When therapists like sociopaths

Therapists aren’t immune to the charms of sociopathic clients, including this therapist. Far from it. This is especially true in a couples dynamic where the client, as I’ve noted before, can disguise his sociopathic tendencies sometimes more effectively than when in individual therapy.

But even when the disguise is off,  and I know transparently that I’m dealing with a sociopathic individual, that still doesn’t necessarily innoculate me from enjoying him possibly as a very engaging, friendly, even if superficial and manipulative, individual.

This can, though, make for more difficulty, and thus more urgency, to be especially  watchful not to succumb to his engaging side at the expense of evaluating and confronting the reality that must be addressed.

In situations where I find a sociopathic client to be quite likeable I must be extra watchful for his efforts to position himself as the victim in the relationship; as the misunderstood, if self-admittedly sometimes wayward (but ultimately sensitive, devoted) partner; when, in fact, what he ultimately, fundamentally is, beyond what may be his high level of likeability, is manipulative, abusive, probably devious; someone who operates covertly—and, if audatious enough, overtly—in wielding, if not flaunting, his double-standards in an often degrading fashion.

Double standards he’s likely to try to “gaslight” his partner into believing he’s either not deploying; or, due to the oppressive conditions he will claim to have suffered, double standards he will rationalize as acceptable, and which he manipulatively asserts she should somehow tacitly accept as his rational response to the untenable conditions he’s lived under (thanks to her).

In any case, he will position himself as, if not the whole victim in the relationship (his generous concession towards balance) then, at the very least, as the principal victim.

Now let me be very clear here: he may state that he owns fifty-fifty of the problem in the relationship, and that he even fully owns many of his violating behaviors. He may state these things with seeming sincerity, and this may sound very promising and good.

But he really doesn’t believe this, and you can be quite sure that his failure to apply his ostensible self-awareness will affirm his underlying insincerity and his poor prospects for meaningful change.

What he really believes, at bottom, is that his partner (as I’ve noted) is the principal problem; it is she who obstructs the attainment of his gratifications and fulfillment; and because he feels entitled to gratification and fulfillment at all times, he can thus rationalize his pursuit of it—and how he pursues it—anytime he likes.

And so, sometimes I find myself sitting across from someone like this who, as destructive a person as I recognize he is, nevertheless in the limited confines of my involvement with him, I may experience as extremely engaging and likeable. After all, he may be showing me his “best” sides—his most charming, respectful, pleasant, humorous, “sensitive” sides.

He may be someone who leaves me feel very challenged not to lose my own grip on the reality I’ve discerned through my own eyes—and through his disarming engagability in my office.

In these cases, I have to remind myself that, while my job is to be objective, it is not necessarily to be “neutral.”

Sometimes my “objectivity” must lead me to the conclusion that I’m working with a couple in which one partner, however “likeable” may, in fact, be the primary, if not sole, perpetrator of abuse against his partner (perhaps serious abuse, for a long time); that, however persuasive he may be with regard to his own alleged suffering in the relationship, still it is he (not she) who is the truly destructive party in the relationship, even if she can also sometimes be destructive (but often, in such cases, as a function of her having been worn down into states of desperate rage).

Sometimes I have to recognize this dynamic, however unpleasant it may be to have to recognize. I may have to confront my own capacity for denial and minimization, to be sure that, from my avoidance, I’m not abandoning the client who needs my validation and support.

I may be in a very nonconfrontational mood and feel highly averse to confronting anyone, let alone an abusive sociopath; and yet the situation may call for just that—an effective  confrontation of the reality.

Because these are not instances or opportunities one can afford to waste. Too much is at stake. And so confrontation may become necessary. The client needs, in a very serious way, to be “called out.”

But with one caveat: I must be confident that, in “calling him out,” I’m not placing his partner at heightened risk to be punished more abusively than normally after, or in-between, the therapy sessions!

It is both easier and harder to confront, or in this case, “call out” a sociopathic client whom I may find likeable. Easier from the standpoint that, however superficial the  connection between us really is (particularly his with me), there is at least the comfort in hoping that an accumulation of goodwill may have developed between us arising from his experience of feeling respected and liked in the sessions; goodwill, I hope, which may leave him reacting less defensively to my impending feedback.

Harder in the sense that it’s awkward to risk, or test, that goodwill? Is the goodwill all illusory? Will the client seriously, maybe even explosively “go south” on me (and worse, “go south” on his partner)? Am I overestimating his goodwill and tolerance to hear the feedback I’m about to deliver?  Is my timing going to be right, or wrong? Will I go too far, or not far enough, in my feedback, and in the tone of my feedback? Will I be too strong or too aggressive in my tone, or just as problematically, too passive and weak?

And, importantly, who will benefit from this feedback?

Probably not the client, because he’s sociopathic. But even if he’s a sociopath, so long as I can be pretty sure that my feedback won’t result in the subsequent escalation of his abuse of his partner, then it’s possible that my feedback will benefit her, which becomes the sole purpose of my delivering the feedback.

It is really for her, not him.

And this may be feedback I repeat over a number of sessions, which can reinforce its impact (especially for her); and, because I offer it in the couples sessions, I can reinforce and elaborate it in subsequent individual sessions with her without violating his confidentiality. By this I mean that the feedback will have already been stated to him, in front of her, so that I can discuss it with her later, alone, in a private session.

Does the delivery of such confrontations of the unignorable reality risk alienating the sociopathic partner? Absolutely. It often spells the end of the couples sessions. But what’s really been lost? A superficially engaging connection with a client who will make no progress anyway in therapy, or as a worthy partner? Sure, this tenuous connection is seriously risked. And yet its preservation, at some point, itself becomes a form of destructive enabling and pretense.

In the end, the abused client has a chance for the freedom she deserves and perhaps can be convinced she is ready to seize.

(This article is copyrighted © 2011 by Steve Becker, LCSW. My use of male gender pronouns is for convenience’s sake and not to suggest that females aren’t capable of the attitudes and behaviors discussed.)



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40 Comments on "When therapists like sociopaths"

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awww sky, I am touched that you remembered my ultimate revenge fantasy!

(omg we get weird after spaths!)

oh my, and i see hens has been practicing his harry potter text again!


constantine – yes, but bush was not a spath – just a brain damaged idiot with a strong and controlling advisory team; and his daddies’ butt print in the chair. i am sure they could have used jeb, if they could have cleaned him up. w. was just a puppet.

Constantine, Yep, the ancient histories are FILLED with examples of psychopaths, even Liane posted one article out of the Old Testament and there are plenty of them in the old Testament, I posted another one.

Funny thing too, we can find examples of people in the Bible that did some pretty bad and some pretty unwise things King David for one. Even though he had access to many beautiful women and many wives as was the custom of the day, he took the wife of another man who was away at war, knocked her up, then tried to get the guy to sleep with her so it wouldn’t be known that she had conceived a child by the king, when that didn’t work, he got the guy killed in battle….pretty P-type thing to do, but actually while David did some bad things, he didn’t lack a conscience and he did sincerely repent.

Another interesting story about him is how he ENABLED his son Absolom, who WAS A CARD CARRYING Narcissistic Psychopath in my opinion.

David unlike many kings of his time would take rebuke for his bad behavior and CHANGE HIS WAYS, proving to me at least that he wasn’t a psychopath though he was a man with many failings.

I agree with you Constantine, I think Bill is a psychopath, and though I met him when he was governnor a few times I do not claim to “know” him, but I do KNOW ABOUT a lot of things from good sources about him and Hillary as well that make me think they are BOTH psychopaths. In fact, I think it is almost impossible for someone to get to BE president of the US or any other country without being HIGH IN P-TRAITS at least in this day and age. Look at the many governors who have been outed as psychopaths in recent months (the last 3-4 years).

This new book about Obama’s father shows that he was definitely HIGH in psychopathic traits….multiple wives at the same time and lies, lies and more lies, irresponsibility with his children, etc….be interesting to see how that plays out in the genetic pool. Actually,, I think the pool may need more chlorine.

My counselor that I was seeing seemed to dismiss me when I talked about the affects of the narcissists in my life. I am just now seeing articles in the psychology websites warning those professionals that they may be seeing patients with narcissistic abuse syndrome. That is definitely how I feel. I am scared without the drama and don’t know what to do with myself without it. It makes me feel empty. How sick is that? I am also afraid that their narcissism is rubbing off on me-since I have been exposed to it my whole childhood and most of my adult life. I am fighting against it so bad and I am so scared that I’ll become one or THEM.

The Wiki definition of Narcissistic Abuse:

Adult relationships

Narcissistic abuse may also occur in adult-to-adult relationships, where one or both partners are very narcissistic – the ‘narcissistic couple’.[22] As a typical rule, ‘narcissistic people do not take responsibility for relationship difficulties’, and their relationships can often be characterized by ‘a period of intense involvement and idealization of the other, followed by devaluation, and rapid, sometimes explosive, severing of the relationship’.[23]

If ‘the core of narcissism is a hatred of the relational…one of the way that narcissism operates is to destroy separateness’.[24] This lack of separateness enables the initial romantic gestures of what has been termed ‘a particular type of male bastard’, dominated by narcissistic needs; but ‘those big romantic gestures that at first proved so alluring are in fact the whole deal, symptomatic of these men’s needs to show off and be the centre of attention’.[25] The absence of genuine emotional involvement helps explain why ‘the narcissist abuses others absent-mindedly, off-handedly, as a matter of fact…the mechanical, thoughtless, heartless face of narcissistic abuse’.[26]

In almost the same way, ‘the great charm of narcissistic women has, however, its reverse side; a large part of the lover’s dissatisfaction, of his doubts of the woman’s love, of his complaints of her enigmatic nature, has its root’ in the fact that ‘strictly speaking, it is only themselves that such women love with an intensity comparable to that of the man’s love for them’.[27]

Some, like Sam Vaknin, would go on to extend the concept almost indefinitely, maintaining that for adults ‘narcissistic abuse…is verbal abuse, physical abuse, put downs, manipulation, betrayal, lack of empathy, accusations, failure to communicate, lack of intimacy…it is all of this and more’.[28] Critics would here apply a pinch of salt, suggesting that (rightly or wrongly) ‘in Sam Vaknin’s terms…if he had been around today, Watson would be declaring to the world that he was the victim of narcissistic emotional abuse from Sherlock Holmes’.[29]

HOWEVER: Wiki is thinking of deleting this definition if it doesn’t have enough backers saying to keep it. To read the whole page:

Have a good weekend everyone.
Love ~ DUPEY

My spath was fantastic at befriending the therapist when he was willing to to counseling. The first guy was a feminine type guy (probably gay) and spath put an end to continuing by making fun of the guy. That counselor had no idea what/who had hit him!! He told my spath that feelings are valid. And he told me separately- didn’t have the courage to say it in spath’s presence that if our marriage was going to work, I would have to give him – or at least make him feel as if he were in control. Great, so I resigned myself to 10 more years of thinking I could make it work. Went again in 5 years, spath immediately befriended the counselor, this time a woman, whom he got her to believe that I was a loser housewife that really had nothing going for myself and that I needed a job. Yes, in addition to taking care of the household and all 3 children by myself, I can think of nothing better than a job to exhaust me even more, let the house go to hell, but hey, at least it would take the focus off of my shitting, miserable marriage and then he could fark around even more, and I probably wouldn’t notice. The final therapist did see through the spath, but pretty slow to stand up to him. When he was challenged, spath never went back again. That’s what they do, when they think someone is “on” to them. Fight or flight, mine flies (and lies).

Dear Honest,

That therapist telling you that your marriage “wouldn’t work” unless you let your husband think he was in control…..LOL was actually telling you that you could not have a “healthy” give and take relationship with a man who HAD TO BE IN CONTROL…I’m not sure what the therapist’s idea of “working” was in the relationship…I guess if you FAKED letting your husband bully you and pretended it would be okay, then your marriage would “work”????? (head shaking here)

WOW! What do you call the therapist who would say that? Incompetent? That might be it.

I’m glad that you are no longer letting him control you, or pretending he does. Good for you.

Constantine: I’m a Greek too! Alexander the Great was said to be a “sociopath” too.


Dear Hopeforjoy,

how about finding another therapist for your son? A friend of mine is a therapist and she had to spend 3 months just playing games with a child before that child built up enough trust to open up and begin talking. I think kids of spath’s know something is wrong and they do not know who to trust….it takes patience on the part of the therapist to wait until the child is ready.

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