Presentation on theme: "Personality Disorder Training; what is the point?"— Presentation transcript:
1Personality Disorder Training; what is the point? Andy Williams, Consultant Psychiatrist in PsychotherapySue Wallace, Sen. Adult Psychotherapist, Mandy Carruth, Nurse TherapistPersonality Disorder and Homelessness TeamNHS Greater Glasgow and Clyde
2BackgroundAlmost 8 years experience of PD training in homeless services in GlasgowRecent experience of training in prisonsWhat have we learned about how to do it?What level of training is right?What style of training is right?
3PD and Homelessness Team the context Psychodynamic psychotherapy – MBTSmall resourceCity-wideRemit to work across agenciesEmphasis on consultation and TRAINING
4PD and Homelessness Team Expectations of what training could achieve Reduce repeat homelessness !Give staffToolsStrategiesto manage/ cope with difficult behaviour
5What are requests for training about? feeling of being overwhelmed by the workinterest to know more about the subjectstress/ anxiety in the organisationnot knowing how best to support someonesomeone else might know what to do – an expert?
6What are requests for training about? feeling of being overwhelmed by the workinterest to know more about the subject“My manager told me to come”stress/ anxiety in the organisationnot knowing how best to support someonesomeone else might know what to do – an expert?
7What are we trying to achieve? Change in:knowledgeskillsattitude
8practice makes perfect… 2006 – 20148-10 training days/ yearTotal of 1,331 staff trained
10transference and countertransference reflective practiceCan people think more about what is going on for the person with personality disorder?and for themselves,and their teams?transference and countertransferencesplitting
11Can people keep in mind the possible origins of “difficult” behaviour? genestemperamentCan people keep in mind the possible origins of “difficult” behaviour?and think about development/early attachmentattachment
12Can people shift to a more empathic position? curiosityCan people shift to a more empathic position?empathy
18Elements in the 1 day Introduction to PD training A lot about attachment and the relationshipA fair bit of thinking about scenariosA wee bit on definitions and categories of personality disorderGroup workControversiesComplexityDiscussion
25What was different? more time on antisocial/ psychopathy paranoid and schizoid also includedmore forensic cases/ issues discussedmore about criminality and responsibilityhumilityhumour
26More time on Empathy and distinguishing from Collusion Can empathise without agreeingNot the same as taking side of prisonerDiscuss concerns about “looking soft” in front of colleaguesConcerns about being “taken in”
28some graphs….Question 1: How well did the learning event meet your aims/ objectives?Question 2: How relevant was the content of the event to your work?Question 3: Please rate the presentation of informationQuestion 4: Suitability of audio/visual aids (eg slides, video)Question 5: Suitability of venue
33General Comments‘Useful reference for dealing with our client group within the prison setting.Emphasised the quality needed by staff for open empathic communication’‘Excellent – thoroughly enjoyed the day and the insight into disorders which will help in my day to day dealings with some individuals in Barlinnie’‘ I now have an increased awareness of PD. I can see the benefit to me in my role’‘ Gave me a good insight into personality disorders, how to identify it in my job and measures I can put in place to help me work with patients’‘ Fascinating and very helpful. Wish I’d done this 20 years ago’
34Suggestions for future events ‘Over 2 days to allow more time for discussion’‘Make this course compulsive for all staff who have prisoner contact’‘Follow up training in venue away from workplace’‘This should be part of prison officers initial training at the SPS college.Very interesting and enjoyable’‘Would like more training to develop my skills’‘More in depth awareness and range of interventions’
35One thing I will change about my practice is… ‘ Show more empathy’‘ Try to be more understanding now I know more about PD’‘ Be more understanding of people’s behaviours without judging’‘ In future this will raise question marks as to the reasoning behindsomeone’s behaviour instead of assuming they are just trying to bedisruptive’‘Using suggestions during course when dealing with prisonersdisplaying PD traits’
36Someone with Borderline Personality has a very mild disorder