Locating triarchic model constructs in the hierarchical structure of a comprehensive trait-based psychopathy measure: Implications for research and clinical assessment.

The triarchic model posits that distinct trait constructs of boldness, meanness, and disinhibition underlie psychopathy. The triarchic model traits are conceptualized as biobehavioral dimensions that can be assessed using different sets of indicators from alternative measurement modalities; as such, the triarchic model would hypothesize that these traits are not confined to any one item set. The present study tested whether the triarchic model dimensions would emerge from a hierarchical-structural analysis of the facet scales of the Elemental Psychopathy Assessment (EPA), an inventory designed to comprehensively index psychopathy according to the five-factor personality model. Study participants (Ns = 811, 170) completed the EPA and three different scale sets assessing the triarchic traits along with criterion measures of antisocial/externalizing behaviors. Bass-ackwards modeling of the EPA facet scales revealed a four-level structure, with factors at the third level appearing similar to the triarchic trait dimensions. An analysis in which scores for the Level-3 EPA factors were regressed onto corresponding latent-trait dimensions defined using the different triarchic scale sets revealed extremely high convergence (ßs = .84-.91). The Level-3 EPA factors also evidenced validity in relation to relevant criteria, approximating and sometimes exceeding that evident for the Level-4 EPA factors. Together, these results indicate that the triarchic trait constructs are embedded in a psychopathy inventory designed to align with a general personality model and effectively predict pertinent external criteria. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

An examination of early socioeconomic status and neighborhood disadvantage as independent predictors of antisocial behavior: A longitudinal adoption study.

The present study examined early socioeconomic status (SES) and neighborhood disadvantage (ND) as independent predictors of antisocial behavior (ASB) and addressed the etiology of the associations (i.e., genes versus the environment) using a longitudinal adoption design. Prospective data from the Colorado Adoption Project (435 adoptees, 598 nonadopted children, 526 biological grandparents of adoptees, 481 adoptive parents, and 617 nonadoptive parents including biological parents of unrelated siblings of adoptees) were examined. SES and ND were assessed during infancy and ASB was evaluated from ages four through 16 using parent and teacher report. Associations between predictors and ASB were compared across adoptive and nonadoptive families and sex. Early SES was a nominally significant, independent predictor of antisocial ASB, such that lower SES predicted higher levels of ASB in nonadoptive families only. ND was not associated with ASB. Associations were consistent across aggression and delinquency, and neither SES nor ND was associated with change in ASB over time. Nominally significant associations did not remain significant after controlling for multiple testing. As such, despite nonsignificant differences in associations across sex or adoptive status, we were unable to make definitive conclusions regarding the genetic versus environmental etiology of or sex differences in the influence of SES and ND on ASB. Despite inconclusive findings, in nonadoptees, results were consistent-in effect size and direction-with previous studies in the literature indicating that lower SES is associated with increased risk for ASB.

Assessment of psychopathy among justice-involved adult males with low versus average intelligence: Differential links to violent offending.

Psychopathic personality is a multidimensional construct (De Brito et al., 2021) and the dimensions have differential associations with general and violent offending. Impairment in cognitive functioning, particularly intelligence (IQ), is another construct linked to both general and violent offending. However, the evidence is mixed on whether the combination of elevated psychopathy and low IQ increases the risk for violent offending (Hampton et al., 2014; Heilbrun, 1982; Walsh et al., 2004). Also, before this interaction can be firmly established, assessment of whether psychopathic traits are equivalent among individuals with different levels of IQ, especially those in the justice system, is needed. Using multiple-group confirmatory factor analysis (MG-CFA), this study of justice-involved adult males tested whether Psychopathy Checklist-Revised (PCL-R; Hare, 2003) item parameters were invariant among those with low (< 85) versus average IQ (≥ 85). In addition, moderated nonlinear factor analysis was conducted using continuous IQ scores to test for its effect on a range of model parameters. Both approaches provided evidence of measurement invariance. Adding criminal offenses to the MG-CFA revealed differential associations of the psychopathy dimensions with violent offending. Finally, analysis of variance results suggested an interaction between psychopathy status and IQ level-that is, those meeting diagnostic criterion for psychopathy with low IQ had the highest number of violent offenses. This study provides evidence of measurement invariance for the PCL-R among justice-involved persons with varying levels IQ and helps to extend research on the dynamic associations between psychopathy, IQ, and violent behavior. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Evidence-Based Assessment of DSM-5 Disruptive, Impulse Control, and Conduct Disorders.

The assessment of oppositional defiant disorder, conduct disorder, antisocial personality disorder, and intermittent explosive disorder-the Disruptive, Impulse Control and Conduct Disorders-can be affected by biases in clinical judgment, including overestimating concerns about distinguishing symptoms from normative behavior and stigma associated with diagnosing antisocial behavior. Recent nosological changes call for special attention during assessment to symptom dimensions of limited prosocial emotions and chronic irritability. The present review summarizes best practices for evidence-based assessment of these disorders and discusses tools to identify their symptoms. Despite the focus on disruptive behavior disorders, their high degree of overlap with disruptive mood dysregulation disorder can complicate assessment. Thus, the latter disorder is also included for discussion here. Good practice in the assessment of disruptive behavior disorders involves using several means of information gathering (e.g., clinical interview, standardized rating scales or checklists), ideally via multiple informants (e.g., parent-, teacher-, and self-report). A commitment to providing a full and accurate diagnostic assessment, with careful and attentive reference to diagnostic guidelines, will mitigate concerns regarding biases.

LungElast-an open-source, flexible, low-cost, microprocessor-controlled mouse lung elastometer.

The study of mouse lung mechanics provides essential insights into the physiological mechanisms of pulmonary disease. Consequently, investigators assemble custom systems comprising infusion-withdrawal syringe pumps and analog pressure sensors to investigate the lung function of these animals. But these systems are expensive and require ongoing regulation, making them challenging to use. Here I introduce LungElast, an open-source, inexpensive, and self-contained instrument that can experimentally determine lung elasticity and volumes even in immature mice. It is assembled using custom 3D printed parts and readily available or easily constructed components. In this device, a microprocessor-controlled stepper motor automatically regulates lung volume by precisely driving a syringe piston whose position is determined using time-of-flight LIDAR technology. The airway pressures associated with the lung volumes are determined using compact sensor-on-chip technology, retrieved in a digital format, and stored by the microcontroller. The instrument software is modular, which eases device testing, calibration, and use. Data are also provided here that specify the accuracy and precision of the elastometer's sensors and volume delivery and demonstrate its use with lung models and mouse pups. This instrument has excellent potential for research and educational work.

Examining the economic costs of crime associated with psychopathic personality disorder: A reply to Verona and Joyner (2022).

In our article, "How much does that cost? Examining the economic costs of crime in North America attributable to people with psychopathic personality disorder" (Gatner et al., 2023, pp. 391-400), we estimated that psychopathic personality disorder (PPD) was associated with substantial crime costs, using a top-down approach of national costs in the United States and Canada. Verona and Joyner (2023) raised several concerns about our findings. Although we think some of their points help to map directions for future research, we disagree with others they raised related to the conceptualization of PPD, the problem of undetected crimes, and their concerns with putative national comparisons. We strongly welcome debate about the societal impacts of PPD in the hope that it spurs increased attention and innovation regarding the treatment and management of PPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Prototypicality analysis of the Comprehensive Assessment of Psychopathic Personality (CAPP): A cross-cultural perspective.

The Comprehensive Assessment of Psychopathic Personality (CAPP) model is a new lexically based concept of psychopathy that has potential clinical utility. The main purpose of this research is to investigate the generalizability of the CAPP conceptual model in South Korea. In the current study, 88 experts and 1727 laypeople in South Korea were asked to evaluate the prototypicality of the symptoms of psychopathy (CAPP items) by using a Korean translation of the CAPP model (K-CAPP). In addition, 11 international prototypicality studies were systematically compared to the ratings by experts in the present study. As a result, it indicated that Korean experts and laypeople, on average, rated K-CAPP symptoms as moderately to highly prototypical of psychopathy, and more prototypical of psychopathy than symptoms theoretically unrelated to psychopathy (foils). Also, prototypicality ratings of K-CAPP symptoms made by those two groups were similar to each other as well as to ratings by experts and laypeople using the CAPP in other 11 countries. In conclusion, these results clearly show that both experts and laypeople in the current study conceptualized PPD in almost the same way as experts and laypeople from previous studies using the CAPP model.

Designing a neuroclinical assessment of empathy deficits in psychopathy based on the Zipper Model of Empathy.

The heterogeneity of the literature on empathy highlights its multidimensional and dynamic nature and affects unclear descriptions of empathy in the context of psychopathology. The Zipper Model of Empathy integrates current theories of empathy and proposes that empathy maturity is dependent on whether contextual and personal factors push affective and cognitive processes together or apart. This concept paper therefore proposes a comprehensive battery of physiological and behavioral measures to empirically assess empathy processing according to this model with an application for psychopathic personality. We propose using the following measures to assess each component of this model: (1) facial electromyography; (2) the Emotion Recognition Task; (3) the Empathy Accuracy task and physiological measures (e.g., heart rate); (4) a selection of Theory of Mind tasks and an adapted Dot Perspective Task, and; (5) an adjusted Charity Task. Ultimately, we hope this paper serves as a starting point for discussion and debate on defining and assessing empathy processing, to encourage research to falsify and update this model to improve our understanding of empathy.

How much does that cost? Examining the economic costs of crime in North America attributable to people with psychopathic personality disorder.

Cost of illness research has established that mental disorders lead to significant social burden and massive financial costs. A significant gap exists for the economic burden of many personality disorders, including psychopathic personality disorder (PPD). In the current study, we used a top-down prevalence-based cost of illness approach to estimate bounded crime cost estimates of PPD in the United States and Canada. Three key model parameters (PPD prevalence, relative offending rate of individuals with PPD, and national costs of crime for each country) were informed by existing literature. Sensitivity analyses and Monte Carlo simulations were conducted to provide bounded and central tendency estimates of crime costs, respectively. The estimated PPD-related costs of crime ranged from $245.50 billion to $1,591.57 billion (simulated means = $512.83 to $964.23 billion) in the United States and $12.14 billion to $53.00 billion (simulated means = $25.33 to $32.10 billion) in Canada. These results suggest that PPD may be associated with a substantial economic burden as a result of crime in North America. Recommendations are discussed regarding the burden-treatment discrepancy for PPD, as the development of future effective treatment for the disorder may decrease its costly burden on health and justice systems. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Sentimentos e percepções do luto de sobreviventes ao suicídio de jovens / Feelings and perceptions of grief among survivors of youth suicide / Sentimientos y percepciones de duelo entre sobrevivientes de suicidio de jóvenes

Sobreviventes ao suicídio são pessoas que têm suas vidas profundamente afetadas e apresentam sofrimento psicológico, físico ou social após serem expostas a esse fato. O objetivo deste estudo foi analisar a experiência de sobreviventes ao suicídio de jovens, a partir do luto. Participaram sete sobreviventes entre familiares, amigos e parceiros amorosos de jovens que cometeram suicídio. A análise de conteúdo de entrevistas narrativas apontou que os participantes utilizam explicações racionalizadas ou dissociadas, criando uma distância entre o evento e eles mesmos. Como formas de lidar com o sofrimento podem buscar o isolamento, apoio entre amigos, prática religiosa e/ou a dedicação ao trabalho. Reafirma-se a dimensão do luto diante dessa experiência, além da importância da prevenção ao suicídio e da posvenção aos sobreviventes.(AU)

Suicide survivors are people who have their lives deeply affected; they experience psychological, physical, and social suffering following the occurrence. The aim of this study is to analyze the experience of survivors of youth suicide attempts, based on grief. Seven survivors participated among family, friends, and romantic partners of young people who committed suicide. The content analysis of narrative interviews showed that the participants use rationalized or dissociated explanations, creating a distance between the event and themselves. As ways to deal with suffering, they seek isolation, support among friends, religious practice, and/or dedication to work. The dimension of grief in the face of this experience is reaffirmed, as well as the importance of suicide prevention and postvention for survivors.(AU)

Este artículo tiene como objetivo presentar la construcción metodológica desarrollada en una investigación de maestría, en la que sostenemos la escritura de escenas como método de investigación de la escucha clínica. Las escenas del trabajo en cuestión se recogieron a lo largo del tiempo desde la experiencia en un proyecto de extensión universitario de atención a la niñez y adolescencia en situación de vulnerabilidad social aplicado en una comunidad periférica. En este texto, presentamos los interrogantes que se elaboraron en torno a la elección por el trabajo con escenas y compartimos el rescate histórico de las mismas como un método de escribir la clínica y la reanudación del análisis a partir de la tradición psicoanalítica. Amparadas en el psicoanálisis y en lecturas y contribuciones del filósofo francés Jacques Derrida, nos basaremos en la noción de que la escena se constituye como un lugar de producción, engendrando la configuración particular de elementos significantes en los procesos de subjetivación y de construcción social. La escena no es aquí una representación de lo que pasa en la clínica, sino un modo de producir escucha y sus procesos de investigación.(AU)

Social economic decision-making and psychopathy: A systematic review and meta-analysis.

Psychopathy is a personality construct that encompasses a constellation of traits reflecting emotional dysfunction and antisocial behavior. This constellation has consistently been linked to poor decision-making, often focused on personal and monetary gains at the others' expense. However, there remains a lack of a systematic examination of how psychopathy is related to the prospect of obtaining monetary gains as a function of social context. Therefore, we conducted a series of meta-analyses to elucidate these relationships. Our findings indicated that elevated levels of psychopathy are related to a reduced tendency to cooperate with others, and no difference in the extent to which knowledge of others' retaliation possibilities informs decision-making. However, the type of social economic decision-making game employed moderated the association between psychopathic traits and total gain obtained, suggesting that context plays a key role in moderating the link between psychopathic features and decision-making. These findings advance our understanding of psychopathy and open new avenues for research on adaptive and maladaptive social behavior in individuals with high levels of psychopathic traits.

The Elemental Psychopathy Assessment (EPA): Factor structure and construct validity across three German samples.

Psychopathy is deemed an important construct in forensic settings. Consequently, its theoretical basis and measurement are relevant to researchers but also to criminal justice administrators and decision-makers. The Elemental Psychopathy Assessment (EPA) is a recently developed self-report scale designed to measure psychopathic traits based on the five-factor model, one of the most comprehensive frameworks of general personality. Recent research provided initial support for the reliability and construct validity of the EPA, and exploratory factor analyses yielded a four-factor structure across different samples from the United States. Independent and confirmatory assessments of the construct validity and factor structure of the EPA are, however, pending. Across three independent, non-American samples (accumulated N = 1,803), we examined its content and factorial validity. We corroborated the proposed four-factor structure by means of both exploratory and confirmatory factor analyses (CFA). Item-based CFA further indicated that the EPA items adequately measure the scales that they were initially assigned to. Taken together, the EPA is a psychometrically sound assessment tool for psychopathy. Given its substantial overlap with basic units of personality, the EPA represents a valid instrument to investigate psychopathy from a dimensional, trait-based perspective. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Assessment of Sadistic Personality (ASP): evidências de validade no contexto brasileiro / Assessment of Sadistic Personality (ASP): validity evidence in the brazilian context / Assessment of Sadistic Personality (ASP): evidencia de validez en el contexto brasileño

O estudo objetivou adaptar a Assessment of Sadistic Personality (ASP) para o Brasil, averiguando as qualidades psicometricas do instrumento. Foram realizados dois estudos com participantes de diferentes estados brasileiros. No estudo 1 (n = 242) foi realizada a adaptação da ASP e executada uma análise fatorial exploratória, que sugeriu uma estrutura unifatorial. No Estudo 2, (n = 225) a análise fatorial confirmatória apontou indicadores adequados e confiabilidade satisfatória, além de reunidas evidências de validade convergente da ASP com a tríade sombria e o cyberstalking. Em suma, a ASP apresentou evidências de validade e precisão, podendo ser uma ferramenta útil para pesquisadores que buscam conhecer os correlatos da personalidade sádica. (AU)

The study aimed to adapt the Assessment of Sadistic Personality (ASP) scale for Brazil, investigating the psychometric qualities of the instrument. Two studies with participants from different Brazilian states were conducted. In study 1 (n = 242), the ASP was adapted and exploratory factor analysis was performed, which suggested a unifactorial structure. In Study 2 (n = 225), confirmatory factor analysis indicated adequate indicators and satisfactory reliability, in addition to gathering evidence of convergent validity for the ASP with the Dark Triad and cyberstalking. The ASP presented evidence of validity and reliability, constituting a useful tool for researchers who seek to identify the correlates of the sadistic personality. (AU)

El estudio objetivó adaptar el Assessment of Sadistic Personality (ASP) para la población brasileña, averiguando las cualidades psicométricas del instrumento. Se han realizado dos estudios con participantes de diferentes estados brasileños. En el estudio 1 (n = 242) el ASP fue adaptado y se ejecutó un análisis factorial exploratorio, que indicó una estructura unifactorial. Con relación al estudio 2 (n = 225) el análisis factorial confirmatorio apuntó indicadores adecuados y confiabilidad satisfactoria, además de reunir evidencias de validez convergente del ASP con la tríada oscura y el cyberstalking. En resumen, el ASP presentó evidencias de validez y precisión, y puede ser una herramienta útil para los investigadores que buscan conocer los correlatos de la personalidad sádica. (AU)

Children's cost-benefit assessment of lies across three cultures.

We examined 4- to 11-year-old children's evaluation of six types of lies arranged along a cost-benefit assessment scale factoring both the lie teller and the lie recipient. Children were from three distinct cultural environments: rural Samoa (n = 99), urban China (n = 49), and urban United States (n = 109). Following the simple script of six different stories involving a lie teller and a lie recipient, children were asked to evaluate the character who lied and whether it deserved reward or punishment using a child-friendly Likert scale. From the age when children produce both antisocial and prosocial lies, our results show that their evaluation of lies rests on a cost-benefit analysis of both the lie teller and the lie recipient. Such analysis varies depending on age, type of lie, and the child's cultural environment. In general, Samoan children tended to rate lies more negatively, and they were less differential in their evaluation of the different types of lies compared with both Chinese and U.S. children. We interpret these results as reflecting the differences across cultures in explicit moral teaching and children's relative experience in resource allocation.

Do children selectively trust leaders and prosocial agents in an economic exchange?

Most cooperative interactions involve interpersonal trust and the expectation of mutual reciprocation. Thus, understanding when and how humans acquire interpersonal trust can help unveil the origins and development of children's cooperative behavior. Here, we investigated whether prior sociomoral information about trading partners modulates the choice of preschool (4-5 years) and school-age children (7-8 years) to share their own goods in a child-friendly version of the trust game. In this game, the trustee partner can repay the child's initial investment or keep everything and betray the trustor. In two studies, we addressed whether trust is modulated by trustees exhibiting prosocial versus antisocial behaviors (Study 1, "helper and hinderer"), or respect-based versus fear-based power (Study 2, "leader and bully"). Preschoolers trusted the leader reliably more than the bully, and the hinderer reliably less than a neutral agent. The tendency to trust the helper more than the hinderer increased with age as a result of the increased propensity to trust the prosocial agent. Overall, these findings indicate that, by age 5, children understand complex cooperative exchanges and start relying on sociomoral information when deciding whom to trust. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Relationship between psychopathic traits and performance on the Mini Social Cognition and Emotional Assessment in incarcerated males.

Psychopathy is a constellation of personality traits such as callousness, manipulativeness, and impulsivity, and these traits often co-occur with antisocial behavior. Researchers and clinicians have posited that these traits may be associated with impairments in orbitofrontal cortex functioning, but researchers have rarely assessed this using clinical neuropsychological assessments. In a sample of 87 male inmates in a county jail, this study examined the relationship between psychopathic traits and performance on the Mini Social Cognition and Emotional Assessment (Mini-SEA), an assessment of orbitofrontal cortex functioning. Psychopathy scores (total or factor) were not correlated with Mini-SEA performance. Potential reasons for our null findings and study limitations are discussed. PRACTITIONER POINTS: Psychopathic traits were not associated with performance on a neuropsychological measure assessing orbitofrontal cortex functioning. Deficits in OFC functioning observed in psychopathy may be different in nature, or less severe, than those observed in patients with frontotemporal dementia, who perform poorly on this measure.

Increasing the Utility of the Comprehensive Assessment of Psychopathic Personality-Lexical Rating Scale (CAPP-LRS): Instrument Adaptation and Simplification.

The Comprehensive Assessment of Psychopathic Personality-Lexical Rating Scale (CAPP-LRS) is a self-report instrument designed to index psychopathy according to the CAPP psychopathy framework. Developed with the expressed goal of advancing the state of knowledge regarding the specific features of psychopathy, the CAPP model and associated instruments have garnered increasing attention and support in the field. Despite the conceptual strength of the CAPP model, the advanced lexical structure of its primary research tool (the CAPP-LRS) has led researchers to question the utility of the instrument for use with some populations of interest (e.g., forensic/correctional and adolescent/young adult samples). The aim of the present work was to address this issue by creating a lexically simplified, though functionally equivalent, version of the CAPP-LRS to increase accessibility to critically relevant populations. A set of two studies (N = 602) describes the adaptation protocol and the initial validation of the modified instrument.

Personality-based assessment of psychopathy: Comparison of the comprehensive assessment of psychopathic personality and the elemental psychopathy assessment.

Psychopathic personality disorder (PPD) is a widely researched construct characterized by severe dysfunction in affective, interpersonal and behavioral domains. Inconsistencies across different theoretical formulations and operationalizations have major implications for research and practice. Two separate personality-based perspectives of psychopathy have been proposed, one anchored within the influential five factor model (FFM) of personality and the comprehensive assessment of psychopathic personality (CAPP) model, which was specifically designed as an inclusive concept map of PPD. The current study evaluated the empirical overlap between the CAPP and the FFM-based models of psychopathy to determine the convergences and divergences in providing a personality-based perspective on psychopathy. Participants were undergraduate students (n = 924) who completed the CAPP-Self-Report (CAPP-SR) and the Elemental Psychopathy Assessment-Short Form (EPA-SF). Results indicated significant convergent validity associations between CAPP-SR scales and conceptually relevant EPA-SF scales (range = .30-.74; median discriminant associations range = .10-.36). Furthermore, an exploratory factor analysis supported the conceptual overlap between the CAPP-SR and EPA-SF scales as representing personality-based models of psychopathy, yielding a 4-factor structure that reflected antagonism, disinhibition, emotional stability, and narcissism. Overall, the findings support the convergence of the CAPP and FFM-based PPD models, at both a basic trait and higher order level. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Evaluating the Test Validity of the Comprehensive Assessment of Psychopathic Personality Symptom Rating Sale (CAPP SRS).

The Comprehensive Assessment of Psychopathic Personality Symptom Rating Scale (CAPP SRS) is a relatively new measure of psychopathic personality disorder (PPD) based on the CAPP concept map of psychopathy. To investigate the CAPP SRS, we identified the most plausible formal test structure for the test using the framework proposed by Slaney and Maraun, identified an appropriate quantitative characterization of that test structure, and then statistically evaluated it based on analysis of CAPP SRS data collected from a multisite sample of 314 adult male correctional offenders and secure hospital patients in Scotland and England. Overall, the CAPP SRS survived falsification when observed test data were compared to expectations based on the unidimensional monotone latent variable or UMLV model of Holland and Rosenbaum. CAPP SRS composite scores calculated consistent with the UMLV model had good measurement precision and good external validity with respect to scores on an established test of PPD. The findings provide provisional support for the test validity of the CAPP SRS and highlight the importance of theory-driven evaluations of test validity.

Psychopathy Profiles and Personality Assessment Inventory Scores in a Sex Offender Risk Assessment Field Setting.

A growing body of research suggests there are identifiable psychopathy subtypes among offenders scored on Hare's Psychopathy Checklist-Revised (PCL-R; Hare, 2003). We used latent profile analysis to examine the generalizability of these subtype findings to PCL-R scores (N = 615) assigned in a sex offender risk assessment field setting and to examine how offender subtypes differ on measures of comorbid psychopathology, risk, and treatment amenability from the Personality Assessment Inventory. Consistent with prior research, we identified four subtypes when using PCL-R scores from all offenders: Prototypic psychopathy (n = 239, 38.9%), callous-conning (n = 154, 25.0%), sociopathic (n = 96, 15.6%), and general offenders (n = 126, 20.5%). Prototypic and sociopathic subtypes exhibited the highest levels of comorbid psychopathology and risk for potential violence. We identified classes consistent with primary (n = 66, 36.7%) and secondary (n = 114, 63.3%) psychopathy among offenders with PCL-R total scores ≥ 25, and found higher levels of comorbid psychopathology and potential for violence among those in the secondary psychopathy class. Findings provide support the generalizability of existing PCL-R subtype findings to field scores and show how those with similar PCL-R total scores may differ on scores from commonly used multiscale inventories.