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Psychopathy and the DSM.

Cristina Crego¹, Thomas A Widiger¹

¹University of Kentucky.

Journal of Personality

|July 22, 2014

Summary

This article examines the complex history between psychopathy and the Diagnostic and Statistical Manual of Mental Disorders (DSM). It highlights the ongoing debate and evolving definitions of antisocial personality disorder within the DSM framework.

Area of Science:

Psychiatry
Psychology
Clinical Psychology

Background:

Psychopathy is a recognized personality disorder.
Its classification within the Diagnostic and Statistical Manual of Mental Disorders (DSM) has been historically contentious.
The DSM's criteria for antisocial personality disorder have evolved alongside evolving conceptualizations of psychopathy.

Purpose of the Study:

To provide a historical overview of the relationship between psychopathy and the DSM.
To discuss the controversies surrounding the integration of psychopathy into DSM diagnoses.
To analyze the evolution of psychopathy constructs and their alignment with DSM editions.

Main Methods:

Historical analysis of DSM editions.
Literature review of key psychopathy research and diagnostic tools.

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Comparative analysis of psychopathy models and DSM criteria.

Main Results:

The DSM's antisocial personality disorder diagnosis has a complex and often problematic relationship with clinical conceptualizations of psychopathy.
Key diagnostic tools like the Psychopathy Checklist-Revised and prominent psychopathy models show varying degrees of alignment with DSM criteria across editions.
The evolution of the DSM reflects ongoing debates in the field regarding the definition and diagnosis of psychopathy.

Conclusions:

The DSM has not fully or consistently incorporated the construct of psychopathy.
Continued dialogue is needed to reconcile clinical and diagnostic approaches to psychopathy.
Future revisions of the DSM may benefit from a more integrated understanding of psychopathy.