Mental health articles

OF mental health care and mentally ill

June, 2013

The role of thoughts in mental health

The term ‘cognitive’ relates to thinking and perception, two processes by which individuals interpret their experiences and form ideas about themselves and the world around them . Thoughts are formed by words and images, and their content varies according to a person’s past and present experiences. Thoughts which contribute to the maintenance of mental health […]

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Why some clients don’t engage with their care and treatment

Some clients do not engage with their care and treatment because: •Clients vary in their willingness and ability to engage. Much depends on their previous experience, both of life and of services, and the extent to which their mental ill-health affects their capacity to cooperate with the help offered. •Services themselves have created significant barriers […]

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Psychopathy: a special case

The much bandied-around, indeed, maligned label of psychopathy has little to do with real individuals with such a complex disorder of personality. It is usually that which accompanies individuals with challenging behaviours and reflects not a state of psychopathy but a felt sense of professional inadequacy in caring for those who refute help offered and […]

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Psychological intervention after the earthquake can not be ignored

  The memory and the impression of the disaster in the memory of these Survivors are all about death, dying and mass destruction. For example something is named death mark or the fear of death and the death of guilt. For many survivors, they are extreme sensitivity to with disaster related information and sleeping with […]

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Development of a therapeutic relationship with a patient with a borderline personality disorder

 Background Tina is a 26-year-old woman with a diagnosis of borderline personality disorder. She was admitted to a regional secure unit six months ago under Section 37 of the Mental Health Act, following a conviction for arson with intent to cause harm. Tina has a history of self-harming behaviours since the age of 12 when […]

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Principles of assessment about Assessment of personality disorders

 It is important that the assessor look at interpersonal style, affect and behavioural facets using a multitude of assessment methods, and over time. No diagnostic procedure, regardless of type should be measured against a standard of absolute accuracy due to the errors within all. Absolute labels of personality disorder, including psychopathy, are not always entirely […]

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Personality disorder treatment options

This section outlines the main treatment approaches adopted when working with people with personality disorders and discusses their relative efficacy. Behavioural and cognitive approaches There is evidence that behavioural and cognitive approaches can be effective in the treatment of people with personality disorders. The main approaches evaluated include schemafocused therapy, dialectical behaviour therapy  and long-term […]

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Assessment Tools for Personality Disorders

Below we comment on specific aspects of assessment that are most relevant to the person with suspected personality disorder. The methods with which health care professionals assess an individual for personality traits and disorders encompass a wide range of techniques, which invariably reflect professional background and agenda. Ideally, the assessment would bring together evidence from […]

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Co-morbidity of personality disorders

The co-morbidity of mental illness with personality disorder is a controversial topic, made difficult by disagreement over diagnosis and the fundamentals of personality structure. However, there would appear to be four possible points of view: 1Personality disorder and mental illness cannot exist simultaneously. This position perhaps provides the weakest argument, with little empirical evidence. However, […]

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Course of personality disorders

By definition a personality disorder is stable over time. As such once the features of a personality disorder have become recognized during adolescence or early adulthood it can be expected that the observed pattern of thinking, behaving and feeling will be relatively stable and unchanging. However, it has been found that particularly anti-social and borderline […]

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