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Psychopathy: A Confusing Clinical Construct

NCJ Number
222824
Journal
Journal of Forensic Nursing Volume: 4 Issue: 1 Dated: 2008 Pages: 29-39
Author(s)
Christine A. Kirkman Ph.D.
Date Published
2008
Length
11 pages
Annotation
This paper provides an overview of the literature on the topic of psychopathy.
Abstract
Findings suggest that clarifying the construct of psychopathy is of particular relevance to forensic nurses. The terminology used in relation to this condition is constantly being revised, and as yet, no consensus has been achieved regarding either the constructs that are being measured in clinical practice, the adequacy of the measuring in clinical practice, or the adequacy of the measurement instruments. Patients with this disorder can present forensic nurses with serious challenges in their professional role; patients who have severe personality disorders cause the maximum stress, anxiety, and frustration in relation to practical day-to-day management. On a daily basis, forensic nurses face dilemmas that arise between containment and care. Perceptions of a person’s dangerousness can move the practice emphasis towards maintaining control rather than seeking therapeutic success. A sound knowledge of mental illness, mental wellness, and impaired cognitions will enable forensic nurses to develop a credible dialogue with other healthcare professionals. Further studies are needed that examine psychopathic personality and interactions as encountered in a variety of settings, cross-culturally in both men and women. There is an urgent need to find answers to questions about the psychopath, which have remained unchanged over many decades. This will have advantages not only at institutional/clinical practices but also communities who are at risk from becoming victims of unprincipled behavior. Until complete clarification is provided by the research community, forensic nurses need to maintain positive views about their own role when working with people with this challenging condition and strive to maintain a therapeutic ward atmosphere. References