Table of Contents

Part 1 Theoretical Framework
Describing personality and its abnormal deviations
Presenting characteristics of PD
Assessment of individuals with PD
Diagnostic arguments
Cost to society of untreated disorder (including cost to patient)
Part 2 Origins and Grounds for Intervention and Prevention
Early intervention and prevention and the extent of failure in this group
Attachment theory
Providing stability and continuity
Chemically mediated impulsivity (including serotonin agonists)
Other organic contributions and drug support
Attention deficit disorders and stimulants
Maladaptive learning and cognitive behavioural work
Psychosis and personality disorder
Chronic post traumatic stress disorder
Dynamic approaches including the narcissism debate
Theory of mind
Authority and peer group
The therapeutic community
The advantages of an eclectic and often multimodal approach.
Part 3 The clinical setting
The advantages and disadvantages of a secure hospital setting and/or compulsory detention
Woodstock Ward: The model for one defined patient group
A service for women
A service for patients with co-morbidity for alcohol
illegal drug addictions
A service for sex offenders
Learning disability
Translation of described models to other level of security
Part 4 Separation and Facilitating Departure
Consultation, liaison and transfer to other services
Separation from the treatment centre
Liaison and planning matters
The law and individual rights
Confidentiality
Research tools
Research, including long term follow-up and early clinical indicators
Audit
Developing for the future.

About the Author

Chris Newrith MB ChB, MSc, MRCPsych, Consultant Psychiatrist in Psychotherapy, Birmingham Personality Disorder Service, Birmingham, UK Clive Meux MB BS, MRCPsych, Consultant Forensic Psychiatrist, Oxford Clinic Medium Secure Unit, Littlemore, UK Pamela J Taylor MB BS, MRCP, FRCPsych, FMedSci, Professor of Forensic Psychiatry, Wales College of Medicine, Cardiff, UK