Considerations for working with personality-disordered patients

British Journal of Forensic Practice

Volumn 13, Issue 1, 2011, Pages 44-53

  Sheldon, Kerry ^a   Tennant, Allison ^a  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

Forensic; Inpatient; Personality disorder; Treatment

Indexed keywords

ARTICLE; BEHAVIOR THERAPY; COGNITIVE ANALYTICAL THERAPY; COGNITIVE THERAPY; DIALECTICAL BEHAVIOR THERAPY; DISEASE SEVERITY; DISTRESS SYNDROME; DOMINANCE BEHAVIOR; EMOTIONAL ATTACHMENT; GOAL ATTAINMENT; GOAL SYSTEM THEORY; HUMAN; HUMAN RELATION; IDENTITY; INTERPERSONAL COMMUNICATION; MINDFULNESS SKILL; MOTIVATION; OFFENDER; PARANOIA; PATIENT ATTITUDE; PATIENT THERAPIST RELATION; PERSONALITY DISORDER; PSYCHOTHERAPY; SELF CONCEPT; SELF DISCLOSURE; SHAME; STIGMA; THREAT; TRUST;

EID: 79952782437     PISSN: 14636646     EISSN: None     Source Type: Journal    
DOI: 10.5042/bjfp.2011.0049     Document Type: Article

References (55)

1. Andrews DA & Bonta J (2003) The Psychology of Criminal Conduct (3rd edn). Cincinnati, OH: Anderson Publishing.
2. Bandura A & Locke EA (2003) Negative self-efficacy and goal-effects re-visited. Journal of Applied Psychology 88 87-99.
3. Bernard HS (1994) Difficult patients and challenging situations. In: HS Bernard & KR MacKenzie (Eds) Basics of Group Psychotherapy. London: Guilford Press.
4. Beutler LE, Clarkin JF & Bongar B (2000) Guidelines for the Systematic Treatment of the Depressed Patient. New York: Oxford University Press.
5. Blackburn R (1998) Relationship of personality disorders to observer ratings of interpersonal style in forensic psychiatric patients. Journal of Personality Disorders 12 (1) 77-85.
6. Bloom M, Fischer J & Orme JG (2003) Evaluating Practice: Guidelines for the accountable professional (4th edn). London: Allyn & Bacon.
7. Burrowes N & Needs A (2009) Time to contemplate change? A framework for assessing readiness to change with offenders. Aggression and Violent Behavior 14 39-49.
8. Cammidge S, Gallagher J & Sheldon K (2010) 'Patients' experiences of dialectical behaviour therapy, on the Peaks Dangerous and Severe Personality Disorder Unit.' British Psychological Society Annual Conference, Kent, 14-16 April.
9. Chambers J, Eccleston L, Day A, Ward A & Howells K (2008) Treatment readiness in violent offenders: the influence of cognitive factors on engagement in violent programs. Aggression and Violent Behavior 13 276-84.
10. Chew F, Palmer S, Slonska Z & Subbiah K (2002) Enhancing health knowledge, health beliefs and health behaviour in Poland through a health promoting television program series. Journal of Health Communication 7 179-96.
11. Day A, Tucker K & Howells K (2004) Coerced offender rehabilitation - a defensible practice? Psychology, Crime and Law 10 (3) 259-69.
12. DSPD Programme (2008) Dangerous and Severe Personality Disorder (DSPD) High Secure Services for Men: Planning and delivery guide. London: Department of Health, Ministry of Justice & HM Prison Service.
13. Douglas T (1991) A Handbook of Common Group Work Problems. London: Tavistock/Routledge.
14. Frost A, Daniels K & Hudson SH (2006) Disclosure strategies among sex offenders: a model for understanding the engagement process in group work. Journal of Sexual Aggression 12 (3) 227-44.
15. Gallagher J & Sheldon K (2010) Assessing the functions of self-harm behaviour for dangerous and severe personality disordered males in a high secure hospital. British Journal of Forensic Practice 12 (1) 22-32.
16. Gardner R (1988) Psychiatric syndromes as infrastructures for intraspecific communication. In: MRA Chance (Ed) Social Fabrics of the Mind. Hove: Lawrence Erlbaum.
17. Gibbs JC, Potter GB & Goldstein AP (1995) The EQUIP Program: Teaching youth to think and act responsibly through a peer-helping approach. Champaign, IL: Research Press.
18. Hemphill JF & Hart SD (2002) Motivating the unmotivated: psychopathy, treatment and change. In: M McMurran (Ed) Motivating Offenders to Change: A guide to enhancing engagement in therapy. Chichester: Wiley.
19. Hilburn-Cobb C (2003) Adolescent psychopathology in terms of multiple behavioral systems: the role of attachment and controlling strategies and frankly disorganized behavior. In: L Atkinson & S Goldberg (Eds) Attachment Issues in Psychopathology and Intervention. Mahwah, NJ: Lawrence Erlbaum Assoc Inc.
20. Hogue TE, Jones L, Talkes K & Tennant A (2007) The Peaks: a clinical service for those with dangerous and severe personality disorder. Psychology, Crime and Law 13 57-68.
21. Howells K & Day A (2007) Readiness for treatment in high risk offenders with personality disorders. Psychology, Crime and Law 13 (1) 47-56.
22. Howells K, Krishnan G & Daffern M (2007) Challenges in the treatment of dangerous and severe personality disorder. Advances in Psychiatric Treatment 13 325-32.
23. Howells K & Tennant A (2010) Ready or not, they are coming: dangerous and severe personality disorder and treatment engagement. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.
24. Howells K, Tennant A, Day A & Elmer R (2010) Mindfulness in forensic mental health: does it have a role? Mindfulness 1 4-9.
25. Ireland JL, Ireland CA & Birch P (Eds) (2008) Assessment, Treatment and Management of Violent and Sexual Offenders. Willan Publishing.
26. Jackson P, Thurlow C & Underwood C (2010) Adult learning and personality disorders. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.
27. Jacobsen N & Truax P (1992) Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. In: A Kazdin (Ed) Methodological Issues and Strategies in Clinical Research. Washington, DC; American Psychological Association.
28. Jones L (2010a) Working with people who have committed sexual offences with personality disorder diagnoses. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.
29. Jones L (2010b) Case formulation with personality disordered offenders. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.
30. Karoly P (1999) A goal systems self-regulatory perspective on personality, psychopathology and change. Review of General Psychology 3 264-91.
31. Linehan M (2003) Cognitive Behavioural Treatment of Borderline Personality Disorder. New York: Guilford Press.
32. Livesley WJ (2001) A framework for an integrated approach to treatment. In: WJ Livesley (Ed) Handbook of Personality Disorders: Theory, research and treatment. New York: Guilford Press.
33. Livesley WJ (2007) The relevance of an integrated approach to the treatment of personality disordered offenders. Psychology, Crime and Law 13 27-46.
34. Locke EA (1968) Toward a theory of task motivation and incentives. Organizational Behavior and Human Performance 3 157-89.
35. Magnavita JJ & Carlson TM (2003) Short-term restructuring psychotherapy: an integrative model for the personality disorders. Journal of Psychotherapy Integration 13 264-99.
36. Marshall WL & Serran GA (2004) The role of the therapist in offender treatment. Psychology, Crime and Law 10 309-20.
37. McCann RA, Ivanoff A, Schmidt H & Beach B (2007) Implementing dialectical behavior therapy in residential forensic settings with adults and adolescents. In: L Dimeff & K Koerner (Eds) Dialectical Behavior Therapy in Clinical Practice; Applications across disorders and settings. London: Guilford Press.
38. McLure L (2004) Working with the unbearable. In: D Jones (Ed) Working with Dangerous People: The psychotherapy of violence. Abingdon: Radcliffe Medical Press Ltd.
39. McMurran M & McCulloch A (2007) Why don't offenders complete treatment? Prisoners' reasons for noncompletion of a cognitive skills programme. Psychology, Crime and Law 13 345-54.
40. Miller WR & Rollnick S (2002) Motivational Interviewing. London: The Guilford Press.
41. Moos RH (1986) Group Environment Scale manual (2nd edn). Palo Alto, CA: Consulting Psychologists Press.
42. Ryle A & Kerr IB (2002) Introducing Cognitive Analytic Therapy: Principles and practice. Chichester: John Wiley & Sons.
43. Safran JD & Muran JC (2000) Negotiating the Therapeutic Alliance: A relational treatment guide. New York: Guilford Press.
44. Seligman MEP, Rashid T & Parks AC (2006) Positive psychotherapy. American Psychologist 61 774-88.
45. Sheldon K, Howells K & Patel G (2010) An empirical evaluation of reasons for non-completion of treatment in a dangerous and severe personality disorder unit. Criminal Behaviour and Mental Health 20 129-43.
46. Sheldon K & Krishnan G (2009) The clinical and risk characteristics of patients admitted to a secure hospital based 'dangerous and severe personality disorder' unit. British Journal of Forensic Practice 11 (3) 19-27.
47. Sheldon K & Tennant A (2009) 'Using dialectical behaviour therapy with forensic personality disorder patients: some preliminary findings on the use of single case methodologies.' Paper presented at the British and Irish Group for the Study of Personality Disorder (BIGSPD) Annual Conference, Dublin, 2-4 March. Singh NN, Lancioni GE, Wahler RG, Winton ASW & Singh J (2008) Mindfulness approaches in cognitive behaviour therapy. Behavioural and Cognitive Psychotherapy 36 1-8.
48. Tarrier N, Wells A & Haddock G (Eds) (1998) Treating Complex Cases: The Cognitive behavioural therapy approach. Chichester: Wiley.
49. Tennant A (2010) Dialectical behaviour therapy targeting violent behaviour in a male forensic in-patient setting. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.
50. Thomas G & O'Rouke S (2002) Mental Disorder and Substance Use Treatment Programme. Nottingham: Nottinghamshire Healthcare NHS Trust.
51. Ward T, Day A, Howells K & Birgden A (2004) The multifactor offender readiness model. Aggression and Violent Behavior 9 645-73.
52. Ward T & Stewart C (2003) The treatment of sex offenders: risk management and good lives. Professional Psychology: Research and Practice 34 (4) 353-60.
53. Williams JMG & Swales M (2004) The use of mindfulness based approaches for suicidal patients. Archives of Suicide Research 8 315-29.
54. Wise E (2004) Methods for analyzing psychotherapy outcomes: a review of clinical significance, reliable change, and recommendations for future directions. Journal of Personality Assessment 82 (1) 50-9.
55. Withers J (2010) Recovery from personality disorder: maintaining change. In: A Tennant & K Howells (Eds) Using Time, Not Doing Time: Practitioner perspectives on personality disorder and risk. Chichester: Wiley.