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OPAC HELP

Titolo:
IN THE PRISON OF SEVERE PERSONALITY-DISORDER
Autore:
NORTON K;
Indirizzi:
HENDERSON GEN HOSP,2 HOMELAND DR SUTTON SM2 5LT SURREY ENGLAND ST GEORGE HOSP,SCH MED,SECT FORENS PSYCHIAT LONDON SW17 0RE ENGLAND
Titolo Testata:
JOURNAL OF FORENSIC PSYCHIATRY
fascicolo: 2, volume: 8, anno: 1997,
pagine: 285 - 298
SICI:
0958-5184(1997)8:2<285:ITPOSP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Keywords:
SEVERE PERSONALITY DISORDER; THERAPEUTIC COMMUNITIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
K. Norton, "IN THE PRISON OF SEVERE PERSONALITY-DISORDER", JOURNAL OF FORENSIC PSYCHIATRY, 8(2), 1997, pp. 285-298

Abstract

Interpersonal barriers frequently stand in the way of the successful treatment of patients suffering from severe personality disorder (SPD). Often this stems from a failure to distinguish accurately between the patient's surface behavioural manifestations and his or her inner mental states. Misinterpreting the SPD patient's gross behaviour may thus result in unsuccessful clinical encounters because of the absence ofempathic contact with the patient and a resultant insubstantial therapeutic alliance. Inpatient staff's failure to see through and beyond their SPD patients' behavioural facades means that such patients continue to feel marginalized and misunderstood, and that staff become no wiser in understanding their patients as individuals. The SPD patient's strong negative emotion and its interpersonal behavioural concomitantsmay be erroneously equated with no progress, deterioration, or even 'badness' and his or her compliant behaviour may be mistaken for therapeutic progress and psychological change. Clinical, decisions regardingthe discharge or transfer of SPD patients, based on such grounds, arelikely to be unsafe. If staff recognize SPD patients' profound problems in identifying and communicating their painful mental states, they are better able to help them to give up the self-defeating and anti-social coping strategies and defences that are erected by patients in order to deal with such states. Via the removal of such barriers, some SPD patients may be freed from a metaphorical 'prison', which is only partly of their own making. Clinical material from some of Henderson Hospital's SPD inpatients is presented to exemplify the behavioural camouflage assumed by such patients thereby masking their inner states andthe consequent interpersonal difficulties encountered in their treatment. Aspects of the therapeutic community (TC) method of identifying and analysing the difficulties, in particular the availability and use of the 'social reality' of the setting, are discussed. Implications for other, non-TC, inpatient settings are considered so that the 'socialreality' found therein can be put to greater therapeutic use.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 11:23:50