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将精神病态的结构扩展到青少年:理解、诊断和治疗反社会儿童和青少年的意义。

Extending the construct of psychopathy to youth: implications for understanding, diagnosing, and treating antisocial children and adolescents.

机构信息

Department of Psychology, University of New Orleans, New Orleans, Louisiana 70148, USA.

出版信息

Can J Psychiatry. 2009 Dec;54(12):803-12. doi: 10.1177/070674370905401203.

DOI:10.1177/070674370905401203
PMID:20047719
Abstract

This paper reviews several attempts to extend the construct of psychopathy to children and adolescents. The research suggests that the presence of callous-unemotional (CU) traits may be particularly important. Specifically, the presence of these traits designates a clinically important subgroup of youth with childhood-onset conduct problems who show a particularly severe, aggressive, and stable pattern of antisocial behaviour. Also, children with CU traits show numerous emotional, cognitive, and personality features that are distinct from other antisocial youth that are similar to features found in adults with psychopathy. The research on CU traits has important implications for understanding the different causal pathways through which children develop severe antisocial and aggressive behaviour, as well as implications for diagnosing and intervening with antisocial youth.

摘要

本文综述了将精神变态结构扩展到儿童和青少年的几种尝试。研究表明,无情(CU)特征的存在可能尤为重要。具体来说,这些特征的存在指定了一个具有临床意义的亚组,由具有儿童期发病的品行问题的青少年组成,他们表现出特别严重、攻击性强且稳定的反社会行为模式。此外,具有 CU 特征的儿童表现出许多与其他反社会青年不同的情感、认知和人格特征,这些特征与成人精神变态中的特征相似。关于 CU 特征的研究对于理解儿童发展严重反社会和攻击行为的不同因果途径具有重要意义,对反社会青年的诊断和干预也具有重要意义。

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