Final answer:
Pathological manipulators typically use manipulation as their main form of interaction due to ingrained behavior patterns, often requiring therapy to learn healthier social skills.
Step-by-step explanation:
Pathological manipulators often have a deeply ingrained pattern of behavior characterized by the usage of manipulation as their primary means of interacting with others. Such individuals may lack healthier, more adaptive social skills or choose manipulation as a tool because it has proven effective for them in the past. These patterns of behavior may stem from underlying personality disorders, such as antisocial personality disorder or narcissistic personality disorder. In these cases, therapy and intervention may be required to help the individual learn and adopt more positive interaction strategies.