> it was surely at least somewhat effective, because of this voluntary component
No, it was a cruel and inhumane way to treat people. Personality Disorder used to be a diagnosis of exclusion in England - people with PD would be turned away by mental health services because they were seen as untreatable. That left them at the mercy of criminal justice systems.
We don't think Mental Health hospitals are the place for people with PDs. It's clear that prisons are even worse.
Here's just one example, but there are hundreds, thousands, of others. And this is England where we have free mental health care.
For anyone interested in the treatment of personality disorder: The current NICE guidelines are a bit old and are currently being re-worked. "Meeting the Challenge, Making a Difference" is an excellent short document detailing what PD is, how it affects people, what best current practice for treatment should be, and a list of recommended psychological therapies.
> it was surely at least somewhat effective, because of this voluntary component
No, it was a cruel and inhumane way to treat people. Personality Disorder used to be a diagnosis of exclusion in England - people with PD would be turned away by mental health services because they were seen as untreatable. That left them at the mercy of criminal justice systems.
We don't think Mental Health hospitals are the place for people with PDs. It's clear that prisons are even worse.
Here's just one example, but there are hundreds, thousands, of others. And this is England where we have free mental health care.
http://www.theguardian.com/society/2008/feb/03/prisonsandpro...
For anyone interested in the treatment of personality disorder: The current NICE guidelines are a bit old and are currently being re-worked. "Meeting the Challenge, Making a Difference" is an excellent short document detailing what PD is, how it affects people, what best current practice for treatment should be, and a list of recommended psychological therapies.
http://repository.tavistockandportman.ac.uk/864/
http://www.emergenceplus.org.uk/news-from-emergence/507-meet...