Exploratory trial of schema-focussed therapy in a forensic personality disordered population

The management of needs and risks in personality disordered offender populations has become a focus for health and criminal justice services in the UK. Recent studies demonstrate the effectiveness of schema focussed therapy (SFT) for patients with borderline personality disorder. This study was an exploratory trial of the feasibility of implementing SFT in a population of patients with personality disorder in a high secure hospital in England. Preliminary evaluations of the effects of SFT were conducted to investigate whether those receiving SFT demonstrated significant improvements on measures of anger, impulsiveness, schemata and interpersonal style. No significant effects were evident although there was a significant increase in defectiveness/shame schema in the SFT group. Lack of effectiveness of SFT is likely due to the preliminary nature of this study. Future trials of SFT need to ensure comprehensive therapist preparation, control of TAU, bigger samples, address attrition and provide more intensive therapy.     

The Rise of the Resilient Local Authority?

The term resilience is increasingly being utilised within the study of public policy to depict how individuals, communities and organisations can adapt, cope, and ‘bounce back’ when faced with external shocks such as climate change, economic recession and cuts in public expenditure. In focussing on the local dimensions of the resilience debate, this article argues that the term can provide useful insights into how the challenges facing local authorities in the UK can be reformulated and reinterpreted. The article also distinguishes between resilience as ‘recovery’ and resilience as ‘transformation’, with the latter's focus on ‘bouncing forward’ from external shocks seen as offering a more radical framework within which the opportunities for local innovation and creativity can be assessed and explained. While also acknowledging some of the weaknesses of the resilience debate, the dangers of conceptual ‘stretching’, and the extent of local vulnerabilities, the article highlights a range of examples where local authorities – and crucially, local communities – have enhanced their adaptive capacity, within existing powers and responsibilities. From this viewpoint, some of the barriers to the development of resilient local government are not insurmountable, and can be overcome by ‘digging deep’ to draw upon existing resources and capabilities, promoting a strategic approach to risk, exhibiting greater ambition and imagination, and creating space for local communities to develop their own resilience.     

Shorter notices

The Future of Political Science. By Harold D. Lasswell. Tavistock Publications, 1964. Pp. xii+256. 50/‐.

Mass Persuasion in Communist China. By Frederick T. G. Yu. Pall Mall Press, 1964. Pp. viii+168. 40/‐.

The Emerging Elite: a Study of Political Leadership in Ceylon. By Marshall R. Singer. M.I. T. Press, 1964. Pp. xx+204. $7.50.

The Allocation of Economic Resources. By Moses Abramovitz and others. Stanford University Press, paper‐back edition, 1966. Pp. 244. 22/6.

The Ohlin‐Heckscher Theory of the Basis and Effects of Commodity Trade. By J. L. Ford. Asia Publishing House, 1965. Pp. viii+88. 25/‐.

Essays in Southern Economic Development. Edited by Melvin L. Greenhut and W. Tate Whitman. University of North Carolina Press, 1965. Pp. xx+498. 60/‐.

Scarcity and Growth: the Economics of Natural Resource Availability. By Harold J. Barnett and Chandler Morse. Johns Hopkins Press. 1965. Pp. 304. 18/‐.     

Secure pathways for women in the UK: lessons from the women’s enhanced medium secure services (WEMSS) pilots

Abstract

Women’s enhanced medium secure services (WEMSS) is a model of care aimed at providing a more appropriate level of security for women and, in so doing, reducing the number of women in high secure psychiatric services. In 2007, three Department of Health commissioned WEMSS pilots became operational. This study compared the clinical outcomes of women in WEMSS with control women in six standard medium secure services and one high secure service matched on key clinical and risk characteristics, in order to examine their pathways of care. Our findings confirm that the WEMSS pilots were successful in transitioning women from high secure services who had previously been thought unsuitable for medium secure services. However, WEMSS showed no additional clinical benefit, suggesting that these women could be cared for equally well within standard medium secure services. We make recommendations about WEMSS and the future shape of women’s secure care in England.     

‘Coping with the job’: prison staff responding to self-harm in three English female prisons: a qualitative study

This study considers how those who work in prisons are affected by and respond to repetitive self-harm of imprisoned women in English prisons. This paper considers the perspectives of custodial staff working in this area on a day-to-day basis. Semi-structured face-to-face interviews were conducted with 14 prison staff and explored using techniques of thematic analysis. The interviews examined: the emotional impact of working with and witnessing self-harm incidents, coping strategies used, training and the support available to prison staff. Findings indicate the strategies used by staff to cope emotionally with such incidents and these include presenting a ‘façade of coping’, rejecting support and becoming desensitised. It is concluded that staff felt they must portray themselves as coping well with self-harm in prison even when they were troubled and emotionally affected by it. However, some did describe accepting help when outside of the prison and this has implications for how support can be offered in the future. It is recommended that more should be done to support and train staff in this area.     

Worth a Thousand Words: The Unwritten History of Law as a Jurisprudence of Text and Pictures

International Journal for the Semiotics of Law - Revue internationale de Sémiotique juridique -     

Shock incarceration and its impact on the lives of problem drinkers

Of shock incarceration on offenders identified as problem on a criminal history of alcohol-related crimes and self report of drinking ehavior, was examined. Problem drinkers and non-pronkers serving time in a shock incarceration program were compare similar offenders serving time in a regular prison environment. Attitude previously found to be associated with problem drinking were examined using a repeated measures design over a three month period. Problem drinkers in shock incarceration became less alienated and more prosocial in their attitudes compared to the problem drinkers in the prison inmates. Problem drinkers who graduated from shock incarceration were also found to adjust better on parole than offenders paroled from regular prison. Flowever, the behavior of problem drinkers as a group was more varied than that of non-problem drinkers, emphasizing the importance of and need for programs such as this to provide adequate support and after-care for problem drinkers and substance abusers.