Because persons scoring high on 4 are usually verbally fluent, energetic, and intelligent, they might initially be perceived as good candidates for psychotherapy. However, their underlying hostility, impulsiveness, and feelings of alienation eventually surface. They are also likely to blame others for the problems they have encountered. As a result, they will eventually resist therapy and terminate as soon as possible (see TRT/Negative Treatment Indicators content scale). Part of their resistance is that they have difficulty committing themselves to any, including the therapeutic, relationship. If they are not feeling any subjective distress (low Scales 2 and 7), their motivation for change is likely to be particularly low. In addition, their original motivation for therapy may not have been to actually change, but rather to avoid some form of punishment, such as jail. Thus, their long-term prognosis in therapy is poor. Short-term goals that focus on documenting clear behavior change (rather than merely verbalizing it) would be indicated. Some sort of external motivation for therapy (e.g., condition of parole or continued employment) might also increase the likelihood that they will follow through on treatment.