1 Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 University of Georgia, Athens, GA, USA.
J Interpers Violence. 2019 Jun;34(12):2438-2457. doi: 10.1177/0886260516660972. Epub 2016 Jul 25.
Although research suggests that the antisocial behavior (ASB) facet of psychopathy generally carries the greatest predictive power for future violence, these findings are drawn primarily from forensic samples and may reflect criterion contamination between historical violence and future violence perpetration. Likewise, these findings do not negate the association of other psychopathy facets to violence or their role in the development of violence, nor do they offer practical utility in the primary prevention of violence. There are a number of empirical and theoretical reasons to suspect that the callous affect (CA) facet of psychopathy may demonstrate stronger statistical association to violence in nonforensic populations. We tested the association of CA to severe acts of violence (e.g., assault with intent to harm, injure, rape, or kill) among men with and without history of arrest ( N = 600) using both the three- and four-facet models of psychopathy. CA was robustly associated with violence outcomes across the two groups in the three-facet model. When testing the four-facet model, CA was strongly associated with violence outcomes among men with no history of arrest, but only moderately associated with assaults causing injury among men with history of arrest. These results are consistent with data from youth populations that implicate early emotional deficits in later aggressive behavior and suggest CA may help to identify individuals at risk for violence before they become violent. Implications for the public health system and the primary prevention of violence are discussed.
虽然研究表明,精神病态的反社会行为(ASB)方面通常对未来的暴力行为具有最大的预测能力,但这些发现主要来自法医样本,可能反映了历史暴力与未来暴力行为之间的标准污染。同样,这些发现并没有否定其他精神病态特征与暴力的关联,也没有否定它们在暴力发展中的作用,也没有为暴力的初级预防提供实际效用。有许多经验和理论上的原因怀疑精神病态的冷酷情感(CA)方面可能与非法医人群中的暴力行为表现出更强的统计关联。我们使用精神病态的三因素和四因素模型,测试了 CA 与有和没有被捕史的男性中的严重暴力行为(例如,意图伤害、伤害、强奸或杀害的攻击)之间的关联(N=600)。在三因素模型中,CA 在两个群体中的暴力结果之间具有很强的相关性。在测试四因素模型时,CA 与没有被捕史的男性中的暴力结果强烈相关,但与有被捕史的男性中的造成伤害的攻击仅中度相关。这些结果与青少年人群的数据一致,这些数据表明早期的情感缺陷会导致后来的攻击行为,并表明 CA 可能有助于在个体变得暴力之前识别出有暴力风险的个体。讨论了公共卫生系统和暴力初级预防的意义。