Working Positively with Personality Disorder in Secure Settings

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

Working Positively with Personality Disorder in SecureSettings provides a positive, compassionate and evidence-basedguide to working with patients with personality disorders.* Unique in both its coverage and in its positive andevidence-based approach to working with patients with personalitydisorders* Written with a practical focus by experienced practitioners inthe field* Offers a broad approach, with contributions from forensic andclinical psychologists, nurses, and therapists* Covers therapy and therapeutic relationships, and issues ofsupervision, workforce development, treatment evaluation, teamdynamics and managing boundaries* Includes a strong patient focus and a number of personalaccounts from patients who have received therapy themselves

About the Editors and Contributors xSeries Preface xivEddie KanePreface xviiForeword xixKath LovellAcknowledgements xxIntroduction 1Phil Willmot and Neil GordonSection 1: Context 11Chapter 1 From 'Anxious and Sad' to 'Risky andBad': Changing Patterns of Referrals to the PersonalityDisorder Service 13Jenny Marshall and Phil WillmotChapter 2 Trapped in the 'Special Hospital': TheProblems Encountered in the Pathway to Medium Secure Units 22Amanda Tetley and Gopi KrishnanSection 2: The Treatment Process 33Chapter 3 What Works with Forensic Patients with PersonalityDisorder? Integrating the Literature on Personality DisorderCorrectional Programmes and Psychopathy 35Phil Willmot and Amanda TetleyChapter 4 Assessing Personality Disorder in Forensic Settings49Phil WillmotChapter 5 A Treatment Pathway for High Security Offenders with aPersonality Disorder 66Sue EvershedSection 3: The Therapeutic Relationship 91Chapter 6 Attachment Theory and the Therapeutic Relationship inthe Treatment of Personality Disorder 93Louise SainsburyChapter 7 Therapeutic Style and Adapting Approaches to Therapy115Kerry BeckleyChapter 8 The Grey Areas of Boundary Issues When Working withForensic Patients Who Have a Personality Disorder 127Sue EvershedChapter 9 One Patient's Therapeutic Journey 147'James' and Louise SainsburySection 4: Supporting and Developing the TherapeuticWorkforce 157Chapter 10 Therapists' Experiences of Therapy 159Neil Gordon, Kerry Beckley and Graham LowingsChapter 11 Making Sense of Interpersonal Dynamics: A SchemaFocused Approach 172Kerry BeckleyChapter 12 The Importance of Systemic Workforce Development inHigh Secure Settings 188Andrea Milligan and Neil GordonChapter 13 Establishing a Supervision Culture for CliniciansWorking with Personality Disordered Offenders in a High SecureHospital 200Andrea Daykin and Neil GordonSection 5: Outcomes 211Chapter 14 An Individual Approach to Assessing Change 213Jason DaviesChapter 15 Patient Experiences of Therapeutic andAnti-therapeutic Processes 232Phil WillmotChapter 16 Looking to the Future 243Neil Gordon and Phil WillmotIndex 247