Search results for ‘Subject term:"personality disorders"’ Sort:
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The functions and place of structured groups in psychodynamically oriented day treatment for personality disorders
- Authors:
- STEINBERG Paul, et al
- Journal article citation:
- Smith College Studies in Social Work, 79(1), 2009, pp.35-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Noting that day treatment is a form of partial hospitalisation that can be helpful for patients with personality disorders who do not require inpatient care but may benefit from more intensive care than is possible on an outpatient basis, this article describes the different types of structured therapy groups which help patients with personality disorders to reflect on themselves, within a psychodynamically oriented day treatment programme (DTP) with an emphasis on facilitating insight oriented work, and the role that each serves, based on therapist observations. The groups include a large psychotherapy group which is a daily meeting of all patients and staff, a number of unstructured small psychodynamic groups, and structured groups: Projectives Group, in which patients are invited to illustrate their associations to a given theme, Action Group, in which patients have the opportunity to re-enact aspects of their life, Perspectives for Living Group and Life Skills Group, which permits examination of aspects of patients' functioning and the appropriateness of their responses to a variety of situations, Problem-Solving Group, a therapeutic experience that allows for suggestions and practical support from other patients, Vocational Group, addressing issues as patients prepare to return to the workforce, school or retirement, and Work Therapy, which involves 125 hours of voluntary work to be completed within 6 weeks after discharge. A case study is provided.
Substance misuse: the relationship between attachment styles, personality traits and coping in drug and non-drug users
- Authors:
- DAVIDSON Sarah, IRELAND Carol A.
- Journal article citation:
- Drugs and Alcohol Today, 9(3), September 2009, pp.22-27.
- Publisher:
- Emerald
This study examined an individual's drug use in relation to their coping styles, personality traits and attachment style. A total of 98 participants (46 females and 52 males) took part in the study. Analysis did not show a significant difference in insecure/ambivalent attachment in the drug-using group. Yet, there was evidence to suggest that the drug-using group exhibited higher levels of personality disorder traits, based only on self-report. Individuals with more personality disorder traits had a more insecure attachment style. Participants who use drugs had a more avoidant coping style. The results are discussed with reference to previous research and the implications of the current research on attachment theory and personality disorder etiology, as well as implications for drug treatment.
Learning disabilities and serious crime - sex offences
- Authors:
- READ Fiona, READ Elspeth
- Journal article citation:
- Mental Health and Learning Disabilities Research and Practice, 6(1), April 2009, pp.37-51.
- Publisher:
- South West Yorkshire Mental Health NHS Trust and University of Huddersfield
This review paper follows on from two previous reviews of the literature with regard to, firstly, learning disability and murder and, secondly, learning disability and arson. This paper, in turn, examines the relationship, if any, between learning disability and sexual offence. The approach taken in all these papers involves the concept of Disruptive Behaviour Disorder as being the group of behaviour and personality disorders most involved in the aetiology of these criminal and anti-social behaviours. Disruptive behaviour disorders comprise: Oppositional Defiant Disorder Conduct Disorder; Anti-social Personality Disorder; Intermittent Explosive Disorder. The common characteristics of these disorders comprise aggression, irritability, over-activity, high arousal, and repetitive behaviour.
Practitioner training in the cognitive analytic therapy model and clinical work as an art therapist
- Author:
- PAYNE Ivor
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 9(1), Spring 2009, pp.26-31.
This paper compares, contrasts and attempts some degree of integration and of the experience and understanding of the Cognitive Analytic Therapy model within the context of practicing Art Therapy.
Clinical problems in community mental health care for patients with severe borderline personality disorder
- Authors:
- KOEKKOEK B., VAN MEIJEL B., HUTSCHEMAEKERS G.
- Journal article citation:
- Community Mental Health Journal, 45(6), December 2009, pp.508-516.
- Publisher:
- Springer
The objective of this research was to assess the problems that professionals perceive in the community mental health care for patients with severe borderline personality disorder that do not fit into specialized therapy. A group of 8 national experts participated in a four-phase Delphi-procedure to identify and prioritize the problems. A total of 36 problems reflecting five categories was found: patient-related, professional-related, interaction-related, social system-related, and mental health care-related. Problems with attachment and dependency and social issues were important patient problems while a lack of skills was an important professional problem. Support from the patient’s social system and the mental health system were identified as limited, which resulted in both the patient and the professional feeling isolated. Patient, professional, and organisational characteristics of community care differ substantially from those of specialized care. The field is thus in need of a more tailored approach that takes these differences into account.
Early intervention in personality disorder: MST and other treatments for socially excluded high risk/high harm children and families: report of a conference held November 2007, London
- Authors:
- VIZARD Eileen, et al
- Publisher:
- Great Britain. Department of Health. Personality Disorder Programme
- Publication year:
- 2009
- Pagination:
- 46p.
- Place of publication:
- London
This report, produced by Dr Eileen Vizard and colleagues from the NSPCC and UCL, is a comprehensive report of a seminar held in November 2007, which brought together national and international academics and practitioners in the field of childhood conduct disorders, prevention and treatment of antisocial behaviour and the emergence of anti-social personality disorder. The seminar was commissioned by the Department of Health as part of cross government work with Department for Children, Schools and Families, the Youth Justice Board and the Cabinet office, following the publication of The Social Exclusion Action Plan (2006) and the Care Matters White paper (2007). The focus of this work was to identify early those young people at risk of social exclusion and placement away from home because of conduct problems and complex family needs and to consider and further develop the evidence base for effective interventions with these young people and their families. The report provides a summary of the current evidence base in this area, a comprehensive account of the seminar proceedings and pointers for future action for practitioners, policy makers and researchers.
Attachment and psychopathy in forensic patients
- Authors:
- VAN DEN BERG Anne, OEI Karel TI
- Journal article citation:
- Mental Health Review Journal, 14(3), September 2009, pp.40-51.
- Publisher:
- Emerald
Effective treatment of patients with severe psychopathy is very difficult to achieve, with some meta-analyses on the subject concluding that there is no proof that it is treatable. The central issue of this article is the inability of severely psychopathic patients to commit to the patient-therapist relationship. Attachment therapy and mentalisation-based treatment are used to define the cause and nature of this disability, which is incurred in very early childhood. These 2 models can aid in the development of more dynamic definitions of psychopathy which is better suited to dynamic therapy formats. The authors believe that the treatment of psychopathy should be interactional and should match patients’ individual levels of psychological development and mentalisation. The authors propose to conduct further research in order to verify the validity of their hypothesis. They also put forward a number of suggestions for therapy formats with a view to establishing effective working relationships with psychotic patients.
How mothers with borderline personality disorder relate to their year-old infants
- Authors:
- HOBSON R. Peter, et al
- Journal article citation:
- British Journal of Psychiatry, 195(4), October 2009, pp.325-330.
- Publisher:
- Cambridge University Press
Individuals with borderline personality disorder have severely troubled interpersonal relations. This study aimed to assess how women with borderline personality disorder engage with their 12 to 18 month old infants. The methodology was to videotape mother-infant interactions in separation-reunion episodes using the Strange Situation test, where the mothers were women with borderline personality disorder, with depression, or without psychopathological disorder. In the results, a higher proportion (85%) of women with borderline personality disorder than women in the comparison groups showed disrupted affective communication with their infants. The conclusions were that maternal borderline personality disorder is associated with disturbances in mother-infant communication, and that intervention to support mothers with borderline personality disorder and develop more optimal mother-infant relations might be indicated.
Social anxiety disorder in first-episode psychosis: incidence, phenomenology and relationship with paranoia
- Authors:
- MICHAIL Maria, BIRCHWOOD Max
- Journal article citation:
- British Journal of Psychiatry, 195(3), September 2009, pp.234-241.
- Publisher:
- Cambridge University Press
This study aimed to compare the phenomenology of social anxiety disorder in first-episode psychosis with that in a group without psychosis. The relationship between social anxiety and psychosis symptoms was investigated. A sample of people with first-episode psychosis (FEP group) was compared with a sample with social anxiety disorder without psychosis (SaD group). Of the individuals in the FEP group (n = 80) 25% were diagnosed with an ICD–10 social anxiety disorder (FEP/SaD group); a further 11.6% reported severe difficulties in social encounters. The FEP/SaD and SaD groups reported comparable levels of social anxiety, autonomic symptoms, avoidance and depression. Social anxiety in psychosis was not related to the positive symptoms of the Positive and Negative Syndrome Scale (PANSS) including suspiciousness/persecution. However, a significantly greater percentage of socially anxious v. non-socially anxious individuals with psychosis expressed perceived threat from persecutors, although this did not affect the severity of social anxiety within the FEP/SaD group. The majority of those in the FEP/SaD group did not have concurrent persecutory delusions. It is concluded that social anxiety is a significant comorbidity in first-episode psychosis. It is not simply an epiphenomenon of psychotic symptoms and clinical paranoia, and it has more than one causal pathway. For a subgroup of socially anxious people with psychosis, anticipated harm is present and the processes that underlie its relationship with social anxiety warrant further investigation.
Recognising complexity: commissioning guidance for personality disorder services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 64p., bibliog.
- Place of publication:
- London
Practice guidance for commissioners in the NHS, criminal justice system, local authorities and others, to help them improve outcomes for people with personality disorders. The document provides information and suggestions on best practice drawn from pilot services and from service users. The document is organised in four sections which provide information on: an overview of the broad context; key areas for effective commissioning; commissioning dedicated personality disorder services; and commissioning for groups with particular needs.