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Working Positively with Personality Disorder in Secure Settings. A Practitioner's Perspective. The Wiley Series in Personality Disorders

  • ID: 2174141
  • Book
  • October 2010
  • 288 Pages
  • John Wiley and Sons Ltd
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Personality disorder is primarily manifested in interpersonal relationships; therefore, to effectively treat people with personality disorders, it is essential to consider the organisational dynamics and personalities of therapists and other staff.
Working Positively with Personality Disorder
in Secure Settings presents a practical guide for experienced practitioners and students working with personality disorder in criminal justice and mental health settings. It contains chapters written by forensic and clinical psychologists, nurses, therapists and patients based at one of the longest established specialist forensic personality disorder units in the UK, Rampton Hospital.

As well as dealing with therapy and therapeutic relationships, the book offers a whole service approach, addressing issues such as supervision, workforce development, treatment evaluation, team dynamics and managing boundaries. It also includes a powerful and perceptive account by a former patient who describes his seven–year journey through the service; this account provides important insights into what it is like to be on the receiving end of treatment, and also illustrates many of the key principles described in the book.

Working Positively with Personality Disorder in Secure Settings provides a positive, compassionate and evidence–based guide to working with this challenging and marginalised group.

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About the Editors and Contributors x

Series Preface xiv
Eddie Kane

Preface xvii

Foreword xix
Kath Lovell

Acknowledgements xx

Introduction 1
Phil Willmot and Neil Gordon

Section 1: Context 11

Chapter 1 From Anxious and Sad to Risky and Bad : Changing Patterns of Referrals to the Personality Disorder Service 13
Jenny Marshall and Phil Willmot

Chapter 2 Trapped in the Special Hospital : The Problems Encountered in the Pathway to Medium Secure Units 22
Amanda Tetley and Gopi Krishnan

Section 2: The Treatment Process 33

Chapter 3 What Works with Forensic Patients with Personality Disorder? Integrating the Literature on Personality Disorder, Correctional Programmes and Psychopathy 35
Phil Willmot and Amanda Tetley

Chapter 4 Assessing Personality Disorder in Forensic Settings 49
Phil Willmot

Chapter 5 A Treatment Pathway for High Security Offenders with a Personality Disorder 66
Sue Evershed

Section 3: The Therapeutic Relationship 91

Chapter 6 Attachment Theory and the Therapeutic Relationship in the Treatment of Personality Disorder 93
Louise Sainsbury

Chapter 7 Therapeutic Style and Adapting Approaches to Therapy 115
Kerry Beckley

Chapter 8 The Grey Areas of Boundary Issues When Working with Forensic Patients Who Have a Personality Disorder 127
Sue Evershed

Chapter 9 One Patient s Therapeutic Journey 147
James and Louise Sainsbury

Section 4: Supporting and Developing the Therapeutic Workforce 157

Chapter 10 Therapists Experiences of Therapy 159
Neil Gordon, Kerry Beckley and Graham Lowings

Chapter 11 Making Sense of Interpersonal Dynamics: A Schema Focused Approach 172
Kerry Beckley

Chapter 12 The Importance of Systemic Workforce Development in High Secure Settings 188
Andrea Milligan and Neil Gordon

Chapter 13 Establishing a Supervision Culture for Clinicians Working with Personality Disordered Offenders in a High Secure Hospital 200
Andrea Daykin and Neil Gordon

Section 5: Outcomes 211

Chapter 14 An Individual Approach to Assessing Change 213
Jason Davies

Chapter 15 Patient Experiences of Therapeutic and Anti–therapeutic Processes 232
Phil Willmot

Chapter 16 Looking to the Future 243
Neil Gordon and Phil Willmot

Index 247

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Phil Willmot
Neil Gordon
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