Mesh : Humans Personality Disorders / therapy Criminals / psychology Psychosocial Intervention Adult Psychotherapy

来  源:   DOI:10.1002/pmh.1606

Abstract:
Offenders with personality disorder cause disproportionate harm to society and pose significant challenges for those responsible for their care and rehabilitation. Personality disorders are heterogeneous in terms of symptoms, as well as their pathways to offending behaviour. Thus, there is limited evidence regarding effective interventions. One solution might be to focus on how interventions are delivered as well as what is delivered. Within the non-offender personality disorder literature, the identification of potential mediators of change has enabled interventions to focus on \'how\' they are delivered (e.g., therapeutic alliance) rather than the intervention itself. We explore the evidence and present a scoping review of the available literature on the mechanisms of change in psychological treatments for offenders with personality disorder. Only one study was found in the scoping review, highlighting a significant gap in the evidence base. We discuss the implications of this finding and potential future directions.
摘要:
人格障碍的罪犯对社会造成不成比例的伤害,并对负责其护理和康复的人构成重大挑战。人格障碍在症状方面是异质的,以及他们冒犯行为的途径。因此,关于有效干预措施的证据有限.一种解决方案可能是将重点放在干预措施的交付方式以及交付的内容上。在非罪犯人格障碍文献中,识别潜在的变革中介者使干预措施能够专注于它们是如何交付的(例如,治疗联盟),而不是干预本身。我们探索了证据,并对有关人格障碍罪犯的心理治疗改变机制的现有文献进行了范围审查。在范围审查中只发现了一项研究,突出了证据基础上的巨大差距。我们讨论了这一发现的含义和潜在的未来方向。
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