Working Positively with Personality Disorder in SecureSettings provides a positive, compassionate and evidence-basedguide to working with patients with personality disorders.* Unique in both its coverage and in its positive andevidence-based approach to working with patients with personalitydisorders* Written with a practical focus by experienced practitioners inthe field* Offers a broad approach, with contributions from forensic andclinical psychologists, nurses, and therapists* Covers therapy and therapeutic relationships, and issues ofsupervision, workforce development, treatment evaluation, teamdynamics and managing boundaries* Includes a strong patient focus and a number of personalaccounts from patients who have received therapy themselves

About the Editors and Contributors xSeries Preface xivEddie KanePreface xviiForeword xixKath LovellAcknowledgements xxIntroduction 1Phil Willmot and Neil GordonSection 1: Context 11Chapter 1 From 'Anxious and Sad' to 'Risky andBad': Changing Patterns of Referrals to the PersonalityDisorder Service 13Jenny Marshall and Phil WillmotChapter 2 Trapped in the 'Special Hospital': TheProblems Encountered in the Pathway to Medium Secure Units 22Amanda Tetley and Gopi KrishnanSection 2: The Treatment Process 33Chapter 3 What Works with Forensic Patients with PersonalityDisorder? Integrating the Literature on Personality Disorder,Correctional Programmes and Psychopathy 35Phil Willmot and Amanda TetleyChapter 4 Assessing Personality Disorder in Forensic Settings49Phil WillmotChapter 5 A Treatment Pathway for High Security Offenders with aPersonality Disorder 66Sue EvershedSection 3: The Therapeutic Relationship 91Chapter 6 Attachment Theory and the Therapeutic Relationship inthe Treatment of Personality Disorder 93Louise SainsburyChapter 7 Therapeutic Style and Adapting Approaches to Therapy115Kerry BeckleyChapter 8 The Grey Areas of Boundary Issues When Working withForensic Patients Who Have a Personality Disorder 127Sue EvershedChapter 9 One Patient's Therapeutic Journey 147'James' and Louise SainsburySection 4: Supporting and Developing the TherapeuticWorkforce 157Chapter 10 Therapists' Experiences of Therapy 159Neil Gordon, Kerry Beckley and Graham LowingsChapter 11 Making Sense of Interpersonal Dynamics: A SchemaFocused Approach 172Kerry BeckleyChapter 12 The Importance of Systemic Workforce Development inHigh Secure Settings 188Andrea Milligan and Neil GordonChapter 13 Establishing a Supervision Culture for CliniciansWorking with Personality Disordered Offenders in a High SecureHospital 200Andrea Daykin and Neil GordonSection 5: Outcomes 211Chapter 14 An Individual Approach to Assessing Change 213Jason DaviesChapter 15 Patient Experiences of Therapeutic andAnti-therapeutic Processes 232Phil WillmotChapter 16 Looking to the Future 243Neil Gordon and Phil WillmotIndex 247