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This article denotes psychopathy to be one among a number of negative personality organizations on a continuum. Psychopathy is understood as falling at the extreme end of this continuum. The article discusses the issue of “evil,” sociopathy, and psychopathy, and a variety of negative personality organizations, including narcissistic, paranoid, antisocial, sadistic, and psychopathic personality types; their characteristics, dynamics, and potential for treatment. Brief clinical examples of some personality types are provided to enable the reader to better understand how these types differ.