gratefully being neither therapist nor dx with ASPD, i have only these qualifications: I have lived with and known well more than one person who was either Psycho- or Socio-path, and others with significant deviant and anti-social behavior patterns. this was before i ever knew of psychiatric diagnoses, the DSM 1,2, 3, 4,, etc,, or even about counselors and therapists. what i did know was that there did not appear to be any way of reaching the core of said persons to help them to change in any genuine, socially helpful way. every act of kindness was seen as milk from the cow; every object desired was a puzzle and a challenge; there seemed to be no engagement in time, no past or future to bind them to consequences~ the only time i could see any way to safely interact was when they were raised with a minimum of violence and frustration, and were cognizant and aware of their difference from the "norm".... having said all that,, i'm pretty sure that people with an ASPD Dx don't come here for therapy~ but for open-eyed and honest reflection and discussion... i could be wrong tho,,, Gus