Feature-based attention and conflict monitoring in criminal offenders: interactive relations of psychopathy with anxiety and externalizing.

As predicted by the response modulation model, psychopathic offenders are insensitive to potentially important inhibitory information when it is peripheral to their primary focus of attention. To date, the clearest tests of this hypothesis have manipulated spatial attention to cue the location of goal-relevant versus inhibitory information. However, the theory predicts a more general abnormality in selective attention. In the current study, male prisoners performed a conflict-monitoring task, which included a feature-based manipulation (i.e., color) that biased selective attention toward goal-relevant stimuli and away from inhibitory distracters on some trials but not others. Paralleling results for spatial cuing, feature-based cuing resulted in less distracter interference, particularly for participants with primary psychopathy (i.e., low anxiety). This study also investigated the moderating effect of externalizing on psychopathy. Participants high in psychopathy but low in externalizing performed similarly to primary psychopathic individuals. These results demonstrate that the abnormal selective attention associated with primary psychopathy is not limited to spatial attention but, instead, applies to diverse methods for establishing attentional focus. Furthermore, they demonstrate a novel method of investigating psychopathic subtypes using continuous analyses.

Both self-report and interview-based measures of psychopathy predict attention abnormalities in criminal offenders.

Historically, psychopathy has been viewed as a clinical syndrome with a unitary etiology, assessed via clinical interview. However, factor analytic studies suggest that psychopathy may also be understood as a combination of two subfactors consisting of (a) interpersonal-affective and (b) lifestyle-antisocial traits. Furthermore, evidence supports the use of self-report measures to assess psychopathy and these subfactors. This investigation employed a Stroop-like task to determine the relationship of the two psychopathy factors, as assessed by both interview-based and self-report measures, to attention-related abnormalities in psychopathy. For both instruments, the factors interacted to predict performance (i.e., interference), though the unique main effects were nonsignificant. The results suggest that the anomalous selective attention of psychopathic offenders is specific to individuals with high scores on both factors. Moreover, these results have important implications for the two-factor model of psychopathy and provide preliminary support for the functional similarity of self-report and interview-based measures of psychopathy.

Cognitive control deficits associated with antisocial personality disorder and psychopathy.

Antisociality has been linked to a variety of executive functioning deficits, including poor cognitive control. Surprisingly, cognitive control deficits are rarely found in psychopathic individuals, despite their notoriously severe and persistent antisocial behavior. In fact, primary (low-anxious) psychopathic individuals display superior performance on cognitive control-type tasks under certain circumstances. To clarify these seemingly contradictory findings, we administered a response competition (i.e., flanker) task to incarcerated offenders, who were assessed for Antisocial Personality Disorder (APD) symptoms and psychopathy. As hypothesized, APD related to poorer accuracy, especially on incongruent trials. Contrary to expectation, however, the same pattern of results was found in psychopathy. Additional analyses indicated that these effects of APD and psychopathy were associated with overlapping variance. The findings suggest that psychopathy and APD symptoms are both associated with deficits in cognitive control, and that this deficit relates to general antisociality as opposed to a specific antisocial syndrome.

Reduced susceptibility to the attentional blink in psychopathic offenders: implications for the attention bottleneck hypothesis.

OBJECTIVE: Newman and Baskin-Sommers (in press) have proposed that psychopathy reflects an attention bottleneck that interferes with processing contextual information, including the timely processing of affective and inhibitory cues that initiate self-regulation. Despite a wealth of evidence that attention moderates the affective, inhibitory, and self-regulation deficits of psychopathic offenders, to date there is little or no evidence that psychopathic offenders perform abnormally on a canonical measure of selective attention. In this study, we address this gap in the literature and clarify the attention-related abnormality in psychopathy. METHOD: We administered the attentional blink (AB) task to 37 male prisoners assessed with Hare's (2003) Psychopathy Checklist-Revised. In the AB paradigm, participants identify targets in a rapid serial visual presentation. Distracters' temporal proximity to the first target elicits a conflict between attending to the target and attending to the distracters. Greater conflict results in a larger AB (i.e., reduced accuracy for the second target). RESULTS: As predicted, psychopathic offenders displayed a significantly smaller AB (i.e., better accuracy throughout the blink interval) than nonpsychopathic offenders. CONCLUSIONS: Consistent with the attentional bottleneck hypothesis, psychopathic participants were less susceptible to distracter effects following presentation of an initial target. The results clarify the nature of the attention bottleneck in psychopathy, the circumstances in which it enhances versus interferes with performance, and its implications for more ecologically valid conditions involving the sequential presentation of goal-relevant and goal-incongruent information.

Self-reported attentional control differentiates the major factors of psychopathy.

The dual-deficit model identifies unique correlates of the two major factors associated with psychopathy (Patrick, 2007). Factor 1 is associated with deficits in amygdala-mediated emotion, while Factor 2 is related to deficits in higher-order cognitive processes. Research suggests that attention to environmental and contextual cues is critical for emotion and cognition (Ochsner & Gross, 2005). Therefore, and by extension, attention may also be important to deficits in both Factor 1 and Factor 2. The present study utilizes a sample of male prisoners in order to examine the relationship between self-reported attentional control (Derryberry & Reed, 2002) and the major factors of psychopathy, as assessed by three different methods. Across all three measures, Factor 1 is associated with superior attentional control, whereas Factor 2 is related to inferior attentional control. Furthermore, results provide support for the external validity of three commonly used methods for assessing psychopathy. We propose that anomalous attentional control may contribute to both major symptom clusters associated with psychopathy.

Attention moderates the processing of inhibitory information in primary psychopathy.

Primary psychopathic individuals are less apt to reevaluate or change their behavior in response to stimuli outside of their current focus of attention. According to the response modulation hypothesis, this tendency reflects a lack of responsivity to important peripheral information and undermines adaptive self-regulation. To evaluate this hypothesis, the authors administered a response competition (flanker-type) task and manipulated focus of visual attention. They predicted that psychopathic individuals would display significantly less interference to response incongruent information than nonpsychopathic participants when attention was cued to the target location but display normal interference when there was no prepotent focus of attention. The results confirmed this hypothesis and are consistent with the contention that attention moderates psychopathic individuals' responsivity to inhibitory cues. Implications of this attentional anomaly for psychopathic traits and behavior are discussed.