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44 - Other treatments for persistent disturbances of behaviour

from Part III - Specific treatments

Published online by Cambridge University Press:  12 May 2010

By
Peter Tyrer  and
Stephen Tyrer
Edited by
Peter Tyrer  and
Kenneth R. Silk
Peter Tyrer
Affiliation:
Imperial College London Claybrook Centre Charing Cross Campus London UK
Stephen Tyrer
Affiliation:
University of Northumbria Newcastle upon Tyne UK
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
Kenneth R. Silk
Affiliation:
University of Michigan, Ann Arbor
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Summary

Editors' note

We were not sure where to place this chapter in this book. Persistent behavioural problems are a feature of many disorders and are discussed at length in the sections on organic disorders, alcohol and substance misuse, schizophrenia and child and adolescent psychiatry. Even when these are all taken into account, there remains a core of behavioural problems that goes beyond the specific diagnostic conditions concerned. These conditions or disorders are probably best considered in the same section as personality disorders as they are behaviours that either are persistent or almost seem to be a part of the person's repertoire. The preceding chapter is admirably comprehensive and covers all personality disorders in the official classification systems but it does not consider a group of interventions that is used frequently in psychiatry but not specifically for a particular diagnostic group, but for behaviour disturbance. A large number of interventions in this management area are for people with intellectual (learning) disability, a discipline which does not appear much elsewhere in this book, partly because, despite its importance, it has a relatively low base for evidence-based interventions.

Introduction

The treatment of persistent behavioural problems is usually lengthy, eventful and frustrating for both therapists and patients. Successful engagement requires commitment and perseverance, and although the therapist often hopes that any abnormal behaviour is a consequence of the disorder being treated by evidence-based therapies and should therefore improve pari passu with the other symptoms, all too often the behavioural difficulties persist independently.

Type
Chapter
Information
Cambridge Textbook of Effective Treatments in Psychiatry , pp. 682 - 690
Publisher: Cambridge University Press
Print publication year: 2008

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