Changes to the way young people with emerging personality disorders are diagnosed and treated are set to be introduced by Norfolk and Suffolk NHS Foundation Trust (NSFT) following a fact-finding visit to a world-renowned service in Australia.
Consultant Child and Adolescent Psychiatrist Dr Sarah Maxwell travelled to Melbourne earlier in the autumn to shadow clinicians from the award-winning Orygen Youth Service. During the month-long visit, which was funded by the Winston Churchill Memorial Trust, she looked in detail at the way young people with borderline personality disorders (BPD) are assessed, diagnosed and treated with the aim of bringing back learning to the UK.
Working with women in secure services is an infrequent subject of research and discussion in the forensic mental health literature. There are several reasons for this, which will be considered in the introduction to this paper. However, a consequence of this situation is that there remains a lack of clarity in key areas of practice in relation to working with women in secure services, and working with women with personality disorder specifically: how women with personality disorder may present in secure services compared to men, therefore, the particular skills required of the practitioners who work with women and the main design features of the services within which they are managed. The body of this paper attempts to summarise important issues in each of these areas in order to inform future debate and developments in the field. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
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Borderline personality disorder (BPD) is a prevalent condition associated with high rates of hospitalizations. The purpose of this manuscript was to detect the factors associated with duration of untreated illness (DUI) in BPD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In line with the categorical definition of mental disorders according to the DSM-5, almost all studies consider depression and personality disorders as two separate conditions, even though they frequently present in clinical practice as coincident rather than truly co-morbid conditions. A co-morbid personality disorder (mostly cluster B and C 1 ) is found in about half of patients with depression, and is consistently associated with unfavourable clinical indicators—such as duration of episode, symptom severity, recurrence of depression, and poor psychosocial functioning. Also, patients with personality disorder are at high risk for depression during their lifetime. Prevalence of depression can vary between personality disorders, but can be up to 90%. 2. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Since the addition of borderline personality disorder (BPD) to the Diagnostic and Statistical Manual of Mental Disorders in 1980, negative connotations have been attached to patients presenting with the disorder. Professional and governmental guidelines state that BPD should not be a diagnosis of exclusion, advocating instead for development of services, training and education. The aim of this review is to explore how psychiatric nurses' attitudes towards patients with BPD impact on care delivery.
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Since the addition of borderline personality disorder (BPD) to the Diagnostic and Statistical Manual of Mental Disorders in 1980, negative connotations have been attached to patients presenting with the disorder. Professional and governmental guidelines state that BPD should not be a diagnosis of exclusion, advocating instead for development of services, training and education. The aim of this review is to explore how psychiatric nurses' attitudes towards patients with BPD impact on care delivery. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Personality Disorders: Theory, Research, and Treatment (Jun 21, 2018): No Pagination Specified
Prototype matching, which involves comparing a patient clinical presentation with a prototype description of the disorder addresses some of the clinical limitations of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases symptom-count approach. Here, we investigated the validity and clinical utility of three diagnostic systems in predicting patient adaptive functioning using a multimethod multi-informant approach.. To read the full article, log in using your NHS OpenAthens details.
The self-identification and evaluation of borderline personality disorder (BPD) tool, also called the BPD wheel, is a ten-item self-report scale designed and developed to assess client’s experience of BPD symptoms against subscale items directly related to diagnostic indicators for BPD. Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
The severe dissociative disorders of dissociative identity disorder (DID) and dissociative disorder not otherwise specified (DDNOS) are complex, not uncommon presentations associated with severe symptoms, high rates of comorbidity, high service use compared with other psychiatric disorders, and high suicidality. They exact high personal and socioeconomic burdens and show poor response to standard treatments, with high levels of treatment attrition and ‘revolving-door’ out-patient and in-patient service use; patients are often misdiagnosed or labelled ‘untreatable’. DID and DDNOS diagnoses remain controversial, but they have been repeatedly validated internationally over the past 20 years and the disorders can be accurately identified using screening tools and structured clinical interviews. Neurobiological understanding of the disorders is increasing; findings are consistent with a trauma origin and have commonality with features seen in other trauma-related disorders. Specialist treatment that addresses the dissociative symptoms alongside their trauma origins shows promise in early evidence. Working knowledge of these disorders among non-specialist psychiatrists and psychologists in the UK remains poor, resulting in long delays before diagnosis and treatment.. To read the full article, log in using your MPFT NHS OpenAthens details.
Editorial. Borderline personality disorder (BPD) is one of the most prevalent, and most disabling, personality disorders. There is increasing consensus that the disorder is characterized by 3 related core features: severe emotion dysregulation, strong impulsivity, and social-interpersonal dysfunction.1 Individuals diagnosed as having BPD were historically considered to be “hard to reach,” and pessimism with regard to treatment prevailed. This view has changed over the past 2 decades, mainly as a result of emerging evidence for the efficacy and cost-effectiveness of specialized psychotherapies for individuals with BPD.2,3 Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The purpose of this discussion paper is to describe the transition over the past five years of a highly specialist group treatment programme to a tiered public health delivery model within the offender personality disorder (OPD) pathway. The focus of this journey of transformation has been the Challenge programme, currently the only OPD specialist service for men with sexual convictions in the community in England and Wales, and now a pan-London service. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Psychoanalytic Psychology Vol. 34, Iss. 4, (Oct 2017): 381-396.
The authors outline the application of Transference-Focused Psychotherapy (TFP), a structured, twice-weekly psychoanalytic psychotherapy, to patients with narcissistic pathology. The operation of splitting-based defenses in the maintenance of the pathological grandiose self that is characteristic of individuals with narcissistic personality disorders is described, as are the obstacles posed by this structure to therapists attempting to establish a viable treatment frame and engage patients in the early treatment process. To read the full article, log in using your NHS OpenAthens details.
The following article analyses the case of Laura who is a fictional character that represents the presentation of several women who have received care for personality disorder(s) and other mental health problems in a specialist forensic hospital. The assessment, formulation and care planning process conducted with Laura adhered to evidence-based practice guidelines and led to reductions in aggressive behaviour and violent incidents. This case study shows how effective case formulation can be used to understand service users with complex problems including personality disorder(s) and enhance the safe and effective care provided.
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This editorial provides the modern-day context for a long-established psychiatric treatment, democratic therapeutic communities. As this treatment is now such a small field in psychiatry, readers may not have enough background to be able to place the research in a suitable context. This includes the previous gap in experimental research, the difference between the modern model and the one used in the 20th century and the general field of personality disorder evidence. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
There is limited evidence for treatment programmes for offenders with a diagnosis of personality disorder deemed to be of high risk of violence towards others.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.