Search results for ‘Subject term:"personality disorders"’ Sort:
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An agitation of contrary opinions
- Author:
- TYRER Peter
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s1-s2.
- Publisher:
- Cambridge University Press
Those people who are dangerous often have personality disorders. Should these individuals be dealt with by criminal justice or mental health services? England (note not Scotland) has taken the mental health route with the Dangerous and Severe Personality Disorder Programme. Is this bold move wise or foolish? To answer this question we have both evidence and opinion – neither is conclusive.
Dangerous and severe personality disorder: antecedents and origins
- Author:
- MADEN Anthony
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s8-s11.
- Publisher:
- Cambridge University Press
The origins of the Dangerous and Severe Personality Disorder (DSPD) Programme can be traced to developments in structured assessment and services for the cognitive–behavioural treatment of sexual and violent offenders in other countries. A comparison with these other services highlights the strengths and weaknesses of DSPD. The decision to use a medical model raises ethical and financial questions that may jeopardise the Programme's future.
Rehabilitating antisocial personalities: treatment through self-governance strategies
- Author:
- McRAE Leon
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 24(1), 2013, pp.48-70.
- Publisher:
- Taylor and Francis
It is widely assumed that offenders with antisocial personality disorder (ASPD) reject psychotherapeutic intervention, suggesting that they may be better managed in the criminal justice system. On the other hand NICE guidelines recommend that those who are treatment seeking should be considered for admission to specialist psychiatric hospitals. The argument is that offenders with ASPD can be rehabilitated, if they are motivated. However little is known about why offenders with ASPD seek treatment or what effect subsequent treatment has on their self-understanding. This paper draws on the findings of a qualitative study examining the experiences of sentenced male offenders admitted to a specialist personality disorder ward within the medium secure estate and the medical practitioners who treat them. The data are analysed with reference to Michel Foucault’s work on governmentality and strategy in power relations. The paper concludes that specialist treatment in the hospital setting can effect changes in the resistive offender’s self-understanding, but not if the completion of treatment results, as is commonplace, in his prison readmission.
Bad boys, bad men: confronting antisocial personality disorder
- Author:
- BLACK Donald W.
- Publisher:
- Oxford University Press
- Publication year:
- 2000
- Pagination:
- 256p.
- Place of publication:
- New York
The author aims to explain antisocial personality disorder (ASP) and to discuss its intricate relationships with criminality and comorbid psychiatric disorders such as substance abuse and depression. Whether called black sheep, sociopaths, felons, conmen, or misfits, some men break all the rules. This book draws on case studies, scientific data, and current events to explore antisocial behaviour and to chart the history, nature, and treatment of this misunderstood disorder that effects up to seven million Americans. The author believes that ASP is not a myth but a very real problem that causes more pain to individuals and society than many commonly recognised psychiatric illnesses. He draws on new evidence from genetics, neuroscience and psychophysiologic research to support the notion that extreme cases of antisocial behaviour are tied to biologic causes and that some people are simply born bad. The disorder's impact spans every society and is linked to many social problems, including crime, domestic violence, drug abuse, and neglected children. The author argues that any attempt to counter these problems requires confronting ASP and that some of today's high-profile criminal cases may be rooted in the disorder. The book details the slow progress towards treatment for ASP, discusses the role of the criminal justice system in dealing with the disorder, and offers advice for individuals and families affected by it.
A more promising architecture? Commissioners’ perspectives on the reconfiguration of personality disorder services under the offender personality disorder (OPD) pathway
- Authors:
- TREBILCOCK Julie, et al
- Journal article citation:
- Mental Health Review Journal, 24(4), 2019, pp.306-316.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the views of NHS England (NHSE) and Her Majesty’s Prison and Probation Service (HMPPS) commissioners about the Offender Personality Disorder (OPD) pathway. Design/methodology/approach: A thematic analysis of four semi-structured interviews with NHSE and HMPPS commissioners is conducted. Findings: Commissioners offered a cautious but confident assessment of the potential effectiveness of the OPD pathway, drawing particular attention to its potential to enhance the confidence and competency of staff, offer better value for money and provide enhanced progression routes for offenders with personality disorders. Additionally, commissioners identified a number of potential risks for the pathway including wider system flux, funding availability, multi-agency working, offender engagement and the need to evidence effectiveness. Research limitations/implications: The analysis is based on a small number of interviews. However, there are only a limited number of commissioners involved with the OPD pathway. Practical implications: While the stronger focus on progression in the OPD pathway is a welcome departure from a narrow focus on high security Dangerous and Severe Personality Disorder (DSPD) services, the foundations of the OPD pathway ultimately lie with the DSPD programme and similar challenges are likely to follow. The system within which the pathway operates is subject to a great deal of flux and this inevitably poses significant challenges for pathway services, staff and offenders, as well as for those of us charged with its evaluation. Originality/value: There has been limited empirical work with commissioners in the mental health field. The paper offers a unique insight into the perspectives of those responsible for commissioning the OPD pathway. (Publisher abstract)
Personality disorder and complex needs
- Authors:
- DURCAN Graham, SAUNDERS Anna
- Publisher:
- Centre for Mental Health
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- London
This briefing paper is based on an examination of good or promising practices in services for people at each stage of the criminal justice system across England. It describes the key features of those services and then distils the core components of effective support for people with personality disorder in or around the justice system. Finally, the paper sets out some keys to effective engagement from the insights gained from the good practice sites. Two-thirds of prisoners and about half of people under probation supervision are estimated to have personality disorder traits, yet only a small proportion get any support. The paper commends the national Offender Personality Disorder Strategy which is extending support to more people in prison and outside whose personality disorders are linked to their offending. This has led to the creation of psychologically informed physical environments (PIPEs) in prisons, where staff have received training in working with people with a personality disorder, where treatments are offered and where relationships between staff and prisoners are key to success. The briefing paper calls on health and criminal justice services to work together to ensure effective interventions are offered at every stage of the criminal justice system to all offenders with a personality disorder. (Edited publisher abstract)
Translator disclaimer Increasing knowledge of personality disorders in detained women with an intellectual disability
- Authors:
- MORRIS Deborah, GRAY Nathalie
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 6(1), 2015, pp.23-33.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the evaluation of the “Living with a Personality Disorder” group (Morris, 2011a). This intervention is a psycho-education group for women with an intellectual disability (ID) and a personality disorder (PD). It draws on psycho-education, biosocial theory (Linehan, 1993) and compassionate mind approaches (Gilbert, 2009). It aims to increase knowledge of personality, PDs, to increase awareness of the “non-disordered” parts of self and to increase knowledge of psychological treatments for PD’s. Design/methodology/approach: The intervention was delivered to women detained in a specialist women’s learning disability forensic service. It was delivered over 12 group and two individual sessions. The Knowledge of Personality Disorders Questionnaire (D’Silva and Duggan, 2002), the Self-Compassion Scale (Neff, 2003), the University of Rhode Island Change Assessment scale (McConnaughy et al., 1983) and a series of Likert scale questions and statements were used to assess the utility of the intervention. The intervention was piloted between 2012 and 2014 in a series of small groups. The lead facilitator for each intervention was a registered psychologist with training in dialectical behaviour therapy. Findings: Completing the intervention resulted in an increase in knowledge of PDs, treatments, increased self-compassion and therapeutic optimism and awareness of the limitations of a PD diagnosis. Originality/value: A new intervention that may increase knowledge of PDs, of personal strengths and increase optimism about change that may be a useful component to the treatment for service users with PDs and an ID. (Publisher abstract)
Handbook of forensic mental health
- Editors:
- SOOTIHILL Keith, ROGERS Paul, DOLAN Mairead, (eds.)
- Publisher:
- Willan
- Publication year:
- 2008
- Pagination:
- 672p.
- Place of publication:
- Cullompton
This comprehensive reference book covers what forensic mental health is and its assessment, management and treatment. The editors bring together experts in their fields to examine key topics and the issues underpinning them in contemporary society. The book includes: an account of the historical development of forensic mental health, along with a description of the three mental health systems operating in the UK; an in-depth analysis of the forensic mental health process and system, including an analysis of the different systems applied for juveniles and adults; an examination of the main issues in forensic mental health including sex offending, personality disorders and addiction; and a breakdown of the key skills needed for forensic mental health practice. The book is aimed at practitioners, academics and students in the forensic mental health field.
Response to the offender personality disorder consultation
- Authors:
- GREAT BRITAIN. Department of Health, GREAT BRITAIN. Ministry of Justice. National Offender Management Service
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 28p.
- Place of publication:
- London
The Government’s policy is for the National Offender Management Service (NOMS) and the National Health Service (NHS) to improve the management of offenders with personality disorder (PD) and delivery of services to this population through the development of joint operations, predominantly based within the criminal justice system (CJS). A consultation to the DH/NOMS Offender Personality Disorder Pathway Implementation Plan took place between February and May 2011 and received 91 responses. This document describes the responses and sets out the next steps in developing services for offenders with severe personality disorders in the NHS and CJS. The consultation questions covered: the principles for developing the pathway; delivering the benefits of the pathway approach; timetable for developing the pathway; critical factors in developing the pathway; additional costs and benefits; commissioning; payment by results; pathway for women; BME offenders; learning disability; and workforce development. The responses indicate that there is broad support for the plans and, with minor changes and clarifications, respondents agree that the NOMS and the NHS should work together to design and implement integrated pathways for managing and treating offenders with severe personality disorders, building on local and regional structures.
Persistent violent offending: what do we know?
- Author:
- HODGINS Sheilagh
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s.12-s.14.
- Publisher:
- Cambridge University Press
A great deal is known about men who display a stable pattern of antisocial behaviour since childhood. However, more research is needed to identify subtypes within this population so as to further understanding of the causal processes that initiate and maintain violent behaviours and to identify interventions that specifically target the deficits presented by each subtype. Evidence-based practice means not only using treatments proven to be effective but also basing conceptualisations of disorders on scientific evidence.