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Updated: May 22, 2026

Brain Morphology of Cannabis Users With or Without Psychosis: A Pilot MRI Study
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Psychopathy and internalizing psychopathology.

Jochem Willemsen1, Paul Verhaeghe

  • 1Department of Psychoanalysis and Clinical Consulting, Ghent University, Henri Dunantlaan 2, B-9000 Ghent, Belgium. Jochem.Willemsen@Ugent.be

International Journal of Law and Psychiatry
|May 9, 2012
PubMed
Summary
This summary is machine-generated.

Psychopathy's interpersonal and affective traits correlate negatively with specific internalizing symptoms, not general distress. This study highlights the importance of assessment methods in understanding psychopathy and internalizing psychopathology.

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Area of Science:

  • Psychology
  • Forensic Psychology
  • Clinical Psychology

Background:

  • The core feature of psychopathy is widely considered an affective deficit.
  • Previous research shows inconsistent links between psychopathy and internalizing psychopathology.
  • Questionnaires may inaccurately assess internalizing symptoms due to psychopathic traits like impression management.

Purpose of the Study:

  • To investigate if questionnaire-based assessments influence findings on psychopathy and internalizing psychopathology.
  • To compare the association of specific internalizing symptoms versus general distress with psychopathy.
  • To determine if psychopathic traits affect the validity of self-report measures.

Main Methods:

  • Utilized the Psychopathy Checklist-Revised (PCL-R) for psychopathy assessment.
  • Employed the Depression Anxiety Stress Scales-21 (DASS-21) questionnaire for general distress.
  • Used the Structured Clinical Interview for DSM-IV-R Axis 1 Disorders (SCID-I) for specific internalizing symptoms.
  • Analyzed data from 89 male detainees.

Main Results:

  • Moderate negative associations were found between psychopathy facets (Interpersonal, Affective) and SCID-I assessed internalizing symptoms.
  • No significant associations were observed between psychopathy facets and DASS-21 assessed general distress.
  • Evidence did not support the hypothesis that psychopathic traits impair questionnaire validity.

Conclusions:

  • The interpersonal and affective aspects of psychopathy are inversely related to specific internalizing psychopathology symptoms.
  • General distress, as measured by questionnaires, is not significantly associated with these psychopathy facets.
  • The choice of assessment method (interview vs. questionnaire) is critical for accurately measuring internalizing psychopathology in individuals with psychopathic traits.