Working Positively with Personality Disorder in Secure Settings A Practitioner's Perspective

by Willmot, Phil; Gordon, Neil

• ISBN13: 9780470683798
• ISBN10: 0470683791
• Edition: 1st
• Format: Paperback
• Copyright: 2010-11-03
• Publisher: Wiley

Summary

Working Positively with Personality Disorder in Secure Settings provides a positive, compassionate and evidence-based guide to working with patients with personality disorders. Unique in both its coverage and in its positive and evidence-based approach to working with patients with personality disorders Written with a practical focus by experienced practitioners in the field Offers a broad approach, with contributions from forensic and clinical psychologists, nurses, and therapists Covers therapy and therapeutic relationships, and issues of supervision, workforce development, treatment evaluation, team dynamics and managing boundaries Includes a strong patient focus and a number of personal accounts from patients who have received therapy themselves

Author Biography

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. Neil Gordon is a Psychotherapist who works as a senior clinician and supervisor in a high secure forensic setting. He is a member of the International Society of Schema Therapy and an accredited Schema therapist and trainer. He is a Fellow of the Higher Education Academy, and a core team member of the Metanoia Institute's Doctorate in Psychotherapy. 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 Master's Programme Lead for the National Personality Disorder Knowledge and Understanding Framework (KUF) commissioned by the Department of Health and the Ministry of Justice.

Table of Contents

About the Editors and Contributors	p. x
Series Preface	p. xiv
Preface	p. xvii
Foreword	p. xix
Acknowledgements	p. xx
Introduction	p. 1
Context	p. 11
From 'Anxious and Sad' to 'Risky and Bad': Changing Patterns of Referrals to the Personality Disorder Service	p. 13
Trapped in the 'Special Hospital': The Problems Encountered in the Pathway to Medium Secure Units	p. 22
The Treatment Process	p. 33
What Works with Forensic Patients with Personality Disorder? Integrating the Literature on Personality Disorder, Correctional Programmes and Psychopathy	p. 35
Assessing Personality Disorder in Forensic Settings	p. 49
A Treatment Pathway for High Security Offenders with a Personality Disorder	p. 66
The Therapeutic Relationship	p. 91
Attachment Theory and the Therapeutic Relationship in the Treatment of Personality Disorder	p. 93
Therapeutic Style and Adapting Approaches to Therapy	p. 115
The Grey Areas of Boundary Issues When Working with Forensic Patients Who Have a Personality Disorder	p. 127
One Patient's Therapeutic Journey	p. 147
Supporting and Developing the Therapeutic Workforce	p. 157
Therapists' Experiences of Therapy	p. 159
Making Sense of Interpersonal Dynamics: A Schema Focused Approach	p. 172
The Importance of Systemic Workforce Development in High Secure Settings	p. 188
Establishing a Supervision Culture for Clinicians Working with Personality Disordered Offenders in a High Secure Hospital	p. 200
Outcomes	p. 211
An Individual Approach to Assessing Change	p. 213
Patient Experiences of Therapeutic and Anti-therapeutic Processes	p. 232
Looking to the Future	p. 243
Index	p. 247
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