The recent inclusion of callous-unemotional traits in the diagnostic criteria for serious conduct problems has led to renewed interest in more comprehensive integrations of the construct of psychopathy into research and clinical classification of childhood disruptive behavior disorders. There have been a number of recent reviews of research focusing the many potential benefits for this integration. However, there are also a number of issues that could reduce these benefits and even potentially lead to harmful effects. The current paper focuses on several of these issues, some of which are common when attempting to integrate research findings across areas that have been conducted independently of each other. Other issues are more specific to the construct of psychopathy. Specifically, the current paper focuses on the lack of agreement on the necessary and sufficient dimensions needed to define psychopathy, the need to consider developmental relationships among these dimensions, the implications of the different associations among the dimensions of psychopathy with conduct problems in children and adolescents, the need to consider how these dimensions relate to existing constructs used in the classification of disruptive behavior disorders, and the potential harmful effects of labeling something “a dimension of psychopathy”. These issues have several clear implications for using the construct of psychopathy to guide research on and diagnostic classification of childhood disruptive behavior disorders.

最近将冷酷无情的特征纳入严重行为问题的诊断标准中，这导致人们重新开始关注将精神病的结构更全面地整合到儿童的研究和临床分类中破坏性行为障碍。最近有许多关于研究的评论，重点关注这种整合的许多潜在好处。然而，还有许多问题可能会减少这些好处，甚至可能导致有害影响。当前的论文重点关注其中的几个问题，其中一些在尝试整合彼此独立进行的各个领域的研究结果时很常见。其他问题更具体到精神病态的结构。具体来说，当前的论文侧重于在定义精神病态所需的必要和充分维度上缺乏共识，需要考虑这些维度之间的发展关系，精神变态维度与儿童和青少年行为问题之间的不同关联的含义，需要考虑这些维度如何与破坏性行为障碍分类中使用的现有结构相关，以及将某些事物标记为“维度”的潜在有害影响的精神病”。这些问题对于使用精神病的概念来指导儿童破坏性行为障碍的研究和诊断分类具有几个明确的意义。