Vincent Gina M, Vitacco Michael J, Grisso Thomas, Corrado Raymond R
Department of Psychiatry, University of Massachussetts Medical School, Worcester, MA 01655, USA.
Behav Sci Law. 2003;21(6):695-712. doi: 10.1002/bsl.556.
Etiological models of life-course persistent offending often emphasize behavioral explanations. Suggestions that persistent offenders have psychopathy ignore the distinct non-behavioral features of the psychopathy disorder. Using a three-factor model of the PCL-YV and cluster analysis with 259 incarcerated adolescents, we identified four distinct juvenile subtypes on the basis of affective, interpersonal, and behavioral dimensions. Prospective and retrospective comparisons of antisocial behavior patterns found the cluster comprising all three psychopathy dimensions to be the most chronic and severe. Impulsive features alone were strongly associated with severe antisocial behaviors retrospectively, but not prospectively. Findings rebut the proposal that disruptive behavioral and impulsive symptoms can identify "fledgling psychopaths." Assessments that disregard callous-unemotional traits will likely result in high false positive rates among serious adolescent offenders. Implications for developmental models of chronic offending are discussed in light of the need for further follow-up into adulthood.
生命历程中持续犯罪的病因模型通常强调行为方面的解释。认为持续性犯罪者患有精神变态的观点忽视了精神变态障碍独特的非行为特征。我们使用PCL-YV三因素模型并对259名被监禁青少年进行聚类分析,基于情感、人际和行为维度确定了四种不同的青少年亚型。对反社会行为模式的前瞻性和回顾性比较发现,包含所有三个精神变态维度的聚类是最具长期性和严重性的。仅冲动特征在回顾性分析中与严重反社会行为密切相关,但在前瞻性分析中并非如此。研究结果反驳了破坏性行为和冲动症状可识别“初现端倪的精神变态者”这一观点。忽视冷酷无情特质的评估很可能在严重青少年犯罪者中导致高假阳性率。鉴于需要对成年期进行进一步随访,我们讨论了对慢性犯罪发展模型的影响。