Personality and Individual Differences 49 (2010) 169–174 Contents lists available at ScienceDirect Personality and Individual Differences journal homepage: www.elsevier.com/locate/paid Investigating Theory of Mind deficits in nonclinical psychopathy and Machiavellianism Farah Ali, Tomas Chamorro-Premuzic * Goldsmiths, University of London, UK a r t i c l e i n f o Article history: Received 30 December 2009 Received in revised form 11 March 2010 Accepted 24 March 2010 Available online 14 April 2010 Keywords: Primary psychopathy Secondary psychopathy Machiavellianism Theory of Mind Empathy a b s t r a c t This study investigated the relationships between psychopathy (primary and secondary), Machiavellianism, global empathy, and Theory of Mind (ToM) using three behavioural ToM tasks in order to test for ToM deficits/differences in facial expressions, in the eye region, and in vocal affect. In addition, stimuli were categorised in terms of emotional valence (positive, neutral, and negative). Primary psychopathy, secondary psychopathy and Machiavellianism were positively associated with global empathy deficits and ToM deficits in relation to overall scores on the ToM tasks as well as ToM deficits to specific categories of emotional valence. ! 2010 Elsevier Ltd. All rights reserved. 1. Introduction Successful social interaction is a vital component of the modern world, with our relationships, and many other important life outcomes, depending on it. Yet many of us are likely to encounter individuals with ‘‘socially aversive personality traits” (Lee & Ashton, 2005, p. 1572). Nonclinical psychopathy and Machiavellianism meet these criteria; they are similar (Fehr, Samsom, & Paulhus, 1992), yet ultimately distinguishable, ‘dark’ personality constructs (e.g., Paulhus & Williams, 2002; Vernon, Villani, Vickers, & Harris, 2008), typified by shallow affect, cruelty, guiltlessness, manipulation, and superficial charm. Research indicates that psychopathy consists of two subtypes, namely, primary and secondary. Both types are characterised by hostility, impulsivity and aggression, but secondary psychopathy is also associated with social anxiety, introversion, moodiness and low self-esteem (Blackburn & Fawcett, 1999). Primary psychopathy, secondary psychopathy and Machiavellianism are highly inter-correlated (e.g., Ali, Amorim, & Chamorro-Premuzic, 2009) and like the psychopathy subtypes, Machiavellianism represents a strategy of conduct that involves manipulating others for personal gain and is associated with callousness and affective poverty (McHoskey, Worzel, & Szyarto, 1998). Considering the negative impact that individuals with psychopathic and Machiavellian traits can have on others (e.g., McHoskey * Corresponding author. Address: Goldsmiths University of London, SE146NW, UK. Tel.: +44 (0) 2079197885. E-mail address: [email protected] (T. Chamorro-Premuzic). 0191-8869/$ - see front matter ! 2010 Elsevier Ltd. All rights reserved. doi:10.1016/j.paid.2010.03.027 et al., 1998), it is intuitive that both psychopathy and Machiavellianism would be associated with a deficiency in empathy, which is essentially the capacity to understand and share another person’s mental experience. Generally, researchers agree that empathy has an affective and a cognitive component (Lawrence, Shaw, Baker, Baron-Cohen, & David, 2004). Affective/emotional empathy can be defined as the capacity to experience the emotions of another, whereas cognitive empathy, often referred to as Theory of Mind (ToM), is conceptualised as the ability to understand and infer the emotions and emotional experiences of another (Jolliffe & Farrington, 2004). Unsurprisingly, research indicates that nonclinical psychopathy and Machiavellianism are negatively associated with general empathy (e.g., Andrew, Cooke, & Muncer, 2008; Mahmut, Homewood, & Stevenson, 2008) and, in line with findings from clinical samples (e.g., Blair, 2005), nonclinical research also suggests that psychopathy and Machiavellianism may be associated with inappropriate empathic responding to affective stimuli, that is emotional or affective empathy (Ali et al., 2009). High psychopathy and Machiavellianism scorers are successful at manipulation and deception (e.g., Austin, Farrelly, Black, & Moore, 2007; Hare, 1999), which would indicate some ToM (cognitive empathy) proficiency. However, findings in relation to ToM have been contradictory; some research indicates that individuals with clinical psychopathy do not have a ToM deficit compared to non-psychopathic controls (e.g., Richell et al., 2003), yet studies have also found deficits in ToM in individuals with clinical psychopathy (e.g., Dolan & Fullam, 2004). Critically, all the ToM studies mentioned here measured psychopathy globally; they did not 170 F. Ali, T. Chamorro-Premuzic / Personality and Individual Differences 49 (2010) 169–174 distinguish between primary and secondary psychopathy, thereby failing to identify whether differences exist in relation to ToM ability between the two subtypes. While ToM has been investigated to a certain extent in clinical psychopathy, to date, it has not been investigated in relation to adult nonclinical psychopathy, nor have differences between primary and secondary psychopathy been investigated in relation to ToM. This is surprising, especially when considering that the heterogeneity of psychopathy has been firmly established (Blackburn, 2009). In relation to Machiavellianism, research demonstrates that it is associated with the inability to understand emotions and general emotional impoverishment (e.g., Wastell & Booth, 2003). Findings in relation to Machiavellianism and ToM are also contradictory; one study in an adult sample investigating Machiavellianism directly in relation to ToM (Paal & Bereczkei, 2007) did not find a significant relationship between Machiavellianism and ToM. However, in a sample of primary school children ToM ability was found to be negatively associated with Machiavellianism (Barlow, Qualter, & Stylianou, 2010). The current study, to the best of our knowledge, is the first extensive study into ToM in the psychopathy subtypes and Machiavellianism in a nonclinical sample. There are surprisingly few studies which specifically examine the relationship between psychopathy and empathy (Kirsch & Becker, 2007) and investigating ToM in aversive traits is important because it is possible that individuals with psychopathic traits and Machiavellianism, rather than being unwilling to empathise, may actually have difficulties with ToM and therefore cannot sufficiently ‘‘put themselves into the mind of others” (Baron-Cohen, Wheelwright, Hill, Raste, & Plumb, 2001, p. 241). The current study investigated both subtypes of psychopathy; past research in ToM in clinical populations have not differentiated between primary and secondary psychopathy and evaluating subtype similarities and differences in psychopathy may result in greater research validity and reliability (Hicks, Markon, Patrick, Krueger, & Newman, 2004). In addition, past research examining ToM and clinical psychopathy has focused primarily on male samples, research using female samples is therefore important as there is evidence for diverse expressions of psychopathic traits across the population (Skeem, Poythress, Edens, Lilienfeld, & Cale, 2003). Three different ToM tasks were employed in order to test for ToM deficits/differences in full facial expressions, in the eye region alone and in vocal affect. Researchers propose that laboratory tasks that measure the affective, behavioural, and physiological correlates of psychopathy are required to gain greater insight into the processes underlying psychopathy in nonclinical samples (e.g., Hall & Benning, 2007). In addition, because research indicates different empathic reactions to positive and neutral content in psychopathy and Machiavellianism (Ali et al., 2009), this study as well as investigating global ToM scores, separates the emotional valence of the stimuli into positive (e.g., ‘happy’), neutral (e.g., ‘thoughtful’) and negative (e.g., ‘distress’) for each ToM task. It was hypothesised that psychopathic and Machiavellian traits would be positively associated with lower global empathy, lower accuracy on the ToM tasks and be positively associated with specific difficulties in relation to certain emotional categories of stimuli. It was also hypothesised that global empathy would mediate the relationships between the personality traits and the ToM tasks. mal or corrected to normal vision and had no hearing impediments. 2.2. Self-report measures 2.2.1. Empathy Quotient (EQ) The self-report EQ scale (Baron-Cohen & Wheelwright, 2004) consists of 40 empathy questions and measures global empathy in both healthy and clinical populations with empathic dysfunction. It has demonstrated good reliability and validity (e.g., Baron-Cohen & Wheelwright, 2004). Cronbach’s a in the current sample was .83. 2.2.2. Levenson Self-report Psychopathy Scale (LSRP) The LSRP scale (Levenson, Kiehl, & Fitzpatrick, 1995) is a 26item self-report measure designed to assess primary and secondary psychopathic attributes in nonclinical samples. The primary psychopathy scale consists of 16 items and the secondary psychopathy scale consists of 10 items. Cronbach’s a in the current study were .87 for the primary psychopathy scale and .77 for the secondary psychopathy scale (for details on the reliability and validity of the LSRP see McHoskey et al., 1998). 2.2.3. Mach-IV Machiavellianism was assessed with the Mach-IV (Christie & Geis, 1970), which has 20 items assessing individual differences in the tendency to use deceit in interpersonal relationships, have a cynical attitude to human nature and lack concern for conventional morality. The Mach-IV is the most widely-used scale for this construct and its reliability and the validity are well documented (e.g., Fehr et al., 1992). Cronbach’s a in the current study was .75. 2.3. ToM stimuli 2.3.1. Faces test The Faces test (Baron-Cohen, Wheelwright, & Jolliffe, 1997) tests the recognition of mental states from facial expressions. Participant are presented with 20 images with a target word and one foil word and are required to choose the word that best describes what the target (an actress) is thinking or feeling. The task is self-paced, although participants are asked to respond on the answer sheet as quickly as possible (Baron-Cohen et al., 1997). The test is scored by totalling the number of mental states correctly identified by participants. Separate positive, neutral and negative valence scores were also computed. Using a similar methodology employed by Harkness, Sabbagh, Jacobson, Chowdrey, and Chen (2005), five independent raters (all graduate students) rated the 20 images from the Faces test with the correct answer (with no foil word) below each face picture. The raters scored the stimuli for emotional valence on a 7-point scale with 1 = very negative, 4 = neutral, and 7 = very positive. Those stimuli that had mean ratings significantly below neutral (one-sample t = 2.78, df = 4, l = 4, p < .05, uncorrected) were classified as negative, those stimuli with mean ratings significantly above neutral were classified as positive and those stimuli that did not differ significantly from neutral were classified as neutral. Cronbach’s a’s were .67 for positive faces, .69 for neutral faces and .88 for negative faces. 2. Method 2.1. Participants In all, 112 undergraduates (92 female, 20 male) participated in the study in exchange for course credits. Their ages ranged from 18 to 44 years (M = 20.74, SD = 5.85) and all participants had nor- 2.3.2. Reading the Mind in the Eyes Test (RMET) revised The revised RMET (Baron-Cohen et al., 2001) is an advanced ToM test which measures the ability to decipher a mental state from 36 images of the eye region alone. Participants are required to select which of four complex mental state descriptors (one target word and three foil words) best describes the thoughts or 171 F. Ali, T. Chamorro-Premuzic / Personality and Individual Differences 49 (2010) 169–174 feelings expressed by different individuals. The task is self-paced and a glossary of the mental state words is provided for participants to consult at any point if required. The test provides a global score of the number of correctly identified mental states. Separate positive, neutral and negative valence scores were also computed (one-sample t = 2.78, df = 4, l = 4, p < .05, uncorrected) using the same method described above. Five independent raters (the same individuals as above) rated the 36 images from the RMET with the correct answer (with no foil words) below each eye picture. Cronbach’s a’s were .69 for positive faces, .96 for neutral faces and .94 for negative faces. three ToM tasks (the Faces test, the revised RMET, and the revised RMVT, split into positive, neutral and negative emotional categories) are shown in Table 1. 3.2. Multiple regressions A series of standard regressions were performed next (see Table 2). Primary psychopathy, Machiavellianism and global empathy significantly predicted the variability in ToM to total faces. Machiavellianism and global empathy significantly predicted the variability in ToM to positive Faces. Primary psychopathy, Machiavellianism and global empathy significantly predicted the variability in ToM to neutral Faces. Primary psychopathy, secondary psychopathy, and global empathy significantly predicted the variability in ToM to total eyes. Secondary psychopathy and global empathy significantly predicted the variability in ToM to positive eyes. Primary psychopathy and global empathy significantly predicted variability in ToM to neutral eyes. Primary psychopathy and global empathy significantly predicted the variability in ToM to total voices and primary psychopathy. Machiavellianism and global empathy significantly predicted the variability in ToM to neutral voices. 2.3.3. Reading the Mind in the Voice Test (RMVT) revised The RMVT revised (Golan, Baron-Cohen, Hill, & Rutherford, 2006) requires participants to listen to 25 short verbalisations and decide from four words which one best describes how the speaker is feeling. A glossary is available for participants. Each verbalisation is only played once and after the participant chooses a word, the next verbalisation is played. The task is scored by totalling the number of correct answers and separate positive, neutral, and negative valence scores were also computed (one-sample t = 2.78, df = 4, l = 4, p < .05, uncorrected) using the same method described above. Five independent raters (the same individuals as above) rated the 25 verbalisations from the RMVT along with a list of the correct answers (no foil terms). Cronbach’s a’s were .89 for positive voices, .68 for neutral voices, and .92 for negative voices. 3.3. Mediations Sobel’s tests of mediation (Sobel, 1982) were then performed in sixteen cases where mediation conditions were met (Baron & Kenny, 1986), with six models proving to be significant (see Table 3). 2.4. Procedure Each participant was tested individually in a quiet room in the University. Participants completed all of the ToM tasks (the Faces test, RMET, and RMVT) in randomised order. After completing the tasks participants completed the questionnaire battery (the EQ, LSRP, and Mach-IV) and were then fully debriefed. 4. Discussion The present study examined whether primary and secondary psychopathy and Machiavellianism were positively associated with ToM difficulties using three tasks that required an ability to infer mental states in terms of facial expression, eye region and vocal affect. Females were significantly positively correlated with global empathy; this is consistent with research which demonstrates that females demonstrate global empathy superiority (e.g., Lawrence et al., 2004). The psychopathy subtypes and Machiavellianism were positively associated with deficiencies in global empathy. Past research indicates that in nonclinical samples 3. Results 3.1. Correlations Intercorrelations among primary psychopathy, secondary psychopathy, Machiavellianism, global empathy (the EQ) and the Table 1 Intercorrelations: bivariate Pearson correlation coefficients. 1. 2. 3. 4. 5. Gender Primary psychopathy Secondary psychopathy Machiavellianism Global empathy 6. 7. 8. 9. Faces Faces Faces Faces test test test test total positive neutral negative 10 Eyes test total 11. Eyes test positive 12. Eyes test neutral 13. Eyes test negative 14. 15. 16. 17. Voices Voices Voices Voices test test test test total positive neutral negative F = 1, M = 0. * p < .05 level (2-tailed). ** p < .01 level (2-tailed). 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 !.19* .25** .40** !.14 .68** .46** .23* !.47** !.40** !.46** .14 !.26** !.13 !.21* .32** .27** !.18 !.04 !.24** .19* .02 !.24* !.14 !.20* .24** .12 !.11 !.06 !.01 .21* .04 !.24* !.21* !.10 .44** !.05 !.11 !.30** !.05 .34** .13 !.29** !.08 !.14 .27** .01 !.08 !.06 !.01 .32** .00 !.24* !.12 !.18 .29** .01 !.07 !.09 !.10 .14 .00 !.30** !.14 !.19* .26** .01 !.07 !.02 !.06 .17 .52** .83** .28** .23* .08 .18 .19 .21* .04 .19 .15 .18 .04 .13 .17 .22* !.10 .26** .14 .13 !.01 .20* .01 .12 !.18 .15 .14 .69** .73** .22* .68** .20* .29** .63** .15 .17 .29** .07 .24* .24* .35** .06 .36** .33** .24* .01 .22* .19* .07 .00 .09 .05 .34** .09 .30** .32** .25** .01 .28** .25** .51** .76** .12 .74** .23* .25** 172 F. Ali, T. Chamorro-Premuzic / Personality and Individual Differences 49 (2010) 169–174 Table 2 Summary of regression analyses. Criterion Predictors B SE B b t p Faces test total R2 = .12 and DR2 = .09 (p < .01) Constant Machiavellianism Primary psychopathy Global empathy 17.64 .00 !.03 .04 1.47 .01 .03 .02 .01 !.15 .25 12.02 .10 !1.17 2.38 .00 .92 .24 .02 Faces test positive R2 = .07 and DR2 = .05 (p < .05) Constant Machiavellianism Global empathy 4.18 !.01 .00 .39 .00 .00 !.20 .09 10.78 !1.92 .90 .00 .06 .37 Faces test neutral R2 = .08 and DR2 = .05 (p < .05) Constant Machiavellianism Global empathy Primary psychopathy 1.02 .01 .01 .02 Constant Global empathy Primary psychopathy Secondary psychopathy !.02 .17 !.14 8.97 !.19 1.55 !1.09 .00 .85 .12 .28 Eyes test total R2 = .20 and DR2 = .17 (p < .01) 9.15 !.00 .02 !.02 Eyes test positive R2 = .14 and DR2 = .13 (p < .01) Constant Global empathy Secondary psychopathy Eyes test neutral R2 = .10 and DR2 = .09 (p < .01) Constant Global empathy Primary psychopathy Voices test total R2 = .10 and DR2 = .08 (p < .01) Constant Global empathy Primary psychopathy 13.63 .08 !.06 2.58 .04 .05 Voices test neutral R2 = .11 and DR2 = .09 (p < .01) Constant Global empathy Primary psychopathy Machiavellianism 5.95 .03 !.07 .01 2.01 .02 .03 .02 Table 3 Sobel’s tests of mediation. Independent variable Mediation by global empathy Outcome variable Model Primary psychopathy Machiavellianism Full Faces test total Faces test total Eyes test total Eyes test total Eyes test positive Voices test total (Z = !2.21, p < .05) (Z = !2.44, p < .05) (Z = !3.44, p < .05) (Z = !3.26, p < .05) (Z = !2.35, p < .05) (Z = !2.07, p < .05) Primary psychopathy Secondary psychopathy Secondary psychopathy Primary psychopathy Full Full Full Partial Full psychopathy and Machiavellianism are positively associated with general deficiencies in empathising ability (Andrew et al., 2008; Mahmut et al., 2008). This global empathy deficit is likely to be the cause of, or at least contribute to, the aversive characteristics associated with these traits such as callousness and affective poverty. As predicted, primary psychopathy was significantly negatively correlated with overall accuracy on the Faces test. In our sample individuals with primary psychopathic traits experienced difficulties in interpreting mental states when presented with full facial expressions. Primary psychopathy, as expected, was significantly negatively correlated with overall accuracy on the Eyes test. At odds with the current findings, Richell et al. (2003) did not find significant differences in ToM ability between clinically psychopathic individuals and non-psychopathic individuals on the Eyes test, concluding that psychopathic individuals do not show any generalised impairment 20.55 .16 !.01 !.02 3.19 .04 .05 .08 7.47 .05 !.07 1.34 .02 .04 8.38 .03 !.05 1.40 .02 .03 .42 !.03 !.03 6.45 4.12 !.27 !.30 .00 .00 .79 .76 .26 !.19 5.58 2.70 !1.95 .00 .01 .05 .17 !.21 5.98 1.68 !2.04 .00 .10 .04 .23 !.13 5.29 2.24 !1.24 .00 .03 .22 .17 !.26 .06 2.96 1.60 !2.07 .50 .00 .11 .04 .62 in ToM. However, the sample size in this study was small (n = 19 for psychopathic participants). Primary psychopathy was also significantly negatively correlated with overall accuracy on the Voices test. Our voices convey a substantial amount of emotion about our emotional state (Knoll, Uther, & Costall, 2009) therefore the inability to ‘read’ someone’s voice would be detrimental to an individual’s interpersonal relationships. Interestingly, when the stimuli were categorised in terms of emotional valence, primary psychopathy was significantly negatively correlated with accuracy in identifying the mental states of neutral faces, neutral eyes and neutral voices. Individuals with primary psychopathic traits may be more attuned to extreme feelings, such as happiness and distress because understanding these particular mental states could be especially valuable in manipulating others. The ability to read extreme emotions in others may enhance manipulation and exploitation by indicating when a tactical change is needed (e.g., Hare, 1999). Neutral mental states could therefore pose a particular problem for individuals with primary psychopathic traits as they are difficult to interpret and thus manipulate. Secondary psychopathy, like primary psychopathy, was significantly negatively correlated with overall accuracy on the Eyes test. However, unlike primary psychopathy, it was significantly negatively correlated with ToM accuracy on positive eyes. Secondary psychopathy is associated with negative affectivity (e.g., Del Gaizo & Falkenbach, 2008) and individuals with secondary psychopathic traits are more withdrawn and anxious than individuals with primary psychopathic traits (Blackburn, 1993). It is possible that these individuals experienced difficulties in inferring mental states from the positive stimuli because they are less likely to actually experience positive emotions so are less likely to empathise with these emotions in other people. F. Ali, T. Chamorro-Premuzic / Personality and Individual Differences 49 (2010) 169–174 It should be noted however, that when considering all the tasks, primary psychopathy was associated with more deficiencies in ToM than secondary psychopathy. As individuals with secondary psychopathic traits experience more emotion in general than primary psychopathy individuals and tend to be emotionally unstable (e.g., Blackburn, 1993) they may actually be better at empathising and recognising mental states than individuals who score highly on primary psychopathic traits. In the current sample, neither psychopathy subtype was significantly associated with ToM inaccuracy in the negatively rated stimuli for any of the tasks. Previous research in nonclinical samples (e.g., Del Gaizo & Falkenbach, 2008) has not demonstrated a deficiency in recognising negative emotions in high psychopathy scorers. It is possible that individuals with psychopathic traits in nonclinical samples are not deficient in the ability to infer negative thoughts and feelings. However, research into ToM and nonclinical psychopathy is needed for further clarification. Machiavellianism, like primary psychopathy, was significantly negatively associated with overall ToM accuracy on the Faces test as well as to neutral faces. Unlike primary psychopathy however, Machiavellianism was also significantly negatively associated with ToM accuracy to positive faces. Machiavellianism, like secondary psychopathy, is positively associated with the experience of negative affect such as anxiety and neuroticism (McHoskey et al., 1998), which may cause difficulty in inferring positive mental states. Machiavellianism, like primary psychopathy, was negatively associated with ToM accuracy to neutral voices. Machiavellian individuals may also be more attuned to extreme thoughts and feelings, which enhance their manipulative strategies and therefore like high primary psychopathy scorers, they experienced difficulties with the facial and vocal neutral stimuli. Surprisingly, while both psychopathy subtypes were significantly negatively associated with lower accuracy on the Eyes test, Machiavellianism was not. This task requires a high degree of sensitivity to subtle eye expressions and it is possible that individuals who score highly on Machiavellianism are simply better at this task than their psychopathy counterparts. Perhaps by forcing Machiavellian individuals to focus on the eye region alone their ability to infer a mental state is enhanced. Replication of this finding and further research, particularly with larger samples, is needed. The regressions demonstrate that of all the ToM tasks, accuracy on the total score of the Eyes test was the most strongly predicted and that global empathy was a significant predictor of accuracy on the ToM tasks across the board. The mediations indicate that global empathy accounted for the effects of personality on many of the ToM tasks; lower global empathy appears to have a detrimental effect on ToM. A limitation to the current study was the use of a small, majority female, undergraduate sample, which may make generalisability to other nonclinical groups difficult. Nevertheless, undergraduate samples have the advantage of being relatively free of severe Axis I disorders which could distort the reporting of enduring personality traits and personality disorder features (Lilienfeld & Penna, 2001). An important aspect of the current study was that behavioural tasks were used as dependent variables alongside self-report measures; overreliance on self-report inventories as dependent variables may result in inflated correlations because of criterion contamination and method covariance (Hall & Benning, 2007). This study is, to date, the first to investigate both psychopathy subtypes in relation to ToM in a nonclinical sample and the first to distinguish between the emotional valence of the ToM stimuli in relation to psychopathy and Machiavellianism. Our results indicate that it would be worth replicating this study in a larger sample and the current study lends support to research which advocates investigating psychopathy heterogeneously (e.g., Blackburn, 2009). The authors strongly recommend future research to take 173 into account the emotional valence of the stimuli, especially in relation to neutral emotional valence, as this appears to be a point of differentiation between the psychopathy subtypes and Machiavellianism (see also Ali et al., 2009). As Kirsch and Becker (2007) point out, the majority of literature mainly relies on self-report measures of global empathy deficits ‘‘making it impossible to determine if the lack of empathy in psychopathy is due to impairments in cognitive empathy, affective empathy, or both” (p. 916). Ali et al. (2009) identified affective empathy deficits in nonclinical psychopathy and Machiavellianism; the current study also implicates cognitive empathy deficits in these traits. References Ali, F., Amorim, I. S., & Chamorro-Premuzic, T. (2009). Empathy deficits and trait emotional intelligence in psychopathy and Machiavellianism. Personality and Individual Differences, 47, 758–762. 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