In addition, clinicians rule out other disorders that can result in similar type behaviors to the psychopath, such as Narcissism PD, Borderline PD, Histrionic. The “true” psychopath has most, if not all of these traits. He states many normal people have some of these traits, but not in the degree and consistency of the psychopath. Hare also points out these traits are not present in just one area of life, but are present in all areas of the psychopath’s life. The scoring of the PCL-R requires professional training, and the comprehensive technical manual (222 pages) contains extensive definitions and behavioral examples for each characteristic. Hare cautions against going down the list and “armchair” diagnosing someone as a psychopath. (PCL-R) The Psychopathy Checklist Revised
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