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Psychopathy Checklist-Revised (PCL-R)

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In contemporary research and clinical practice, Robert Hare's Psychopathy Checklist-Revised (PCL-R) is the psycho-diagnostic tool most commonly used to assess Psychopathy. Because an individual's scores may have important consequences for his or her future, the potential for harm, if the test is used or administered incorrectly, is considerable, so that the test should only be considered valid if administered by a suitably qualified and experienced clinician under controlled conditions.

Psychopathy Checklist-Revised (PCL-R)

This is a clinical rating scale with 20 items. Each of the items in the PCL-R is scored on a three-point (0, 1, 2) scale according to specific criteria through file information and a semi-structured interview. The items are as follows:

  1. Glibness/superficial charm
  2. Grandiose sense of self-worth
  3. Need for stimulation/proneness to boredom
  4. Pathological lying
  5. Conning/manipulative
  6. Lack of remorse or guilt
  7. Shallow affect
  8. Callous/lack of empathy
  9. Parasitic lifestyle
  10. Poor behavioral controls
  11. Promiscuous sexual behavior
  12. Early behavioral problems
  13. Lack of realistic, long-term goals
  14. Impulsivity
  15. Irresponsibility
  16. Failure to accept responsibility for own actions
  17. Many short-term marital relationships
  18. Juvenile delinquency
  19. Revocation of conditional release
  20. Criminal versatility

Statistical models of psychopathy

The current edition of the PCL-R officially lists four factors (1.a, 1.b, 2.a, and 2.b).

PCL-R Factor 1 is correlated with narcissistic personality disorder and histrionic personality disorder. It is associated with extroversion and positive affect. Factor 1, the so-called core personality traits of psychopathy, may even be beneficial for the psychopath (in terms of nondeviant social functioning).

PCL-R Factor 2 is particularly strongly correlated to antisocial personality disorder and criminality and is associated with reactive anger, criminality, and impulsive violence.

Different researchers have come up with differing numbers of factors depending on their statistical analysis methods and data sample.

Traditional two-factor model of psychopathy

Factor 1: Aggressive narcissism
  • Glibness/superficial charm
  • Grandiose sense of self-worth
  • Pathological lying
  • Conning/manipulative
  • Lack of remorse or guilt
  • Shallow affect
  • Callous/lack of empathy
  • Failure to accept responsibility for own actions
Factor 2: Socially deviant lifestyle
  • Need for stimulation/proneness to boredom
  • Parasitic lifestyle
  • Weak behavioral controls
  • Early behavioral problems
  • Lack of realistic, long-term goals
  • Impulsivity
  • Irresponsibility
  • Juvenile delinquency
  • Revocation of conditional release
Traits not associated with any factor
  • Promiscuous sexual behavior
  • Many short-term marital relationships
  • Criminal versatility

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 higher than 30 supports a diagnosis of psychopathy. Forensic studies of prison populations have reported average scores of around 22 on PCL-R; control "normal" populations show an average score of around 5.

PCL-R Factor 1 is correlated with narcissistic personality disorder and histrionic personality disorder. PCL-R Factor 2 is particularly strongly correlated to antisocial personality disorder and criminality.

PCL-R Factor 2 is associated with reactive anger, anxiety, increased risk of suicide, criminality, and impulsive violence. PCL-R Factor 1, in contrast, is associated with extroversion and positive affect. Factor 1, the so-called core personality traits of psychopathy, may even be beneficial for the psychopath (in terms of nondeviant social functioning).

A three-factor model of psychopathy

Cooke and Michie eliminated criteria related to criminal incarceration and juvenile delinquency and statistically analyzed three factors of psychopathy. This allows for a conception of the psychopathic personality that is better applicable outside forensic populations.

Interpersonal
  • Glibness/superficial charm
  • Egocentricity/Grandiose sense of self-worth
  • Pathological lying
  • Conning/Manipulative
Affective
  • Lack of remorse or guilt
  • Callous/Lack of empathy
  • Shallow affect
  • Failure to accept responsibility for own actions
Lifestyle
  • Need for stimulation/Proneness to boredom
  • Parasitic lifestyle
  • Lack of realistic, long-term goals
  • Impulsivity
  • Irresponsibility

(Cooke, Mitchie 2001)

A four-factor model of psychopathy

Hare, Neumann, Rogers, et al. have criticized the three-factor model for using questionable procedures and analyses to retain and omit items. They have provided strong evidence for a four-factor model of psychopathy. The four-factor model adds an Antisocial factor (early, persistent, serious rule-breaking) to the three-factor model:

Interpersonal
  • Glibness/superficial charm
  • Egocentricity/Grandiose sense of self-worth
  • Pathological lying
  • Conning/Manipulative
Affective
  • Lack of remorse or guilt
  • Callous/Lack of empathy
  • Shallow affect
  • Failure to accept responsibility for own actions
Lifestyle
  • Need for stimulation/Proneness to boredom
  • Parasitic lifestyle
  • Lack of realistic, long-term goals
  • Impulsivity
  • Irresponsibility
Antisocial
  • Early behavior problems
  • Poor behavioral controls
  • Juvenile delinquency
  • Violation of conditional release
  • Criminal versatility
Traits not associated with any factor
  • Promiscuous sexual behavior
  • Many short-term marital relationships

(Hare, 2003; Hare & Neumann, 2005; Neumann, Hare, Vitacco, & Wupperman,in press; Vitacco, Rogers,Neumann,Harrison,& Vincent,2005).

The four-factor model also fits the PCL: SV, which does not contain any criminal items. (Hill, Neumann, & Rogers, 2005; Vitacco, Neumann, & Jackson, 2005).

Original Psychopathy Checklist

Robert Hare originally developped his psychopathy checklist as consisting of twenty-two items, which were later reduced in the revised version to twenty.

  1. Glibness/superficial charm
  2. Previous diagnosis as psychopath
  3. Egocentricity/grandiose sense of worth
  4. Proneness to boredom/low frustration tolerance
  5. Pathological lying and deception
  6. Conning/lack of sincerity
  7. Lack of remorse or guilt
  8. Lack of affect and emotional depth
  9. Callous/lack of empathy
  10. Parasitic life-style
  11. Short-tempered/poor behavioral controls
  12. Promiscuous sexual relations
  13. Early behavior problems
  14. Lack of realistic, long-term plans
  15. Impulsivity
  16. Irresponsible behavior as parent
  17. Frequent marital relationships
  18. Juvenile delinquency
  19. Poor probation or parole risk
  20. Failure to accept responsibility for own actions
  21. Many types of offense
  22. Drug or alcohol use not direct cause of antisocial behavior
(Hare 1980).

See also

References

  • Vitacco, M. J., Rogers, R., Neumann, C. S., Harrison, K., & Vincent, G. (2005). "A comparison of factor models on the PCL-R with mentally disordered offenders: The development of a four factor model." Criminal Justice and Behavior, 32, 526-545.
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