Search results for ‘Subject term:"personality disorders"’ Sort:
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Personality disorder service provision: a review of the recent literature
- Authors:
- EVANS Sacha, et al
- Journal article citation:
- Mental Health Review Journal, 22(2), 2017, pp.65-82.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the evolution of the field of personality disorder since the publication of “Personality disorder: no longer a diagnosis of exclusion” in 2003. Design/methodology/approach: A review of both the academic literature contained within relevant databases alongside manual searches of policy literature and guidance from the key stakeholders was undertaken. Findings: The academic and policy literature concentrates on treating borderline and antisocial personality disorders. It seems unlikely that evidence will resolutely support any one treatment modality over another. Criticism has arisen that comparison between modalities misses inter and intra patient heterogeneity and the measurement of intervention has become conflated with overall service design and the need for robust care pathways. Apparent inconsistency in service availability remains, despite a wealth of evidence demonstrating the availability of cost-effective interventions and the significant inequality of social and health outcomes for this population. Research limitations/implications: The inclusion of heterogeneous sources required pragmatic compromises in methodological rigour. Originality/value: This paper charts the recent developments in the field with a wealth of wide-ranging evidence and robust guidance from institutions such as NICE. The policy literature has supported the findings of this evidence but current clinical practice and what patients and carers can expect from services remains at odds. This paper lays bare the disparity between what we know and what is being delivered. The authors argue for the need for greater research into current practice to inform the setting of minimum standards for the treatment of personality disorder. (Publisher abstract)
Suitable cases for treatment?
- Author:
- LEASON Katie
- Journal article citation:
- Community Care, 20.11.03, 2003, pp.30-32.
- Publisher:
- Reed Business Information
The government's programme for people with dangerous and severe personality disorders has caused controversy because of the large sums invested in so few service users. Reports on the debate and the implications of the draft mental health bill.
Facing personality disorder
- Author:
- HILL Nicola
- Journal article citation:
- Care and Health Magazine, 29, 21.2.03, 2003, pp.22-23.
- Publisher:
- Care and Health
Briefly looks at the Department of Health's policy implementation guidance on people with personality disorders, which has met with mixed response.
Personality disorders: your guide to today’s mental health issues
- Author:
- BURNS Tom
- Journal article citation:
- Mental Health Today, November 2011, pp.23-25.
- Publisher:
- Pavilion
- Place of publication:
- Hove
There have been a number of recent policy, political and educational developments in the field of personality disorder. In the context of these changes, this article considers the treatability of personality disorders. Challenges often come from a reluctance to diagnose and a relatively low knowledge base. The article argues that personality disorders are treatable but the route to treatment is complex, protracted and challenging. It requires engagement and a willingness to bring about change from each service user. It also requires a well-trained and supported team and significant commitment and dedication to deliver it. A clear structure and consistency of operational delivery should be operated through a national service framework and across the care pathway. This article considers: a national framework for service delivery; service delivery at the local/individual level; commissioning guidance; and key principles of the therapeutic approach to personality disorder.
The management and treatment of psychopathically disordered offenders
- Author:
- TENNANT Edward
- Journal article citation:
- Justice of the Peace, 29.6.02, 2002, pp.500-503.
- Publisher:
- Butterworth
Looks at recent proposals from a government working party examining the management of people with dangerous severe personality disorders, and their recommendations for changes in the law.
United in opposition
- Author:
- RADCLIFFE Mark
- Journal article citation:
- Nursing Times, 16.7.02, 2002, pp.22-23.
- Publisher:
- Nursing Times
Looks at what the government's new draft Mental Health Bill will mean for patients.
No way out
- Author:
- DONNELLY Laura
- Journal article citation:
- Health Service Journal, 20.4.00, 2000, pp.14-15.
- Publisher:
- Emap Healthcare
Government plans to lock up dangerous people with severe personality disorders have met with almost blanket opposition from mental health professionals. Reports on the government's options.
Mission impossible
- Author:
- COOMBES Rebecca
- Journal article citation:
- Nursing Times, 20.1.99, 1999, pp.12-13.
- Publisher:
- Nursing Times
Looks at how the nurses at Ashworth Special Hospital plan to move ahead following the inquiry report.
Containment and its failure in an out of hours emergency social work team
- Author:
- SMITH Martin
- Journal article citation:
- Journal of Social Work Practice, 24(1), March 2010, pp.3-14.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper explores the case of an Asian male patient in his early forties (patient X) diagnosed with a personality disorder, who tested the ability of the professionals involved in his care to the limits. Despite their best efforts, the out of hour’s social workers and others involved with X were unable to help him effectively, and X died from complications following a diabetic coma. The author discusses the theory relevant to X: theory relating to personality disorder and the 'hateful' client; Freud's concept of the 'negative therapeutic reaction'; Main's seminal work 'The ailment'; Bion's theory of containment; and Winnicott's emphasis on attentive waiting. Other similar cases are then compared, which show both the success and failure of attempts at containment in an out of hour’s emergency social work setting, and the impact of such work on the professionals concerned is highlighted. The author concludes with an examination of the difficulties that can arise for workers charged with a duty to contain in the context of government policy, and suggests that the desire for hope and optimism needs to be kept alive in the light of the recognition that even our best attempts will sometimes prove not sufficient.
Imprisonment for public protection: genesis and mental health implications
- Author:
- RUTHERFORD Max
- Journal article citation:
- Mental Health Review Journal, 13(2), June 2008, pp.47-55.
- Publisher:
- Emerald
Imprisonment for public protection (IPP), implemented in April 2005, has become the fastest growing custodial sentence in England and Wales. This article charts the genesis of IPP against historical and political events, and criminology theory such as the development and progression of 'popular punitivism' and the 'rise of risk'. It presents two hypotheses on the mental health implications of IPP.