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
About the Editors and Contributors. Series Preface ( Eddie Kane ). Preface. Foreword ( Kath Lovell ). Acknowledgements. Introduction ( Phil Willmot and Neil Gordon ). Section 1: Context. Chapter 1 From 'Anxious and Sad' to 'Risky and Bad': Changing Patterns of Referrals to the Personality Disorder Service ( Jenny Marshall and Phil Willmot ). Chapter 2 Trapped in the 'Special Hospital': The Problems Encountered in the Pathway to Medium Secure Units ( Amanda Tetley and Gopi Krishnan ). Section 2: The Treatment Process. Chapter 3 What Works with Forensic Patients with Personality Disorder? Integrating the Literature on Personality Disorder, Correctional Programmes and Psychopathy ( Phil Willmot and Amanda Tetley ). Chapter 4 Assessing Personality Disorder in Forensic Settings ( Phil Willmot ). Chapter 5 A Treatment Pathway for High Security Offenders with a Personality Disorder ( Sue Evershed ). Section 3: The Therapeutic Relationship. Chapter 6 Attachment Theory and the Therapeutic Relationship in the Treatment of Personality Disorder ( Louise Sainsbury ). Chapter 7 Therapeutic Style and Adapting Approaches to Therapy ( Kerry Beckley ). Chapter 8 The Grey Areas of Boundary Issues When Working with Forensic Patients Who Have a Personality Disorder ( Sue Evershed ). Chapter 9 One Patient's Therapeutic Journey ( 'James' and Louise Sainsbury ). Section 4: Supporting and Developing the Therapeutic Workforce. Chapter 10 Therapists' Experiences of Therapy ( Neil Gordon, Kerry Beckley and Graham Lowings ). Chapter 11 Making Sense of Interpersonal Dynamics: A Schema Focused Approach ( Kerry Beckley ). Chapter 12 The Importance of Systemic Workforce Development in High Secure Settings ( Andrea Milligan and Neil Gordon ). Chapter 13 Establishing a Supervision Culture for Clinicians Working with Personality Disordered Offenders in a High Secure Hospital ( Andrea Daykin and Neil Gordon ). Section 5: Outcomes. Chapter 14 An Individual Approach to Assessing Change ( Jason Davies ). Chapter 15 Patient Experiences of Therapeutic and Anti-therapeutic Processes ( Phil Willmot ). Chapter 16 Looking to the Future ( Neil Gordon and Phil Willmot ). Index.