The intimacy and profound experience of therapy may enable an offender to reframe and restructure these harsh images which tend to blunt sensitivities and, when projected out onto others, act as a rationale or driving force for criminal acting out. The patient may develop self-awareness, and an awareness of the nature of their deeds, and ultimately be able to live a more adjusted life. The effectiveness of psychodynamic psychotherapy, as is the case with other psychological therapies, is limited far as behavioral change for antisocial personality or psychopathic offenders. These two types of offenders comprise the primary diagnostic group found in forensic psychotherapy work. The evidence which is emerging, suggests that a range and variety of treatments may be most helpful for such offenders.