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<p>The Hare Psychopathy Checklist (PCL-R) is the most widely used tool for the clinical assessment of psychopathy, and Robert Hare has contributed importantly in championing evidence informed treatment and risk management approaches for this population. We critically examine the treatment of psychopathy both in terms of what works and what has been shown not to work, through the lens of the PCL-R. We argue that a coherent and reliable operationalization of psychopathy, vis-à-vis the Hare PCL-R, has facilitated identifying the population of interest to be targeted for treatment services and has also aided the identification of the primary treatment objectives and approaches for this population. We begin by reviewing historical pessimism regarding the treatment of psychopathy and early seminal reviews. We then turn our attention to an integration of the Risk, Need, Responsivity principles and PCL-R measured psychopathy—termed the 2-Component Model as first introduced by Wong et al. (<CitationRef CitationID="CR81">2012</CitationRef>)—for the treatment of psychopathy and what treatment strategies may work for psychopathic correctional and forensic mental health populations. Extant research findings, current clinical practices, and future directions for the incorporation of the PCL-R into RNR-based treatment of psychopathy are discussed.&#xa0;</p>

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The Hare PCL-R and Treatment of Psychopathy in Correctional and Forensic Mental Health Settings: Past Practice, Current Findings, and Future Directions

  • 期刊论文

  • 发表日期：

    2026年3月14日

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  • Mark E. Olver,
  • Keira C. Stockdale,
  • James R. P. Ogloff,
  • Martin Rettenberger,
  • Stephen C. P. Wong

摘要

The Hare Psychopathy Checklist (PCL-R) is the most widely used tool for the clinical assessment of psychopathy, and Robert Hare has contributed importantly in championing evidence informed treatment and risk management approaches for this population. We critically examine the treatment of psychopathy both in terms of what works and what has been shown not to work, through the lens of the PCL-R. We argue that a coherent and reliable operationalization of psychopathy, vis-à-vis the Hare PCL-R, has facilitated identifying the population of interest to be targeted for treatment services and has also aided the identification of the primary treatment objectives and approaches for this population. We begin by reviewing historical pessimism regarding the treatment of psychopathy and early seminal reviews. We then turn our attention to an integration of the Risk, Need, Responsivity principles and PCL-R measured psychopathy—termed the 2-Component Model as first introduced by Wong et al. (2012)—for the treatment of psychopathy and what treatment strategies may work for psychopathic correctional and forensic mental health populations. Extant research findings, current clinical practices, and future directions for the incorporation of the PCL-R into RNR-based treatment of psychopathy are discussed.