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Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk

Allison Tennant (Editor), Kevin Howells (Editor)
ISBN: 978-0-470-68349-1
226 pages
April 2010
Using Time, Not Doing Time: Practitioner Perspectives on Personality Disorder and Risk (047068349X) cover image


This book offers a wide variety of health care professionals an invaluable and long-awaited resource for the proper assessment, treatment, and management of personality disordered individuals.
  • Addresses clinical practice issues related to the understanding, assessment and treatment of people who have been diagnosed with a personality disorder
  • Focuses on the experience, practice and emerging ideas and findings of practitioners in the field
  • Reflects the multidisciplinary nature of practice in the field
  • Aimed at practitioners working in high security hospitals, prisons and other community services
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Table of Contents

About the Contributors vii

Preface xi
Eddie Kane

Introduction xiii
Allison Tennant and Kevin Howells

Chapter 1 Setting the Scene: National Developments in Services 1
John Milton and Gopi Krishnan

Chapter 2 Risk Assessment for Aggressive Behaviour in Personality Disorder 15
Michael Daffern

Chapter 3 Ready or Not, They Are Coming: Dangerous and Severe Personality Disorder and Treatment Engagement 33
Kevin Howells and Allison Tennant

Chapter 4 Case Formulation with Personality Disordered Offenders 45
Lawrence Jones

Chapter 5 Dialectical Behaviour Therapy Targeting Violent Behaviour in a Male Forensic In-Patient Setting 63
Allison Tennant

Chapter 6 Cognitive Analytic Therapy (CAT): A Treatment Approach for Treating People with Severe
Personality Disorder 81
Jackie Withers

Chapter 7 Schema Therapy Within a High Secure Setting 95
Kerry Beckley and Neil Gordon

Chapter 8 Violent Offending Treatment for Male Patients with Personality Disorder 111
Louise Sainsbury

Chapter 9 Working with People Who Have Committed Sexual Offences with Personality Disorder Diagnoses 125
Lawrence Jones

Chapter 10 Working with Personality Disordered Offenders Who Have Substance Misuse Problems 141
Glen Thomas and Jackie Withers

Chapter 11 Recovery from Personality Disorder: Maintaining Change 153
Jackie Withers

Chapter 12 Adult Learning and Personality Disorders 167
Perdita Jackson, Clare Thurlow and David Underwood

Chapter 13 The Boundary Seesaw Model: Good Fences Make for Good Neighbours 181
Laura Hamilton

Chapter 14 Afterthoughts on Personality Disorder and Risk: Tasks for the Future 195
Richard Howard and Kevin Howells

Index 205

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Author Information

Allison Tennant is a Nurse Consultant and works at The Peaks Unit at Rampton Hospital Nottinghamshire Health Care NHS Trust. She is a Cognitive Behavioural therapist, and leads the Dialectical Behavioural (DBT) programme in the Unit. Her other interests include treatment evaluation and developing frameworks to ensure that staff receive clinical supervision to help maintain a healthy workforce.

Kevin Howells is a chartered clinical and forensic psychologist. He has worked extensively as a practitioner, researcher and academic in the fields of forensic mental health and rehabilitation of offenders. He is Professor of Forensic/Clinical Psychology in the Institute of Mental Health at Nottingham University, a Fellow of the British Psychological Society, and Academic Chair in the Peaks Unit at Rampton Hospital.

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