Search results for ‘Subject term:"personality disorders"’ Sort:
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Little girl lost
- Author:
- PAHLSON-MOLLER Lovisa
- Publisher:
- Chipmunkapublishing
- Publication year:
- 2006
- Pagination:
- 200p.
- Place of publication:
- Brentwood
Little Girl Lost is an account of a young woman's successful battle with self-harm and borderline personality disorder. Lovisa first self-harmed at the age of six and survived boot camp before becoming part of the psychiatric system. Little Girl Lost combines an intelligent creative mix of diary writing with powerful poems taking the reader through a roller coaster of emotions. She gives us some insight into her desire for acceptance for being herself. The author spent a period of time in hospital. She used to harm herself and hear voices. Her aim is to reach out to others and be accepted.
Borderline personality disorder and self-harm: living on the edge?
- Author:
- WOODBRIDGE Kim
- Journal article citation:
- Prison Service Journal, 144, November 2002, pp.36-39.
- Publisher:
- Her Majesty's Prison Service of England and Wales
Considers ways of understanding self-harm in the context of Borderline Personality Disorders.
Therapeutic communities
- Authors:
- HODGE Suzanne, BARR Wally, KIRKCALDY Andy
- Journal article citation:
- Openmind, 161, January 2010, pp.12-13.
- Publisher:
- MIND
The benefits of non-residential therapeutic communities for people with mental health problems are discussed. Selected findings from a study into the effectiveness of non-residential therapeutic communities for people with personality disorders are also reported. The study was commissioned by Therapeutic Community Services North and conducted by researchers from the University of Liverpool.
Self harm in a dangerous and severely personality disordered population
- Author:
- MANNION Aisling
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 20(2), April 2009, pp.322-331.
- Publisher:
- Taylor and Francis
This article reports on a total of 309 incidents of self-harm recorded between October 2004 and September 2007, for a group of male patients deemed to be dangerous and severely personality disordered (DSPD), within the Peaks Unit at Rampton high security hospital. The first part of this paper describes self-harm within this group of patients, to see whether, as well as posing danger to the public, these patients also pose a risk of harm to themselves. Second, the paper investigated the antecedents of the self-harm incidents recorded. Finally, statistical analyses were conducted to assess the relationships between self-harm and patient/environmental characteristics. No significant differences were found between those who self-harmed and those that did not, although some differences were found within the self-harming group. Implications for future research and treatment are discussed.
Impulsivity and self-damaging behaviour in severe personality disorder: the impact of democratic therapeutic community treatment
- Authors:
- WARREN Fiona, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 25(1), Spring 2004, pp.55-72.
- Publisher:
- Emerald
Impulsivity is a defining characteristic of borderline and antisocial personality disorders (PD) and may contribute to the difficulty of providing successful treatment for this client group. Comparisons were made within and between groups of patients admitted (n=75) and not admitted (n=60) to a residential democratic therapeutic community (DTC) for treatment of personality disorder. Assessment of a range of impulsive feelings and behaviours was made at referral and one-year follow up. Significant reductions were found in the treated group for both total impulsive feelings and total actions. Highly significant differences were also found between change scores for the admitted and treatment-as-usual groups for both impulses and behaviours.
The influence of personality disorder on outcome in adolescent self-harm
- Authors:
- AYODEJI Eunice, et al
- Journal article citation:
- British Journal of Psychiatry, 207(4), 2015, pp.313-319.
- Publisher:
- Cambridge University Press
Aims: This study aimed to evaluate personality disorder in repeated self-harm in adolescence and its impact on self-harm psychopathology and adaptation outcomes over 1 year. Method: A clinical referral sample (n = 366) of adolescents presenting with repeated self-harm aged 12–17 years, as part of a randomised controlled trial (Assessment of Treatment in Suicidal Teenagers study, ASSIST). Personality disorder was assessed using the Structured Clinical Interview for DSM-IV Axis II (SCID-II). One-year outcomes included frequency and severity of repeat self-harm, self-reported suicidality, mood and functional impairment. Results: About 60% of the referred adolescents showed one or more forms of personality disorder. Personality disorder was associated with significantly greater severity of self-harm, overall psychopathology and impairment. There was a complex association with treatment adherence. Personality disorder predicted worse 1-year outcomes in relation to self-harm frequency and severity, as well as impairment, suicidality and depressive symptoms. Conclusions: Personality disorder can be reliably measured in adolescence and showed high prevalence in this clinical self-harm sample. Controlling for other variables, it showed a strong independent association with self-harm severity at referral and predicted adherence to treatment and clinical outcomes (independent of treatment) over 1 year. Consideration of personality disorder diagnosis is indicated in the assessment and management of adolescents who repeatedly self-harm. (Edited publisher abstract)
Joint crisis plans for people with borderline personality disorder: feasibility and outcomes in a randomised controlled trial
- Authors:
- BORSCHMANN Rohan, et al
- Journal article citation:
- British Journal of Psychiatry, 202(5), 2013, pp.357-364.
- Publisher:
- Cambridge University Press
People with borderline personality disorder frequently experience crises. This study examines the feasibility of recruiting and retaining adults with borderline personality disorder to a pilot RCT investigating the potential efficacy and cost-effectiveness of using a joint crisis plan. A joint crisis plan (JCP) is a written document containing a mental health service user’s treatment preferences for the management of future crises which is collaboration with their clinican. The primary outcome measure was the occurrence of self-harming behaviour over the 6-month period following randomisation. Secondary outcomes included depression, anxiety, engagement and satisfaction with services, quality of life, well-being and cost-effectiveness. In total, 88 adults out of the 133 referred were eligible and were randomised to receive a joint crisis plan in addition to treatment as usual (TAU; n = 46) or TAU alone (n = 42). This represented approximately 75% of the target sample size and follow-up data were collected on 73 (83.0%) participants. Intention-to-treat analysis revealed no significant differences in the proportion of participants who reported self-harming or the frequency of self-harming behaviour between the two groups at follow-up. No significant differences were observed between the two groups on any of the secondary outcome measures or costs. The study found it is feasible to recruit and retain people with borderline personality disorder to a trial of joint crisis plans, however no evidence of clinical efficacy was found in this feasibility study. (Edited publisher abstract)
Self-harm and the positive risk taking approach. Can being able to think about the possibility of harm reduce the frequency of actual harm?
- Authors:
- BIRCH Sarah, et al
- Journal article citation:
- Journal of Mental Health, 20(3), 2011, pp.293-303.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Self-harm is a common problem in mental health care, and the UK has one of the highest rates in Europe. This is particularly true in psychiatric and prison services, and especially with women. This paper presents findings from an assessment of self-harming across three women's units in England over a period of 6 years. The units used a positive approach to self-harm where the risk that this behaviour presents is considered in an effort to reduce actual harm. Episodes of self-harm were collected from incident forms collected from 2004 to 2009. Results indicated a reduction of self-harm over the course of admission, and analyses revealed that there was a significant difference in the frequency of self-harm during the first and last 3 months of admission. The authors conclude with a discussion within a psychoanalytical framework, with reference to the value of positive risk-taking in a secure setting.
Adapted dialectical behaviour therapy for male offenders with learning disabilities in a high secure environment: six years on
- Authors:
- MORRISSEY Catrin, INGAMELLS Bridget
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 2(1), January 2011, pp.8-15.
- Publisher:
- Emerald
Dialectical behaviour therapy (DBT) is a comprehensive psychological treatment that was first developed for suicidal individuals with a diagnosis of borderline personality disorder. Standard DBT is an integrated model combining a range of cognitive and behavioural approaches with aspects of Eastern philosophy, including mindfulness meditation, and has several treatment modes. The model has previously successfully been used to address violence and aggression in a forensic setting. The National High Secure Learning Disability Service (NHSLDS) piloted an adapted DBT programme suitable for men with mild learning disabilities in 2004, and the programme has been developed over a period of 6 years. This paper describes the rationale for development of the programme, how the programme has evolved, the major modifications to mainstream DBT that it incorporates, and the challenges that remain. It concludes that adapted DBT is a promising approach to address self-harm and aggression in hospitalised forensic populations with learning disability and personality disorder, but much creativity and adaptation is necessary. Manualised approaches need to serve as a guidance rather than being rigidly prescriptive.
Qualitative findings from a mixed methods evaluation of once-weekly therapeutic community day services for people with personality disorder
- Authors:
- HODGE Suzanne, et al
- Journal article citation:
- Journal of Mental Health, 19(1), February 2010, pp.43-51.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This paper presents qualitative findings from a mixed methods study of 4 one-day-a-week therapeutic communities in the north of England for people with personality disorder. The quantitative findings from this study are presented separately. The study aimed to ascertain whether one-day-a-week therapeutic communities can be effective in addressing the problems associated with personality disorder. The qualitative component of the study comprised semi-structured interviews with 23 service users, 8 former service users, 4 service user consultants, 7 staff and 9 referrers. The qualitative findings offer some insight into the dynamics at work in one-day-a-week therapeutic communities that may account for some of the measurable improvements in members' mental health and functioning reported in the quantitative findings. In particular, the services enable individuals to address the two main problem areas that they face: relating to other people and self-harm. The findings suggest that one-day-a-week therapeutic communities can help people with personality disorders to address problems relating to others. In relation to self-harming, the one-day-a-week therapeutic communities can help the people with personality disorders in enabling a better understanding of their self-harming behaviour and to develop strategies for reducing their reliance on it.