
READ ME FIRST
This course was originally designed for third- and fourth-year undergraduate students in psychology, criminology, and related disciplines, based on 12 weekly modules of 3 lecture-hours. The modules introduce advanced conceptual, empirical, and methodological issues at the intersection of psychological science, forensic practice, and critical reasoning. While the course is structured for upper-level undergraduates, the material can readily be adapted for graduate-level instruction with appropriate adjustments to depth, readings, and assessment.
The page presents the core modules of the course, each accompanied by a brief abstract and PowerPoint lecture slides. The materials reflect an emphasis on conceptual clarity, epistemic rigor, and critical engagement with established research practices.
All materials are open access and shared under a Creative Commons Attribution 4.0 (CC BY 4.0) license. This means that you are free to use, share, adapt, and redistribute these materials for educational or scholarly purposes, including in modified form and in your own courses. The only requirement is that you provide appropriate attribution to the original author (Rasmus Rosenberg Larsen) and indicate if changes were made. No additional permission is required.
If you have questions about the course materials, or if you would like to discuss adaptations, collaboration, or the possibility of a guest lecture, please feel free to contact me directly via social media or my institutional email.
Enjoy!
Rasmus Rosenberg Larsen
Assistant Professor, University of Toronto Mississauga
COURSE DESCRIPTION
This course offers a critical examination of Psychopathic Personality Disorder or “psychopathy”—a diagnosis historically associated with callousness, lack of empathy, and chronic antisocial behavior. Since the 1990s, psychopathy has played an increasingly prominent role in the U.S. and Canadian criminal justice systems, influencing decisions related to sentencing, rehabilitation, and parole. Drawing on insights from contemporary psychological research, students will explore the historical, scientific, and ethical dimensions of this controversial diagnosis. Core questions include: How dangerous are individuals labeled as psychopathic? Can psychopathic individuals benefit from treatment? Are there identifiable neurobiological markers of psychopathy? Do current theories provide a coherent account of the disorder? And, crucially, is it ethically justifiable to use the diagnosis in legal contexts? The course is based on the book, Psychopathy Unmasked: The Rise and Fall of a Dangerous Diagnosis by Dr. Rasmus Rosenberg Larsen and encourages students to think critically about how contested psychological constructs shape real-world legal outcomes.
Module 1: Introduction - What is Psychopathy?
Recommended Reading: "Introduction" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this opening module is to orient students to the course while establishing a shared conceptual foundation for the study of psychopathy in psychological, forensic, and legal contexts. The module introduces the structure, expectations, and assessment framework of the course. The key aim of the module is to introduce students to the central question that animates the course: What is psychopathy? Students are encouraged to reflect on common stereotypes and cultural representations of psychopathy and to contrast these with how the construct is defined and operationalized in contemporary psychological research and diagnostic systems. The module introduces core definitional distinctions (e.g., psychopathy as a clinical construct, its relationship to antisocial personality disorder, and the use of terms such as “psychopathic traits”) and situates psychopathy within broader psychiatric taxonomies (DSM and ICD). By the end of the module, instructors should aim for students to appreciate that psychopathy is not merely a descriptive label or pop-cultural trope, but a contested construct with significant real-world implications. The module thus lays the groundwork for the course’s overarching goal: developing students’ capacity to critically evaluate how psychological concepts are constructed, validated, and deployed within legal and institutional settings.
Module 2: The Problem of Psychopathy – Common Claims and Legal Influence
Recommended Reading: "Chapter 1" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: Robert Hare (1996): Psychopathy: A Clinical Construct Whose Time Has Come
Module's Focus and Aims:
The aim of this module is to review how the construct of psychopathy came to be framed as a major social threat and a substantial influence in forensic clinical and legal decision-making. Building on the definitional groundwork established in Module 1, this session shifts from what psychopathy is claimed to be to why those claims should be critically scrutinized. The module first introduces students to a brief intellectual history of psychopathy, tracing its evolution from speculative moral–medical concepts in the late eighteenth and nineteenth centuries to its contemporary status as an influential clinical construct. Instructors should aim for students to understand that psychopathy did not emerge from a linear accumulation of empirical evidence, but through shifting clinical prototypes, theoretical speculation, and changing institutional priorities. Particular attention is given to the role of key figures such as Cleckley and Hare, and to how their conceptual frameworks shaped modern assessment practices. The module then examines the development and dominance of psychopathy assessment tools—especially the Hare Psychopathy Checklist–Revised (PCL-R)—and clarifies what such instruments are designed to measure. Students are encouraged to distinguish between measuring resemblance to a clinical prototype and diagnosing a disorder, and to recognize the assumptions embedded in claims about dimensionality, thresholds, and “gold-standard” status. Finally, the module introduces the core “problem” of psychopathy: the widespread assertion that psychopathy represents an alarming social danger and therefore warrants significant legal attention. Instructors should aim for students to critically assess the empirical and conceptual foundations of these claims, particularly in light of the expanding legal use of psychopathy assessments in sentencing, risk assessment, and parole decisions.
Module 3: Psychopathy and Forensic Risk – Are Psychopaths Extraordinarily Dangerous?
Recommended Reading: "Chapter 2" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to critically examine the widely held assumption that individuals labeled as psychopathic, or “diagnosed” with psychopathy, are extraordinarily dangerous and therefore pose a uniquely high forensic risk. Building on earlier modules that introduced the concept of psychopathy and its historical and legal framing, this session focuses specifically on risk prediction: how the concept of “dangerousness” and “forensic risk” is defined, measured, interpreted, and translated into legal decision-making. The module begins by situating psychopathy within broader discussions of violence and social harm, explicitly challenging students’ intuitive and media-driven assumptions about the sources of extreme violence. Instructors should aim for students to recognize that violence is a pervasive social phenomenon that cannot be straightforwardly explained by rare personality disorders alone. Against this backdrop, the module introduces the mainstream forensic claim that psychopathy is a strong predictor of chronic, severe, and instrumental violence. A central pedagogical goal is to help students understand the logic and limitations of risk prediction research. This includes clarifying what is meant by forensic risk, distinguishing prognostic claims from descriptive ones, and introducing effect sizes as the appropriate metric for evaluating claims about “extraordinary” dangerousness. Through worked examples and thought experiments, students are guided to interpret effect sizes in concrete terms and to appreciate the substantial overlap between psychopathic and non-psychopathic groups in recidivism outcomes. Finally, the module synthesizes findings from systematic reviews and meta-analyses of PCL-based risk prediction studies. Instructors should aim for students to grasp that observed associations are typically small to moderate, heavily moderated by contextual factors (e.g., gender, country, ethnicity), and often driven by general criminogenic factors rather than distinctive psychopathic traits. The module thus prepares students to critically assess whether prevailing forensic and legal narratives about psychopathy and dangerousness are empirically and conceptually justified.
Module 4: Psychopathy and Treatment – Is Psychopathy a Chronic Condition?
Recommended Reading: "Chapter 3" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to critically examine the widely held claim that psychopathy is a chronic and fundamentally untreatable condition, and to assess the scientific, ethical, and legal implications of this view. Building directly on the preceding module’s analysis of risk prediction, this session shifts attention from dangerousness to changeability: whether individuals labeled as psychopathic are capable of meaningful therapeutic and rehabilitative improvement. The module begins by introducing the dominant “untreatability” narrative, often summarized by the slogan “nothing works.” Students are guided to understand how this position emerged historically, how it became embedded in influential clinical texts and assessment manuals, and how it contrasts sharply with established findings in criminology and rehabilitation research showing that most justice-involved individuals are responsive to intervention and tend to desist from crime over time. A central instructional objective is to familiarize students with the empirical treatment literature on psychopathy, particularly studies conducted in PCL-R samples. Instructors should aim for students to appreciate that, contrary to common claims, the overwhelming majority of systematic reviews reject categorical untreatability. Evidence indicates that individuals classified as psychopathic do engage with treatment, can benefit from standard rehabilitative programs (including CBT-based interventions), and rarely show reliable adverse treatment effects. The module also foregrounds the forensic consequences of labeling a group as untreatable, including restricted access to rehabilitation, harsher sentencing practices, and pessimistic risk evaluations. By the end of the module, students should be able to critically evaluate whether the untreatability narrative is scientifically warranted, and to reflect on how selective citation practices, weak evidence, and institutional incentives have sustained a view with profound human and legal consequences.
Module 5: Psychopathy and Moral Psychology – Are Psychopaths Morally Colorblind?
Recommended Reading: "Chapter 4" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to critically evaluate the longstanding claim that psychopathy is characterized by profound moral–psychological deficits, often described using metaphors such as moral colorblindness or being without conscience. Building on earlier modules that examined risk, treatment, and the legal influence of psychopathy, this session focuses on the moral psychology literature that has been central to portraying psychopathy as a uniquely dangerous and psychologically abnormal condition. The module begins by situating the “moral deficit” view within its historical and philosophical roots, tracing how early moral-sense theories and clinical traditions shaped contemporary assumptions about empathy, remorse, and moral understanding. Instructors should aim for students to understand that these claims are stipulated assumptions rather than established facts, and that they rely on specific, and often contested, models of how moral psychology functions. A central objective of the module is to familiarize students with the empirical research on empathy and moral reasoning in PCL-based samples. Students are guided through large-scale reviews of empathy research, distinguishing between cognitive and affective empathy, including the examination of (theory of mind) emotion-recognition tasks. Instructors must draw students’ attention to the fact that the empirical record is dominated by null findings, with little reliable evidence for systematic empathic impairments among individuals scoring high on PCL psychopathy measures. The module also critically assesses moral reasoning studies, including influential moral/conventional and dilemma-based paradigms. By the end of the session, students should appreciate that early supportive findings were methodologically weak and largely unreplicated. Overall, the module aims to equip students to critically assess whether claims about moral impairment in psychopathy are empirically justified, conceptually coherent, or sustained by selective citation and scientific spin.
Module 6: The Neuroscience of Psychopathy – Is Psychopathy a Brain Disorder?
Recommended Reading: "Chapter 5" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to critically examine the influential claim that psychopathy is primarily a brain-based or neurobiological disorder, and to evaluate whether contemporary neuroscience provides reliable support for this view. Building on earlier modules that addressed moral psychology, treatment, and forensic risk, this session focuses on how biological explanations of psychopathy have been developed, justified, and sustained within psychological and forensic research. The module begins by situating neuroscience within a broader biopsychosocial framework, emphasizing that biological research is one component of mental-health inquiry rather than a reductionist alternative to psychological or social explanations. Instructors should aim for students to understand both the motivations behind biological research on psychopathy and the substantial conceptual and methodological challenges inherent in studying complex personality constructs at the neural/cellular level. A central instructional goal is to familiarize students with neuroimaging technologies (particularly structural and functional MRI), including what these methods can and cannot tell us about brain structure and function. Undergraduate students often have an inadequate understanding of these technologies and methods, leading to exaggerated interpretation of MRI research. Therefore, the module carefully unpacks common assumptions about brain localization and clarifies why neuroimaging findings must be interpreted probabilistically and cautiously. The core of the module critically reviews over two decades of MRI research in PCL-based samples, with particular attention to hypotheses concerning the amygdala and prefrontal cortex. Drawing on recent systematic reviews, students are guided to recognize that the literature is dominated by null findings, extraordinary heterogeneity, and frequent methodological problems, including low statistical power and mislabeling of neural signals. By the end of the module, instructors should aim for students to appreciate that there is no consistent or replicable neuroscientific evidence supporting the claim that psychopathy is a discrete brain disorder, and to reflect on how neuroscientific narratives can nonetheless acquire disproportionate authority in forensic and legal contexts.
Module 7: Two Theories of Psychopathy – Has Psychopathy Been Validated?
Recommended Reading: "Chapter 6" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to critically examine the two dominant theoretical frameworks that have been used to explain psychopathy, and to assess whether either theory has been empirically corroborated in a manner consistent with standard scientific criteria. Building on earlier modules that evaluated psychopathy at the levels of definition, risk, treatment, moral psychology, and neuroscience, this session turns explicitly to theory evaluation as a core epistemic task. The module begins by clarifying what a scientific theory is and what it is supposed to accomplish—namely, to explain observed phenomena that are testable and falsifiable. Instructors should aim for students to understand that theories are not mere narratives or labels, but structured explanatory frameworks that must survive sustained empirical testing. This methodological groundwork is then applied to psychopathy research. Students are introduced to the two most influential explanatory accounts of psychopathy: the Emotion Theory, which attributes psychopathy to profound emotional deficits, and the Cognitive Theory, which explains psychopathy in terms of impairments in attention, executive control, and response modulation. The module carefully reconstructs the core claims of each theory, the predictions they make, and the types of empirical evidence that would count as corroborating or falsifying them. A central instructional goal is to guide students through the extensive empirical literatures testing these theories, including psychophysiological, neuroimaging, and behavioral studies. Instructors should guide students’ attention to the fact that, despite decades of research, the evidence consistently fails to reveal the severe emotional or cognitive deficits predicted by either theory. The module concludes with critical reflections on analytic flexibility, theoretical retreat, and the broader implications of maintaining theories that lack robust empirical support, thereby sharpening students’ capacity for theory evaluation in applied psychological science.
Module 8: Psychopathy and Scientific Spin – Is Rhetoric Eclipsing the Empirical Evidence?
Recommended Reading: "Chapter 5, pp. 137-141" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: Jarkko Jalava et al. (2021): Is the psychopathic brain an artifact of coding bias? A systematic review
Module's Focus and Aims:
The aim of this module is to equip students with the conceptual tools needed to identify, analyze, and critically evaluate scientific spin and questionable research practices (QRPs) in psychopathy research, and to situate these practices within the broader context of the replication crisis in the behavioral sciences. Building on earlier modules that assessed empirical claims about risk, treatment, moral psychology, neuroscience, and theory, this session shifts focus from what the evidence shows to how that evidence has been produced, framed, and disseminated. The module begins by introducing the replication crisis as a structural problem affecting psychology and related disciplines, emphasizing the prevalence of false-positive findings, non-replicable results, and overstated conclusions. Instructors should aim for students to understand key mechanisms driving this crisis, including academic incentive structures, publication bias, and analytic flexibility. The module then provides a clear conceptual distinction between scientific spin—the deliberate or strategic distortion of research claims during dissemination—and QRPs, such as HARKing, p-hacking, selective reporting, and scale redefinition, which often operate in ethical gray zones. A central pedagogical objective is to apply these general concepts directly to psychopathy research. Through detailed case studies of highly cited and influential publications, students are guided to identify concrete examples of exaggerated language, buried limitations, misleading abstracts, and biased review practices. Particular attention is given to how null findings are systematically filtered out of review literatures (e.g., Jalava et al., 2021), producing a distorted impression of evidential consistency. The module concludes by extending the analysis to public media representations of psychopathy, highlighting how scientific spin is amplified through expert commentary, documentaries, and popular outlets. By the end of the module, instructors should aim for students to appreciate that the persistence and influence of psychopathy as a construct arguably cannot be understood without close attention to the epistemic and institutional dynamics that shape scientific credibility.
Module 9: Psychopathy and Ethics – Are Psychopathy Assessments Ethical?
Recommended Reading: "Chapter 7" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: DeMatteo et al. (2020): Statement of Concerned Experts on the Use of the Hare Psychopathy Checklist—Revised...
Module's Focus and Aims:
The aim of this module is to evaluate whether the assessment and forensic use of psychopathy—particularly via the PCL-R—can be ethically justified under established principles of professional and research ethics. Building on earlier modules that critically examined the empirical foundations of psychopathy claims, this session shifts from questions of scientific validity to questions of normative permissibility: even if PCL-psychopathy assessments were empirically robust, would their use be ethically defensible? The module begins by introducing the historical development of modern research and professional ethics, situating contemporary ethical standards in response to well-documented abuses in human experimentation and professional misconduct. Instructors should aim for students to understand the role of foundational frameworks such as the Nuremberg Code, the Declaration of Helsinki, the Belmont Report, and Beauchamp and Childress’ four-principle model, as well as how these frameworks inform contemporary professional codes such as the APA Ethics Code. The core of the module applies these ethical principles—beneficence, non-maleficence, respect for autonomy, and justice—to the practice of psychopathy assessment in forensic settings. Students are guided to examine how high PCL-R scores routinely influence sentencing, parole, treatment access, and long-term liberty, often in ways that are punitive rather than therapeutic. Instructors should emphasize that these outcomes raise serious ethical concerns, particularly given the weak empirical support for the five core claims commonly used to justify psychopathy assessments. The module concludes by addressing common objections raised by forensic practitioners and by encouraging critical reflection on whether continued use of psychopathy assessments exposes professionals to ethical misconduct. Overall, the aim is to equip students with a principled framework for evaluating ethical responsibility in applied forensic psychology.
Module 10: Explaining a Lack of Evidence (Part I) – Reviewing Mainstream Perspectives
Recommended Reading: "Chapter 8" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: [Not assigned]
Module's Focus and Aims:
The aim of this module is to systematically address a central anomaly in psychopathy research: the persistent failure to empirically corroborate its most basic and widely accepted claims about psychopathy, despite decades of intensive scientific investigation. Building on the cumulative critiques developed in earlier modules, this session shifts from evaluating individual domains of evidence to explaining why the overall research program has failed to deliver robust support for the psychopathy construct. The module begins by revisiting the historical emergence of psychopathy as a clinical prototype and its operationalization through the PCL assessment tools. Instructors should aim for students to understand how a consensus around description and measurement gave rise to a large and self-sustaining research paradigm, even in the absence of strong empirical validation. The module then foregrounds the striking disconnect between the alleged extremity of psychopathy—as a condition that supposedly “stands out”—and the consistent lack of clear empirical signals across research targeting risk, treatment, moral psychology, neuroscience, and theory. The core pedagogical objective is to introduce and critically assess two mainstream explanatory responses to this lack of evidence. The first attributes failure to the intrinsic complexity of psychopathy, arguing that current scientific methods are simply inadequate. The second locates the problem in measurement, suggesting that tools such as the PCL-R fail to properly identify “true” psychopathic individuals. Students are guided to evaluate the strengths and limitations of each explanation, with particular attention to issues of falsifiability, ad hoc reasoning, and theory protection. By the end of the module, instructors should aim for students to appreciate that these explanations, while superficially plausible, risk insulating weak scientific ideas from meaningful empirical scrutiny, thereby challenging common assumptions about scientific self-correction in applied psychological research.
Module 11: Explaining a Lack of Evidence (Part II) – Is Psychopathy a "Zombie Idea"?
Recommended Reading: "Chapter 8" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: Hervey Cleckley (1976, pp. 29-55 - cases: "Max" and "Roberta"): The Mask of Sanity
Module's Focus and Aims:
The aim of this module is to advance a substantive alternative explanation for the persistent lack of empirical support for psychopathy by introducing the concept of a “zombie idea”—an idea that remains intuitively compelling despite having no referent in reality. Building directly on, and in extension to Module 10, this session moves beyond evaluating mainstream “excuses” for a lack of evidence and instead interrogates whether the core idea of psychopathy itself is fundamentally mistaken. The module begins by clarifying what it means for a scientific concept to be “not real,” drawing on distinctions between particulars and universals. Instructors should aim for students to understand that while assessment tools can reliably identify real individuals who resemble a clinical prototype, this does not entail that such individuals instantiate a genuine psychological kind. Through analogies involving fictional or misinterpreted entities, students are guided to appreciate how scientific “concepts” can persist even when they lack real-world “referents”. A central pedagogical objective is to show how psychopathy meets the criteria of a zombie idea: The idea of psychopathy is intuitively appealing, resistant to falsification, and sustained by selective interpretation of evidence, vivid case narratives, and cultural reinforcement rather than by robust empirical corroboration. The module critically revisits the Cleckley–Hare prototype, arguing that its purported “abductive trigger” was based on misrepresentative observations rather than genuinely puzzling facts requiring novel theoretical explanation. The module concludes by examining why zombie ideas are particularly difficult to eliminate from scientific practice, including their alignment with institutional incentives, pop-cultural fascination, and the illusion of cumulative progress. By the end of the session, instructors should aim for students to appreciate how psychopathy may exemplify a broader mode of epistemic failure in science—one in which an idea outlives its evidential support and continues to shape research, policy, and practice despite systematic disconfirmation.
Module 12: The Future of Psychopathy Research – Class Discussion
Recommended Reading: "Conclusion" in Psychopathy Unmasked (Larsen, 2025)
Additional Reading: Shadd Maruna (2025): Redeeming Desistance: From Individual Journeys to a Social Movement
Module's Focus and Aims:
The aim of this final module is to synthesize the course’s cumulative critical analysis and to assess what a scientifically responsible future for psychopathy research might look like. Rather than introducing new empirical domains, the module invites students to reflect on the implications of the evidence reviewed across the course and to consider whether the psychopathy research program should be reformed, radically revised, or abandoned altogether. The module begins by consolidating the argument that psychopathy may constitute a “zombie idea”—an intuitively appealing concept that persists despite the absence of clear, replicated empirical support. Instructors should aim for students to understand why this claim is both provocative and falsifiable: if psychopathy genuinely exists as a distinct clinical entity affecting a non-trivial portion of the population, it should be possible to identify clear, real-world cases that instantiate the full prototype without recourse to ad hoc explanations. The failure to do so is treated as an epistemic challenge rather than a rhetorical conclusion. The module then engages with common objections to abandoning psychopathy, including appeals to extreme offenders (e.g., serial killers) and claims of “some positive evidence.” Students are guided to critically evaluate these objections in light of methodological flexibility, false-positive findings, and the historical persistence of null-effect research programs. The concluding aim is forward-looking and reflective. Instructors should encourage students to consider alternative research paths, the ethical and legal consequences of retaining or discarding problematic constructs, and the broader lesson psychopathy offers about scientific fallibility, institutional incentives, and the difficulty of letting go of compelling but unsupported ideas. The module is designed as a capstone discussion on critical inquiry in applied psychological science.



