Main description:

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

Contents:

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