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Experts have long warned against psychotherapy with psychopathic offenders out of a fear that they will beguile therapists into believing they have been rehabilitated, only to commit new offenses upon release. Yet the question is not whether to communicate with psychopathic offenders, but rather how to do so in a way which can facilitate real change. In this article, we ask: What can we learn about psychopathic offenders by studying their communication? We review the literature and describe how psychopathy is manifested in communication, how psychopathy can be understood based on this communication, and how therapists may communicate with psychopaths to create change and avoid being fooled. We recommend that therapists do not withdraw from psychopathic offenders but rather study their communication more carefully.
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http://dx.doi.org/10.1007/s10936-018-9599-y | DOI Listing |
J Psychiatr Res
September 2025
School of Sociology, China University of Political Science and Law, Beijing, 102249, China. Electronic address:
Objective: Individuals with antisocial personality disorder (ASPD) exhibit an elevated risk for both threat/frustration-based reactive aggression and goal-directed aggression. This heightened risk may be associated with atypical neural responses to environmental threats. The objective of this study was to investigate neural responsiveness to threatening facial stimuli among individuals with varying levels of self-reported ASPD.
View Article and Find Full Text PDFInt J Offender Ther Comp Criminol
April 2025
Charité - Universitätsmedizin Berlin, Institute of Forensic Psychiatry, Berlin, Germany.
The present study attempts to clarify the relationship between psychopathy, the therapeutic alliance, and success of offender treatment. In a German sample of = 89 convicted men in addiction treatment, we examined whether early therapeutic alliance ratings moderated the relationship between psychopathy, as measured by the Psychopathy Checklist - Revised (PCL-R), and treatment success within the first 6 months. Results indicated that a moderation model is appropriate, as the association between total PCL-R and treatment success differed as a function of perceived therapeutic alliance.
View Article and Find Full Text PDFBr J Psychol
April 2025
Department of Psychology, Kennesaw State University, Kennesaw, Georgia, USA.
The extent to which latent profiles of psychopathy manifest across the full spectrum of psychopathy (i.e., general population) is unknown.
View Article and Find Full Text PDFPsychol Assess
April 2025
Sam Houston State University, Department of Psychology and Philosophy.
The Personality Assessment Inventory is a broadband self-report instrument of personality, psychopathology, and response style that is commonly used in Sexually Violent Predator evaluations. These evaluations typically involve assessment of personality pathology that is empirically associated with recidivism, such as psychopathic personality disorder. Over the past several years, researchers have developed rescoring procedures for the Personality Assessment Inventory that compute information on the Alternative Model for Personality Disorders-a hybrid dimensional-categorical model of personality functioning (Criterion A) and pathological traits (Criterion B).
View Article and Find Full Text PDFInt J Soc Psychiatry
September 2025
Universidad de San Buenaventura, Medellín, Colombia.
Background: Recent research suggests that externalizing behaviors may influence the severity of delinquent behavior and may also be associated with low affective empathy and sensitivity to the well-being of others, as well as a decreased ability to recognize the emotions of others and to experience reciprocal psychological distress.
Aim: This study examines the effects of empathy and callous unemotional traits-and the mediating role of moral disengagement-in explaining externalizing behavior in juvenile offenders.
Method: The study was observational-analytic, correlational-exploratory, and involved 376 juvenile offenders ( = 17.