CBT for violent men with Antisocial Personality Disorder: reflections on the experience of carrying out therapy in MASCOT, a pilot randomised controlled trial

Davidson, K., Halford, J., Kirkwood, L., Newton-Howes, G., Sharp, M. and Tata, P. (2010) CBT for violent men with Antisocial Personality Disorder: reflections on the experience of carrying out therapy in MASCOT, a pilot randomised controlled trial. Personality and Mental Health, 4(2), pp. 86-95. (doi: 10.1002/pmh.94)

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Publisher's URL: http://dx.doi.org/10.1002/pmh.94

Abstract

Cognitive therapy for personality disorders (CBTpd) has been developed and assessed in borderline and antisocial personality disorders using a variety of research methodologies from single cases to randomised controlled trials. An exploratory randomised controlled trial of CBTpd compared to usual treatment for men with antisocial personality disorder in the community allowed insights into how to carry out therapy with this group of patients that are traditionally thought of as being difficult to manage. CBTpd for ASPD is time limited, problem focused and aims to develop new ways of thinking and behaving that would reduce anger and acts violence and improve interpersonal relationships. Men with ASPD often held beliefs that could interfere with development of a therapeutic relationship. The beliefs were hypothesised to have arisen from experiences of being humiliated in childhood and adolescence as well as having experienced neglect and abuse. Equally therapists needed to be aware that in developing a compassionate formulation of the patient’s problems, they should not minimise the potential for violence. Supervision of both process and content had a greater importance than in other CBT models and supervision required recordings of clinical sessions to enable this to h

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Davidson, Professor Kate
Authors: Davidson, K., Halford, J., Kirkwood, L., Newton-Howes, G., Sharp, M., and Tata, P.
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
College/School:College of Medical Veterinary and Life Sciences
Journal Name:Personality and Mental Health
Publisher:John Wiley & Sons Ltd
ISSN:1932-8621
ISSN (Online):1932-863X
Published Online:20 November 2009

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
394191Trial platform - a pilot study of cognitive behaviour therapy versus usual treatment in those with anti-social personality disorder with aggressive behaviour. ref ISCRCTN89922377Kate DavidsonMedical Research Council (MRC)G0400922/71697Centre for Population and Health Sciences