Rep36 Understanding Personality Disorder

American Journal on the Addictions, 8,
279–292. 
Linehan, M.M., Dimeff, L.A., Reynolds, S.K., Comtois,
K.A., Welch, S.S., Heagerty, P. & Kivlahan D.R.
(2002). Dialectical behavior therapy versus
comprehensive validation therapy plus 12-step for
the treatment of opioid dependent women meeting
criteria for borderline personality disorder. 
Drug and
Alcohol Dependence, 67
, 13–26 
Lipsey, M.W. (1995). What do we learn from 400 research
studies on the effectiveness of treatment with
juvenile delinquents. In J. McGuire (Ed.) 
What works:
Reducing reoffending
(pp.63–68). Chichester: Wiley. 
Luborsky, L.L. & Auerbach, A.H. (1985). The therapeutic
relationship in psychodynamic psychotherapy: The
research evidence and its meaning in practice. In
R.E. Hales & A.J. Frances (Eds.) 
Annual Review: Vol.
4
. Washington DC: American Psychiatric Press.
Munroe-Blum, H. & Marziali, E. (1995). A controlled
trial of short-term group treatment of borderline
personality disorder. 
Journal of Personality Disorders, 9
,
190–198.
Norton, K. & Warren, F. (2004). Assessment and
outcome in therapeutic communities: Challenges
and achievements. In J. Lees, N. Manning, D.
Menzies, 
et al
. (Eds.) 
Researching therapeutic
communities
. London: Jessica Kingsley.
Perry, J.C., Lavori, P.W. & Hoke, L. (1987). A Markov
model for predicting levels of psychiatric service use
in borderline and antisocial personality disorders
and bipolar type II affective disorder. 
Journal of
Psychiatric Research, 21
, 215–232.
Perry, J.C., Banon, E. & Ianni, F. (1999). Effectiveness of
psychotherapy for personality disorders. 
American
Journal of Psychiatry, 156
, 1312–1321.
Persons, J.B. & Silberschatz, G. (1995). Are results of
randomised controlled trials useful to
psychotherapists? 
Journal of Consulting and Clinical
Psychology, 63
, 126–135.
Rawlings, B. (2001). Therapeutic communities for the
treatment of drug users. In B. Rawlings & R. Yates
(Eds.) 
Evaluative Research in Therapeutic Communities
,
chapter 12. London: Jessica Kingsley Publishers.
Reich, J.H. & Vasile, R.G. (1993). Effect of personality
disorders on the treatment outcome of Axis I
conditions: An update.
Journal of Nervous and Mental
Diseases, 181
, 475–484.
Roth, A. & Fonagy, P. (Eds.) (1996). Translating research
into practice: Methodological considerations. 
In
What works for whom? A critical review of psychotherapy
research
(pp.13–36). New York: Guilford Press. 
Roth, A.D. & Parry, G. (1997). The implications of
psychotherapy research for clinical practise and
service development: lesson and limitations.
Journal
of Mental Health, 6
, 347–380.
Seligman, M.E.P. (1995). The effectiveness of
psychotherapy: The Consumer Reports Study.
American Psychologist, 50
, 965–974. 
Skodol, A.E., Buckley, P. & Charles, E. (1983). Is there a
characteristic pattern to the treatment history of
clinical outpatients with borderline personality
disorder? 
Journal of Nervous and Mental Diseases, 171
,
405-410.
Slade, M. & Priebe S. (2001). Are randomised controlled
trial the only gold that glitters? 
British Journal of
Psychiatry, 179
, 286–287.
Tyrer, P., Thompson, S., Schmidt, U., 
et al
. (2003).
Randomised controlled trial of brief cognitive
behaviour therapy versus treatment as usual in
recurrent deliberate self-harm: The POPMACT
study. 
Psychological Medicine, 33
, 969–976.
Verheul, R., van den Bosch, L.M.C., Koeter, W.J., de
Ridder, M.A. Stijnen T. & van den Brink, W. (2003).
Dialectical behaviour therapy with women with
borderline personality disorder: 12-month,
randomised clinical trial in the Netherlands. 
British
Journal of Psychiatry, 182
, 135–140.
Waldinger, R.J. & Gunderson, J.G. (1984). Completed
psychotherapies with borderline patients. 
American
Journal of Psychotherapy, 38
, 190–202.
Warren, F., Preedy, K., 
et al
. (2002). 
Review of treatments for
dangerous and severe personality disorder
. London:
Home Office.
Warren, F., Evans, C., Dolan, B. & Norton, K. (2004).
Impulsivity and Self-damaging Behaviour in Severe
Personality Disorder: The impact of democratic
therapeutic community treatment. 
Therapeutic
Communities, 25
(1), 55–71.

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43
Key points:
I
Little is known about the relationship
between different types of personality
disorder and offending behaviour.
I
Treatment in forensic populations should
take account of the risk level of offenders,
the factors associated with their offending
and the types of interventions to which they
are likely to be responsive.
I
Interventions with forensic populations have
increasingly favoured social learning and
cognitive-behavioural models.
I
There is evidence that cognitive-behavioural
methods and concept based therapeutic
communities can be effective in reducing re-
offending if properly implemented.
I
Democratic therapeutic communities have
shown consistent evidence of reducing
symptoms of personality disorder in
disturbed populations.
I
Preparation, support and after-care for
offenders are essential requirements in
maximising the impact of rehabilitation
programmes.
I
Further research is needed on how different
types of personality disordered offenders
respond to current treatments and the
conditions that are needed to sustain
improvements following completion of
treatment.