The dangerous and severe personality disorder experiment – Review of empirical research

Völlm, Birgit; Konappa, Nagaraj

doi:10.1002/cbm.1833

Cited by 35 publications

(16 citation statements)

References 40 publications

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“…However, the programme has been criticised on a number of fronts, including: the implementation of different treatments and research methodologies with little consistency or coordination; 'warehousing' (the deliberate placement of offenders in a DSPD programme, knowing that there will be little active treatment given); patients spending little of their time in direct therapeutic activities; inadequate staffing levels; long waits for treatments; no segregation of sex offenders; the inconsistent application of discipline; and overall poor cost-effectiveness (Tyrer 2010). Despite substantial investment into research and evaluation, measurable improvements in outcomes for specific DSPD treatments and service environments were lacking, and the key question of which treatments are effective for highrisk offenders with personality disorder remains unanswered (Völlm 2012).…”

Section: New Directionsmentioning

confidence: 99%

Antisocial personality disorder: new directions

Yakeley¹,

Williams²

2014

Adv. psychiatr. treat

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SummaryAntisocial personality disorder is a complex condition carrying high rates of comorbidity and mortality for individuals as well as harmful consequences for their families and society. Despite the publication of National Institute for Health and Care Excellence (NICE) guidelines for the disorder, the evidence base and provision of effective treatments remain inadequate, and the belief that the condition is untreatable remains widespread among psychiatrists and other professionals. This article highlights current diagnostic controversies and summarises the evidence for conceptualising antisocial personality disorder as a disorder of attachment. Informed by this developmental perspective, we provide a framework for the management and treatment of adults with antisocial personality disorder, highlighting the importance of creating a safe setting and recommending adaptations of therapeutic technique to facilitate the engagement of this ‘treatment-rejecting’ patient population. We conclude with an outline of the current government policy on the treatment of high-risk offenders with personality disorder.LEARNING OBJECTIVESKnow the current diagnostic criteria and epidemiology of antisocial personality disorder.Evaluate the evidence that antisocial personality disorder can be conceptualised as a disorder of attachment, and use a developmental framework to inform treatment interventions.Gain an understanding of psychological approaches to antisocial personality disorder.

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Section: New Directionsmentioning

confidence: 99%

Antisocial personality disorder: new directions

Yakeley¹,

Williams²

2014

Adv. psychiatr. treat

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“…There is evidence to support a cut score of 25 on the PCL-R in the UK (Cooke & Michie, 1999;Cooke et al, 2005;Hare, 2003) and this has been used in numerous research studies to categorise people. This score also plays a part in the assessment of suitability for admission to what were known as dangerous and severe personality disorder units in the UK (Völlm & Konappa, 2012). To this end, this study will also consider the utility of the Hare SRP for predicting scoring 25 or higher on the PCL-R.…”

Section: Study Objectivesmentioning

confidence: 99%

Assessing the reliability and validity of the Self-Report Psychopathy Scales in a UK offender population

Tew

Harkins

Dixon

2014

The Journal of Forensic Psychiatry & Psychology

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This study assessed the reliability and validity of the Hare Self-Report Psychopathy Scale (Hare SRP) and the short form of the measure in a UK prison sample, using the Psychopathy Checklist Revised (PCL-R) as a reference measure. The Hare SRP and PCL-R were compared for 107 UK adult male prisoners. The SRP and SRP-SF total scores depicted excellent levels of internal consistency and homogeneity and correlated with each other with significant and large effects sizes. Total scores correlated with PCL-R total scores producing medium effect sizes and were significantly predictive of PCL-R total scores with small effect sizes. Implications for practice are discussed.

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“…These units were available mainly for individuals with high psychopathy scores previously deemed untreatable. While the intention of the Government was to allow the detention of these individuals mainly for protection of the public, DSPD services did also allow for the development and evaluation of treatments for this challenging patient group (For a review of DSPD services and their successes and failures see Tyrer et al, 2010 andKonappa, 2012).…”

Section: England and Walesmentioning

confidence: 99%

Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries

Edworthy

Sampson

Völlm

2016

International Journal of Law and Psychiatry

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The dangerous and severe personality disorder experiment – Review of empirical research

Abstract: The key question--what treatments are effective for high-risk personality disordered offenders--remains unanswered. More time would be needed to fully assess the impact of this programme, and similar future initiatives should allow longer observation periods.

Cited by 35 publications

References 40 publications

Antisocial personality disorder: new directions

Antisocial personality disorder: new directions

Assessing the reliability and validity of the Self-Report Psychopathy Scales in a UK offender population

Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries

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