answer:Things don’t change for folks like this because everyone around them sees their actions as screwing up. Things only change for folks like this when they see their own actions as screwed up. They don’t care how others perceive them. They don’t even fully realize how others perceive them. They only care how they perceive themselves, which is often quite delusional from reality. Nothing changes until a disaster forces them to take a long look in the mirror. And even then, they rarely change instantly. Realizing you’re messed up is a very difficult and hard fought first step. But actually manifesting a change from that realization is even more difficult, decades in the process.