Cambridge University Press eBooks, Год журнала: 2022, Номер unknown, С. 88 - 103
Опубликована: Янв. 20, 2022
This chapter examines the evidence of efficacy in pharmacological and psychological treatment those with ASPD good-quality trials for finds that such is lacking. Given range impairments cited previous chapter, here we propose a pragmatic approach relies on non-specific effects psychotherapy, together judicious use medication as required. The former focuses (1) engagement through an explanation disorder, (2) creation expectations (3) identifying relevant options. Judicious medication, when necessary, also recommended. process organised by case conceptualisation individual which seeks to integrate nomothetic (i.e., general principles) idiographic individual) aspects case. For ASPD, particular attention needs be paid managing therapeutic ruptures impulsive paranoid traits are likely lead premature termination. We believe these principles offer practitioner not only sensible defensible procedure, but one within ambit most community mental health teams so it has wide applicability.
Язык: Английский