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Who Are These People?<br />

27<br />

scribes how psychopaths present themselves to others, the affective<br />

domain includes what they feel or don’t feel emotionally, the lifestyle<br />

domain describes how they live in society, and the antisocial domain<br />

describes their propensity for antisocial behaviors. Note that scoring<br />

each item requires professional qualifications, adherence to the scoring<br />

instructions in the PCL: SV Manual, and access to extensive interview<br />

and collateral information. More extensive descriptions are provided<br />

in the book Without Conscience.<br />

Domains and Traits of the Psychopath<br />

[from the PCL: SV]<br />

Interpersonal<br />

The person is:<br />

• Superficial<br />

• Grandiose<br />

• Deceitful<br />

Lifestyle<br />

The person:<br />

• Is impulsive<br />

• Lacks goals<br />

• Is irresponsible<br />

Affective<br />

The person:<br />

• Lacks remorse<br />

• Lacks empathy<br />

• Doesn’t accept<br />

responsibility<br />

Antisocial<br />

The person has a history of:<br />

• Poor behavioral controls<br />

• Adolescent antisocial<br />

behavior<br />

• Adult antisocial behavior<br />

What is a high enough PCL-R score to warrant a diagnosis of psychopathy?<br />

Most people in the general population would score less than<br />

5 on the PCL-R, whereas the average score for male and female criminals<br />

is about 22 and 19, respectively. A cut score of 30 typically is used<br />

to identify psychopaths, although some investigators and clinicians use

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