{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T12:39:25Z","timestamp":1777293565010,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,8,6]],"date-time":"2023-08-06T00:00:00Z","timestamp":1691280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We examined discrepancies in 81 patient\u2010therapist dyads' alliance ratings early in treatment (3rd or 4th session) in relation to Personality Assessment Inventory clinical scales, subscales and global psychopathology. Results indicated that PAI global psychopathology (mean clinical elevation) and the scales of Aggression [AGG], Somatization [SOM], and Anxiety\u2010Related Disorders [ARD] were significantly, negatively associated with an absolute difference of patient and therapist alliance ratings at Session 3. Higher initial scores on these clinical scales at treatment onset are associated with less difference (i.e., more convergence) in patient\/ therapist ratings of alliance at Session 3. Correlations between PAI clinical subscales and absolute differences of patient and therapist alliance ratings at Session 3 also demonstrated statistically significant inverse relationships for several PAI subscales of Aggression\u2010 Attitude [AGG\u2010A], Aggression\u2010Physical [AGG\u2010P], Somatic\u2010 Health Concerns [SOM\u2010H], Anxiety\u2010Related Disorders\u2010Traumatic Stress [ARD\u2010T], Anxiety\u2010Related Disorders\u2010 Obsessive Compulsive [ARD\u2010O], Borderline Features\u2010Affective Instability [BOR\u2010A], Borderline\u2010 Self\u2010Harm [BOR\u2010S], Anxiety\u2010Physiological [ANX\u2010P], Depression\u2010Physiological [DEP\u2010P] and Antisocial\u2010Stimulus Seeking [ANT\u2010S]. Again, higher scores on these subscales at treatment onset are associated with less difference (i.e., more convergence) in patient\/therapist ratings. We also examined group differences between patients rating alliance higher (Group 1) and therapists rating alliance higher (Group 2) and found that Group 1 had significantly lower scores on Mania\u2010Activity Level [MAN\u2010A]. Clinical implications of results are discussed.<\/jats:p>","DOI":"10.1002\/cpp.2891","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T02:29:38Z","timestamp":1691375378000},"page":"1512-1519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Convergence in patient and therapist alliance ratings early in treatment with Personality Assessment Inventory clinical scales and subscales"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4197-3058","authenticated-orcid":false,"given":"Bianca H.","family":"Cersosimo","sequence":"first","affiliation":[{"name":"Derner School of Psychology Adelphi University  Garden City New York United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.","family":"Hilsenroth","sequence":"additional","affiliation":[{"name":"Derner School of Psychology Adelphi University  Garden City New York United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert F.","family":"Bornstein","sequence":"additional","affiliation":[{"name":"Derner School of Psychology Adelphi University  Garden City New York United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerold R.","family":"Gold","sequence":"additional","affiliation":[{"name":"Derner School of Psychology Adelphi University  Garden City New York United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Blais","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327752JPA7501_7"},{"key":"e_1_2_7_3_1","volume-title":"The Penn helping alliance scales","author":"Alexander L. 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