Psychological treatment for personality disorders

Bateman, Anthony; Tyrer, Peter

doi:10.1192/apt.10.5.378

Cited by 73 publications

(46 citation statements)

References 58 publications

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“…Despite previous pessimism there is now a growing body of literature supporting the efficacy of various treatment approaches. 18,19 In general a combination of psychological treatments reinforced by drug therapy at critical times is the consensus view of treatment. 3 Psychological therapy: most treatment studies have focused on patients with borderline personality disorder (Table 3).…”

Section: Treatmentmentioning

confidence: 99%

Personality disorders

Fahy

2012

Medicine

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Personality disorders are common conditions that place a significant burden on the individual sufferer, their carers, and wider society. Patients with personality disorder can be complex to manage and co-morbid personality disorder can impact adversely on the treatment and prognosis of other disorders. Therapeutic advances and changing expectations of healthcare commissioners now challenge the previous reluctance of doctors to engage these patients in treatment, and Department of Health policy emphasizes that service providers must address the needs of this patient population. Despite previous pessimism regarding the treatability of personality disorder, there is a growing body of literature supporting the efficacy of various treatment approaches, especially for problematic behaviours such as self-harming. This article reviews the epidemiology, diagnosis, clinical presentation, assessment and management of personality disorders.

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Section: Treatmentmentioning

confidence: 99%

Personality disorders

Fahy

2012

Medicine

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“…A new reality is emerging in which psychological treatments stand beside biological and social treatments as important methods of intervention. There is increasing evidence that an integration of all three methods may improve outcome in more complex disorders such as schizophrenia (Turkington & Kingdon, 2000) and personality disorder (Bateman & Tyrer, 2004). The use of psychotherapy and psychotherapeutic understanding in both these serious conditions is discussed in this edition.…”

Section: Adaptation and Applicationmentioning

confidence: 99%

Psychotherapy in psychiatry: Integration and assimilation

Bateman

2007

International Review of Psychiatry

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“…Outcomes in TC research, and for psychotherapy treatment of PD more generally have included a mixture of mental health (clinician, self-report), general distress, behavioural, service use and global outcome measures (Bateman & Fonagy, 2000;Bateman & Tyrer, 2004;Gendreau, Little & Goggin, 1996;Madan & Fowler, 2015;Magor-Blatch et al, 2014). Others have highlighted the significance of identifying interpersonal change post DTC treatment (Heede et al, 2009;Hopwood et al, 2013;Shuker & Newberry, 2010), in line with a TC's main emphasis on providing a corrective emotional experience for individuals to facilitate development of adaptive ways of relating with others.…”

Section: What Should Be Measured?mentioning

confidence: 99%

Outcomes of therapeutic community treatment for personality disorder

Capone

Schröder

Clarke

et al. 2016

Therapeutic Communities: The International Journal of Therapeutic Communities

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Purpose -The paper reviewed quantitative research since 1999 evaluating the effectiveness of democratic therapeutic community (DTC) treatment for individuals with personality disorders (PD) with reference to interpersonal and offending risk outcomes.Design/methodology/approach -A systematic search resulted in the review of ten studies. All of the studies investigated DTCs treating PD in community, inpatient residential and forensic settings. Only peer-reviewed, English-language articles employing a quantitative design were included. Findings -The majority of studies were conducted poorly and of low methodological quality, with limitations located in the representativeness of participants, limited use of control and comparison groups, follow up periods and controls for confounders. Heterogeneity remained in use of measures and limited consideration was given to the validity of interpersonal measures used. While improved interpersonal outcomes post DTC treatment were noted in forensic and residential settings, results were mixed in day and mini TC settings. Inconsistent findings in offending risk outcomes were also indicated. A study with increased methodological rigour indicated residential treatment had limited effects on interpersonal outcomes, when compared to combination treatment (residential TC and step-down treatment).Originality/value -The study provided an evaluation of the limitations of DTC research across a range of settings and highlighted a combination of residential TC and step-down treatment may achieve superior outcomes to residential TC treatment alone in a community inpatient population. Recommendations are made for future research to contribute to the treatment of PD.

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Psychological treatment for personality disorders

Cited by 73 publications

References 58 publications

Personality disorders

Personality disorders

Psychotherapy in psychiatry: Integration and assimilation

Outcomes of therapeutic community treatment for personality disorder

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