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• W1972613107 abstract "Background Among mainstream offenders, the severe personality disorder of psychopathy has considerable importance as a construct. The disorder has long been associated with failure to make treatment progress. Previous work has identified that psychopathy as a disorder occurs in samples of offenders with intellectual disability (ID), and suggests that the Psychopathy Checklist – Revised (PCL‐R: Hare, 1991 Hare R. D. The Hare Psychopathy Checklist – Revised. Multi‐Health Systems, Toronto, ON 1991 [Google Scholar], 2003 Hare R. D. The Hare Psychopathy Checklist – Revised. Multi‐Health Systems, Toronto, ON 2003, (2nd ed.) [Google Scholar]) as a measure of the disorder has adequate reliability and validity (Morrissey et al., 2005 Morrissey C., Hogue T., Mooney P., Lindsay W. R., Steptoe L., Taylor J., Johnston S. Applicability, reliability, and validity of the Psychopathy Checklist – Revised in offenders with intellectual disabilities: Some initial findings. International Journal of Forensic Mental Health 2005; 4: 207–220[Taylor & Francis Online] , [Google Scholar]). The present study aimed to compare the predictive power of the PCL‐R in relation to treatment progress with a more general assessment of violence risk, the HCR‐20 (Webster, Douglas, Eaves, & Hart, 1997 Webster C. D., Douglas K. S., Eaves D., Hart S. D. The HCR‐20 scheme (Version 2): The assessment of risk for violence. Mental Health, Law, and Policy Institute, Simon Fraser University, Burnaby, BC 1997 [Google Scholar]).Method A sample of 73 residents in a high security intellectual disability service, who had previously been assessed using the PCL‐R and the HCR‐20, were followed up at 2 years post‐assessment, and their outcome determined in terms of two distinct dichotomous variables reflecting definite positive treatment progress and definite negative treatment progress respectively.Results In line with predictions, the PCL‐R Total score and Factor 1 score (Interpersonal and Affective aspects of psychopathy) and the HCR‐20 Total score were significantly inversely associated with a positive move from high to medium security hospital conditions within 2 years of assessment. However against prediction, the PCL‐R Total score had incremental validity over the HCR‐20. The PCL‐R Total and Factor 1, but not the HCR‐20 Total score, were also significantly associated with negative treatment progress in terms of a move to more restricted treatment conditions.Conclusion Psychopathy, and in particular its interpersonal and affective manifestations, is a construct which appears to be associated with indirect measures of treatment progress in this high security ID group. However, caution should be applied in the use of a construct with potentially negative connotations in an already devalued population." @default.
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• W1972613107 date "2007-06-01" @default.
• W1972613107 modified "2023-10-16" @default.
• W1972613107 title "Predictive validity of the PCL‐R for offenders with intellectual disability in a high security hospital: Treatment progress" @default.
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• W1972613107 doi "https://doi.org/10.1080/13668250701383116" @default.
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