Search results for ‘Subject term:"personality disorders"’ Sort:
Results 1 - 10 of 34
Detecting personality disorders in the prison population of England and Wales: comparing case identification using the SCID-II screen and the SCID-II clinical interview
- Authors:
- ULLRICH Simone, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 19(3), September 2008, pp.301-322.
- Publisher:
- Taylor and Francis
The cross-instrument validity of the SCID-II screen and the SCID-II structured clinical interview was examined in a sub-sample of 496 male and female prisoners from a national survey in England and Wales. Participants completed the SCID-II screen and were interviewed two weeks later by clinicians using the SCID-II interview. The screen was adjusted on the basis of interview results. Diagnostic categories were compared before and after adjustment of the screen. Diagnostic cut-off adjustments to the screen resulted in moderate agreement between instruments for categorical and dimensional evaluations. The screen retained good internal consistency with improved discrimination between personality disorders and clinical syndromes following adjustment. The SCID-II screen is a valid self-report instrument for diagnosing personality disorders. It may be preferable for prison populations but is not a substitute for a structured clinical interview.
The development and accreditation of a treatment model for prisoners with a learning disability and personality disorder
- Authors:
- TAYLOR Jon, et al
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(1), 2012, pp.44-51.
- Publisher:
- Emerald
With the exception of the adapted sex offender treatment programme in the United Kingdom, there have been few available interventions for offenders with a learning disability in the criminal justice system. This paper provides an overview of both the process of accreditation and the development of the current accredited therapeutic community model for this population. The article describes the development of a therapeutic community for prisoners with a learning disability in Rampton Hospital, Nottinghamshire, and suggested methods for increasing responsivity of the programme for this population. It seeks to highlight how programme responsivity can be enhanced by incorporating flexibility into the design and delivery of programmes.
Personality disorder, temperament, and childhood adversity: findings from a cohort of prisoners in England and Wales
- Authors:
- ROBERTS Amanda, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 19(4), December 2008, pp.460-483.
- Publisher:
- Taylor and Francis
This study examines associations between personality disorder, childhood temperament, adverse childhood experiences, and victimisation. The Prisoner Cohort Study was carried out as part of the dangerous and severe personality disorder (DSPD) service development programme commissioned by the Home Office. The study comprised 1396 male offenders interviewed with the Structured Clinical Interview (SCID II) to diagnose personality disorders in addition to reveal self-reported experiences of childhood victimisation and disadvantage. Independent and joint relationships were examined between reported temperament and adverse childhood experiences and Axis II disorders measured at interview. Prisoners with personality disorder reported adverse childhood experiences and victimisation more frequently than those with no personality disorder. Different childhood experiences were interrelated with specific personality disorder categories. Associations between temperamental features and specific personality disorders were increased by the addition of adverse childhood experiences (joint effects). A difficult temperament and childhood adversity increase the likelihood of personality disorder in prisoners and may be risk factors to target for future early intervention.
Altered memory and affective instability in prisoners assessed for dangerous and severe personality disorder
- Authors:
- KIRKPATRICK Tim, et al
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s20-s26.
- Publisher:
- Cambridge University Press
Previous studies of borderline personality disorder report neuropsychological impairments in several domains, including memory. No studies have compared memory functioning in high-risk prisoners with borderline personality disorder with similar prisoners with other personality disorders. The aim was to explore mnemonic impairments in prisoners undergoing personality assessment as part of the dangerous and severe personality disorder initiative or detained in a medium secure facility. The authors investigated memory function in 18 prisoners with borderline personality disorder and 18 prisoners with other personality Disorders. Prisoners with borderline personality disorder exhibited a pattern of multi-modal impairments in the immediate and delayed recall of verbal and visual information, with some association with affective instability. These deficits were not associated with the severity of personality disturbance. These data suggest that memory deficits have some specificity in relation to the constituent traits of borderline personality disorder and indicate that neuropsychological assessment may be a source of useful adjunctive information for distinguishing between the cognitive and psychological difficulties of individual prisoners.
Mental illness and personality disorder in convicted male sex offenders
- Author:
- KESTEVEN Sue
- Publisher:
- NACRO
- Publication year:
- 2005
- Pagination:
- 24p.
- Place of publication:
- London
Sex offending is an important issue because of the serious harm and damage caused to the victims of sex offenders and because of the fears it raises among the public. This report looks at research conducted in Sweden into the prevalence of mental disorder in convicted male sex offenders. Based on the research findings, the report sets out the implications for the planning and provision of services in England and Wales, particularly that there needs to be a routine assessment of their mental health included in their treatment.
Implementing evidence-based psychological substance misuse interventions in a high secure prison based personality disorder treatment service
- Authors:
- BENNETT Alice, HUNTER Melanie
- Journal article citation:
- Advances in Dual Diagnosis, 9(2/3), 2016, pp.108-116.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the need for substance misuse treatment with high risk, personality disordered prisoners and the implementation of two evidence-based psychological interventions aimed at addressing substance misuse within a high secure, personality disorder treatment unit and potential future evaluation options. Design/methodology/approach: In addition to the literature base evidencing the need for substance misuse treatment with this population, the Iceberg and “InsideOut” interventions are presented. These interventions adopt a risk reduction and health intervention approach, respectively. This includes explanations of how they came to be implemented within a prison-based personality disorder treatment service and potential ways to evaluate these services. Findings: Evidence-based psychological interventions can be implemented for this population whilst being responsive to changing government priorities for substance misuse treatment. The organisation’s research strategy includes an intention to evaluate these interventions in order to inform future delivery. Practical implications: The high levels of co-morbidity between personality disorder and substance misuse disorders in the high-security prison estate highlights the need for substance-related treatment for this population. Given the responsivity issues relevant to personality disordered offenders, the format of delivery of evidence-based psychological interventions has to be considered. Social implications: The initial development of evidence-based psychological interventions for this service resulted from the dangerous and severe personality disorder pilot and subsequent introduction of the offender personality disorder pathway. Further developments have occurred alongside the revised National Drug Strategy introduced by the UK Government in 2010. This strategy directed a progression within drug and alcohol treatment services promoting that mutual aid be provided alongside the delivery of treatment interventions in order to maximise the probability of service-users maintaining abstinence from substance use. (Edited publisher abstract)
Evaluation of a therapeutic community intervention for men with intellectual disability and personality disorder
- Authors:
- MORRISSEY Catrin, TAYLOR Jon, BENNETT Charlene
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 3(1), 2012, pp.52-60.
- Publisher:
- Emerald
This study evaluated a planned therapeutic community (TC) service intervention in Rampton Hospital, England, for 11 men with mild intellectual disabilities and personality disorder over a period of 12 months. The TC intervention group was compared on repeated measures of violent incidents, seclusion hours, and informant and self-report clinical outcome measures collected six months prior to, six and 12 months post the start of the intervention. Clinical changes in the predicted direction were evident, with the TC group showing comparatively less pathology. The mean number of violent incidents did not reduce over time. There was nevertheless a strong trend towards reduction in seclusion hours, with significant differences between groups also being observed at the six and 12 months stage. The authors concluded that this preliminary evaluation was promising in terms of the TC approach being a potential mode of treatment suitable for a proportion of patients with learning disability in secure conditions.
Women with borderline personality disorder in prison
- Authors:
- BLACK Georgia, FOSSEY Matt
- Journal article citation:
- Mental Health Today, December 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Many women in prison have a mental health problem, and one of the most common of those is borderline personality disorder. The authors discuss current mental health care in prison, the impact on prisoners' children and put forward recommendations for improved mental health care in prisons.
Social interaction related to the functioning of forensic psychiatric inpatients
- Authors:
- VAN DER HORST Ruud, et al
- Journal article citation:
- Journal of Forensic Psychology Practice, 10(4), July 2010, pp.339-359.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
The major aim of the treatment of forensic psychiatric patients is to reduce risk of future violence by means of a positive change in the factors associated with the offence. This article argues that information on patients' social network patterns and the content of their relationships provide detailed information about relational behaviour that can be an important complement of information on behaviour provided by the traditional psycho-diagnostics. A study investigated social networks in 60 patients with personality disorders in a forensic psychiatric hospital in the Netherlands. The socio-therapists working on the patient units evaluated all possible dyadic relations between patients using a specifically designed questionnaire. Positive, friendly relationships, instrumental relationships (which provide something of advantage, such as goods or protection) and influential relationships (which lead to changes in behaviour or thinking) were all considered. This data was analysed to investigate how the patient’s social relations were associated with 3 domains of their risk-related psychosocial functioning: problem awareness; impulse control; and skills. All 3 domains were found to be associated with relational patterns; impulse control, and skills showing the strongest associations. More positive relations were maintained by patients with better basic requisite life, social, and coping skills. Better skilled patients were also more instrumentally used by other patients. The results demonstrated a clear association between mental health and networks of imprisoned patients.
Personality disorder and offending behaviour: findings from the national survey of male prisoners in England and Wales
- Authors:
- ROBERTS Amanda D. L., COID Jeremy W.
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 21(2), April 2010, pp.221-237.
- Publisher:
- Taylor and Francis
The aim of this paper was to examine the independent associations between all DSM-IV, Axis II personality disorders and offending behaviour in a representative sample of male offenders. A two-stage survey was carried out among prisoners in all prisons in England and Wales, and independent relationships between personality disorder scores and lifetime offences were examined using multiple regression. The study demonstrated associations between early onset of a criminal career and personality disorders among male prisoners, specifically for those with adult antisocial and conduct disorder; those with personality disorders also had more previous periods of imprisonment. The researchers suggest that future research should consider the co-occurrence of different personality disorders in relation to particular crimes.