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In a German sample of\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200989 convicted men in addiction treatment, we examined whether early therapeutic alliance ratings moderated the relationship between psychopathy, as measured by the Psychopathy Checklist \u2013 Revised (PCL-R), and treatment success within the first 6\u2009months. Results indicated that a moderation model is appropriate, as the association between total PCL-R and treatment success differed as a function of perceived therapeutic alliance. Specifically, high psychopathy impaired treatment success when the alliance was simultaneously poor. Conversely, a good alliance seemed to buffer the adverse effects of psychopathy. No differential associations were found for PCL-R Factor 1 and Factor 2, and the moderation model held for both client-rated as well as therapist-rated alliance. Implications for improving treatment programs for psychopathic patients are discussed.\n                  <\/jats:p>","DOI":"10.1177\/0306624x251337484","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T08:01:19Z","timestamp":1745827279000},"page":"228-243","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Therapeutic Alliance Moderates Psychopathy-Outcome Relation in Treatment of Substance-Abusing Offenders"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4714-041X","authenticated-orcid":false,"given":"Ronja","family":"Heintzsch","sequence":"first","affiliation":[{"name":"University of Hildesheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2955-0343","authenticated-orcid":false,"given":"Joscha","family":"Hausam","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Institute of Forensic Psychiatry, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Bernstein D. 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