Dialectical behaviour therapy as a treatment for deliberate self‐harm: case studies from a high security psychiatric hospital population

Low, Gail; Jones, David; Duggan, Conor; Macleod, Andrew; Power, Michael

doi:10.1002/cpp.287.abs

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“…Low, Jones, Duggan, Power, and MacLeod (2001) studied the use of DBT with ten women offenders in a high security setting and found at six month follow-up a sustained reduction in deliberate self-harm and dissociative experiences, an increase in survival and coping beliefs, and improvements in depression, suicide ideation, and impulsiveness. Nee and Farman (2005) tested the use of DBT in a one year and 16 week program with a waiting list control group for 16 female completers with BPD in high secure prisons.…”

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confidence: 99%

Treatment of impulsive aggression in correctional settings

Shelton

Sampl

Kesten

et al. 2009

Behavioral Sci & The Law

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confidence: 99%

Treatment of impulsive aggression in correctional settings

Shelton

Sampl

Kesten

et al. 2009

Behavioral Sci & The Law

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“…The three cases, varying in levels of childhood trauma, current psychopathology, and sentence length, have all made significant strides forward in reducing symptomatology, improving quality of life, and reducing self-harm. The more entrenched the disorder, the greater the need for longer intervention, particularly for severe cases such as Ms A (Linehan, 1993a;Low et al, 2001a;Nee & Farman, 2005;Verheul et al, 2003), who notwithstanding made notable improvements on a wide range of psychometrics. Given the issues of abandonment surrounding the BPD experience, it is most important that future programmes incorporate adequate support and/or continuing therapy post-programme.…”

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confidence: 98%

Dialectical behaviour therapy as a treatment for borderline personality disorder in prisons: Three illustrative case studies

Nee

Farman

2007

Journal of Forensic Psychiatry & Psychology

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Little is known about the effectiveness of treatments for severe personality disorder in prisons. Any treatment within the prison context will aim to reduce criminogenic risk in its participants, and ameliorate the overall symptomatology of the disorder. The over-representation of borderline personality disorder in female prisons has lead to pilots of dialectical behaviour therapy in three such establishments in the UK. This treatment was designed for borderline personality disordered women in the community in the USA, and this is the first time it has been piloted within a UK prison context. It was the treatment of choice as it had the strongest evidence base in lower security settings. Overall findings from the pilots have been very promising in terms of the viability of DBT as an offending behaviour programme and in terms of improving the manageability of prisoners on the wing. The case studies described here aim to illustrate in some detail the cognitive and behavioural change process in individuals over a year of treatment, and at six-month follow-up, and to highlight the particular challenges faced by participants and therapists when delivering treatment in prison. In describing the improvements in all three cases, which vary in terms of symptomatology and background, we aim to demonstrate the versatility of DBT in the prison setting and its capacity for reducing criminogenic risk.

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Dialectical behaviour therapy as a treatment for deliberate self‐harm: case studies from a high security psychiatric hospital population

Cited by 2 publications

References 0 publications

Treatment of impulsive aggression in correctional settings

Treatment of impulsive aggression in correctional settings

Dialectical behaviour therapy as a treatment for borderline personality disorder in prisons: Three illustrative case studies

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