Applying Schema Therapy to Patients with Psychopathy

Given its goal of forming a genuine emotional connection with the patient, and altering the patient’s core personality traits, ST represents a departure from other cognitive-behavioral treatments for psychopathy that assume that changing psychopathic personality features is impossible due to these patients’ serious emotional deficits (Wong & Hare, 2005).

Bernstein, Arntz, & de Vos (2007) adapted ST for forensic patients with serious personality disorder pathology. They theorized that patients with psychopathy/antisocial personality disorders make prominent use of five overcompensating schema modes that involve maladaptive coping styles:

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