Table of ContentsView AllTable of ContentsTraitsTestingSignsPsychopath vs. SociopathViolenceTreatmentCoping

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Table of Contents

Traits

Testing

Signs

Psychopath vs. Sociopath

Violence

Treatment

Coping

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The term “psychopath” is used to describe someone who is callous, unemotional, and morally depraved. Although not anofficial mental health diagnosis, it is often used in clinical and legal settings to refer to someone who often is egocentric, antisocial, lacking remorse and empathy for others, and often has criminal tendencies.

Many psychopathy characteristics overlap with symptoms ofantisocial personality disorder, a broader mental health condition used to describe people who chronically act out and break societal rules. However, only a small number of individuals with antisocial personality disorder are considered to be a psychopath.

Learn psychopath characteristics, the history of the term, and how to recognize if someone might be a psychopath. We also cover the differences between sociopath vs. psychopath, available treatments, and things you can do to cope with this type of person.

Common Psychopath Traits

Psychopathic behavior varies greatly from one individual to another. Some are sex offenders and murderers, while others may be successful leaders. It all depends on their traits. It’s also important to distinguish between a psychopath and someone with psychopathic traits.

It’s possible to exhibit psychopathic traits without being an actual psychopath.People with psychopathic traits don’t necessarily engage in psychopathic behavior. Only individuals with psychopathic traits who also exhibit antisocial behavior are considered to be psychopaths.

Psychopathic traits commonly include:

One study found that about 29% of the general population exhibit one or more psychopathic traits, but only 0.6% are likely to fit the definition of a psychopath.

Psychopath vs. NarcissistSome experts believe that narcissism and psychopathy exist on the same personality continuum and that both narcissists and psychopaths tend to have low humility andagreeableness, yet only a psychopath also has lowconscientiousness.

Psychopath vs. Narcissist

Some experts believe that narcissism and psychopathy exist on the same personality continuum and that both narcissists and psychopaths tend to have low humility andagreeableness, yet only a psychopath also has lowconscientiousness.

Is There a Psychopath Test?

While there may be plenty of free “psychopath tests” floating around on the internet, two that are used most often are the Psychopathy Checklist-Revised (PCL-R) and the Psychopathic Personality Inventory (PPL).

Signs of a Psychopath

Psychopathic traits may emerge during childhood and grow worse with age. The following are some of the most common signs of a psychopath.

Superficial Charm

Psychopaths are often likable on the surface. They’re usuallygood conversationalistsand share stories that make them look good. Psychopaths may be funny and charismatic as well making them good leaders, whether it is a business or a cult.

Need for Stimulation

A psychopath loves excitement. They like to have constant action in their lives, and they frequently want to live in the “fast lane.”

Quite often, a psychopath’s need for stimulation involves breaking rules. They may enjoy the thrill of getting away with something, or they might even like the fact that they could “get caught” at any moment.Consequently, psychopaths often struggle to stay engaged in dull or repetitive tasks, and they may be intolerant of routines.

Pathological Lying

Grandiose Sense of Self-Worth

A psychopath has aninflated view of themselves. They see themselves as important and entitled. Psychopaths often feel justified to live according to their own rules, and they think that the laws don’t apply to them.

Manipulative

Psychopaths are really good at getting other people to do what they want. They mayplay on a person’s guiltwhile lying to get someone else to do their work for them.

Lack of Remorse

A psychopath doesn’t care how their behavior affects other people. They may forget about something that hurts someone, or they may insist that others are overreacting when their feelings are hurt. Ultimately, psychopaths don’t experience guilt for causing people pain. In fact, they often rationalize their behavior and blame other people.

Shallow Affect

Psychopaths don’tshow many emotions—at least not genuine ones. They may appear cold and unemotional much of the time. But when it serves them well, a psychopath might exhibit a dramatic display of feelings. These are usually short-lived and quite shallow.

For example, a psychopath may show anger if they can intimidate someone, or they might show sadness to manipulate someone. But they don’t really experience these emotions.

Lack of Empathy

Psychopaths struggle to understand how someone else might feel afraid, sad, or anxious. It just doesn’t make sense to them. A psychopath is completely indifferent to people who are suffering—even when it’s a close friend or family member.

Parasitic Lifestyle

Poor Behavioral Controls

Psychopaths struggle to follow rules, laws, and policies much of the time. Even if they set out to follow the rules, a psychopath usually doesn’t stick to them for long.

Promiscuous Sexual Behavior

Since they don’t care about the people around them, a psychopath is likely tocheat on their partners. They may engage in unprotected sex with strangers, or they may use sex as a way to get what they want. Sex is not an emotional or loving act for a psychopath.

Early Behavioral Problems

Most psychopaths exhibit behavioral problems at an early age. They may cheat, skip school, vandalize property,misuse substances, or become violent. A psychopath’s misbehaviors tend to escalate over time and are more serious than their peer’s misbehaviors.

Lack of Realistic, Long-Term Goals

A psychopath’s goal might be to become rich or famous. But quite often, they have little idea about how to make these things happen. Instead, they insist that somehow, they’ll get what they want without putting in the effort to get there.

Impulsivity

Psychopaths respond to things according to the way they feel. They don’t spend time thinking about the potential risks and benefits of their choices. Instead, a psychopath wantsimmediate gratification.So, they may quit a job, end a relationship, move to a new city, or buy a new car on a whim.

Irresponsibility

Promises don’t mean anything to a psychopath. Whether they promise to repay a loan or sign a contract, they aren’t trustworthy. They may shrug off child support payments, get deeply in debt, or forget about obligations and commitments.

A psychopath doesn’t accept responsibility for the problems in their lives. They see their issues as always being someone else’s fault. Psychopaths frequentlyplay the role of the victimand enjoy sharing stories about how others have taken advantage of them.

Many Marital Relationships

Psychopaths may get married because it serves them well. For example, they may want to spend a partner’s income or share their debt with someone else. But their behavior often leads to frequent divorces as a psychopath’s partner will eventually see them in a more accurate light.

Criminal Versatility

Psychopaths tend to view rules as suggestions—and they usually see laws as restrictions that hold them back. Their criminal behaviors can be quite varied. Driving infractions, financial violations, and acts of violence are just a few examples of the array of crimes a psychopath might commit.

Of course, not all psychopaths become incarcerated. Some may operate under shady businesses or engage in unethical practices that don’t lead to an arrest.

Revocation of Conditional Release

Most psychopaths don’t adhere to the rules of conditional release when they arereleased from prison. They may think they won’t get caught again, or they find ways to excuse their behavior. A psychopath might even blame “getting caught” on other people.

Recap of Psychopath Symptoms or SignsA person who is manipulative, dishonest, narcissistic, unremorseful, non-empathetic, and exploitative may be a psychopath. Criminality,promiscuity, and lack of responsibility are also common traits associated with psychopathy.

Recap of Psychopath Symptoms or Signs

A person who is manipulative, dishonest, narcissistic, unremorseful, non-empathetic, and exploitative may be a psychopath. Criminality,promiscuity, and lack of responsibility are also common traits associated with psychopathy.

While “psychopath” and “sociopath” are sometimes used synonymously, they have different meanings and different patterns of traits and behaviors. What’s the difference between psychopath vs. sociopath?

How Sociopaths Are Different From Psychopaths

1:58Learn More About the Difference Between Psychopaths and Sociopaths

1:58

Learn More About the Difference Between Psychopaths and Sociopaths

Causes of Psychopathy

Early research on psychopathy suggested that it often stems from issues related toparent-child attachment. Emotional deprivation, parental rejection, and a lack of affection were all thought to increase the risk that a child would become a psychopath.

Studies have found a link between maltreatment,abuse, insecure attachments, and frequent separations from caregivers. Some researchers believe that these childhood issues can trigger psychopathic traits.

Other researchers suggest it may be the other way around. Kids with serious behavioral problems may end up with attachment issues because of their behavior—their misconduct might push adults away from them.

It’s likely that psychopathic traits stem from several factors, such as genetics, neurological alterations, adverse parenting, and maternalprenatal risks(such as exposure to toxins in utero).A systematic review of the literature in 2020 explores numerous studies that consistently show specific brain structures and functions that are unique to a psychopath.

Psychopaths and Violence

Some literature suggests that a psychopath may be more likely to be violent than the general population. Many studies have linked psychopathic traits toviolence. Court systems may evaluate a criminal’s psychopathic tendencies as a way to predict the likelihood that they will commit further violent acts.

Psychopath ExamplesWell-known psychopaths who engaged in violent criminal behavior include Ted Bundy, Charles Manson, and Jack the Ripper.

Psychopath Examples

Well-known psychopaths who engaged in violent criminal behavior include Ted Bundy, Charles Manson, and Jack the Ripper.

But not all psychopaths are violent. Some are even considered good human beings. Studies have found there are “successful psychopaths” who are more likely to be promoted to leadership positions and less likely to serve time behind bars.

Successful psychopaths may rank higher in certain traits, such as conscientious traits, and this may help them manage their antisocial impulses better than those who end up convicted of serious crimes.

Treatment for Psychopaths

Whether psychopaths can be treated is a widely debated issue. Some researchers report that treatment doesn’t help. Others argue that specific treatments can reduce certain behaviors, such as violence.

A 2018 review of the literature found that many of the studies conducted on treatment effectiveness only applied to specific populations, such as sex offenders. So, the treatments that work with that population may not work for other psychopaths.

Similarly, female psychopaths may require a different approach. In general, they tend to be less violent than men, so their treatment might be slightly different.

The same literature review found thatcognitive behavioral therapy (CBT)may be effective in some cases. However, further research is needed to identify which cognitive restructuring strategies work best and how to use them with specific populations.

Other options include democratic therapeutic community (DTC),impulsive lifestyle counseling,and /or medications such as antidepressants, antipsychotics, and mood stabilizers.

Coping With a Psychopath

Most psychopaths don’t want to change because they don’t see any need. They remain convinced that other people are wrong instead of them. As a result, it’s usually those around them who are searching for coping strategies. After all, being around a callous, unemotional person is tough.

Whether you think your friend, boss, or relative might be a psychopath, their behavior can take a serious toll on yourpsychological well-beingif you’re not careful.

If being around a psychopath is causing you a fair amount of distress, getprofessional help. A mental health professional can help youestablish healthy boundariesand recognize when you’re at risk of being manipulated so you can take care of yourself.

Takeaways

A psychopath often displays traits and behaviors that are cold, manipulative, antisocial, and narcissistic. These tendencies have been linked with brain abnormalities and toearly childhood experiences, including maltreatment, rejection, and lack of parental affection, however, the exact causes are not well understood.

People with psychopath traits may have an increased risk for violence and criminal behavior, but not all psychopaths are violent criminals. Treatments such as CBT and psychotropic medications may help reduce certain psychopathic behaviors and traits.

16 SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Merriam-Webster.Psychopath.Kiehl KA, Buckholtz JW.Inside the mind of a psychopath.Sci Am Mind. 2010;21(4):22-29. doi:10.1038/scientificamericanmind0910-22American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, Text Revision (DSM-5-TR); 2022. doi:10.1176/appi.books.9780890425787Dadds MR, Jambrak J, Pasalich D, Hawes DJ, Brennan J.Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy.J Child Psychol Psychiatry. 2011;52(3):238‐245. doi:10.1111/j.1469-7610.2010.02323.xCoid J, Yang M, Ullrich S, Roberts A, Hare RD.Prevalence and correlates of psychopathic traits in the household population of Great Britain.Int J Law Psychiatry. 2009;32(2):65‐73. doi:10.1016/j.ijlp.2009.01.002Fossati A, Pincus A, Borroni S, Ferrari Munteanu A, Maffei C.Are pathological narcissism and psychopathy different constructs or different names for the same thing? A study based on Italian nonclinical adult participants.J Pers Disord. 2014;28(3):394-418. doi:10.1521/pedi_2014_28_127Martens W.The hidden suffering of the psychopath.Psychiatric Times.2014;31(10).Martens W.Antisocial and psychopathic personality disorders: Causes, course, and remission: A review article.Int J Offender Ther Comp Criminol. 2000;44:406-430. doi:10.1177/0306624X00444002Carlson M, Oshri A, Kwon J.Child maltreatment and risk behaviors: The roles of callous/unemotional traits and conscientiousness.Child Abuse Negl. 2015;50:234‐243. doi:10.1016/j.chiabu.2015.07.003Hawes DJ, Dadds MR, Frost AD, Hasking PA.Do childhood callous-unemotional traits drive change in parenting practices?J Clin Child Adolesc Psychol. 2011;40(4):507‐518. doi:10.1080/15374416.2011.581624Tuvblad C, Bezdjian S, Raine A, Baker LA.The heritability of psychopathic personality in 14- to 15-year-old twins: A multirater, multimeasure approach.Psychol Assess. 2014;26(3):704‐716. doi:10.1037/a0036711Johanson M, Vaurio O, Tiihonen J, Lähteenvuo M.A systematic literature review of neuroimaging of psychopathic traits.Front Psychiatry. 2020;10:1027. doi:10.3389%2Ffpsyt.2019.01027Psychopathy Checklist-Revised (PCL-R) and the Psychopathy Checklist Screening Version (PCL:SV). In:The SAGE Encyclopedia of Criminal Psychology. Sage Publications, Inc.; 2019. doi:10.4135/9781483392240.n383Reidy DE, Kearns MC, DeGue S.Reducing psychopathic violence: A review of the treatment literature.Aggress Violent Behav. 2013;18(5):527‐538. doi:10.1016/j.avb.2013.07.008Pearce S, Scott L, Attwood G, et al.Democratic therapeutic community treatment for personality disorder: Randomised controlled trial.The British Journal of Psychiatry. 2017;210(2):149-156. doi:10.1192/bjp.bp.116.184366Thylstrup B, Hesse M.The impulsive lifestyle counseling program for antisocial behavior in outpatient substance abuse treatment.Int J Offender Ther Comp Criminol. 2016;60(8):919-935. doi:10.1177/0306624X11416331

16 Sources

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Merriam-Webster.Psychopath.Kiehl KA, Buckholtz JW.Inside the mind of a psychopath.Sci Am Mind. 2010;21(4):22-29. doi:10.1038/scientificamericanmind0910-22American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, Text Revision (DSM-5-TR); 2022. doi:10.1176/appi.books.9780890425787Dadds MR, Jambrak J, Pasalich D, Hawes DJ, Brennan J.Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy.J Child Psychol Psychiatry. 2011;52(3):238‐245. doi:10.1111/j.1469-7610.2010.02323.xCoid J, Yang M, Ullrich S, Roberts A, Hare RD.Prevalence and correlates of psychopathic traits in the household population of Great Britain.Int J Law Psychiatry. 2009;32(2):65‐73. doi:10.1016/j.ijlp.2009.01.002Fossati A, Pincus A, Borroni S, Ferrari Munteanu A, Maffei C.Are pathological narcissism and psychopathy different constructs or different names for the same thing? A study based on Italian nonclinical adult participants.J Pers Disord. 2014;28(3):394-418. doi:10.1521/pedi_2014_28_127Martens W.The hidden suffering of the psychopath.Psychiatric Times.2014;31(10).Martens W.Antisocial and psychopathic personality disorders: Causes, course, and remission: A review article.Int J Offender Ther Comp Criminol. 2000;44:406-430. doi:10.1177/0306624X00444002Carlson M, Oshri A, Kwon J.Child maltreatment and risk behaviors: The roles of callous/unemotional traits and conscientiousness.Child Abuse Negl. 2015;50:234‐243. doi:10.1016/j.chiabu.2015.07.003Hawes DJ, Dadds MR, Frost AD, Hasking PA.Do childhood callous-unemotional traits drive change in parenting practices?J Clin Child Adolesc Psychol. 2011;40(4):507‐518. doi:10.1080/15374416.2011.581624Tuvblad C, Bezdjian S, Raine A, Baker LA.The heritability of psychopathic personality in 14- to 15-year-old twins: A multirater, multimeasure approach.Psychol Assess. 2014;26(3):704‐716. doi:10.1037/a0036711Johanson M, Vaurio O, Tiihonen J, Lähteenvuo M.A systematic literature review of neuroimaging of psychopathic traits.Front Psychiatry. 2020;10:1027. doi:10.3389%2Ffpsyt.2019.01027Psychopathy Checklist-Revised (PCL-R) and the Psychopathy Checklist Screening Version (PCL:SV). In:The SAGE Encyclopedia of Criminal Psychology. Sage Publications, Inc.; 2019. doi:10.4135/9781483392240.n383Reidy DE, Kearns MC, DeGue S.Reducing psychopathic violence: A review of the treatment literature.Aggress Violent Behav. 2013;18(5):527‐538. doi:10.1016/j.avb.2013.07.008Pearce S, Scott L, Attwood G, et al.Democratic therapeutic community treatment for personality disorder: Randomised controlled trial.The British Journal of Psychiatry. 2017;210(2):149-156. doi:10.1192/bjp.bp.116.184366Thylstrup B, Hesse M.The impulsive lifestyle counseling program for antisocial behavior in outpatient substance abuse treatment.Int J Offender Ther Comp Criminol. 2016;60(8):919-935. doi:10.1177/0306624X11416331

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Merriam-Webster.Psychopath.Kiehl KA, Buckholtz JW.Inside the mind of a psychopath.Sci Am Mind. 2010;21(4):22-29. doi:10.1038/scientificamericanmind0910-22American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, Text Revision (DSM-5-TR); 2022. doi:10.1176/appi.books.9780890425787Dadds MR, Jambrak J, Pasalich D, Hawes DJ, Brennan J.Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy.J Child Psychol Psychiatry. 2011;52(3):238‐245. doi:10.1111/j.1469-7610.2010.02323.xCoid J, Yang M, Ullrich S, Roberts A, Hare RD.Prevalence and correlates of psychopathic traits in the household population of Great Britain.Int J Law Psychiatry. 2009;32(2):65‐73. doi:10.1016/j.ijlp.2009.01.002Fossati A, Pincus A, Borroni S, Ferrari Munteanu A, Maffei C.Are pathological narcissism and psychopathy different constructs or different names for the same thing? A study based on Italian nonclinical adult participants.J Pers Disord. 2014;28(3):394-418. doi:10.1521/pedi_2014_28_127Martens W.The hidden suffering of the psychopath.Psychiatric Times.2014;31(10).Martens W.Antisocial and psychopathic personality disorders: Causes, course, and remission: A review article.Int J Offender Ther Comp Criminol. 2000;44:406-430. doi:10.1177/0306624X00444002Carlson M, Oshri A, Kwon J.Child maltreatment and risk behaviors: The roles of callous/unemotional traits and conscientiousness.Child Abuse Negl. 2015;50:234‐243. doi:10.1016/j.chiabu.2015.07.003Hawes DJ, Dadds MR, Frost AD, Hasking PA.Do childhood callous-unemotional traits drive change in parenting practices?J Clin Child Adolesc Psychol. 2011;40(4):507‐518. doi:10.1080/15374416.2011.581624Tuvblad C, Bezdjian S, Raine A, Baker LA.The heritability of psychopathic personality in 14- to 15-year-old twins: A multirater, multimeasure approach.Psychol Assess. 2014;26(3):704‐716. doi:10.1037/a0036711Johanson M, Vaurio O, Tiihonen J, Lähteenvuo M.A systematic literature review of neuroimaging of psychopathic traits.Front Psychiatry. 2020;10:1027. doi:10.3389%2Ffpsyt.2019.01027Psychopathy Checklist-Revised (PCL-R) and the Psychopathy Checklist Screening Version (PCL:SV). In:The SAGE Encyclopedia of Criminal Psychology. Sage Publications, Inc.; 2019. doi:10.4135/9781483392240.n383Reidy DE, Kearns MC, DeGue S.Reducing psychopathic violence: A review of the treatment literature.Aggress Violent Behav. 2013;18(5):527‐538. doi:10.1016/j.avb.2013.07.008Pearce S, Scott L, Attwood G, et al.Democratic therapeutic community treatment for personality disorder: Randomised controlled trial.The British Journal of Psychiatry. 2017;210(2):149-156. doi:10.1192/bjp.bp.116.184366Thylstrup B, Hesse M.The impulsive lifestyle counseling program for antisocial behavior in outpatient substance abuse treatment.Int J Offender Ther Comp Criminol. 2016;60(8):919-935. doi:10.1177/0306624X11416331

Merriam-Webster.Psychopath.

Kiehl KA, Buckholtz JW.Inside the mind of a psychopath.Sci Am Mind. 2010;21(4):22-29. doi:10.1038/scientificamericanmind0910-22

American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, Text Revision (DSM-5-TR); 2022. doi:10.1176/appi.books.9780890425787

Dadds MR, Jambrak J, Pasalich D, Hawes DJ, Brennan J.Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy.J Child Psychol Psychiatry. 2011;52(3):238‐245. doi:10.1111/j.1469-7610.2010.02323.x

Coid J, Yang M, Ullrich S, Roberts A, Hare RD.Prevalence and correlates of psychopathic traits in the household population of Great Britain.Int J Law Psychiatry. 2009;32(2):65‐73. doi:10.1016/j.ijlp.2009.01.002

Fossati A, Pincus A, Borroni S, Ferrari Munteanu A, Maffei C.Are pathological narcissism and psychopathy different constructs or different names for the same thing? A study based on Italian nonclinical adult participants.J Pers Disord. 2014;28(3):394-418. doi:10.1521/pedi_2014_28_127

Martens W.The hidden suffering of the psychopath.Psychiatric Times.2014;31(10).

Martens W.Antisocial and psychopathic personality disorders: Causes, course, and remission: A review article.Int J Offender Ther Comp Criminol. 2000;44:406-430. doi:10.1177/0306624X00444002

Carlson M, Oshri A, Kwon J.Child maltreatment and risk behaviors: The roles of callous/unemotional traits and conscientiousness.Child Abuse Negl. 2015;50:234‐243. doi:10.1016/j.chiabu.2015.07.003

Hawes DJ, Dadds MR, Frost AD, Hasking PA.Do childhood callous-unemotional traits drive change in parenting practices?J Clin Child Adolesc Psychol. 2011;40(4):507‐518. doi:10.1080/15374416.2011.581624

Tuvblad C, Bezdjian S, Raine A, Baker LA.The heritability of psychopathic personality in 14- to 15-year-old twins: A multirater, multimeasure approach.Psychol Assess. 2014;26(3):704‐716. doi:10.1037/a0036711

Johanson M, Vaurio O, Tiihonen J, Lähteenvuo M.A systematic literature review of neuroimaging of psychopathic traits.Front Psychiatry. 2020;10:1027. doi:10.3389%2Ffpsyt.2019.01027

Psychopathy Checklist-Revised (PCL-R) and the Psychopathy Checklist Screening Version (PCL:SV). In:The SAGE Encyclopedia of Criminal Psychology. Sage Publications, Inc.; 2019. doi:10.4135/9781483392240.n383

Reidy DE, Kearns MC, DeGue S.Reducing psychopathic violence: A review of the treatment literature.Aggress Violent Behav. 2013;18(5):527‐538. doi:10.1016/j.avb.2013.07.008

Pearce S, Scott L, Attwood G, et al.Democratic therapeutic community treatment for personality disorder: Randomised controlled trial.The British Journal of Psychiatry. 2017;210(2):149-156. doi:10.1192/bjp.bp.116.184366

Thylstrup B, Hesse M.The impulsive lifestyle counseling program for antisocial behavior in outpatient substance abuse treatment.Int J Offender Ther Comp Criminol. 2016;60(8):919-935. doi:10.1177/0306624X11416331

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