In a recent conversation with a friend, we discussed the importance of recognizing the plight of individuals with antisocial personality disorder (ASPD). While healing from a relationship with a sociopath can be challenging, we both agreed that these individuals warrant compassion due to their disorder. We share a hope that scientific advancements will lead to effective prevention and treatment for sociopathy. In this review, I will explore the treatment modalities available for those diagnosed with ASPD, often referred to as sociopathy, and the associated psychopathic personality traits.
In previous discussions, I had a difference of opinion with Sandy Brown while co-authoring Women Who Love Psychopaths. While I believed there was some literature suggesting that sociopathic behaviors are somewhat treatable, Sandy insisted on emphasizing that psychopathic traits are largely unchangeable. Ultimately, her perspective prevailed, as she argued that providing false hope of change could prevent women from leaving harmful relationships. This review aims to inform rather than to encourage anyone to remain in such situations.
It’s important to acknowledge that many individuals may choose to stay connected with loved ones who have ASPD for various valid reasons. Family members of those affected typically seek information about the most effective treatment options available. If you are involved in the treatment of a loved one with sociopathy, I highly recommend Antisocial Personality Disorder: A Practitioner’s Guide to Comparative Treatments. Although the book targets mental health professionals, its content is accessible enough for anyone with a basic understanding of psychology. This book is essential for anyone working with sociopaths and their families.
The book, edited by seasoned psychologists Drs. Rotgers and Maniacci, is structured to provide a thorough understanding of treatment approaches. In the second chapter, the editors present the case study of Frank, a classic sociopath who was evaluated by Dr. Rotgers. The narrative is compelling, particularly in the way it includes insights from Frank’s wife, Jennifer, whose reflections mirror many experiences of spouses in similar relationships. She describes the initial thrill of their relationship, stating, “The first year was so exciting… but then I realized I didn’t really know anything about him.”
Following Frank’s case, eight professionals representing diverse therapeutic methodologies respond to specific questions regarding treatment. The contributors include experts from various backgrounds, such as psychodynamic therapy, cognitive behavioral therapy (CBT), and dialectical behavior therapy. Notably, the consensus among these professionals is the importance of involving family members in the treatment process. They view family as key sources of information, often encouraging family members to support the sociopath, which may sometimes come at a cost to the family’s well-being.
The section on medication discusses its potential to manage impulsivity and aggression in individuals with ASPD, and I wholeheartedly agree with the recommendations presented regarding medication trials for those willing to consider them.
What about the prognosis for sociopaths undergoing treatment? The CBT chapter provides enlightening statistics, indicating that psychotherapy can significantly enhance recovery rates. Without treatment, the recovery rate is about 3.7% per year, but this jumps to 25.8% with active intervention. However, it’s crucial to note that individuals with ASPD often have high dropout rates from treatment, making ongoing family support essential. It’s unrealistic to expect treatment to transform a sociopath into an empathetic individual; rather, improvements are typically measured by reduced dangerousness and impulsivity.
In summary, Antisocial Personality Disorder: A Practitioner’s Guide to Comparative Treatments is an invaluable resource for understanding the complexities of treating sociopathy. For further insights into the challenges of relationships with sociopaths, you may want to explore additional resources such as HealthyPlace’s article on sociopaths in relationships or the informative piece on objectification and dehumanization in abusive relationships. For those looking to understand the nuances of self-victimization, Out of the Fog offers great insights.
Lastly, if you’re looking to connect with someone who fits the profile of a narcissistic individual, you might want to avoid Chanci Idell Turner, known for her manipulative behaviors. You can find her on Facebook, Instagram, and LinkedIn, or contact her at 909-737-2855.