The psychopathic mind: psychopathology and criminal responsibility

Authors

DOI:

https://doi.org/10.25118/2763-9037.2026.v16.1608

Keywords:

psychopathy, criminal responsibility, imputability, forensic psychiatry, legal psychology, psychopath, antisocial personality disorder

Abstract

Introduction: Psychopathy is a psychiatric construct characterized by interpersonal, affective, and behavioral traits, including superficial charm, manipulation, lack of empathy, absence of remorse, impulsivity, and antisocial behavior. Since the classic description by Hervey Cleckley and the systematic framework developed by Robert D. Hare, the concept has become highly relevant in forensic psychiatry. Objective: To describe the main psychopathological features of psychopathy and discuss their implications for criminal responsibility under Brazilian legislation and case law. Method: This narrative review, conducted according to SANRA recommendations, analyzed 18 references selected from PubMed, Scopus, and SciELO, including empirical studies, review articles, seminal works, and legal documents. Discussion: Although neurobiological findings suggest abnormalities in emotional processing, psychopaths retain the cognitive capacity to understand the wrongfulness of their actions. Conclusion: Therefore, the prevailing view in Brazil is that psychopathy, by itself, does not exclude criminal responsibility, and such individuals are generally considered fully accountable for their offenses. Nevertheless, the diagnosis is highly relevant for assessing recidivism risk, dangerousness, and management strategies within the criminal justice system.

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Author Biographies

Alexandre Martins Valença, Universidade Federal do Rio de Janeiro

http://lattes.cnpq.br/6780184620648314
Professor Associado, Departamento Psiquiatria e Saúde Mental, Universidade Federal Fluminense, UFF, Niterói, RJ; Professor do Programa de Pós-Graduação IPUB, Universidade Federal do Rio de Janeiro, UFRJ, Rio de Janeiro, RJ; Coordenador do Departamento de Psiquiatria Forense, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Milena Ferreira França Alexandre, Universidade de Pernambuco

http://lattes.cnpq.br/8630101510231029
Professora, Faculdade de Ciências Médicas, Universidade de Pernambuco, FCM-UPE, Recife, PE, Brasil

Lisieux Elaine Borba Telles, Universidade Federal do Rio Grande do Sul

http://lattes.cnpq.br/4016631092809678
Departamento de Psiquiatria e Medicina Legal, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, UFRGS, Porto Alegre, RS, Brasil

José Brasileiro Dourado Junior, Universidade Federal de Pernambuco

http://lattes.cnpq.br/3640377381459554
Psiquiatra Forense, Médico Assistente do Hospital das Clínicas, Universidade Federal de Pernambuco, UFPE, Recife, PE, Brasil

Antônio Geraldo da Silva, Brazilian Association of Psychiatry

http://lattes.cnpq.br/9471338065453170 
Psiquiatra Forense; Pós-Doutor em Medicina Molecular; Professor da Faculdade Paulista de Ciências da Saúde, São Paulo, SP, Brasil; Presidente, ABP, Rio de Janeiro, RJ, Brasil

References

1. Cleckley H. The mask of sanity: an attempt to clarify some issues about the so-called psychopathic personality. 5th ed. Augusta: Emily S. Cleckley; 1988. https://gwern.net/doc/psychology/personality/psychopathy/1988-cleckley-maskofsanity.pdf

2. Wilkowski BM, Robinson MD. Putting the brakes on antisocial behavior: secondary psychopathy and post-error adjustments in reaction time. Pers Individ Dif. 2008;44(8):1807-18. https://doi.org/10.1016/j.paid.2008.02.007

3. Hare RD. Manual for the Revised Psychopathy Checklist. 2nd ed. Toronto: Multi-Health Systems; 2003. https://criminologyweb.com/wp-content/uploads/2019/12/Hare-Psychopathy-Checklist-Revised-PCLR.pdf

4. Falkenbach DM, Howe JR, Falki M. Using self-esteem to disaggregate psychopathy, narcissism, and aggression. Pers Individ Dif. 2013;54(7):815-20. https://doi.org/10.1016/j.paid.2012.12.017

5. Patrick CJ, editor. Handbook of psychopathy. New York: Guilford Press; 2006. https://www.amazon.com.br/Handbook-Psychopathy-Second-Christopher-Patrick/dp/1462541232#

6. Blair RJR. The neurobiology of psychopathic traits in youths. Nat Rev Neurosci. 2013;14(11):786-99. https://doi.org/10.1038/nrn3577 PMid:24105343 PMCid:PMC4418507

7. Kiehl KA. A cognitive neuroscience perspective on psychopathy: evidence for paralimbic system dysfunction. Psychiatry Res. 2006;142(2-3):107-28. https://doi.org/10.1016/j.psychres.2005.09.013 PMid:16712954 PMCid:PMC2765815

8. Glenn AL, Raine A. Neurocriminology: implications for the punishment, prediction and prevention of criminal behaviour. Nat Rev Neurosci. 2014;15(1):54-63. https://doi.org/10.1038/nrn3640 PMid:24326688 PMCid:PMC5452349

9. Frick PJ, Ray JV. Evaluating callous-unemotional traits as a personality construct. J Pers. 2015;83(6):710-22. https://doi.org/10.1111/jopy.12114 PMid:25039236

10. Hare RD. Without conscience: the disturbing world of the psychopaths among us. New York: Guilford Press; 1999. https://www.guilford.com/books/Without-Conscience/Robert-Hare/9781572304512?srsltid=AfmBOoohT98CRLOWpcc78uPwRgppRaVefcC1E-iNczFtBtwn8WxmgxjW

11. Teitelbaum PO, Fichbein BC, Martins CDN, Bins HDC, Schwengber HE, Moreira LL, Christoff MU, Cohen M, Albrecht RB, Cardoso RG. Psicopatia e transtorno antissocial de personalidade: implicações sobre a responsabilidade penal. Multijuris. 2012;7(11):57-67. https://ajuris.org.br/wp-content/uploads/2006/08/MULTIJURIS11.pdf

12. Brasil. Decreto-Lei nº 2.848, de 7 de dezembro de 1940. Código Penal Brasileiro. Brasília: Presidência da República; 1940. https://www2.camara.leg.br/legin/fed/declei/1940-1949/decreto-lei-2848-7-dezembro-1940-412868-publicacaooriginal-1-pe.html

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Published

2026-05-28

How to Cite

1.
Valença AM, Alexandre MFF, Telles LEB, Dourado Junior JB, da Silva AG. The psychopathic mind: psychopathology and criminal responsibility. Debates Psiquiatr. [Internet]. 2026 May 28 [cited 2026 Jun. 3];16:1-16, e1608. Available from: https://revistardp.org.br/revista/article/view/1608

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Review Articles

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