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The assessment and treatment of violence in personality disordered offenders

Thompson, Claire (2010)
Foren.Psy.D. thesis, University of Birmingham.

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Abstract

This thesis examines the assessment and treatment of violence in personality disordered offenders, with the view of identifying pertinent issues to be considered when appraising risk within clinical practice. Chapter 1 reviews the relevant literature and outlines the remaining thesis. A systematic review evaluating Dialectical Behaviour Therapy (DBT) with borderline personality disordered (BPD) inpatients can be found in Chapter 2. Despite highlighting a number of methodological limitations, the review indicates DBT as having positive therapeutic effects within secure settings. Chapter 3 examines the predictive validity of the Historical/Clinical/Risk Management- 20 (HCR-20; Webster, Douglas, Douglas Eaves & Hart, 1997) showing it to be a valid and reliable within forensic populations. However, the review indicates the need for additional research, making recommendations for such work. The empirical paper in Chapter 4 investigates the concept Dangerous and Severe Personality Disorder (DSPD). A DSPD sample is compared to a non DSPD personality disordered group from the same setting on a number of risk related variables. Analysis of hospital incident data and Historical Clinical Risk Management-20 (HCR-20) scores suggests DSPD patients are at a higher risk of imminent harm to themselves and others than the comparison group. These findings offer substantiation to the DSPD label and the accompanying therapeutic programme. An individualised approach to risk assessment and treatment of a Learning Disabled offender with Borderline Personality Disorder is presented in Chapter 5, serving to highlight the difficulties with management of personality disordered inpatients. Chapter 6 offers concluding comments, discussing further implications for clinical practice.

Type of Work:Foren.Psy.D. thesis.
Supervisor(s):Thomas-Peter, Brian and Davies, Graham (1943-) and Harkins, Leigh
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology, Centre for Forensic and Criminal Psychology
Subjects:BF Psychology
HV Social pathology. Social and public welfare
Institution:University of Birmingham
ID Code:939
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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