Semiclassical perturbations to the Reissner-Nordstrom metric caused by the
presence of a quantized massive scalar held with arbitrary curvature coupli
ng are Found to first older in epsilon=(h) over bar/M-2. The DeWitt-Schwing
er approximation is used to determine the vacuum stress-energy tensor of th
e massive scalar field. When the semiclassical perturbation are taken into
account, we find extreme black holes will have a charge-to-mass ratio that
exceeds unity, as measured at infinity. The effects of the perturbations on
the black hole temperature (surface gravity) are studied in detail, with p
articular emphasis on near extreme "bare" states that might become precisel
y zero temperature "dressed" semiclassical black hole states. We find that
for minimally or conformally coupled scalar fields there are ito zero tempe
rature solutions among the perturbed black holes.