The treatment of substance misuse in psychopathic individuals: why heterogeneity matters

Substance Use & Misuse
Lauren C GudonisPeter R Giancola

Abstract

Psychopathy is a personality syndrome characterized by egocentricity, grandiosity, remorselessness, callousness, impulsivity, and manipulativeness. It is also a disorder highly comorbid with substance use disorders ( Derefinko and Lynam, 2007 ; Smith and Newman, 1990 ; Tourian et al., 1997 ). However, unlike their other criminal counterparts, psychopaths' substance use related problems appear remarkably resilient despite treatment ( Smith and Newman, 1990 ) leading many to conclude the dually diagnosed psychopathic substance misuser is "untreatable." However, this pessimistic stance is predicated upon the notion that psychopathy is a homogeneous, categorical construct. Such a conclusion leaves little hope for treating substance use problems in this population, and has certainly attenuated efforts at developing effective clinical interventions ( Seto and Quinsey, 2006 ). In this review, we argue that conceptualizing psychopathy as a heterogeneous and dimensional construct reveals a common thread of negative emotionality (NEM) that may clarify the relations between psychopathy and substance use disorders as well as pave the way for more practical and viable treatment options.

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Citations

May 1, 2012·Addictive Behaviors·Anthony A B Hopley, Caroline Brunelle
Oct 15, 2014·Journal of Psychopathology and Behavioral Assessment·Michael J WilsonJasmin Vassileva
Oct 28, 2019·Frontiers in Psychology·Elena PsederskaJasmin Vassileva
Oct 27, 2020·Substance Use & Misuse·José SalazarCarmen Ripoll

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