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The exception is a small subcategory of young women who share the same tendencies as young men with behavioral problems, but with a later onset than what is typical in young men. The fact that psychopathy is a solid predictor of both harmful behavior and violence seems to be beyond question. However, responsiveness to treatment is a more controversial matter. Considering the components of the disorder, factor one seems static and rigid, and factor two seems more dynamic and potentially impressionable.
Accordingly, research indicates that treatment should focus on preventing violence and other more specific negative behaviors. The prototype of a psychopath will score high on all four facets interpersonal, affect, lifestyle, and antisocialwhile patients with more limited symptomatology, such as many women diagnosed with this disorder, 4147 — 50 typically score high on fewer of the facets.
For instance, a psychopathic patient with primarily manipulative tendencies may score high on the facets lifestyle and antisocial.
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Some of these patients will, in all probability, profit from a number of different treatment programs, while others may prove particularly resistant to treatment. Neither does treatment directed at anger management seem appropriate for the majority of psychopaths, since the violence they perform usually is not a result of overwhelming emotions, but more often an instrumental type of violence, which is planned, nonemotional, and motivated by external objectives.
In addition to performing a good analysis of what motivates a particular individual to change, this may, for instance, be achieved by making social behavior pay and antisocial behavior not pay. We demonstrated that the topic is also of importance with respect to women and that a lack of focus on this disorder may have negative implications.
We pointed out that the development of psychopathy in women and men is the result of complex interactions between biological and temperamental predispositions, and social and environmental influences. In presenting the commonly used diagnostic instruments PCL-R and PCL-SV, we discussed how sex may be a factor of importance to the results achieved using these and comparable tools.
Although psychopathy occurs more frequently and typically more severely in men, we additionally discussed literature that showed that the problem also exists in women. Clinicians should be aware that the behavioral expression of the disorder might differ between women and men. Female sufferers more often seem to show emotional instability, verbal violence, and manipulation of social networks, and, to a lesser degree than male psychopaths, criminal behavior and instrumental violence.
Footnotes The authors report no conflicts of interest in this work. Sex differences in psychopathy and antisocial personality disorder. A review and integration.
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Genetic and environmental influences on psychopathy and antisocial behavior. Evidence for substantial genetic risk for psychopathy in 7-year-olds. J Child Psychol Psychiatry.
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Psychopathy and antisocial personality disorder. Thornton D, Blud L. The influence of psychopathic traits on response to treatment. Theory, Research and Practice. Lawrence Erlbaum Associates; Psychiatric labeling in cross-cultural perspective. Manual for the Psychopathy Checklist: Psychopathy and community violence among civil psychiatric patients: J Clin Consult Psychol. Predicting institutional adjustment and recidivism with the Psychopathy Checklist factor scores: A large scale meta-analysis relating the Hare measures of psychopathy to antisocial conduct.
Predictive validity of dangerousness. Clin Psychol Sci Pract. Psychopathy checklist factor scores and recidivism. Issues in Criminological and Legal Psychology. Predictive validity of the psychopathy checklist: A research scale for the assessment of psychopathy in criminal populations. Assessment of psychopathy in a population of incarcerated adolescent offenders.
Facets of clinical psychopathy: Incremental validity of the Psychopathy Checklist facet scores: Exploratory and confirmatory factor analysis of the psychopathy construct: Psychiatr Clin North Am. Psychopathic traits in a large community sample: J Consult Clin Psychol.
The superordinate nature of psychopathy. Structural models of psychopathy.
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Reconstruing the reconstruction of psychopathy: A comparative study of violence risk assessment tools: Psychopathy in female offenders: Int J Law Psychiatry. Antisocial personality disorder and psychopathy in women: Psychopathy and recidivism among female inmates.
Partner violence during pregnancy: Int J Womens Health. Construct validity of psychopathy in female offender sample: The PCL-R and gender. Eur J Psychol Assess. Information Collection, Use, and Sharing We are the sole owners of the information collected on this site. We neither sell, trade, nor share information with any 3rd party company, organization, or individual. The following cases define information flow within our delivery system: The information provided to us as part of this verification is not stored on our servers and is not used for any purpose except to verify transaction validity.
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