When the entire world is encouraging them? No. It's like an alcoholic going to a AA meeting (AA sucks, but that isn't the point) only to come home and his entirely family & all his friends invite him to drink some beers.
In another world though I do think they could receive help. There's even some success with DBT/schema therapy in borderline patients - basically the most insane there is. But it requires the patient to really want to change and work on the learned skills & techniques between sessions. Therapy is not the 1 hour you see your therapist every week. That is only there to discuss your progress & issues you are having, think of it like a personal coach that reviews and adjusts your meal & exercise plans. The real work is done in the gym / in the kitchen. Therapy works the same - the real work is between sessions, when you do get intrusive thoughts you try apply your shit to them.
When the entire world is encouraging them? No. It's like an alcoholic going to a AA meeting (AA sucks, but that isn't the point) only to come home and his entirely family & all his friends invite him to drink some beers.
In another world though I do think they could receive help. There's even some success with DBT/schema therapy in borderline patients - basically the most insane there is. But it requires the patient to really want to change and work on the learned skills & techniques between sessions. Therapy is not the 1 hour you see your therapist every week. That is only there to discuss your progress & issues you are having, think of it like a personal coach that reviews and adjusts your meal & exercise plans. The real work is done in the gym / in the kitchen. Therapy works the same - the real work is between sessions, when you do get intrusive thoughts you try apply your shit to them.