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…mehr
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.
Phil Willmot is a Consultant Forensic and Clinical Psychologist with the Personality Disorder Directorate at Rampton Hospital, Nottinghamshire, and a Senior Fellow of the Institute of Mental Health. He has over 20 years' experience of working with personality disorder in forensic settings in prison and healthcare environments. He specialises in the assessment and the treatment of offenders with a diagnosis of personality disorder. Dr Neil Gordon is a Psychotherapist who works as a senior clinician and supervisor in a high secure forensic setting. He is a Fellow of the Higher Education Academy, and a visiting Senior Lecturer at Sheffield Hallam University. He is currently seconded as a Senior Fellow to the Institute of Mental Health, Nottingham University, where he is the Head of Doctoral Programmes and Masters Programme Lead for the National Personality Disorder Knowledge and Understanding Framework (KUF) recently commissioned by the Department of Health and the Ministry of Justice.
Inhaltsangabe
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 andBad': Changing Patterns of Referrals to the PersonalityDisorder Service 13 Jenny Marshall and Phil Willmot
Chapter 2 Trapped in the 'Special Hospital': TheProblems 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 PersonalityDisorder? Integrating the Literature on Personality Disorder,Correctional Programmes and Psychopathy 35 Phil Willmot and Amanda Tetley
Chapter 4 Assessing Personality Disorder in Forensic Settings49 Phil Willmot
Chapter 5 A Treatment Pathway for High Security Offenders with aPersonality Disorder 66 Sue Evershed
Section 3: The Therapeutic Relationship 91
Chapter 6 Attachment Theory and the Therapeutic Relationship inthe Treatment of Personality Disorder 93 Louise Sainsbury
Chapter 7 Therapeutic Style and Adapting Approaches to Therapy115 Kerry Beckley
Chapter 8 The Grey Areas of Boundary Issues When Working withForensic 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 TherapeuticWorkforce 157
Chapter 10 Therapists' Experiences of Therapy 159 Neil Gordon, Kerry Beckley and Graham Lowings
Chapter 11 Making Sense of Interpersonal Dynamics: A SchemaFocused Approach 172 Kerry Beckley
Chapter 12 The Importance of Systemic Workforce Development inHigh Secure Settings 188 Andrea Milligan and Neil Gordon
Chapter 13 Establishing a Supervision Culture for CliniciansWorking with Personality Disordered Offenders in a High SecureHospital 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 andAnti-therapeutic Processes 232 Phil Willmot
Chapter 16 Looking to the Future 243 Neil Gordon and Phil Willmot
Chapter 1 From 'Anxious and Sad' to 'Risky andBad': Changing Patterns of Referrals to the PersonalityDisorder Service 13 Jenny Marshall and Phil Willmot
Chapter 2 Trapped in the 'Special Hospital': TheProblems 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 PersonalityDisorder? Integrating the Literature on Personality Disorder,Correctional Programmes and Psychopathy 35 Phil Willmot and Amanda Tetley
Chapter 4 Assessing Personality Disorder in Forensic Settings49 Phil Willmot
Chapter 5 A Treatment Pathway for High Security Offenders with aPersonality Disorder 66 Sue Evershed
Section 3: The Therapeutic Relationship 91
Chapter 6 Attachment Theory and the Therapeutic Relationship inthe Treatment of Personality Disorder 93 Louise Sainsbury
Chapter 7 Therapeutic Style and Adapting Approaches to Therapy115 Kerry Beckley
Chapter 8 The Grey Areas of Boundary Issues When Working withForensic 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 TherapeuticWorkforce 157
Chapter 10 Therapists' Experiences of Therapy 159 Neil Gordon, Kerry Beckley and Graham Lowings
Chapter 11 Making Sense of Interpersonal Dynamics: A SchemaFocused Approach 172 Kerry Beckley
Chapter 12 The Importance of Systemic Workforce Development inHigh Secure Settings 188 Andrea Milligan and Neil Gordon
Chapter 13 Establishing a Supervision Culture for CliniciansWorking with Personality Disordered Offenders in a High SecureHospital 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 andAnti-therapeutic Processes 232 Phil Willmot
Chapter 16 Looking to the Future 243 Neil Gordon and Phil Willmot
Index 247
Rezensionen
This book provides a timely reminder of the progress that has beenmade in working positively and therapeutically with personalitydisordered people in secure mental health settings. The editors andcontributors have done an excellent job in communicating issuesthat arise at the clinical coal-face. Highlyrecommended.' --Professor Kevin Howells, Professor of ForensicClinical Psychology, Institute of Mental Health and NottinghamUniversity, UK
'This book is essential reading for practitioners andservice managers, researchers and even service users in facilitiesfor people with personality disorder - in forensic mentalhealth, prison and probation. Using the Personality DisorderService at Rampton Hospital as its focus, this book examines everyaspect of the organised therapeutic response to personalitydisordered offenders - from changing patterns in referralsand care pathways to evidence-based assessments and treatments;from therapeutic engagement and style to boundaries; from workforceplanning and development to the service user experience. This is atreasure chest of essential guidance from those in a position tolead the way.' --Dr Caroline Logan, Greater Manchester West MentalHealth NHS Foundation Trust and University of Manchester, UK
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