Samantha Russell and Belinda Siesmaa
Dialectical behaviour therapy (DBT) has been widely used in a number of different settings with published outcomes and literature supporting its validity and efficacy. What is…
Abstract
Purpose
Dialectical behaviour therapy (DBT) has been widely used in a number of different settings with published outcomes and literature supporting its validity and efficacy. What is less understood is DBT’s application to forensic populations. The purpose of this paper is to qualitatively explore the experiences of high risk and adult male forensic clients (diagnosed with borderline personality disorder (BPD) and antisocial personality disorder (ASPD)) in a forensic adapted version of DBT.
Design/methodology/approach
Six clients who had completed four modules of DBT and individual therapy engaged in semi-structured interviews which were transcribed and analysed using thematic analysis.
Findings
The findings identified emerging themes relating to group processes and treatment outcomes. Specifically, the importance of motivation, shared learning, professionalism, reinforcement and reflection in creating a positive experience of DBT were identified. In addition clients identified feeling supported, a sense of belonging, personal achievement, increased knowledge and skills application as being part of their experience of DBT.
Research limitations/implications
Whilst efforts were made to manage limitations, potential confounders include the impact of the researcher’s direct involvement in the facilitation of DBT and the small sample size.
Practical implications
This study provides support for the use of DBT with forensic males diagnosed with ASPD and BPD and the importance of the group component to the treatment modality. It emphasises the importance of group cohesion and the development of interpersonal factors including feeling supported, sense of belonging and a sense of achievement.
Originality/value
This paper provides a unique contribution to the understanding of the application of DBT with forensic male clients with personality disorder. It is the first known study to use qualitative methods to explore forensic male clients’ experiences of group and individual DBT. This paper provides insight into the key themes of clients’ experiences of DBT. These identified themes lend support to the importance of motivation of clients and the experience of shared learning, reinforcement and reflection. Furthermore, feeling supported, having a sense of belonging and a sense of personal achievement were identified as key to the positive experience of clients.
Details
Keywords
Elizabeth Spruin, Tara Dunleavy, Chloe Mitchell and Belinda Siesmaa
This study aims to evaluate the utility and reliability of the Psychological Inventory of Criminal Thinking Styles (PICTS) to investigate the criminal cognitions of mentally…
Abstract
Purpose
This study aims to evaluate the utility and reliability of the Psychological Inventory of Criminal Thinking Styles (PICTS) to investigate the criminal cognitions of mentally disordered offenders (MDOs) from the UK.
Design/methodology/approach
The reliability and validity of the PICTS scales were investigated within an MDO sample from the UK (N = 45) and compared to PICTS data from the USA and general offenders in the UK.
Findings
The findings showed that the PICTS functioned in a similar way when used in MDO and non-MDO populations, indicating that from a psychometric perspective, the PICTS scales produce consistent results across both populations. Evidence is further provided to indicate that MDOs from the UK endorse criminal cognitions at a similar level to those in the USA and at a significantly higher level than general UK offenders.
Practical implications
The implications and insight that these findings provide into the criminal cognitions of MDOs are discussed, with specific focus on the significant difference between general offenders and offenders with serious mental illness.
Originality/value
To the best of the authors’ knowledge, this study is the first to use the PICTS with MDOs in the UK, comparing the criminal thinking styles of MDOs and non-MDOs.