Psychopathy in Youth: Pursuing Diagnostic Clarity

Psychopathy in youth has received increased recognition as a critical clinical construct for the evaluation and management of troubled adolescents (e.g., Frick, P. J. (1998). In Cooke, D. J., Forth, A. E., and Hare, R. D. (eds.), Psychopathy: Theory, Research and Implications for Society. Kluwer Academic Publishers, Boston, MA, pp. 161–187; Lynam, D. R. (1998). J. Abnorm. Psychol., 107: 566–575). To date, clinical research has examined psychopathy simply as a global construct rather than focusing on its specific criteria. In addition, researchers have tended to utilize downward extensions of adult conceptualizations of psychopathy to understand this syndrome in youth. This study was designed to assist in clarifying the construct of psychopathy in youth from a fresh perspective via prototypical analysis. Psychologists from the Clinical Child Psychology Section of the American Psychological Association (i.e., Division 53; N = 511) rated the prototypicality of the psychopathy construct for both male and female youth. Factor analyses for both genders resulted in 2 dimensions that reflected both personality and behavioral components of the disorder. Prototypicality ratings revealed important adult-to-child and male-to-female differences. In addition, child psychologists' views of their effectiveness at treating psychopathy in youth was surveyed. Contrary to the prevailing pessimism, clinical child psychologists reported that children and adolescents made moderate gains in psychotherapy. These results provide a framework for clinical child psychologists in their evaluations and treatment of psychopathic youth.