Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.

Psychopathy is a severe personality disorder marked by a wide range of emotional deficits, including a lack of empathy, emotion dysregulation, and alexithymia. Previous research has largely examined these emotional impairments in isolation, ignoring their influence on each other. Thus, we examined t...

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Main Authors: Matthias Burghart, Alexander H J Sahm, Sergej Schmidt, Jan Bulla, Daniela Mier
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301085&type=printable
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author Matthias Burghart
Alexander H J Sahm
Sergej Schmidt
Jan Bulla
Daniela Mier
author_facet Matthias Burghart
Alexander H J Sahm
Sergej Schmidt
Jan Bulla
Daniela Mier
author_sort Matthias Burghart
collection DOAJ
description Psychopathy is a severe personality disorder marked by a wide range of emotional deficits, including a lack of empathy, emotion dysregulation, and alexithymia. Previous research has largely examined these emotional impairments in isolation, ignoring their influence on each other. Thus, we examined the concurrent interrelationship between emotional impairments in psychopathy, with a particular focus on the mediating role of alexithymia. Using path analyses with cross-sectional data from a community sample (N = 315) and a forensic sample (N = 50), our results yielded a statistically significant mediating effect of alexithymia on the relationship between psychopathy and empathy (community and forensic) and between psychopathy and emotion dysregulation (community). Moreover, replacing psychopathy with its three dimensions (i.e., meanness, disinhibition, and boldness) in the community sample revealed that boldness may function as an adaptive trait, with lower levels of alexithymia counteracting deficits in empathy and emotion dysregulation. Overall, our findings indicate that psychopathic individuals' limited understanding of their own emotions contributes to their lack of empathy and emotion dysregulation. This underscores the potential benefits of improving emotional awareness in the treatment of individuals with psychopathy.
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spelling doaj-art-e56fbb9bbd5a46aa832553dac85818822025-01-08T05:33:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e030108510.1371/journal.pone.0301085Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.Matthias BurghartAlexander H J SahmSergej SchmidtJan BullaDaniela MierPsychopathy is a severe personality disorder marked by a wide range of emotional deficits, including a lack of empathy, emotion dysregulation, and alexithymia. Previous research has largely examined these emotional impairments in isolation, ignoring their influence on each other. Thus, we examined the concurrent interrelationship between emotional impairments in psychopathy, with a particular focus on the mediating role of alexithymia. Using path analyses with cross-sectional data from a community sample (N = 315) and a forensic sample (N = 50), our results yielded a statistically significant mediating effect of alexithymia on the relationship between psychopathy and empathy (community and forensic) and between psychopathy and emotion dysregulation (community). Moreover, replacing psychopathy with its three dimensions (i.e., meanness, disinhibition, and boldness) in the community sample revealed that boldness may function as an adaptive trait, with lower levels of alexithymia counteracting deficits in empathy and emotion dysregulation. Overall, our findings indicate that psychopathic individuals' limited understanding of their own emotions contributes to their lack of empathy and emotion dysregulation. This underscores the potential benefits of improving emotional awareness in the treatment of individuals with psychopathy.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301085&type=printable
spellingShingle Matthias Burghart
Alexander H J Sahm
Sergej Schmidt
Jan Bulla
Daniela Mier
Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
PLoS ONE
title Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
title_full Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
title_fullStr Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
title_full_unstemmed Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
title_short Understanding empathy deficits and emotion dysregulation in psychopathy: The mediating role of alexithymia.
title_sort understanding empathy deficits and emotion dysregulation in psychopathy the mediating role of alexithymia
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0301085&type=printable
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