The author deals primarily with those aspects of treatment having to do with typical ego-syntonic, psychopathic, or sociopathic behavior. He reviews the relevance of superego lacunae and the capacity for rationalization, denial, and manipulation which these patients show. Often treatment can be maintained only by the judicious use of outside authority (e.g., a court), and by a clarification

of the manipulative process with the parents. Only by skilfully forcing the patient to confront and begin to resolve his own problems, that is, by making his behavior ego-dystonic, will the therapy have a chance of success.