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White matter disconnection in acquired criminality
Isaiah Kletenik1,2,3, Christopher M Filley4, Alexander L Cohen5,6,7
1Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA. ikletenik@bwh.harvard.edu.
Molecular Psychiatry
|June 11, 2025
Summary
Damage to the right uncinate fasciculus, a key white matter tract, is strongly linked to criminal behavior, particularly violent crime. This finding suggests a potential causal role for this brain region in criminal actions.
Area of Science:
- Neuroscience
- Forensic Psychology
- Brain Imaging
Background:
- Structural brain imaging is increasingly used in criminal trials.
- Alterations in the right uncinate fasciculus are observed in criminal populations.
- The causal link between these brain changes and criminal behavior is not well understood.
Purpose of the Study:
- To investigate the causal role of focal disruption of white matter connections in criminal behavior using lesion studies.
- To compare lesion locations in individuals with new-onset criminal behavior to those with diverse neuropsychiatric symptoms.
- To specifically examine the involvement of the right uncinate fasciculus in criminality.
Main Methods:
- Analyzed lesion locations in patients with new-onset criminal behavior.
- Compared lesion sites with an atlas of the right uncinate fasciculus and all white matter tracts.
- Performed unbiased connectome-based analysis, including a subset of violent offenders.
Main Results:
- Lesions associated with criminality significantly intersected the right uncinate fasciculus more than lesions linked to other neuropsychiatric symptoms.
- The right uncinate fasciculus was the white matter tract most strongly associated with lesion-induced criminality, followed by the forceps minor.
- These findings were confirmed by unbiased connectome analysis, with the right uncinate being key in violent offenders.
Conclusions:
- Lesions associated with criminality show a greater intersection with the right uncinate fasciculus compared to other lesions and white matter tracts.
- Damage to the right uncinate fasciculus may play a causal role in the development of criminal behavior.
- This causal role appears particularly significant in cases of violent crime.

