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Concurrent, Convergent, and Discriminant Validity of the DSM-5 Section III Psychopathy Specifier
Erin K Fuller1, Dylan T Gatner1,2, Kevin S Douglas1,3,4
1Simon Fraser University, Burnaby, British Columbia, Canada.
The DSM-5 psychopathy specifier shows limited validity for two of its three facets. This raises concerns about its clinical utility in diagnosing antisocial personality disorder.
Area of Science:
- Psychology
- Psychiatry
- Forensic Psychology
Background:
- The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) offers an alternative model for personality disorders.
- Antisocial personality disorder is reconceptualized as interpersonal, not behavioral.
- The psychopathy specifier faces controversy due to overlap with triarchic boldness.
Purpose of the Study:
- To examine the validity of the DSM-5 psychopathy specifier.
- To assess concurrent, convergent, and discriminant validity.
- To investigate the specifier's utility in clinical and forensic contexts.
Main Methods:
- Canonical correlation analysis was employed.
- Two samples were studied: undergraduate students (N=224) and community adults with criminal history (N=306).
- The multidimensional nature of the specifier was analyzed across its three facets.
Main Results:
- The psychopathy specifier demonstrated multidimensionality with varying associations across facets.
- Limited validity evidence was found for two of the three facets.
- Divergent associations were observed, suggesting distinctiveness among facets.
Conclusions:
- The findings raise concerns about the clinical utility of the DSM-5 psychopathy specifier.
- Further research is needed to refine the conceptualization and measurement of psychopathy.
- The specifier's validity is questionable, impacting its application in diagnosing antisocial personality disorder.
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