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
Tabella dei contenuti
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
Circa l’autore
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.
Dr Neil Gordon is a Psychotherapist who works as a senior
clinician and supervisor in a high secure forensic setting. He is a
Fellow of the Higher Education Academy, and a visiting Senior
Lecturer at Sheffield Hallam University. 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 Masters
Programme Lead for the National Personality Disorder Knowledge and
Understanding Framework (KUF) recently commissioned by the
Department of Health and the Ministry of Justice.
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