The slide to pragmatism: a values-based understanding of 'dangerous' personality disorders

Scott, Susie, Jones, Debbie, Ballinger, Rachel, Bendelow, Gillian and Fulford, Bill (2011) The slide to pragmatism: a values-based understanding of 'dangerous' personality disorders. Health Sociology Review, 20 (2). pp. 157-171. ISSN 1446-1242

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This 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

Item Type: Article
Schools and Departments: School of Law, Politics and Sociology > Sociology
Depositing User: Susie Scott
Date Deposited: 15 Feb 2013 13:24
Last Modified: 15 Feb 2013 13:24
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