The views of male forensic inpatients on how treatment for personality disorder works
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Although there are now a number of psychological therapies for personality disorder, there has been relatively little research into the processes by which these therapies work. One way to explore this is to seek patients' views on the process of change. This study explores the process of change among male forensic inpatients with primary diagnoses of personality disorder. Twelve patients in a high secure personality disorder service completed a semi-structured interview about their experiences of personal change. Thematic analysis of participants' responses indicated that participants observed change in a variety of domains: core beliefs, awareness and behaviour. Consistent with previous psychotherapy research, interactions with therapists were seen as very important, but so was the wider interpersonal environment, while specific therapeutic techniques were cited relatively rarely. These results suggest that more attention should be paid to the effects of the wider interpersonal environment on therapeutic change processes with this population. © 2013 © 2013 Taylor & Francis.