What is one treatment strategy that has been shown to be ineffective for individuals with antisocial personality disorder?

Long-term psychotherapy has been demonstrated to be ineffective for individuals with antisocial personality disorder (ASPD). This disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others, and traditional long-term psychotherapy approaches often do not yield significant benefits for this population. Individuals with ASPD tend to have a lack of motivation to change, often manipulative behaviors, and they might not engage meaningfully in the therapeutic process. Consequently, the deep self-reflection and emotional insight typically fostered in long-term psychotherapy might not translate into meaningful changes in behavior for these individuals.

In contrast, other treatment strategies mentioned may have more suitable applications. Group therapy, while it can present challenges due to the interpersonal dynamics involved, can allow individuals with ASPD to interact with others, potentially helping them learn social skills or recognize the impact of their behavior in a more structured environment. Anger management programs may provide specific tools for controlling impulses, which can be beneficial despite the underlying antisocial traits. Dialectical Behavioral Therapy (DBT), while primarily developed for borderline personality disorder, includes skills training that can occasionally benefit individuals with ASPD, particularly for emotional regulation.