Search results for ‘Subject term:"personality disorders"’ Sort:
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Personality disorder and the law in Scotland: a historical perspective
- Authors:
- DARJEE Rajan, CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 14(2), September 2003, pp.394-425.
- Publisher:
- Taylor and Francis
Describes the evolution of the law relating to personality disorders in Scotland, including the consideration of the development of diminished responsibility, the introduction of moral imbecile and the 'absence' of psychopathic disorder from the Mental Health (Scotland) Act 1960 and the Mental Health (Scotland) Act 1984. Although statute law has been very similar to that in England and Wales, legal practice in relation to diminished responsibility prior to the abolition of the death penalty excluded psychopathic offenders, and psychiatric practice since the 1970s has tended to reject hospital disposals for offenders with primary personality disorders. This historical understanding of personality disorder in Scotland helps to clarify the current differences between Scotland and England and Wales, and helps in the understanding of future developments in Scotland.
Deserving people
- Author:
- McMAHON Alex
- Journal article citation:
- Mental Health Today, September 2007, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The authors outline the work of the Scottish Personality Disorder Network, set up in 2006, which aims to improve the care and treatment offered to people in Scotland with a personality disorder. The Network arranges conferences; has developed a website to help users, carers and professionals keep up with national and local developments; is supporting the development of user-led support groups; and has also developed a set of standards for integrated care pathways for borderline personality disorder.
Histories of trauma in client members of therapeutic communities
- Authors:
- FREESTONE Mark, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 27(3), Autumn 2006, pp.387-409.
- Publisher:
- Emerald
This article presents data from the ATC/NLCB Therapeutic Communities Research Project, based on findings from the 306 social histories collected as part of this project. The project looked at 21 therapeutic communities in England and Scotland. The study focused on people with personality disorders in therapeutic communities, and this article explores some of the traumatic experiences of this therapeutic community. It looks particularly at early separations from main carers and family of origin; at losses and disability; and at experiences of physical and sexual abuse in childhood and adulthood, and looks at whether these have any relationship with personality disorders for this study sample. The study also explores whether the different clients in the different types of therapeutic communities have different traumatic experiences, as evidenced by these social histories. The article discusses the implications of these findings.
'Its a horrible term for someone': service users and provider perspectives on 'personality disorder'
- Authors:
- STALKER Kirsten, FERGUSON Iain, BARCLAY Aileen
- Journal article citation:
- Disability and Society, 20(4), June 2005, pp.359-373.
- Publisher:
- Taylor and Francis
This paper presents findings from a study exploring the views of people with personality disorder diagnoses and various professionals working with them. The research was funded by Greater Glasgow Health Board Primary Care Trust and conducted by a team at the University of Stirling. After outlining the policy context and the study’s conceptual framework, the aims and methods are described. Interviews were conducted with 12 service providers and 10 users. The main findings are then discussed, including user and provider perspectives on the meaning of ‘personality disorder’ and the strategies and support people use to address their difficulties. Finally, the theoretical implications of the findings are discussed.
Sharing experience
- Author:
- COSH Jackie
- Journal article citation:
- Mental Health Today, July 2010, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes the production of a toolkit, entitled ‘Much More than a Label’, written by people with personality disorders to be used as a collaborative tool by staff with service users. This resource is the result of a 6 month consultation by the Consultation and Advocacy Promotion Service with staff and service users. The consultation looked at service users’ experience of personality disorder, their experience of services, and about attitudes to them. Consultation with staff included investigating their understanding of personality disorders, their approach, what works well, anything that would influence their working in the area, and what they would like to see in a resource written by service users. The consultation revealed negative attitudes, lack of training and problems accessing services, but also highlighted good practice and positive experiences. The resulting toolkit is over 250 pages long and has mind maps and word clouds, as well as artwork and creative writing to illustrate resources. It includes a reflective section, and quotes from service users. The toolkit will be launched alongside the personality disorder integrated care pathways (ICPs).
Not my problem: summary of our investigation into the care and treatment of Mr G
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission for Scotland was asked to see Mr G, a 61 year-old man, in prison in July 2004. The prison health services and the visiting psychiatrist were very concerned about his condition. He had been charged with assault and was thought to have a 'personality disorder' that explained his behaviour. The Mental Welfare Commission for Scotland disagreed and intervened to make sure he received hospital care. He was found to have a form of dementia (fronto-temporal dementia) that affects behaviour and judgement but, in the early stages, does not seriously affect memory. Mr G died in April 2006 in hospital care. Recommendations for the health boards and local authorities involved in Mr G’s care, NHS Quality Improvement Scotland, the Social Work Inspection Agency, the Care Commission, the Scottish Government, Scottish Prison Service, the Scottish Personality Disorder Network, the Royal College of Psychiatrists, the British Psychological Society, the Postgraduate Medical Education and Training Board and NHS Education Scotland are summarised.
Reid v. the United Kingdom: restricted patients and the European Convention on Human Rights
- Authors:
- DARJEE Rajan, CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(3), September 2005, pp.508-522.
- Publisher:
- Taylor and Francis
This article describes the recent decision of the European Court of Human Rights in the case of a patient with personality disorder detained under a restriction order in Scotland's high security hospital. This is set in the context of recent case law in Scotland in similar cases and in England where forensic patients have made challenges, in domestic courts under the European Convention on Human Rights (ECHR), to their detention and treatment. We conclude that the ECHR has offered little in the way of tangible benefit to such patients.
Capacity, consent and compulsion for young people with borderline personality disorder: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2019
- Pagination:
- 32
- Place of publication:
- Edinburgh
Guidance primarily for professionals in Scotland working with young people with borderline personality disorder such as medical practitioners, and nurses and social workers, including mental health officers. It focuses on the decision-making capacity in young people with a diagnosis of borderline personality disorder, and how it affects the ability to treat a young person without their consent. The guidance discusses the dilemmas around the possible use of compulsory treatment, which include: the need to balance collaborative relationships whilst managing risk; that compulsory treatment may be necessary for the patient's safety, whilst also being unhelpful in the longer-term; and the difficulties of diagnosing borderline personality disorder in young people. Although the guide focuses on borderline personality disorder in young people, it may also be relevant for services working with young people with other mental health diagnoses or adults with borderline personality disorder. (Edited publisher abstract)
Who comes into therapeutic communities? A description of the characteristics of a sequential sample of client members admitted to 17 therapeutic communities
- Authors:
- LEES Jan, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 27(3), Autumn 2006, pp.411-433.
- Publisher:
- Emerald
This article describes characteristics of 313 client members of 17 therapeutic communities (TCs) in England and Scotland. These data were collected in a research project evaluating the effectiveness of therapeutic communities in treating people with personality disorders. It also compares the characteristics between different subgroups of therapeutic communities in the sample (eg non-secure/secure; residential/day). Their scores on a measure of personality difficulties (PDQ4+) and on two measures of state distress (CORE-OM and Brief Symptom Inventory) to provide a description of members willing to participate in the study. One significant finding of the study is that the women in addiction therapeutic communities have much higher scores of PDQ scales used but do not have particularly high BrSI or CORE scores that the other therapeutic groups. The men in the prison therapeutic communities appear to score lower than might have been expected on the PDQ.
A cross-sectional snapshot of therapeutic community client members
- Authors:
- LEES Jan, EVANS Chris, MANNING Nick
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 26(3), Autumn 2005, pp.295-314.
- Publisher:
- Emerald
This article describes some of the characteristics of 242 client members of 19 therapeutic communities in England and Scotland. These included residential, day therapeutic communities and secure environment communities. The study aimed to describe and measure the populations of the therapeutic communities involved, in terms of their background characteristics and their symptoms and behaviours at admission; and to compare the population characteristics of different sub-groups of therapeutic communities in the sample. On the first day of data collection of a research project evaluating the effectiveness of therapeutic communities in treating people with personality disorders, everyone who was a client member of these communities was invited to complete a set of questionnaires. The authors report on the scores on the PDQ4+, a self-report measure of personality difficulties; and on the CORE-OM and Brief Symptom Inventory, two measures of state distress, to provide a snapshot of therapeutic community client members.