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The slide to pragmatism: a values-based understanding of 'dangerous' personality disorders
journal contribution
posted on 2023-06-08, 08:41 authored by Susie ScottSusie Scott, Debbie Jones, Rachel Ballinger, Gillian Bendelow, Bill FulfordThis paper reports on a qualitative study of UK mental health practitioners' experiences of working with the contested condition, Dangerous and Severe Personality Disorder (DSPD). Our interviews focused on the issues of treatability, risk assessment and decision-making in multi-disciplinary teams. We discuss the approach of Values-Based Medicine (VBM) as a useful framework for interpreting the data: respondents cited both explicit values (based on occupational training) and implicit values (based on personal beliefs and subjective perceptions). There was evidence of conflicting values - within individuals, between occupational groups, and between individuals in occupational groups - which led to widespread uncertainty and caution about whether and how those with 'dangerous' personality disorders could be treated. These disputes were resolved by a 'slide to pragmatism', whereby practitioners, reluctantly acknowledging their own empowerment in the process, sought to make whichever choice was least risky for their own professional reputation, and most pragmatic, given the resources available
History
Publication status
- Published
Journal
Health Sociology ReviewISSN
1446-1242Publisher
e-Content ManagementExternal DOI
Issue
2Volume
20Page range
157-171Department affiliated with
- Sociology and Criminology Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2013-02-15Usage metrics
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