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Blurring the Boundaries

This Sainsbury Centre report details the increasing convergence between mental health and criminal justice, while exposing the differences that do and should exist between the two. It also recognises that too often the way services respond to offenders with mental health problems is inconsistent and disjointed. Too many people are either left to flounder in […]

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Avoidable Deaths

Safety is at the heart of good health care. In mental health services safety is particularly important but it is also an issue that raises sensitive questions. Where should the balance lie between patient protection and patient autonomy? How great is the risk to the public from mental illness? How many deaths could services prevent? […]

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Attachment, mentalization and antisocial personality disorder: The possible contribution of mentalization-based treatment

This article outlines the evidence base and current psychotherapeutic treatment approaches for individuals with a diagnosis of antisocial personality disorder (ASPD). The article examines the application of a particular theoretical approach, derived from attachment theory and its linked concept of mentalization, to these individuals. In particular, the authors discuss the application of mentalization-based treatment (MBT) (Bateman, […]

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publications

Attachment, mentalization and antisocial personality disorder: The possible contribution of mentalization-based treatment

This article outlines the evidence base and current psychotherapeutic treatment approaches for individuals with a diagnosis of antisocial personality disorder (ASPD). The article examines the application of a particular theoretical approach, derived from attachment theory and its linked concept of mentalization, to these individuals. In particular, the authors discuss the application of mentalization-based treatment (MBT) (Bateman, […]

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publications

Assessments and admissions during the first six years of a medium secure DSPD service

http://psychsource.bps.org.uk/details/journalArticle/3102961/Assessments-and-admissions-during-the-first-6x2009years-of-a-UK-medium-secure-DS.html

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Antisocial personality disorder: new directions

Antisocial personality disorder is a complex condition carrying high rates of comorbidity and mortality for individuals as well as harmful consequences for their families and society. Despite the publication of National Institute for Health and Care Excellence (NICE) guidelines for the disorder, the evidence base and provision of effective treatments remain inadequate, and the belief […]

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Ana Attia’s Story – failed by her keepers

Letter to The Independent newspaper on Sunday 29th August 2010.

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An Unwelcome Guest: The Unconscious Mind in the Courtroom

This article argues that psychodynamic principles and approaches should continue to be used in forensic psychiatric work within the legal system and outlines with case study examples how this can be done.

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Abusive help – helping abuse: the psychodynamic impact of severe personality disorder on caring institutions

Personality-disordered patients have invariably suffered abuse at the hands of carers when young, and they tend to repeat an abusive relationship when they encounter care in later life. The provision of care in psychiatric, forensic, penal and other institutions may degenerate into a form of unconscious abuse perpetrated against those in care. This is almost […]

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A Practical Guide to Forensic Psychotherapy

Forensic Psychiatry has expanded exponentially in the last twenty years with a dramatic increase in forensic psychiatry posts and medium secure unit beds. More recently there has been increased concern with the treatment and management of mentally ill offenders which has led to more interest in understanding. Treatment is seen by many people to be […]