Abstract

Psychopathy is an essential construct for research and applied usage (Gacono, 2016). The Psychopathy Checklist-Revised (PCL-R; Hare, 2003) is the only valid method for assessing the Cleckley psychopath. In this chapter, we discuss theoretical and empirical roots of psychopathy and provide clinical and forensic guidelines for use of the PCL-R. We rely on our extensive PCL-R research and clinical experience in discussing gender differences among psychopaths. Although males show a malignant narcissistic style, the female variant is characterized by a malevolent type of hysteria (Cunliffe & Gacono, 2005, 2008; Gacono & Meloy, 1994; Smith, Gacono, & Cunliffe, 2018). Gender differences are highlighted and guidelines for the assessment of psychopathic and nonpsychopathic female offenders are provided.

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