent with the construct of life course persistent antisocial behavior. Because the only prior study of youth used a non-clinical sample, the base rate of psychopathy may have been too low to reveal a psychopathy taxon, especially against the background of a broader and more prevalent antisocial behavior taxon. Therefore, this investigation sought to increase the likelihood of finding a psychopathy taxon (should one exist) by increasing its expected base rate through inclusion of clinical cases in the samples studied. Results produced evidence for both a broad antisocial behavior problem taxon consistent with past research and a much lower base rate taxon consistent with prevalence expectations for psychopathy. These findings support the existence of latent taxa for both psychopathy and a broader class of antisocial behavior problems. Further taxometric research appears to be warranted, which should use a broader array of indicators, with greater specificity to psychopathy.
This article provides a summary of research in 4 areas that have direct and important implications for evidence-based assessment of children and adolescents with conduct problems (CP): (a) the heterogeneity in types and severity of CP, (b) common comorbid conditions, (c) multiple risk factors associated with CP, and (d) multiple developmental pathways to CP. For each of these domains, we discuss implications for evidence-based assessment, present examples of specific measures that can aid in such assessments, and provide recommendations for evidence-based assessment of CP in children and adolescents. We conclude that there is a need to (a) enhance the clinical utility of evidence-based measures for assessing CP; (b) increase attention to the sensitivity of such measures to change, for both treatment evaluation and monitoring; and (c) develop assessment methods that reliably and validly identify a child or adolescent's placement and progress on the various developmental pathways to CP.
Association with a deviant peer group is a robust correlate of juvenile antisocial behavior. The current study focused on whether this association differed for antisocial youth with and without callous-unemotional (CU) traits and whether potential mediators of this association differed for the 2 groups. Deviant peer group association was examined in a community sample (N = 98) of high-risk youth. The sample was assessed at 4 yearly intervals. Across all assessment points, children with conduct problems and CU traits showed the highest level of affiliation with deviant peers. At the first 2 assessment points, this effect was largely mediated by dysfunctional parenting and problems in the child's social relationships. In contrast, the mediational role of these variables was much weaker at the last 2 assessment points.
This article discusses the promise and problems associated with integrating research on child temperament and research on childhood psychopathology. Unfortunately, these 2 extensive and influential areas of psychological research with children have largely been conducted independently of each other. This article provides a summary of the disciplinary, conceptual, and methodological issues that have hampered an integration of these 2 important bodies of research. It also highlights the great promise that such an integration could have for advancing causal theories of childhood disorders and for eventually improving the treatment provided to children with serious emotional and behavioral disturbances.
This article reviews research linking a number of temperamental vulnerabilities to the development of severe conduct problems in children. Also reviewed are 2 areas of research that focus on important developmental processes that could mediate the relation between temperament and conduct problems. These processes are the development of emotional regulatory abilities and the development of the affective components of conscience. Both of these processes have been associated with certain temperamental vulnerabilities, and they can both place a child at risk for the development of conduct problems. Importantly, these 2 processes may designate children who develop conduct problems through distinct causal pathways and, as a result, could help to explain some of the subtypes of antisocial youth reported in past research.
One significant limitation in research extending the construct of psychopathy to youth has been the absence of longitudinal studies testing the stability of psychopathic traits prior to adulthood. To begin to address this limitation, the current study estimated the stability of psychopathic traits over a 4 year period in a sample of non-referred children in the third, fourth, sixth, and seventh grades at the first assessment. For parent ratings of psychopathic traits, stability estimates using intra-class correlation coefficients ranged from 0.80 to 0.88 across 2-4 years, with a stability estimate of 0.93 across all four assessments. There were also distinct trends in the patterns of stability found in the sample. Specifically, children rated as being initially high on these traits were more likely to be rated lower at later assessments than was the case for children rated initially low on these traits. Finally, the child's level of conduct problems, the socioeconomic status of the child's family, and the quality of parenting the child received were the most consistent predictors of stability of psychopathic traits.
The role of callous-unemotional (CU) traits and conduct problems in predicting conduct problem severity, severity and type of aggression, and self-reported delinquency at a 1-year follow-up was investigated in a sample of 98 children (mean age 12.43; SD = 1.72) recruited from a community-wide screening. Children with both CU traits and conduct problems had a greater number and variety of conduct problems at follow-up than children who at the screening had high levels of conduct problems alone. However, this poorer outcome for children with CU traits could largely be accounted for by differences in initial level of conduct problem severity. Children with CU traits and conduct problems were also at risk for showing higher levels of aggression, especially proactive aggression, and self-reported delinquency. Importantly, these outcomes could not be solely explained by initial level of conduct problem severity. Finally, CU traits predicted self-reported delinquency in some children who did not initially show high levels of conduct problems and this predictive relationship seemed to be strongest for girls in the sample who were high on CU traits but who did not show significant conduct problems.
One method for defining pathways through which children develop severe conduct problems is based on the presence or absence of callous-unemotional (CU) traits. This study investigated potential differences between nonreferred children (mean age = 12.36 years; SD = 1.73) with and without CU traits (n = 98). Children with conduct problems, irrespective of the presence of CU traits, tended to have significant problems in emotional and behavioral regulation. In contrast, CU traits, irespective of the presence of conduct problems, were associated with a lack of behavioral inhibition. Hostile attributional biases were associated with conduct problems but only in boys and in the absence of CU traits. These findings suggest that the processes underlying deficits in emotional and behavioral regulation in children with conduct problems may be different for children with CU traits.
OBJECTIVE: There seem to be two dimensions associated with psychopathic traits in youths: a callous/unemotional factor (C/U) and an impulsivity/conduct problems factor (I/CP). This study sought to clarify the nature of these two factors and examine their relation with social-cognitive problems in incarcerated adolescents. METHOD: One hundred sixty-nine male and female adjudicated youths were recruited for participation. Self-report measures and archival data were used to assess psychopathic traits, emotional distress, behavioral dysregulation, social-cognitive processes, and delinquency severity. RESULTS: Analyses demonstrated that the I/CP factor is associated with increased levels of dysregulated behavior, while the C/U dimension is related to deficits in empathy. The two factors exhibited differential relations with measures of emotional distress and fearfulness. C/U traits were associated with an increased focus on the positive aspects of aggression and a decreased focus on the negative aspects of hostile acts. Findings remained after controlling for demographic characteristics, abuse history, intellectual abilities, and delinquency severity. CONCLUSIONS: Results provide support for the two-dimensional nature of psychopathy in youths and suggest that C/U traits are associated with lower emotional distress and a specific social information-processing pattern. The potential implications for working with adjudicated youths exhibiting C/U traits are noted.
Examined the emotional reactivity of adolescents with antisocial behavior problems using a lexical decision paradigm. Evidence from adult forensic samples indicates that psychopathic traits are associated with abnormalities in the processing of emotional stimuli. In an attempt to extend these findings earlier in development, this association was tested in a sample of adolescents (mean age = 16.01; SD = 1.32) referred to a diversion program for delinquent behavior. Emotional processing was assessed by comparing recognition time for emotional words, both positive and negative, to recognition time for nonemotional words. Consistent with adult findings, the callous-unemotional (CU) dimension of psychopathy was associated with slower reaction times to negative words. In contrast, problems of impulse control were associated with faster recognition times for negative emotional words. These findings suggest that different patterns of emotional reactivity may characterize distinct subgroups of youth with antisocial behavior problems.