Because it largely captures people who commit crimes, either
sociopathic or non, the PCL-R is both over-inclusive of non-sociopathic
criminals and under-inclusive of non-criminal sociopaths. (Id, citing Lilienfeld, 1994.) At best, research based on the PCL-R
can be characterized as “a literature on unsuccessful psychopathy.” Id. However not all sociopaths are
unsuccessful. Rather the “great majority of psychopaths” have (Id, quoting Hercz, 2001, ¶ 11.) via
their “ individual differences in talents and opportunities” channeled their psychopathic
tendencies not into criminality, but into heroism, worldly success, etc. Id, citing Cleckley, 1976; Harkness
& Lilienfeld, 1997; Lilienfeld, 1998; Lykken, 1995. Hare himself has
conceded, most sociopaths are not criminals.
Although Hare never filed suit, he successfully delayed
publication of Skeem and Cooke’s article by three years. He was also roundly
criticized as improperly interfering with the peer review process. In an
article titled “Fear Review,” Scientific
American writes : “’It was [a] shock,’ Skeem says of Hare's legal threat. ‘this
is not about Professor Hare, and it's only incidentally about the Psychopathy
Checklist,’ she says. ‘The focus was really on how we could move the field
forward.’”
Hare conceded in his response to Skeem and Cooke that the
PCL-R does not embody the concept of psychopathy, nor is criminality a
necessary component, but there are only twenty factors and three of them
specifically deal with criminality: “criminal versatility”, “juvenile
delinquency” and “revocation of conditional release” (revoked parole). Another
is “many short-term marital relationships”. Only half of the factors track
Cleckley sociopathy.
How did non-Cleckley traits enter the PCL-R?
[B]ecause participants in the PCL
development sample were criminals rather than nonincarcerated patients or
nonpatients, it seems likely that the initial candidate pool included many more
deviance-related items, such that [Cleckley’s] positive adjustment indicators
dropped out in the selection process. The result is that the PCL-R, compared with
Cleckley’s original diagnostic criteria, contains items that are uniformly
indicative of deviancy and psychological maladjustment.
Patrick, et al. (2009).
Studying exclusively criminals and then assuming sociopathy
must be related to criminality seems like an obvious sampling error. If I
exclusively studied my church congregation for sociopathy, could I properly
infer a connection between sociopathy and organized religion? Even Hare admits
“the majority of psychopaths aren't criminal,” so how could he be satisfied
basing his test exclusively on criminals?
Despite round criticism from the psychological community,
the PCL-R’s psychopath has left a lasting academic and public impression.
Notwithstanding mounting research to the contrary, the dominant popular view of
sociopathy is Hare’s criminal recidivist remorseless killer. This is the
psychopathy of Hollywood murder movies. I too am scared of such a person,
although I haven’t yet encountered one.
Modern researchers remain divided between Cleckley’s
carefree bon vivant and Hare, Rollins, McCord and McCord’s criminal
deviant. While Cleckley’s view of
sociopaths amounted to emotional colorblindness, Hare et al. depict a “bad egg”
rife with moral rottenness – a severely emotionally damaged individual characterized
by a loveless and guiltless existence of unrestrained malice for fellow man. Id. Where Cleckley saw “boldness,” they
see “meanness.” Where Cleckley saw a lack of connection to the sociopath’s own
feelings and the feelings of others, they see a vicious disregard for the
feelings of others. Id. Cleckley
sought to understand underlying thought patterns, they sought to label external
behavior. Cleckley saw a potential patient, they see a social predator.
Cleckley saw a problem for which he was seeking a cure.[i]
They see a problem that needs to be identified and isolated to protect society,
or as Hare has said:
Measurement and categorization are,
of course, fundamental to any scientific endeavor, but the implications of
being able to identify psychopaths are as much practical as academic. To put it
simply, if we can't spot them, we are doomed to be their victims, both as
individuals and as a society.
Hare’s remorseless criminal psychopath is associated with
“Factor 2 psychopathy”. While Factor 1 traits track Cleckley’s sociopath,
Factor 2 adds new traits largely associated with deviance. Not surprisingly,
there is little correlation between Factor 2 and Factor 1 traits. In fact, some
flatly contradict each other:
- High aggression, impulsivity, and sensation seeking. Harpur et al., (1989); Hare, (1991).
- Aggression provoked by reactionary anger. Patrick & Zempolich, (1998); Porter & Woodworth, (2006).
- High levels of alcohol and drug dependence. Hare, (2003); Smith & Newman, (1990).
- Deviant behavior. Hall et al. (2004)
- High disinhibition and boredom, anger, alienation, distress at negative everyday events. Id.
- Low conscientiousness and low interest in achievement. Id.
- Low personal socioeconomic status. Id.
- Historic and future crimes against people, including violent crimes. Skeem, Mulvey, and Grisso (2003)
- High aggressiveness. Id.
- Low agreeableness and lower connection to or interaction with other people. Id.
- High FFM neuroticism (worrying or negative feelings about everyday incidents), low FFM agreeableness, and low conscientiousness.
o
Interestingly, these are exactly opposite of the
Factor 1 results for these categories.
Patrick, et al. (2009).
How can the same group be characterized by both high
emotional reactiveness and low emotional reactiveness? Are they angry anxious
drug addicts or are they happy-go lucky charmers? Are they impulsive sadist
below-the-poverty-line loners or socially dominant Machiavellian CEOs? Are we
looking at violent offenders who have a hard time regulating their overpowering
emotions or feckless opportunists who have a hard time feeling their own or
others’ emotions? Are they primarily emotionally or intellectually driven?
Reactive or proactive?
As researchers have posited, the same group can’t really be
both, unless we’re talking about two or more separate but related things.
Perhaps, as some have suggested, one thing is more nature and the other
nurture. Some say one is a sociopath and the other is a psychopath. Or one is a
primary sociopath and the other a secondary sociopath. Some say they have the
same underlying cause, but only manifest differently. For example, that
sociopathy manifests itself naturally in boldness, and meanness is only what
happens when you combine sociopath plus risk factors, e.g. childhood neglect or
abuse, low socioeconomic status, low education, single parent household, etc.
When Cleckley’s emotional blindness is given prosocial outlets, they argue, it
can lead to “social efficacy, imperturbability, and tolerance of danger” and if
not, “impulsivity, rebelliousness, alienation, and aggression.” Id. This would explain the shared traits
(fearlessness and boldness) you see between criminal and non-criminal sociopaths
as well as the differences in behavior between the two.[ii]
[i]
Cleckley’s position was that he knew of no treatment, but he blamed it in part
on the collective evasion of the issue by the psychological community and
society at large rather than any definitive evidence of there being no
treatment:
Although I spared no effort to
make it plain that I did not have an effective therapy to offer, the earlier
editions of this book led to contact with psychopaths of every type and from
almost every section of the United States and Canada. Interest in the problem
was almost never manifested by the patients themselves. The interest was
desperate, however, among families, parents, wives, husbands, brothers, who had
struggled long and helplessly with a major disaster for which they found not
only no cure and no social, medical, or legal facility for handling, but also
no full or frank recognition that a reality so obvious existed.
….the psychopath presents an
important and challenging enigma for which no adequate solution has yet been
found. Although still in the unspectacular and perforce modest position of one
who can offer neither a cure nor a well-established explanation, I am
encouraged by ever increasing evidence that few medical or social problems have
ever so richly deserved and urgently demanded a hearing.
Cleckley, “Mask of Sanity”.
[ii]
See, e.g.:
“The boldness component of psychopathy,
which is tapped weakly and incompletely by the items of the PCL-R, is important
to distinguish in turn from the meanness component, which is well represented
in the PCL-R. One reason is that the distinction between boldness and meanness
is crucial to reconciling Cleckley’s conception of psychopathy with that
advanced by more criminologically oriented theorists (e.g., McCord &
McCord, 1964; Robins, 1966). Another is that boldness, although phenotypically
distinct from meanness, appears to share a key etiologic substrate (i.e.,
diminished fear capacity). This raises the important developmental question,
discussed in the last major section below, of what intersecting etiologic
factors give rise to meanness as opposed to boldness in temperamentally
fearless individuals.
Yet another reason is that the
construct of boldness is likely to be of unique importance in understanding
so-called “successful psychopaths”: individuals exhibiting high levels of
charm, persuasiveness, imperturbability, and venturesomeness who achieve
success in society as military, political, or corporate-industrial leaders (cf.
Lykken, 1995).”
Patrick, et al. (2009).