Book contents
- Antisocial Personality
- Reviews
- Antisocial Personality
- Copyright page
- Contents
- Preface
- Chapter 1 The Nosological Background
- Chapter 2 Interpersonal Perspective
- Chapter 3 Developmental Perspective
- Chapter 4 Brain and Behaviour Perspective
- Chapter 5 The Epidemiology of Antisocial Personality Disorder
- Chapter 6 Treatment of ASPD, Part 1
- Chapter 7 Treatment of ASPD, Part 2
- Chapter 8 Legal and Ethical Issues in ASPD and Psychopathy
- Chapter 9 Conclusions and Future Directions
- Index
- References
Chapter 7 - Treatment of ASPD, Part 2
Specialist Approaches
Published online by Cambridge University Press: 20 January 2022
Book contents
- Antisocial Personality
- Reviews
- Antisocial Personality
- Copyright page
- Contents
- Preface
- Chapter 1 The Nosological Background
- Chapter 2 Interpersonal Perspective
- Chapter 3 Developmental Perspective
- Chapter 4 Brain and Behaviour Perspective
- Chapter 5 The Epidemiology of Antisocial Personality Disorder
- Chapter 6 Treatment of ASPD, Part 1
- Chapter 7 Treatment of ASPD, Part 2
- Chapter 8 Legal and Ethical Issues in ASPD and Psychopathy
- Chapter 9 Conclusions and Future Directions
- Index
- References
Summary
This chapter considers treatment of those with ASPD from the perspective of (1) higher levels of integration of the personality than in previous chapter and (2) managing clients at the more severe end of the ASPD spectrum (i.e., those with violent behaviour detained within secure settings). In respect of item (1) we make specific reference to and describe the phases of exploration and integration in Livesley’s Integrated Modular Treatment. As this requires an emotional maturation in the client (as compared with the establishment of emotional stability in Chapter 6), extra demands are placed on both client and therapist. In the latter case, the ‘fit’ between therapist and therapy is explored. As regards managing those with violent behaviour (including those with psychopathic traits), the principles of the two major criminological interventions (i.e., risk-needs-responsivity [RNR] and the Good Lives Model [GLM]) are compared and contrasted. There is a discussion on those who may be beyond treatment and where interventions can actually lead to harm. Finally, the differences between a forensic case formulation and a case formulation are discussed, with the former focusing on the risk that the individual may pose.
- Type
- Chapter
- Information
- Antisocial PersonalityTheory, Research, Treatment, pp. 104 - 124Publisher: Cambridge University PressPrint publication year: 2022
References
Livesley, W. J.. Integrated Modular Treatment. In: Livesley, J., Larstone, R., eds., Handbook of Personality Disorders, 2nd ed. New York: Guilford Press, 2018; 645–675.Google Scholar
Frank, J. D., Frank, J. B.. Persuasion and Healing: A Comparative Study of Psychotherapy, 3rd ed. Baltimore, MD: Johns Hopkins University Press, 1993.Google Scholar
Prochaska, J. O., DiClemente, C. C.. Stages and processes of self-change of smoking. Journal of Consulting and Clinical Psychology 1983; 51: 390–395.Google Scholar
National Institute for Mental Health in England (NIMHE). Personality Disorder: No Longer a Diagnosis of Exclusion. Policy Implementation Guidance for the Development of Services for People with Personality Disorder. 2003. http://personalitydisorder.org.uk/wp-content/uploads/2015/04/PD-No-longer-a-diagnosis-of-exclusion.pdf.Google Scholar
Duggan, C., Tyrer, P.. Specialist teams as constituted are unsatisfactory for treating people with personality disorder. BJPsych Bulletin 2021 (in press).Google Scholar
National Institute for Mental Health in England. Breaking the Cycle of Rejection: The Personality Disorder Capabilities Framework. Leeds: NIMHE, 2003. http://personalitydisorder.org.uk/wp-content/uploads/2015/06/personalitydisorders-capabilities-framework.pdf.Google Scholar
Duggan, C., Why are programmes for offenders with personality disorder not informed by the relevant scientific findings? Philosophical Transactions of the Royal Society B: Biological Sciences 2008; 363: 2599–2612.CrossRefGoogle Scholar
Bonta, J.,, Law, M., Hansen, K.. The prediction of criminal and violent recidivism among mentally disordered offenders: A meta-analysis. Psychological Bulletin 1998; 123: 123–142.Google Scholar
Bolaños, A. D., Mitchell, S. M., Morgan, R. D., Grabowski, K. E.. A comparison of criminogenic risk factors and psychiatric symptomatology between psychiatric inpatients with and without criminal justice involvement. Law and Human Behavior 2020; 44: 336–346.Google Scholar
Howard, R.. Personality disorders and violence: What is the link? Borderline Personality Disorder and Emotion Dysregulation 2015; 2: 12. doi:10.1186/s40479-015-0033-x.Google Scholar
Yu, R., Geddes, J. R., Fazel, S.. Personality disorders, violence, and antisocial behavior: A systematic review and meta-regression analysis. Journal of Personality Disorders 2012; 26: 775–792.Google Scholar
Porter, S., Woodworth, M. T., Black, P. A. J.. Psychopathy and aggression. In: Patrick, C. J., ed., Handbook of Psychopathy, 2nd ed. New York: Guilford Press, 2018; 611–634.Google Scholar
Martinson, R.. What works? Questions and answers about prison reform. The Public Interest 1974; 35: 22–54.Google Scholar
Andrews, D. A., Bonta, J.. The Psychology of Criminal Conduct, 1st to 5th eds. Cincinnati, OH: Anderson, 1994–2010.Google Scholar
Polaschek, D. L., Skeem, J. L.. Treatment of adults and juveniles with psychopathy. In: Patrick, C. J., ed., Handbook of Psychopathy, 2nd ed. New York: Guilford Press, 2019; 710–731.Google Scholar
Maguire, J.. A review of effective interventions for reducing aggression and violence. Philosophical Transactions of the Royal Society B: Biological Sciences 2008; 363: 2577–2597.Google Scholar
Ward, T., Stewart, C. A.. Criminogenic needs and human needs: A theoretical model. Psychology, Crime & Law 2003; 9: 125–143.Google Scholar
Ward, T., Brown, M.. The good lives model and conceptual issues in offender rehabilitation. Psychology, Crime & Law 2004; 10: 243–257.Google Scholar
Ogloff, J. R. P., Davis, M. R.. Advances in offender assessment and rehabilitation: Contributions of the risk-needs-responsivity approach. Psychology, Crime & Law 2004; 10: 229–242.Google Scholar
McMurran, M., Huband, N., Overton, E.. Non-completion of personality disorder treatments: A systematic review of correlates, consequences, and interventions. Clinical Psychology Review 2010; 30: 277–287.Google Scholar
Iliakis, E. A., Ilagan, G. S., Choi-Kain, L. W.. Dropout rates from psychotherapy trials for borderline personality disorder: A meta-analysis. Personality Disorders: Theory, Research, and Treatment. 2021. Advance online publication. https://doi.org/10.1037/per0000453.Google Scholar
Ziv, R.. The evidence-based approach to offender rehabilitation: Current status of the RNR model of offender rehabilitation. In: Ugwudike, P. et al., eds., The Routledge Companion to Rehabilitative Work in Criminal Justice. New York: Routledge, 2020.Google Scholar
Ogloff, R. P., Wong, S., Greenwood, A.. Treating criminal psychopaths in a therapeutic community program. Behavioural Sciences and the Law 1990; 8: 181–190.Google Scholar
Rice, M. E., Harris, G. T., Cormier, C. A.. An evaluation of a maximum security therapeutic community for psychopaths and other mentally disordered offenders. Law and Human Behavior 1992; 16: 399–412.Google Scholar
D’Silva, K., Duggan, C., McCarthy, L.. Does treatment really make psychopaths worse? A review of the evidence. Journal of Personality Disorders 2004; 18: 163–177.Google Scholar
Polaschek, D. L., Skeem, J. L.. Treatment of adults and juveniles with psychopathy. In: Patrick, C. J., ed., Handbook of Psychopathy, 2nd ed. New York: Guilford Press, 2018; 710–731.Google Scholar
Wong, S.. A treatment framework for violent offenders with psychopathic traits. In: Livesley, W. J., Larstone, R., eds., Handbook of Personality Disorders, 2nd ed. New York: Guilford Press, 2018; 629–644.Google Scholar
Jeandarme, I., Pouls, C., Oei, T. I., Bogaerts, S.. Forensic psychiatric patients with comorbid psychopathy: Double trouble? International Journal of Forensic Mental Health 2017; 16: 149–160.Google Scholar
Sellbom, M., Drislane, L. E.. The classification of psychopathy. Aggression and Violent Behavior 2021; 59: 101473.Google Scholar
Longpré, N., Guay, J., Knight, R. A., et al. Sadistic offender or sexual sadism? Taxometric evidence for a dimensional structure of sexual sadism. Archives of Sexual Behavior 2018; 47: 403–416.Google Scholar
Longpré, N., Guay, J.‐P., Knight, R. A.. Sadistic sexual aggressors. In: Proulx, J. et al., eds., The Wiley Handbook of What Works with Sexual Offenders: Contemporary Perspectives in Theory, Assessment, Treatment, and Prevention. Chichester: John Wiley & Sons, 2020; 387–409.Google Scholar
Eher, R., Schilling, F., Hansmann, B., Pumberger, T., Nitschke, J., Habermeyer, E., Mokros, A.. Sadism and violent reoffending in sexual offenders. Sexual Abuse: A Journal of Research and Treatment 2016; 28: 46–72.Google Scholar
Parry, G., Crawford, M., Duggan, C.. Iatrogenic harm from psychological therapies: Time to move on. British Journal of Psychiatry 2016; 208: 210–212.Google Scholar
Lilienfeld, S. C.. Psychological treatments that cause harm. Perspectives on Psychological Science 2007; 2: 53–70. doi: 10.1111/j.1745-6916.2007.00029.Google Scholar
Petrosino, A., Petrosino, C., Hollis-Peel, M., Lavenberg, J.. Scared straight programs. In: Bruinsma, G., Weisburd, D., eds., Encyclopedia of Criminology and Criminal Justice. New York: Springer, 2014. https://doi.org/10.1007/978-1-4614-5690-2_243.Google Scholar
McCord, J.. Cures that harm: Unanticipated outcomes of crime prevention programs. Annals of the American Academy of Political and Social Science 2003; 587: 16–30. doi: 10.1177/0002716202250781.Google Scholar
McCord, G. S.. Forward to crime and family: Selected essays of Joan McCord. In: McCord, G. S, ed., Crime and Family: Selected Essays of Joan McCord. Philadelphia: Temple University Press; 2007.Google Scholar
Dishion, T. J., Dodge, K. A.. Peer contagion in interventions for children and adolescents: Moving towards an understanding of the ecology and dynamics of change. Journal of Abnormal Child Psychology 2005; 33: 395–400. https://doi.org/10.1007/s10802–005-3579-z.Google Scholar
Papanikolaou, P. N., Churchill, R., Wahlbeck, K., Ioannidis, J. P.. Safety reporting in randomized trials of mental health interventions. American Journal of Psychiatry 2004; 161: 1692–1697. doi: 10.1176/appi.ajp.161.9.1692.Google Scholar
Gibbon, S., Duggan, C., Stoffers, J., Huband, N., Völlm, B. A., Ferriter, M., Lieb, K.. Psychological interventions for antisocial personality disorder. Cochrane Database of Systematic Reviews 2010; 6: CD007668.Google Scholar
Stoffers, J. M., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., Lieb, K.. Psychological therapies for people with borderline personality disorder. Cochrane Database Systematic Reviews 2012; 8: CD005652.Google Scholar
Swinton, M.. Clozapine in severe borderline personality disorder. The Journal of Forensic Psychiatry 2001; 12: 580–591.Google Scholar
Brown, D., Larkin, F., Sengupta, S., Romero-Ureclay, J. L., Ross, C. C., Gupta, N., Vinestock, M., Das, M.. Clozapine: An effective treatment for seriously violent and psychopathic men with antisocial personality disorder in a UK high-security hospital. CNS Spectrums 2014; 19: 391–402.Google Scholar
Hart, S., Sturmey, P., Logan, C., McMurran, M.. Forensic case formulation. International Journal of Forensic Mental Health 2011; 10: 118–126. doi: 10.1080/14999013.2011.577137.Google Scholar
Hart, S. D., Logan, C.. Formulation of violence risk using evidence-based assessments: The structured professional judgment approach. In: Sturmey, P., McMurran, M., eds., Forensic Case Formulation. Chichester: Wiley-Blackwell, 2011.Google Scholar