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SUMMARY CRIMINALITY, COGNITION, AND PERSONALITY

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summary about the lectures of criminality, cognition and personality. does not include the literature. includes example exam questions

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  • January 17, 2022
  • 33
  • 2021/2022
  • Summary

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Criminality, cognition and personality

*This summary does not guarantee a passing grade on the exam, please study the
materials yourself
*Summary about the lectures

Lecture 1 - introduction

Violence
 A range of behaviours intended to harm living beings that are motivated to avoid
harm
 Forceful infliction of physical harm
 aggressive behaviour is less physical harmful but has severe psychological damage
abilities
 Violence is a significant public health issue
o Causing harm to individuals, families and communities

Rationale: people differ in their proneness to violence
 Individual differences → personality traits
 Personality processes → cognitive and emotional functioning
 Personality disorders → problems with thoughts

DSM-IV
 Axis I: clinical disorders
 Axis II
o A: odd eccentric
 Paranoid, schizoid, schizotypal
o B: erratic-dramatic
 Antisocial, borderline, histrionic, narcissistic
o C: worried-anxious
 Avoidant, dependent, obsessive-compulsive



Negative detachment antagonism disinhibition psychoticism
affectivity

Emotional lability withdrawal manipulativeness irresponsibility Unusual beliefs or
experiences

anxiousness Intimacy deceitfulness Impulsivity Eccentricity
avoidance

Separation anhedonia grandiosity Distractibility Cognitive or
insecurity perceptual
dysregulation

submissiveness depressivity Attention seeking Risk taking

hostility Restricted callousness Rigid
affectivity perfectionism

perseveration suspiciousness

, DSM-V
 Crit A: level of personality functioning scale
 Crit B: personality inventory for DSM-V
o 25 maladaptive traits in 5 domains
 Combination of traits leads to 6 personality disorders
 Antisocial PD
 Avoidant PD
 Borderline PD
 Narcissistic PD
 Obsessive-compulsive PD
 Schizotypal PD

PD offenders
 More likely to reoffend after discharge form hospital
 7x more likely to commit a serious re-offense
 More likely to be reconvicted for a serious offense
o Keep in mind if violence is part of the definition, then the incidence of violence
among those with APD is higher than for those with diagnoses that do not
feature violence
 Same problem for psychopathy when using PCL-R
 Good predictor for future violence in convicted offenders
 But items are a mix of descriptive behaviours (crime, violence
(and explanatory variables (traits)

Clinical risk factors for violence
 Impulse control
 Affect regulation
 Narcissism
 Paranoid cognitive personality style

Personality traits
 Impulsiveness in children may later lead to increased antisocial behaviour and
aggression
 Inhibition in children may later lead to decreased antisocial behaviour and
aggression
 Across lifespan
o Interaction of biological, psychological, social and contextual factors determine
a person’s propensity to violence
 Important to understand mechanism whereby personality traits increase violence risk
o E.g., emotion regulation, perception, responses to social cures
o Mechanism can be changed over time; this has the potential to reduce
violence


 Considerations on the treatments of offenders with PD’s
o Mental illness: degree of choice in the use of violence (legal model)
 E.g., there is no moral conflict, loss of control or distress
 Formal model of reference
o Personality problems → do they meet PD criteria?
 Disadvantages of categorical model
o Individual’s traits, history, thoughts and feelings
 Dimensional model

Punishment

,  Aims of punishment
o Signal for society: what is acceptable and what is not
o Prevent and reduce crime
 We do know that punishment does not actually prevent reoffending
very effectively
 Punishment is only effective when the patient understands that
punishment in relation to the deed
 What is effective in reducing crime for offenders
o Punitive measures are not!
o Treatment works better than punishment
 E.g., CBT is effective, reducing reoffending by 30-40% in adults and
60% in young offenders
 To mitigate responsibility for antisocial behaviour/ violence: psychological
explanation/ diagnosis should identify deficiencies that impair person’s agency
o Impaired: rational decisions, control behaviour, awareness of harm
 For mental illness, learning disabilities. Intellectual disability and dementia
o Unlikely to be punished
 When there is perceived normality in PD patients, they are viewed as responsible
o So, note the difference between mental illness (not responsible) and
personality disorders (responsible)
o Antisocial PD: knows consequences but does not or cannot control behaviour

Intermittent explosive disorder or borderline PD
 Violence driven by strong emotions (mostly anger)
 Inability to control behaviour
o Emotional dysregulation
Psychopathy
 Violence driven by possible gains
o Mostly premeditated
o Control over others and material benefits
o Usually do not want to change, reject treatment


Which of the following statements is wrong?
a. Not all persons with personality problems are violent
b. Patients with personality problems in forensic hospitals/ prisons are representative of
all patients with personality problems
c. Antisocial personality disorder is more strongly related to violence compared to other
personality disorders
d. The clinical risk factors impulse control, affect regulation, narcissism and paranoid
cognitive style can distinguish perpetrators of violence and non-violent offenders


Answer is b

Lecture 2: predictors and explanations

Dangerous and severe personality disorder program
 Acknowledges treatability of PD’s
 Introduces scientific basis for court decisions
 Criteria for compulsory treatment in DPSD units
o Severe PD
 High level of psychopathy
 Combination of high psychopathy and at least one PD

,  Or two or more PDs, when there is no psychopathy
o Risk of violence within 5 years needs to be high
 Based on risk assessment
o Functional link between above 2 criteria
 There needs to be covariation
 There needs to be a causal connection

Establishing causality
 Covariation
o Are PD’s and violence related?
o Problems
 Combination of categorical (DSM) and dimensional constructs
(psychopathy)
 Use of cut-off scores
 Assumption that all PD’s are equally related to violence
 Temporal precedence
o Can we assess that PD preceded the violence?
 Examine beliefs, thoughts, feelings in the chain of events leading to
the offense
 Exclusion of alternative explanations
o Third variables
 E.g., substance abuse
 Establishing logical connection
o How does X cause Y?
o Solution: breaking down the PD in its symptoms and analyse them in relation
to offense
 Watch out for comorbidity!

PD’s and violence
 Epidemiological surveys
o Presence of any PD related to increase in violence risk
o Partly accounted for by comorbid conditions (e.g., substance abuse)
o Comorbidity between PD’s magnifies risk
 Compare prevalence of PDs in violent vs. non-violent offenders
o ASPD/ dissocial PD related, but not as strongly as substance use
 Follow a cohort from childhood through adulthood
o Paranoid PD → burglary and threatening behaviour
o Narcissistic PD → arson, vandalism, physical fights, violence
o Borderline PD → same as NPD
o alcohol/ substance abuse mediates PD violence link longitudinally

Consequences for bad causal models
 Incompatibility between causal models
o Implications for treatment
o Basically impossible to prove primacy
o Explanations
 Predisposing factors
 External or internal triggers
 Organismic variables
 Neurobiological functioning, capacity to reason
 Presumption of unidirectionality
o Unidirectionality or bi-directionality influence treatment, you may focus more
on social network for example
o Example of psychopathy

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