Purpose

This paper aims to evaluate trends in research and clinical practice that may contribute to the limited utility of assessment and treatment modalities designed to capture and address psychopathy. It identifies a lack of consistency between the academic understanding of psychopathy and how the construct is applied in clinical contexts. The authors provide clarity and direction for a more effective application of the psychopathy construct in practical contexts.

Design/methodology/approach

This review first examines the etiology of important limitations to psychopathy research and practical application, and proposes the adoption of the most recent empirical conceptualization of the construct into practical contexts. It then evaluates the current functionality of psychopathy in practical contexts. The review ultimately proposes a method for designing intervention practices based on the model used in the development of dialectical behavior therapy (DBT) for borderline personality disorder, which will improve the practical utility of the construct.

Findings

The present review provides evidence that a multifaceted and dimensional perspective of psychopathy will improve the practical utility of the construct and help move the field forward. It suggests that considering independent components of the psychopathy construct along a continuous scale, as with DBT, will contribute to improvements in assessments and treatments that target psychopathy.

Practical implications

The current review applies relevant research to a model for developing an intervention modality particularly in forensic or correctional settings where individuals high in psychopathy are often seen. The implications outlined provide a framework that could impact practice and assessment in forensic contexts moving forward.

Originality/value

Previous research has not concisely outlined problems concerning the link between psychopathy research and how the construct is applied in practical settings. Few researchers have proposed plausible solutions that could improve the utility of the construct in such settings.

中文翻译：

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从研究到实践：一种多方面和多维度的精神病治疗方法

目的

本文旨在评估研究和临床实践中的趋势，这些趋势可能导致旨在捕捉和解决精神病的评估和治疗方式的效用有限。它确定了对精神病的学术理解与该结构如何应用于临床环境之间缺乏一致性。作者为在实际环境中更有效地应用精神病态结构提供了清晰和方向。

设计/方法/方法

本综述首先检查了精神病研究和实际应用的重要局限性的病因，并建议将该构念的最新经验概念化应用于实际环境中。然后在实际情况下评估精神病的当前功能。该评论最终提出了一种基于边缘型人格障碍辩证行为疗法 (DBT) 发展中使用的模型设计干预实践的方法，这将提高该结构的实际效用。

发现

本综述提供的证据表明，精神病的多方面和多维度视角将提高该构念的实际效用，并有助于推动该领域向前发展。它表明，与 DBT 一样，在连续范围内考虑精神病结构的独立组成部分，将有助于改进针对精神病的评估和治疗。

实际影响

当前的审查将相关研究应用于开发干预模式的模型，特别是在经常看到精神病患者高的法医或惩戒环境中。概述的影响提供了一个框架，可能会影响法医背景下的实践和评估。

原创性/价值

先前的研究并没有简明扼要地概述有关精神病研究与该构念如何在实际环境中应用之间的联系的问题。很少有研究人员提出合理的解决方案，可以提高结构在此类环境中的效用。