Using Time, Not Doing Time

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.

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