This book considers the various difficulties encountered, with reference to current thinking about the origins, maintenance and treatment of personality disorder. Written by practitioners for practitioners, it provides a framework for developing effective care plans with minimal use of technical terms and jargon. Rather than promote an approach based on a single theoretical model, consideration is given to ways in which different approaches can be effectively combined within a multi-disciplinary team. The book is divided into two sections. The first outlines recent government initiatives relating to personality disorder and introduces key theories underlying psychological and biological treatments. The second focuses specifically on the role of the CMHT in relation to patients with these difficulties, including:
- the assessment of personality functioning
- developing coherent plans for treatment and support
- optimising the therapeutic relationship
- managing self-harming behaviour
- particular challenges faced by CMHTs, and how to overcome them
- the views of service users
- involving family, friends and carers.
Personality Disorder and Community Mental Health Teams deals with the reality of services today. It is essential reading for all mental health practitioners in CMHTs working with people with personality disorder.
List of Contributors.
SECTION ONE: THEORETICAL BACKGROUND.
1. Personality Disorder: New Initiatives in Staff Training (Eddie Kane).
2. What is Personality Disorder? (Ronald Blackburn).
3. The Causes of Personality Disorder (Nic Alwin).
4. Psychological Theories Regarding the Development of Personality Disorder (Jim Moorey, Kate Davidson, Mark Evans and Janet Feigenbaum).
5. Psychological Therapies for Personality Disorder (Jim Moorey, Kate Davidson, Mark Evans and Janet Feigenbaum).
6. Therapeutic Communities and Day Services for People with Personality Disorders (Kate Hellin).
7. Pharmacotherapy and Personality Disorders (Giles Newton-Howes).
SECTION TWO: TREATMENT AND MANAGEMENT IN COMMUNITY MENTAL HEALTH TEAMS.
8. People’s Experiences of Having a Diagnosis of Personality Disorder (Rex Haigh).
9. An Introduction to Community Mental Health Teams (CMHTs): How Do They Relate to Patients with Personality Disorders? (Tom Burns).
10. When Can Contact with the Community Mental Health Team (CMHT) be Considered ‘Treatment’? (Remy McCubbin).
11. The Challenges Community Mental Health Teams Face in Their Work with Patients with Personality Disorders (Mark J. Sampson).
12. The Treatment Frame and the Treatment Alliance (Jim Moorey).
13. The Management of Potentially Lethal Self-Harming Behaviour (Mark J. Sampson and Gary L. Sidley).
14. Community Mental Health Teams and the Assessment of Personality Functioning (Lara Bennett).
15. Involving Family, Friends and Carers (Remy McCubbin).
16. Personality Disorder in Other Healthcare Settings (Dawn Bennett and Ian B. Kerr).
17. Clinical Supervision (Mary Shinner and Dawn Bennett).
Remy McCubbin Wythenshawe Hospital, Manchester, UK.
Peter Tyrer Imperial College, Charing Cross Hospital, London, UK.