{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T12:53:43Z","timestamp":1782305623027,"version":"3.54.5"},"reference-count":98,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To conduct a scoping review of primary research studies on clinicians\u2019 emotional responses (i.e., countertransference) when working with individuals with antisocial personality and\/or psychopathy traits or disorders. A secondary aim is to map clinicians\u2019 personal opinions on managing these individuals clinically, as they can influence clinical decision-making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A PRISMA-ScR compliant scoping review was conducted. PubMed, Web of Science, and EBSCO\/PsycINFO were searched for studies published from 01\/01\/1990 to 06\/12\/2023, including clinicians providing clinical care to individuals with antisocial or psychopathy traits or disorders assessed via standardized and validated tools and focusing on their cognitive, emotional and behavioral responses, with no restriction regarding context\/location and study design (protocol: <jats:uri>https:\/\/osf.io\/eaquj<\/jats:uri>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve studies were included, mostly from Europe, mainly focusing on clinicians working with individuals with ASPD. Only two studies addressed psychopathy. Key findings were organized into four concepts: (a) \u201ccommon emotional responses,\u201d which included nervousness, fear of aggression, detachment, and frustration experienced by the clinician; (b) \u201cwillingness to deliver clinical care,\u201d indicating the key role of clinicians\u2019 confidence in their perceived knowledge and skills to provide effective psychological treatment and highlighting that clinicians working in forensic mental health settings exhibit a higher motivation to provide clinical care compared to those in non-forensic settings; (c) \u201cemotional responses related to misogynistic behaviors,\u201d showing additional challenges for assigned female therapists in group therapy; (d) \u201copinions about clinical management and therapeutic alliance,\u201d emphasizing the crucial role of the clinician\u2019s respect, recognition, and flexible yet firm boundaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Individuals with antisocial and psychopathy traits or disorders pose significant challenges in terms of clinicians\u2019 emotional responses, highlighting the need for tailored training and supervision to enhance their competence and confidence. The absence of cohort studies and randomized controlled trials on this subject, along with the limited evidence on psychopathy, warrants for further research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Systematic review registration<\/jats:title><jats:p><jats:uri>https:\/\/osf.io\/eaquj<\/jats:uri>.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1501273","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T14:34:37Z","timestamp":1750862077000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring mental health professionals\u2019 emotional responses with individuals diagnosed with antisocial personality disorder or psychopathy: a scoping review"],"prefix":"10.3389","volume":"16","author":[{"given":"Gabriele","family":"Lo Buglio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Zaninotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renan","family":"G\u00f6ksal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uyangakhishig","family":"Bayasgalan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Barsanti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad D.","family":"Booth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Carone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anmar","family":"Mighri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Miola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Muzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittorio","family":"Lingiardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Solmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Boldrini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1111\/papt.12492","article-title":"Establishing an optimal working relationship with patients with an antisocial personality disorder. 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