Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: an exploratory randomized controlled trial

Davidson, Kate; Tyrer, Peter; Tata, Philip; Cooke, David J.; Gumley, Andrew; Ford, Ian; Walker, Arlene; Bezlyak, Vladimir; Seivewright, Helen; Robertson, H. Thomas; Crawford, Mike

doi:10.1017/s0033291708004066

Cited by 92 publications

(126 citation statements)

References 26 publications

(25 reference statements)

Supporting

Mentioning

122

Contrasting

Unclassified

Order By: Relevance

“…Results revealed improved outcomes for patients who participated in CBT with regard to verbal and physical aggression during treatment and at follow up. However, another study of CBT in patients with personality disorder (PD) revealed no difference in subsequent aggression compared to usual treatment (Davidson et al, 2009). …”

Section: Violent Offender Treatment Effectivenessmentioning

confidence: 99%

“…These studies are limited because most comprise small participant populations and is unclear whether all participants have a history of violent offending, most participants in these studies were noted to be diagnosed with PD rather than SMI (e.g., Bernstein et al, 2012;Davidson et al, 2009;Doyle et al, 2016) or the participants were predominantly diagnosed with PD (Zwets et al, 2016). Finally, as noted above, none have evaluated the sort of multi-modal interventions that are now (relatively) common in criminal justice services and seen as necessary for high-risk violent offenders with multiple needs and internal responsivity issues (Polaschek, 2011).…”

Section: Violent Offender Treatment Effectivenessmentioning

confidence: 99%

See 1 more Smart Citation

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

Daffern

Simpson

Ainslie

et al. 2017

The Journal of Forensic Psychiatry & Psychology

View full text Add to dashboard Cite

This study examined the impact of an intensive inpatient violent offender treatment programme, Life Minus Violence -Enhanced (LMV-E, Ireland, 2008), on intermediary treatment targets, risk for violence, and aggressive behaviour during treatment in a sample of male mentally disordered offenders. Using quasi-experimental design, offenders who completed LMV-E and a comparison group showed reduced problems with impulsivity and anger regulation and improvements in social problem solving.Aggregate risk for future violence lessened in both treatment and comparison groups, although by a significantly greater degree for the comparison group. The aggressive behaviour of both groups reduced. Completion of the LMV-E conferred additional improvements in some facets of social problem solving and anger regulation. Neither group showed improvements in empathic responses, coping skills or problematic interpersonal style. Overall, these results suggest anger regulation, impulsivity and social problem solving are most amenable to change, that reductions in certain facets of these dynamic risk factors transpires with nonspecific psychiatric inpatient treatment, but that the LMV-E, a cognitive behavioural violence specific psychological treatment, confers greater change in some facets of social problem solving and anger regulation.

show abstract

Section: Violent Offender Treatment Effectivenessmentioning

confidence: 99%

Section: Violent Offender Treatment Effectivenessmentioning

confidence: 99%

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

Daffern

Simpson

Ainslie

et al. 2017

The Journal of Forensic Psychiatry & Psychology

View full text Add to dashboard Cite

show abstract

“…Several specific therapies have been developed and applied in recent years for the treatment of offenders with personality disorder, including CBT (Davidson 2009), dialectical behaviour therapy (Linehan 1993), schema-focused therapy (Chakhssi 2010) and mentalisation-based therapy (Bateman 2011). Although our own experience stems from a mentalisation-based model that we have adapted and applied to the treatment of violent men with antisocial personality disorder in an out-patient setting, we will attempt here to delineate some common features that arise during treatment and that are important to consider whatever the specific treatment modality.…”

Section: Specific Treatment Approachesmentioning

confidence: 99%

Antisocial personality disorder: new directions

Yakeley¹,

Williams²

2014

Adv. psychiatr. treat

View full text Add to dashboard Cite

SummaryAntisocial 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 that the condition is untreatable remains widespread among psychiatrists and other professionals. This article highlights current diagnostic controversies and summarises the evidence for conceptualising antisocial personality disorder as a disorder of attachment. Informed by this developmental perspective, we provide a framework for the management and treatment of adults with antisocial personality disorder, highlighting the importance of creating a safe setting and recommending adaptations of therapeutic technique to facilitate the engagement of this ‘treatment-rejecting’ patient population. We conclude with an outline of the current government policy on the treatment of high-risk offenders with personality disorder.LEARNING OBJECTIVESKnow the current diagnostic criteria and epidemiology of antisocial personality disorder.Evaluate the evidence that antisocial personality disorder can be conceptualised as a disorder of attachment, and use a developmental framework to inform treatment interventions.Gain an understanding of psychological approaches to antisocial personality disorder.

show abstract

“…If hypersensitivity to ambiguous social cues can be addressed, then the behavioral response should be less reactive. In a study investigating use of CBT treatment with men who had Antisocial Personality Disorder, 2 a disorder similar to psychopathy, showed more positive beliefs about others and improved social functioning compared to individuals in the treatment as usual condition (Davidson, et al, 2009). Additionally, offenders who are identified as being high on disinhibition could be targeted for such an intervention.…”

Section: Chapter 4 Discussionmentioning

confidence: 99%