ABSTRACT
This chapter provides the most effective methods for treating severely antisocial offenders. Many clinicians and correctional staff falsely conclude that intervening with severely antisocial offenders is hopeless and harmful, especially with psychopathic offenders. Even though Antisocial Personality Disorder (APD) is considered a personality disorder in the Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition (DSM-5), Ogloff argues that the diagnostic criteria for APD primarily center around antisocial and criminal behavior, whereas criteria for diagnosing psychopathy typically focus more on personality deficits. Psychopathic offenders, and those with APD, are viewed by the offender rehabilitation field as individuals who are 'the highest of the high risk' offenders. In addition, Wong and Hare argue that the treatment of psychopathy can be conducted in a group setting, but with careful caveats. Phil Harris and Rice provided critical words of advice for practitioners building safe rapport with psychopaths, which generally also apply to any offender known to be severely antisocial in behavior.
