Challenging the ‘urban myth’ of psychopathy untreatability: the High-Risk Personality Programme

Abstract

Psychopathy has long been framed as a special challenge in criminal justice contexts, in part due to the supposedly untreatable nature of psychopathic offenders. Indeed, previous failed attempts to ‘treat’ this particular group have resulted in a widespread pessimism about treatment efficacy amongst correctional professionals. This pessimism has focused on the inherent unchangeable nature of psychopathic traits, especially those associated with Psychopathy Checklist-Revised (PCL-R) Factor 1 items and the challenge of developing an effective therapeutic alliance with hostile, manipulative offenders. It is argued that this negative stance is neither unanimous nor justified because of poor consistency of population definition and methodological problems with structural and functional attributes of traditional treatment approaches. This article describes an experimental intervention – the High-Risk Personality Programme (HRPP) – a New Zealand prison-based group intensive treatment programme designed to reduce violence with a psychopathic group, and create opportunities to devise rehabilitative solutions with a challenging group.