Emotional Processing and Psychopathy Among Women: A Systematic Review

Psychopathy in women has gained the attention of the scientific community, but research on the emotional processing in individuals with psychopathic traits and its role in criminal behavior is still scarce. The present systematic review aims to aggregate existing literature that analyze emotional processing in women with psychopathy traits. The search terms, conducted in six databases, identified 13 relevant studies, meeting the following criteria: women, 18 years or older, prison or community contexts, and written in English, Spanish, or Portuguese. Studies pointed to a compromise in the understanding, management, and categorization of emotions, especially those with negative valence, and the presence of alexithymia in women with higher scores of psychopathic traits. Some studies revealed that women with psychopathy had reduced limbic activation, cortical deficits in emotional processing, and an absence of aversive startle response when exposed to aversive stimuli. Significant relationships between psychopathic traits, heart rate, and skin conductance response were documented. Additionally, the interpersonal-affective facet of psychopathy was linked to emotion management difficulties, while the antisocial-impulsive dimension seems linked to alexithymia and deficits in the processing of negatively valenced emotions. These findings carry practical implications for interventions with psychopathic women.