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Theoretically, '''psychopathy''' is a three-faceted disorder involving interpersonal, affective and behavioral characteristics. |
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Interpersonally, psychopaths are manipulative, grandiose, egocentric and forceful. Affectively, they are shallow and non-empathetic; they do not experience ], ] or ]. Behaviorally, they are impulsive, irresponsible and sensation-seeking. |
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== Assessing for psychopathy == |
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In contemporary research and clinical practice, psychopathy is most commonly assessed with the Hare Psychopathy Checklist- Revised (PCL-R), which is a clinical rating scale with 20 items. Each of the items in the PCL-R is scored on a three-point scale according to specific criteria through file information and a semi-structured interview. Score 0 if the trait is absent, 1 if it is possibly or partially present and 2 if it is present. The item scores are summed to yield a total score ranging from 0 to 40 which is then considered to reflect the degree to which they resemble the prototypical psychopath. A score > 30 supports a diagnosis of psychopathy. |
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The items are as follows: |
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===Interpersonal dimension=== |
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*Glibness/superficial charm |
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*Grandiose sense of self-worth |
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*Pathological lying |
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*]/manipulative |
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*Lack of remorse or guilt |
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*Shallow affect |
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*Callous/lack of empathy |
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*Failure to accept responsibility for own actions |
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===Affective dimension=== |
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*Need for stimulation/-proneness to boredom |
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*Parasitic lifestyle |
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*Poor behavioral controls |
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*Early behavioral problems |
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*Lack of realistic, long-term goals |
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*Impulsivity |
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*Irresponsibility |
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*Juvenile delinquency |
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*Revocation of conditional release |
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===Behavioral dimension=== |
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*Promiscuous sexual behavior |
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*Many short-term marital relationships |
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*Criminal versatility |
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A note of caution: the test must be administered by a trained mental health practitioner under controlled conditions for it to have any validity. |
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Note : Psychopathy is not the same as Antisocial PD, nor is it synonymous with Dyssocial PD. It is however synonymous with Sociopathy! |
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==See also== |
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*] |
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*] |
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] |
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