Search results for ‘Subject term:"mental health problems"’ Sort:
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Personality disorder: attitudes, understanding and treatment
- Authors:
- GREEN Barrie, WOOD Simon
- Journal article citation:
- Nursing Times, 16.11.04, 2004, pp.40-43.
- Publisher:
- Nursing Times
Looks at historical attitudes to personality disorder, sufferers from which are often stigmatised and dehumanised, and how understanding has developed in recent years, while legislation has failed to keep pace. Although often assumed to be untreatable, techniques that appear effective in helping such people integrate more successfully into society are summarised.
Research watch: art therapy: a dose of treatment, an aid to social inclusion or an unnecessary indulgence?
- Author:
- HOLTTUM Sue
- Journal article citation:
- Mental Health and Social Inclusion, 17(2), 2013, pp.64-69.
- Publisher:
- Emerald
Purpose – This Research Watch aims to summarise two recent and very different research publications on art therapy and comments on their ability to shed light on the usefulness of art therapy to address mental distress and enhance social inclusion. Design/methodology/approach – The author discusses a recent edition of a UK art therapy journal in which research papers focus on art therapy with people who have been given a diagnosis of personality disorder. The main methodologies are qualitative describing participants’ and/or therapists’ experiences and the role of art therapy in addressing serious mental distress. The second publication is a recent report of a large randomised controlled trial of art therapy for people given a diagnosis of schizophrenia. The author assesses the value of both publications in informing us about the usefulness of art therapy in addressing mental distress and enhancing social inclusion. Findings – In the author's view, neither publication establishes definitively how or whether art therapy might address serious mental distress, whether labelled personality disorder or schizophrenia. However, the qualitative articles provide insight into possible helpful (and less helpful) aspects of therapy. The randomised trial should have been able to establish general principles about the effectiveness of art therapy for a specific group of people in specified contexts, but instead exemplifies many problems inherent in the pervasive research culture of putting numbers onto complex human interactions and calculating their value for money, sometimes at the expense of really understanding what is going on. Originality/value – The author draws upon these two very different examples of research to reflect a current dilemma in UK art therapy research, and tentatively looks at possible ways forward. (Publisher abstract)
Treatments for obsessive-compulsive disorder: deciding what method for whom
- Authors:
- ABRAMOWITZ Jonathan S., SCHWARTZ Stefanie A.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.261-273.
- Publisher:
- Oxford University Press
The aim of the present paper was to address variables that should be considered in deciding the optimal treatment modality for individual patients with obsessive-compulsive disorder (OCD). We begin by briefly discussing strengths and limitations of the various empirically supported treatments for this disorder. Next we discuss general factors, such as demographics and familial support, that may contribute to the treatment decision-making process. Following this, we describe factors related to the presentation of OCD (e.g., insight, comorbidity) that may impact such decisions. It is important to rely on both empirical findings and informed clinical judgment when deciding which treatment(s) to recommend for patients. For this reason, familiarity with the research literature as a backdrop to thoroughly assessing the relevant variables is imperative for clinicians working with OCD patients.
"Less is best" a group-based treatment programme for persons with personality disorders
- Author:
- HURDLE Donna
- Journal article citation:
- Social Work with Groups, 23(4), 2001, pp.71-80.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Personality disorders are among the most difficult of mental disorders for which to provide effective interventions. Using a group work model that emphasizes skill-building, problem-solving and community integration can enable clients with personality disorders to function more adaptively in the community. This article describes a model programme that integrates therapy, educational and socialization groups and is consistent with established social group work models and practices. This group work approach also fits well to a managed care environment, as it is cost-effective and maximizes the number of clients served with limited staff.
Young's therapy for clients with personality disorders
- Authors:
- McVEY Denis, MURPHY Naomi
- Journal article citation:
- Nursing Times, 19.4.01, 2001, pp.34-35.
- Publisher:
- Nursing Times
The author suggests that a scheme-focused approach offers a nurse a valuable tool in helping them understand care for clients with personality disorders.
Personality disorders: diagnosis, management and course
- Editor:
- TYRER Peter
- Publisher:
- Butterworth-Heinemann
- Publication year:
- 2000
- Pagination:
- 221p.,bibliog.
- Place of publication:
- Oxford
- Edition:
- 2nd
Contains chapters on: the history of the concept of personality disorder; classification of personality disorder; personality assessment schedule; the epidemiology of personality disorder; comorbidity of personality and mental state disorder; psychosocial treatment in personality disorder; drug treatment of personality disorders; outcomes; and challenges for the future.
Clinical decision of short-versus long-term treatment
- Authors:
- RABINOWITZ Jonathan, LUKOFF Irving
- Journal article citation:
- Research on Social Work Practice, 5(1), January 1995, pp.62-79.
- Publisher:
- Sage
Practitioners' decisions of when to use ST (planned short-term) versus LT (long-term) therapy were studied via their responses to vignettes and an open-ended question about their criteria for choosing. The decisions of practitioners of when to use ST or LT therapy on patients presenting adjustment disorder, Dysthymic Disorders, and borderline personality disorder were studied. Discusses the decisions made by the therapists in relation to their criteria for opting for a particular therapy.
Developing a framework for the identification of criminogenic needs in offenders with intellectual disability and personality disorder: the Treatment Need Matrix
- Author:
- TAYLOR Jon
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(1), 2014, pp.43-50.
- Publisher:
- Emerald
Purpose: The criminogenic needs and psychological vulnerabilities of offenders with intellectual disability (ID) has only recently received attention within the academic literature. The purpose of this paper is to provide an overview of an approach to identifying such needs in order to inform treatment planning and service delivery. Design/methodology/approach: The paper describes the methods employed to identify relevant psychological variables for this population, provides an overview of the framework and describes the practices employed to establish the relevance of a range of criminogenic needs. Findings: A range of psychological variables derived from a systematic literature review are presented in the context of an assessment framework. Research limitations/implications: The Treatment Need Matrix (TNM) is currently an experimental framework for identifying the needs of offenders with ID (and personality disorder (PD)). Further research is needed to establish the reliability and validity of the tool. Practical implications: The TNM offers clinicians a practical methodology for determining the significance of a range of psychological variables cited in the literature as relevant treatment targets for offenders with IDs. Originality/value: The specific criminogenic needs of offenders with ID (and PD) has received little attention within the academic and research communities. This paper offers a novel approach to the identification. (Publisher abstract)
Treating dangerous and severe personality disorder in high security: lessons from the Regional Psychiatric Centre, Saskatoon, Canada
- Authors:
- MADEN A., et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 15(3), September 2004, pp.375-390.
- Publisher:
- Taylor and Francis
Describes the approach to risk reduction at the Centre, making legal and institutional comparisons with the new Dangerous and Severe Personality Disorder (DSPD) Service to be established in high security hospitals in England and Wales. The Centre applies cognitive behavioural techniques to reduce recidivism, and current evidence suggests the same approach should form the core of the treatment regime in DSPD units. The key to success is the strict management of programme integrity, to deliver intensive treatment tailored to the individual's abilities and readiness to accept change. The Stages of Change model, derived from addictions, allows planning, monitoring and evaluation. It plays an important role in maintaining staff morale by providing an objective measure of success within a reasonable time frame. The service will require effective management and sophisticated information systems to support these developments. The Centre has the advantage of clear pathways through the service. Patients are able to return to an ordinary prison whenever they wish, and the average length of stay is about 2 years. The service will have to guard against beds becoming blocked by long-stay patients with no way out of the service. Long term hospital incarceration is an expensive and inefficient way of protecting the public, and a unit with a high proportion of long-stay patients would find it hard to sustain a therapeutic ethos, with a consequent threat to staff morale.
Recognizing and treating uncommon behavioural and emotional disorders in children and adolescents who have been severely maltreated: dissociative disorders
- Author:
- HAUGAARD Jeffrey J.
- Journal article citation:
- Child Maltreatment, 9(2), May 2004, pp.146-153.
- Publisher:
- Sage
Children who have experienced severe maltreatment may use dissociation as a strategy to cope with the ongoing trauma of their maltreatment. Although dissociation may help children cope with maltreatment, it can become maladaptive if it is used in other contexts. This article explores the symptoms of dissociate disorders and the ways that maladaptive dissociation can develop in maltreated children. Strategies for distinguishing dissociative disorders from other disorders in children are reviewed and treatment strategies for children and adolescents with maladaptive dissociation, and their families, are explored.