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Scott O Lilienfeld

Publications and source records attributed to Scott O Lilienfeld.

At least 19 recordsLinked to original sources
PubMed2006

Neural correlates of social cooperation and non-cooperation as a function of psychopathy.

BACKGROUND: Psychopathy is a disorder involving a failure to experience many emotions that are necessary for appropriate social behavior. In this study, we probed the behavioral, emotional, and neural correlates of psychopathic traits within the context of a dyadic social interaction. METHODS: Thirty subjects were imaged with functional magnetic resonance imaging while playing an iterated Prisoner's Dilemma game with human confederates who were outside the scanner. Subjects also completed two self-report psychopathy questionnaires. RESULTS: Subjects scoring higher on psychopathy, particularly males, defected more often and were less likely to continue cooperating after establishing mutual cooperation with a partner. Further, they experienced more outcomes in which their cooperation was not reciprocated (cooperate-defect outcome). After such outcomes, subjects scoring high in psychopathy showed less amygdala activation, suggesting weaker aversive conditioning to those outcomes. Compared with low-psychopathy subjects, subjects higher in psychopathy also showed weaker activation within orbitofrontal cortex when choosing to cooperate and showed weaker activation within dorsolateral prefrontal and rostral anterior cingulate cortex when choosing to defect. CONCLUSIONS: These findings suggest that whereas subjects scoring low on psychopathy have emotional biases toward cooperation that can only be overcome with effortful cognitive control, subjects scoring high on psychopathy have an opposing bias toward defection that likewise can only be overcome with cognitive effort.

Adult↗
PubMed2006

Is antisocial personality disorder continuous or categorical? A taxometric analysis.

BACKGROUND: Although the DSM-IV-TR is organized into discrete disorders, the question of whether a given disorder possesses a dimensional or a categorical latent structure is an empirical one that can be examined using taxometric methods. The objective of this study was to ascertain the latent structure of antisocial personality disorder (ASPD). METHOD: Participants were 1146 male offenders incarcerated in state prisons (n=569), or court-ordered to residential drug treatment (n=577). Participants were interviewed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) to assess ASPD symptoms; they also completed the Personality Diagnostic Questionnaire-4 (PDQ-4) ASPD scale. Taxometric analyses were performed to examine whether ASPD is underpinned by a discrete category or a dimensional construct. RESULTS: Multiple taxometric procedures using two different sets of indicators provided no evidence that ASPD has a taxonic latent structure. Instead, the results were far more consistent with the proposition that ASPD exists on a continuum, regardless of whether it is assessed using a structured interview or a self-report measure. CONCLUSIONS: Evidence that ASPD is dimensional suggests that it is best studied using continuous measures and that dichotomizing individuals into ASPD versus non-ASPD groups will typically result in decreased statistical power. The findings are also consistent with a multifactorial etiology for ASPD and with recent attempts to conceptualize ASPD within the framework of extant dimensional models of personality.

Adult↗
PubMed2006

Psychopathy factors and risk for aggressive behavior: a test of the "threatened egotism" hypothesis.

The primary purpose of this study was to examine psychopathy within a model of aggressive behavior that encompasses narcissism and "threatened egoism." This model was advanced by Baumeister and his colleagues (e.g., R. F. Baumeister, L. Smart, & J. M. Boden, 1996; B. J. Bushman & R. F. Baumeister, 1998). We examined whether the threatened egotism model extends to the construct of psychopathy and whether the two factors underlying psychopathy exhibit different associations with aggression within this model. Self-report data, correctional officer and counselor reports, and disciplinary report information obtained for 98 male inmates provided partial evidence that psychopathic individuals tend to respond aggressively when confronted with an ego threat. Moreover, psychopathic individuals exhibited this pattern of aggression more strongly than did narcissistic individuals. These findings bear potentially useful implications for the understanding and treatment of aggression in forensic populations.

Adolescent↗
PubMed2006

Psychopathic, not psychopath: taxometric evidence for the dimensional structure of psychopathy.

Although psychopathy is frequently regarded as qualitatively distinct from other conditions, relatively little research has examined whether psychopaths represent a distinct class of individuals. Using a sample of 876 prison inmates and court-ordered substance abuse patients who were administered the Psychopathy Checklist-Revised (R. D. Hare, 2003), the authors examined the latent structure of psychopathy using several taxometric procedures developed by Meehl and colleagues (P. E. Meehl & L. J. Yonce, 1994; N. G. Waller & P. E. Meehl, 1998). The results across these procedures offer no compelling support for the contention that psychopathy is a taxonic construct and contradict previous reports that psychopathy is underpinned by a latent taxon. The authors discuss the theoretical, public policy, and practice-level implications of these findings.

Adult↗
PubMed2006

Associations among early abuse, dissociation, and psychopathy in an offender sample.

Theorists have postulated that some variants of psychopathy result from childhood abuse and neglect. Dissociative symptoms are also thought to arise from abuse. To date, the conjoint associations among abuse, dissociation, and psychopathy have not been examined systematically. Some have hypothesized that abuse relates primarily to the affective symptoms of psychopathy, with dissociative experiences mediating this relationship. Others have suggested that abuse more directly affects the impulsive lifestyle features of psychopathy. The authors used structural equation modeling to examine these hypotheses in a sample of 615 male offenders who had completed a retrospective self-report measure of childhood abuse, the Dissociative Experiences Scale, and R. D. Hare's (2003) Psychopathy Checklist--Revised. Abuse exerted no direct or indirect effect on the core interpersonal and affective features of psychopathy but was directly related to the facet of psychopathy associated with an impulsive and irresponsible lifestyle. Implications for psychopathy subtypes are discussed.

Adult↗
PubMed2006

Construct validity of the psychopathic personality inventory two-factor model with offenders.

Much of the research on psychopathy has treated it as a unitary construct operationalized by total scores on one (or more) measures. More recent studies on the Psychopathic Personality Inventory (PPI) suggest the existence of two distinct facets of psychopathy with unique external correlates. Here, the authors report reanalyses of two offender data sets that included scores on the PPI along with various theoretically relevant criterion variables. Consistent with hypotheses, the two PPI factors showed convergent and discriminant relations with criterion measures, many of which would otherwise have been obscured when relying on PPI total scores. These results highlight the importance of examining facets of psychopathy as well as total scores.

Adult↗
PubMed2006

The interpersonal measure of psychopathy: construct and incremental validity in male prisoners.

The authors examined the construct and incremental validity of the Interpersonal Measure of Psychopathy (IM-P), a relatively new instrument designed to detect interpersonal behaviors associated with psychopathy. Observers of videotaped Psychopathy Checklist-Revised (PCL-R) interviews rated male prisoners (N = 93) on the IM-P. The IM-P correlated significantly with the PCL-R total score. Moreover, the IM-P was preferentially related to the interpersonal rather than the affective and antisocial lifestyle features of psychopathy. IM-P scores were significantly correlated with age, antisocial behaviors, and self-reported fear, anxiety, and socialization (in reverse). Hierarchical multiple regression analyses demonstrated that although the IM-P exhibited incremental validity beyond the PCL-R total score in detecting self-reported fear, anxiety, and several personality traits, it did not exhibit much incremental validity beyond PCL-R Factor 1. These findings raise questions concerning the unique assessment contribution of the IM-P beyond PCL-R Factor 1. Potential reasons for these findings and alternative means of enhancing the interpersonal assessment of psychopathy are discussed.

Adult↗
PubMed2005

A great pioneer of clinical science remembered: introduction to the special issue in honor of Paul E. Meehl.

In this special issue, the seminal contributions to clinical psychology of Paul E. Meehl, who passed away in 2003, are commemorated. The nine articles comprising this special issue chronicle Meehl's remarkable intellectual biography and examine his influence on diverse domains of psychology, including the clinical versus actuarial prediction debate, the cognitive activity of the clinician, personality assessment and trait theory, the etiology of schizophrenia, the shortcomings of statistical significance testing, and the use of metascientific methods to evaluate competing models of human nature. These articles illustrate not only Meehl's legendary brilliance but also his pivotal role in forcing clinical psychologists to think more clearly and incisively about their subject matter.

History, 20th Century↗
PubMed2005

Paul Everett Meehl: the cumulative record.

In this brief biographical sketch of Paul Meehl, the authors examine the "cumulative record" of his scholarship and mentorship. This record sheds light on why Meehl is widely regarded as one of the most influential clinical psychologists of the 20th century, as well as on Meehl's remarkable intellectual life. Time has proven that Meehl's writings are exceptional in their quality, influence, breadth, and depth. In addition, Meehl's cumulative record raises important questions regarding the reinforcement contingencies in major research-oriented psychology departments.

Actuarial Analysis↗
PubMed2005

Roots of the Rorschach controversy.

The controversy surrounding the Rorschach is updated, and an analysis of its dynamics is offered. Results on normative data and validity are reviewed, followed by a summary of, and rebuttal to, arguments made by Rorschach advocates. We argue that the current controversy can be traced, at least in part, to two unwarranted beliefs. First is the belief that informal impressions and popularity provide dependable evidence for evaluating validity. Second is the belief that Rorschach scores with low individual validity are likely to yield much higher levels of validity if they are interpreted in combination with each other, or with other sources of information, by experts. After presenting historical background information, we show how several arguments made recently in defense of the test reflect these two beliefs, even though they are contradicted by research findings. We conclude that a variety of other divisive conflicts in clinical psychology are related to the inappropriate weight placed on informal and unsystematic impressions relative to systematic research.

Humans↗
PubMed2005

The Anxiety Sensitivity Profile revisited: factor structure and psychometric properties in two nonclinical samples.

Anxiety sensitivity (AS) refers to the fear of anxiety-related symptoms based upon the belief that the sensations have harmful consequences. Although the most popular existing measure is the Anxiety Sensitivity Index (ASI), the Anxiety Sensitivity Profile (ASP) was developed as an alternative and theoretically improved assessment of the multifaceted nature of the AS construct. Nevertheless, there has been a paucity of research on this measure. We evaluated the psychometric properties and factor structure of the ASP in two large, geographically diverse undergraduate samples who completed the ASP and measures of anxiety and depression. Exploratory factor analysis revealed four lower order ASP factors in both samples: (1) fear of arousal-related symptoms, (2) fear of cognitive dyscontrol and dissociation, (3) fear of gastrointestinal symptoms, and (4) fear of cardiac symptoms. The fear of cardiac symptoms factor was relatively unstable in both studies. Correlations between the ASP factors and related variables were consistent with AS theory. The strengths and limitations of the ASP are offered as well as the implications of our findings for the nature and assessment of AS.

Adult↗
PubMed2005

Rosenhan revisited: the scientific credibility of Lauren Slater's pseudopatient diagnosis study.

In a recent and widely publicized book, psychologist Lauren Slater reported an attempt to test David Rosenhan's hypothesis that psychiatric diagnoses are influenced primarily by situational context rather than by patients' signs and symptoms. Slater presented herself to nine psychiatric emergency rooms with the lone complaint of an isolated auditory hallucination (hearing the word "thud"). In almost all cases, she reported receiving the diagnosis of psychotic depression and prescriptions for antidepressants and antipsychotics. Slater concluded that psychiatric diagnoses are largely arbitrary and driven by a "zeal to prescribe." Our goal was to examine the scientific credibility of Slater's findings using a vignette methodology. We presented a sample of emergency room psychiatrists (N = 74) with a detailed case vignette derived from the clinical description in Slater's book, and asked them a series of questions regarding diagnosis and treatment recommendations. In sharp contrast to what Slater reported, we found that only three psychiatrists offered a diagnosis of psychotic depression. Moreover, only one third recommended medication. Our study raises questions regarding Slater's results and conclusions, and provides scant support for the claim that psychiatric diagnoses are mostly products of fashion or fad, as claimed by Slater.

Adult↗
PubMed2005

Assessing psychopathic personality traits with the MMPI-2.

In this study, we examined the utility of the MMPI-2 (Butcher et al., 2001) in assessing psychopathic personality traits. We explored whether MMPI-2 scales that measure affective and interpersonal traits add to the instrument's social deviance measures in assessing global psychopathy and its two facets. Our study of 281 male and female college students indicates that the MMPI-2 Social Deviance scales (e.g., Clinical Scales 4 and 9, ASP) predict substantial variance in the social deviance factor and affiliated subscales of the Psychopathic Personality Inventory (PPI; Lilienfeld & Andrews, 1996), whereas MMPI-2 measures of affective and interpersonal functioning predict substantial variance in the affective-interpersonal PPI factor. In addition, the results of two regression models indicate that the Restructured Clinical scales provide the most parsimonious assessment of psychopathic personality traits.

Adolescent↗
PubMed2005

Longitudinal studies of personality disorders: four lessons from personality psychology.

The three longitudinal projects described in this special section of the Journal of Personality Disorders raise a number of intriguing questions concerning the natural history of personality disorders and offer more than their share of surprises. In addition, they underscore several valuable lessons derived from the literature on normal-range personality traits. Drawing in part from the writings of the American trait psychologist Gordon Allport, I describe four such lessons: (1) change and continuity of personality traits and disorders can and do coexist, (2) the covariation among personality traits helps to account for the "comorbidity" among personality disorders, (3) personality traits and disorders influence how individuals interpret life events, and (4) personality traits must be distinguished from behavioral adaptations to these traits. These lessons remind us that the science of personality disorders must be informed by the basic science of personality.

Anxiety Disorders↗
PubMed2005

Scientifically unsupported and supported interventions for childhood psychopathology: a summary.

Although numerous scientifically supported treatments are available for childhood psychiatric disorders, many of the most popular interventions for these conditions are based on weak or nonexistent data. This article offers basic guidelines for distinguishing scientifically supported from unsupported treatments for 3 important childhood psychiatric disorders: autistic disorder, attention-deficit/hyperactivity disorder, and conduct disorder. A key challenge for the future will be to place the treatment of childhood psychiatric disorders on firmer scientific footing.

Anxiety Disorders↗
PubMed2004

Defining psychology: is it worth the trouble?

Henrique's thoughtful effort (this issue) to define psychology suffers from at least three shortcomings: (a) "psychology" is almost certainly an inherently fuzzy concept that resists precise definition; (b) attempts to define psychology are likely to hamper rather than foster consilience across scientific disciplines; and (c) Henriques incorrectly diagnoses the cause of the scientist-practitioner gap and hence offers an incorrect prescription. The sources of this gap lie not in intractable definitional disputes, but in fundamentally different approaches to acquiring knowledge.

Animals↗