Antisociaal gedrag en persoonlijkheidsproblematiek; van exclusie naar inclusie

Dam, Arno van; Rijckmans, M.J.N.

doi:10.1007/978-90-368-2295-4_1

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there are clinicians that have a positive attitude towards ASPD patients, the majority of clinicians report negative emotions towards them, and this results in the exclusion of ASPD patients from many treatment programmes (A. Bateman et al, 2013 ; L.M.C. Van den Bosch et al, 2018 ; Crawford et al, 2009 ; Reid & Gacono, 2000 ; van Dam & Rijckmans, 2020 ). Exclusion from treatment is a serious problem because ASPD patients suffer from psychiatric disorders like post‐traumatic stress disorder, major depression, anxiety disorders and addiction, and the number of suicides and suicide attempts is relatively high (Blackburn et al, 2003 ; Frances et al, 1986 ; Galbraith et al, 2014 ; Goodwin & Hamilton, 2003 ; Lenzenweger et al, 2007 ; Sareen et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Explaining the willingness of clinicians to work with patients with antisocial personality disorder using the theory of planned behaviour and emotional reactions

Dam

Rijckmans

Bosch³

2021

Clin Psychology and Psychoth

View full text Add to dashboard Cite

Many clinicians seem to experience negative emotions towards patients with antisocial personality disorder (ASPD), resulting in the exclusion of patients in many treatment programmes. The behaviour of individuals with ASPD has a significant impact on society, which affects ASPD patients and their environment, and therefore, the exclusion from programmes is a serious concern. Relatively, little is known about why some clinicians are willing to work with ASPD patients and others are not and what factors contribute to an increase in the motivation to do so. In this study, clinicians (n = 130) working in a regular and forensic mental health service in the Netherlands completed a questionnaire based on the theory of planned behaviour (TPB) and the Feeling Word Checklist and questions about the relevant experience gained and education received. The current study confirms the limited willingness to work with ASPD patients, especially in regular mental health care. Experience working with ASPD patients, education on cluster B personality disorders and having experienced verbal and/or physical violence in clinical practice did not fully explain whether or not clinicians were motivated to provide treatment to ASPD patients.TPB appeared to predict the intention to provide psychological therapy to ASPD patients adequately. The impact of positive emotions towards ASPD patients on providing treatment appeared to be stronger than negative emotions. This study provides more insight into why so few clinicians are willing to work with ASPD patients and what may increase motivation to include this group in treatment programmes.

show abstract