Is the distinction between primary and secondary sociopaths a matter of degree, secondary traits, or nature vs. nurture?

Behavioral and Brain Sciences 18 (3):578-579 (1995)
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Abstract

Psychopathy has as its central traits socialization, sensation seeking, and impulsivity. These are combined in a supertrait: Impulsive Unsocialized Sensation Seeking (ImpUSS). Secondary types are defined by combinations of ImpUSS and neuroticism or sociability. All broad personality traits have both genetic and environmental determination, and therefore different etiologies (primary as genetic, secondary as environmental) for primary and secondary sociopathy are unlikely.

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