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A previous study (Draycott et al., <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#pmh1292-bib-0008\" \/>) found that higher levels of psychopathy led to a specific interpersonal \u2018trajectory\u2019 amongst patients in a secure psychiatric treatment programme during the first 9\u2009months of their admission. In that programme, more psychopathic patients became increasingly dominant over time, and less psychopathic patients became increasingly hostile. This study is a longer\u2010term follow\u2010up and extension of that study, extending the window of observation to 33\u2009months of treatment. It was found that the more psychopathic patients' increased dominance returned to baseline levels by 33\u2009months, as did the less psychopathic patients' increased hostility. This suggests that treatment for this group is not idiopathic but leaves unanswered the question as to what these divergent trajectories represent. 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