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Thus, there is limited evidence regarding effective interventions. One solution might be to focus on how interventions are delivered as well as what is delivered. Within the non\u2010offender personality disorder literature, the identification of potential mediators of change has enabled interventions to focus on \u2018how\u2019 they are delivered (e.g., therapeutic alliance) rather than the intervention itself. We explore the evidence and present a scoping review of the available literature on the mechanisms of change in psychological treatments for offenders with personality disorder. Only one study was found in the scoping review, highlighting a significant gap in the evidence base. We discuss the implications of this finding and potential future directions.<\/jats:p>","DOI":"10.1002\/pmh.1606","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T08:05:02Z","timestamp":1709280302000},"page":"177-187","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature"],"prefix":"10.1002","volume":"18","author":[{"given":"Roxanna","family":"Short","sequence":"first","affiliation":[{"name":"Department of Forensic and Neurodevelopmental Sciences King's College London  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darrick","family":"Jolliffe","sequence":"additional","affiliation":[{"name":"Department of Law and Criminology Royal Holloway University of London  Egham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Carter","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Informatics King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Forensic and Neurodevelopmental Sciences King's College London  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011128705281756"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101921"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61394-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2014.04.014"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2018.32.supp.115"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10615-018-0652-y"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198791874.001.0001"},{"key":"e_1_2_7_10_1","first-page":"298","volume-title":"The mask of sanity; an attempt to reinterpret the so\u2010called psychopathic personality","author":"Cleckley H.","year":"1941"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.09.006"},{"key":"e_1_2_7_12_1","first-page":"9","article-title":"Predicting and understanding risk of re\u2010offending: The prisoner cohort study","volume":"6","author":"Coid J.","year":"2007","journal-title":"Ministry of Justice, Research Summary"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.11.1.3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030291"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.09.003"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016311"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/14789949.2015.1107119"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0093854819826109"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2018.1497214"},{"key":"e_1_2_7_20_1","volume-title":"Home office","author":"Farrington D. 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