I feel sorry for any therapist who diagnoses a patient with Antisocial Personality Disorder (APD). Not only can reaching a diagnoses be a difficult decision, but I am convinced that clinical psychologists wince slightly when they realize that their patient/client has APD.
If a person with APD ever ends up in a therapist’s office, you know that there is a pretty substantial trail of destruction behind them, and this is likely to continue on into the future. Even more disheartening, you know that therapy is going to be tremendously difficult, especially given the facts that those with APD do not think there is anything intrinsically wrong with themselves, they have problems with authority figures (they are likely to see the therapist as one), and they experience emotions in a very limited way.
I recently came across a page on Psych Central that lists the challenges therapists face with treating Antisocial Personality Disorder (APD treatment). It’s worth a read for anyone interested in how APD is approached, but the exhaustive explanations really just seem to demonstrate the frustration with treating it, coupled with the frustration of how it is misunderstood.
I don’t know what the answer is for ‘curing’ APD, but I suspect it involves figuring out its development, and stopping those factors coming together in future generations. It would also be worth figuring out why those with Conduct Disorder before they hit puberty are likely to have APD in adult life, and why those who develop it in their teen years have a better chance of not having APD.