Treatment of psychopathic offenders: Evidence, issues, and controversies

Psychopathic offenders are a notoriously challenging population to treat, who are often recalcitrant to change and at high risk for program non-completion and recidivism. The present work is a review and synthesis of the evidence, issues, and controversies in the treatment of psychopathic offenders....

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Main Author: Mark E. Olver
Format: Article
Language:English
Published: SG Publishing 2016-11-01
Series:Journal of Community Safety and Well-Being
Subjects:
Online Access:https://www.journalcswb.ca/index.php/cswb/article/view/25
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author Mark E. Olver
author_facet Mark E. Olver
author_sort Mark E. Olver
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description Psychopathic offenders are a notoriously challenging population to treat, who are often recalcitrant to change and at high risk for program non-completion and recidivism. The present work is a review and synthesis of the evidence, issues, and controversies in the treatment of psychopathic offenders. The operationalization and measurement of the construct of psychopathy via the Hare Psychopathy Checklist–Revised is reviewed to give context to the population being treated and to identify latent features of the syndrome that have risk and treatment implications. A discussion of the issues and challenges in the treatment of psychopathic offenders is then provided to contextualize the source of therapeutic pessimism with this population, followed by a review of the existing psychopathy treatment literature. The characteristics of unsuccessful and encouraging treatment programs, including a promising model of treatment, are subsequently reviewed, and the article finishes with a synopsis of recent treatment outcome findings published subsequent to previous psychopathy treatment reviews or inadvertently overlooked by past reviews. Although psychopathic offenders are a challenging population to treat, I argue that they are not immune to making positive lifestyle and behavioural changes, and that these individuals have the potential to benefit if they can be retained in treatment.
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spelling doaj.art-58b9531668e9487f9de81559d1577c322023-12-02T22:38:08ZengSG PublishingJournal of Community Safety and Well-Being2371-42982016-11-011310.35502/jcswb.25Treatment of psychopathic offenders: Evidence, issues, and controversiesMark E. Olver0University of SaskatchewanPsychopathic offenders are a notoriously challenging population to treat, who are often recalcitrant to change and at high risk for program non-completion and recidivism. The present work is a review and synthesis of the evidence, issues, and controversies in the treatment of psychopathic offenders. The operationalization and measurement of the construct of psychopathy via the Hare Psychopathy Checklist–Revised is reviewed to give context to the population being treated and to identify latent features of the syndrome that have risk and treatment implications. A discussion of the issues and challenges in the treatment of psychopathic offenders is then provided to contextualize the source of therapeutic pessimism with this population, followed by a review of the existing psychopathy treatment literature. The characteristics of unsuccessful and encouraging treatment programs, including a promising model of treatment, are subsequently reviewed, and the article finishes with a synopsis of recent treatment outcome findings published subsequent to previous psychopathy treatment reviews or inadvertently overlooked by past reviews. Although psychopathic offenders are a challenging population to treat, I argue that they are not immune to making positive lifestyle and behavioural changes, and that these individuals have the potential to benefit if they can be retained in treatment.https://www.journalcswb.ca/index.php/cswb/article/view/25PsychopathyPsychopathy Checklist–Revisedtreatmentrecidivismchange
spellingShingle Mark E. Olver
Treatment of psychopathic offenders: Evidence, issues, and controversies
Journal of Community Safety and Well-Being
Psychopathy
Psychopathy Checklist–Revised
treatment
recidivism
change
title Treatment of psychopathic offenders: Evidence, issues, and controversies
title_full Treatment of psychopathic offenders: Evidence, issues, and controversies
title_fullStr Treatment of psychopathic offenders: Evidence, issues, and controversies
title_full_unstemmed Treatment of psychopathic offenders: Evidence, issues, and controversies
title_short Treatment of psychopathic offenders: Evidence, issues, and controversies
title_sort treatment of psychopathic offenders evidence issues and controversies
topic Psychopathy
Psychopathy Checklist–Revised
treatment
recidivism
change
url https://www.journalcswb.ca/index.php/cswb/article/view/25
work_keys_str_mv AT markeolver treatmentofpsychopathicoffendersevidenceissuesandcontroversies