Considering the current needs present in the psychological approach to adolescents with social adjustment problems, this article presents an actualized theoretical review about the construct of child and juvenile psychopathy. The topics included in the revision are the construct definition and extension, the tools for assessment that are available, the risk factors and different approaches to intervention. The discussion weights the different approaches to conceptualization, it points the convenience for studying general and specific assessments tools adjusted to our sociocultural context, and it remarks the need for studying interventions that include the personality characteristics involved in the psychopathy construct.