The Holloway skills therapy programme (HoST) at Her Majesty's Prison and Young Offenders' Institution Holloway is provided to women who, because of problematic behaviour associated with borderline personality disorder, are often excluded from treatment in prison and in the community. HoST addresses issues of offending behaviour, self-harm, suicidality and indiscipline, through a modified evidence-based treatment modality, dialectical behaviour therapy (DBT), which is a form of cognitive behaviour psychotherapy. This paper will outline the possibility of a modified DBT approach to working with female offenders in the prison setting. A pilot evaluation of female prisoners who received the treatment is also presented through a range of quantitative measures. In turn, positive outcomes with regard to reduction in time spent on the assessment and care in custody teamwork process, reduction in adjudications and improved overall mental health are presented. These findings are discussed along with the implications for clinical practice in the prison setting. The need for future structured research is also discussed.Keywords: dialectical behaviour therapy (DBT); borderline personality disorder (BPD); female offenders; prison El Programa de Habilidades Terapéuticas de Holloway (PHTHo), en la Prisión e Institución para Jóvenes Delincuentes de Su Majestad en Holloway, es suministrado a mujeres que a causa de su conducta problemática asociada con Trastorno Borderline de la Personalidad, frecuentemente son excluidas del tratamiento en la prisión y en la comunidad. El PHTHo se dirige a aspectos de la conducta delincuente, daño a sí mismo(a), tendencia al suicidio e indisciplina, a través de una modalidad de tratamiento modificado en base a la evidencia de sus resultados: Terapia de Conducta Dialéc-tica (TCD) que es una forma de la terapia cognitiva behaviorista. Este artículo esbozará la posibilidad de aplicar una terapia de conducta dialécti-ca modificada al trabajo con mujeres delincuentes en el ambiente de la prisión. Se presenta una evaluación piloto a través de una variedad de medidas cualitativas de las mujeres que recibieron el tratamiento. A su vez se presentan resultados positivos con relación a la reducción del tiempo de evaluación y en el proceso de detención, reducción del fallo y mejora total *Corresponding author.de la salud mental. Se discuten estos resultados relacionados con las implicaciones para la práctica clínica en el ambiente de prisiones, así como también la necesidad de continuar investigaciones estructuradas en el futuro.Palabras clave: terapia de conducta dialéctica; trastorno borderline dela personalidad; mujeres delincuentes; prisión L' Holloway Skills Therapy Programme (HoST) nel Carcere di sua Maestá e l'Istituto Carcerario Minorile (HMP YOI) di Holloway è offerto a donne che, a causa del comportamento problematico connesso con il disturbo della personalitá boderline, sono spesso escluse dal trattamento in carcere e nella comunitá. HoST affronta i problemi di comportamento illegali, autolesionismo...
Through this it is argued that research within the prison setting should act not to promote interventions and create an evidence-based as such, but to provide an accessible body of knowledge for the psychological therapists working in prisons in the UK.
It was therefore through the secondary analysis by reverie that the importance of the attendance to aspects of intersubjectivity in prison research emerged. This paper contributes to the therapeutic writings on despair in the prison setting, alongside holding implications for qualitative research in the prison setting.
The phenomenological findings inform and support the idea of a client's despair as something that challenges the psychotherapist personally and professionally. With implications for practice, the findings also suggest that in order to prevent the despair from encompassing the psychotherapist, they must locate a therapeutic balance; one that allows them to be with the client's despair, whilst allowing a certain degree of distance from the despair which may enable the psychotherapist to consider hope and to see the client's situation from different perspectives.
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