Lack of response to punishment in adults is a significant diagnostic indicator
Evidence from psychophysiological and behavioral studies supports the connection between diminished responsiveness to punishment or distress cues and externalizing or antisocial personality traits.
The retrieved literature consistently supports the idea that reduced sensitivity to punishment, threat, and distress is associated with externalizing disorders and psychopathy (aspects of adult antisocial personality and related conditions). Papers [2], [4], [5], and [6] provide converging physiological and behavioral evidence for these deficits, while the remaining papers offer general context on ASPD without contradicting the claim. Thus, the claim is supported.
Neo PS, McNaughton N, Sellbom M. Midfrontal conflict theta and parietal P300 are linked to a latent factor of DSM externalising disorders.. 2024. https://doi.org/10.1017/pen.2023.11
Paper [2] links low P300 and reinforcement sensitivity deficits to a latent factor of externalising disorders, supporting neurobiological indicators.
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Atanassova DV, Oosterman JM, Diaconescu AO, Mathys C, Madariaga VI, Brazil IA. Exploring when to exploit: the cognitive underpinnings of foraging-type decisions in relation to psychopathy.. 2025. https://doi.org/10.1038/s41398-025-03245-2
Paper [4] associates psychopathic and affective traits with aberrant learning from punishment and reduced prediction errors.
Gao Y, Raine A. Primary and Secondary Variants of Callous-Unemotional Traits in Community Youths: Differences in Anticipatory Fear.. 2024. https://doi.org/10.3390/children11030359
Paper [5] connects passive vagal coping and reduced impact of socializing punishment to antisocial behavior and callous-unemotional traits.
Schulter G, Milek B, Lackner HK, Weber B, Fink A, Rominger C, Perchtold-Stefan C, Papousek I. Diagnosing callous-unemotional personality traits by heart rate orienting responses to images inducing threat and distress.. 2023. https://doi.org/10.1038/s41598-023-49307-7
Paper [6] identifies insensitivity and reduced physiological response to distress cues as core features of callous-unemotional personalities.
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