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Investigating psychopathic personality disorder in women. Mette Kreis, M.Sc. Postgraduate Research Student Glasgow Caledonian University Scottish Personality Disorder Network Workshop, Aberdeen, 29 May 2008. Psychopathy and gender Introduction to the CAPP

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investigating psychopathic personality disorder in women

Investigating psychopathic personality disorder in women

Mette Kreis, M.Sc.

Postgraduate Research Student

Glasgow Caledonian University

Scottish Personality Disorder Network

Workshop, Aberdeen, 29 May 2008

workshop outline

Psychopathy and gender

  • Introduction to the CAPP
  • Interactive CAPP activity
  • Presentation of research findings
  • Questions and discussion
Workshop outline
psychopathy and gender

Psychopathy and gender

Background for PhD research

measuring psychopathy

Psychopathy Checklist-Revised (PCL-R; Hare,

1991, 2003)

  • 2 Factor model
  • 3 Factor model (Cooke & Michie)
  • 4 Factor model(s)

Psychopathy Checklist: Screening

Version (PCL:SV; Hart et al., 1995)

Measuring psychopathy
problems with pcl r

Mainly validated with male offenders

Not content validated on women

Different factor structure across gender

Differential expression of some items

PCL-R reliable with women?

PCL-R valid with women?

Problems with PCL-R…
forouzan cooke 2005

No conceptual framework for women

No measurement framework

BACK TO BASICS!

Forouzan & Cooke (2005)
introduction to the capp

Introduction to the CAPP

The Comprehensive Assessment of Psychopathic Personality (CAPP; Cooke, Hart, Logan, & Michie)

slide15

Match symptoms with domains

  • Which symptoms do you feel are most relevant to psychopathy?
  • Which (if any) do you feel are most relevant to psychopathy in men and in women?
presentation of research findings

Presentation of research findings

Prototypical analysis of psychopathy across gender

study aims

Map domain of symptoms of

psychopathy in women

Content validate the CAPP across gender

Study aims
slide19

Wings

Feathers

Flies

BIRD

?

measure
Measure

6) LACKS EMOTIONAL DEPTH

How prototypical is this symptom of psychopathy?

Low prototypicality High prototypicality

1 2 3 4 5 6 7

Is this symptom more prototypical of psychopathy…

IN MEN Equally prototypical IN WOMEN

1 2 3 4 5 6 7

slide22

Results: General ratings

Lacks remorse

Self-justifying

Self-centred

Uncaring

Manipulative

Prototypical

Psychopathy

Unreliable

Unempathic

Insincere

Deceitful

Self-aggrandizing

Sense of entitlement

Lacks emotional depth

slide23

Results: Gender differences

Self-aggrandizing (1.02)

Sense of invulnerability (.99)

Domineering (.77)

Reckless (.73)

Aggressive (.71)

Lacks emotional stability (.66)

Unstable self-concept (.60)

Manipulative (.23)

slide24

More emotionally unstable?

Lacks emotional depth

Sense of entitlement

Prototypical psychopathic woman?

Self-justifying

Self-centred

Uncaring

Unempathic

Deceitful

Lacks remorse

Manipulative

Insincere

Unreliable

More unstable self-concept?

More manipulative?

what do the results mean

More men are psychopathic?

Or are we just less able to recognise the disorder

in women?

Assessor gender bias?

Men are aggressive, women are emotionally

unstable

Real gender differences in psychopathy?

What do the results mean?
conclusions

CAPP promising tool for assessing

psychopathy across gender

More marked gender differences in

manifestation of symptoms?

Gender awareness in assessment of

psychopathy is essential!

Conclusions
practical implications for assessing psychopathy in women

Do not expect to see the same presentation

of psychopathy in women as in men

Be aware of your own potential male

“psychopathy prototype” bias

For now, use assessment tools to aid

formulation not diagnose!

Practical implications for assessing psychopathy in women
questions

What mechanisms might operate to create gender differences in psychopathy? (or in PD generally)

  • Why would psychopathy be different from other PDs in terms of gender differences? (Hare says it is!)
Questions
slide30

Mette Kreis

Glasgow Caledonian University

Psychology Department

Cowcaddens Road

Glasgow, G4 0BA

Tel: 0141 331 8853

Fax: 0141 331 3636

mette.felbertkreis@gcal.ac.uk