NICE guidelines: January guidance including antisocial personality disorder

Yesterday NICE - the National Institute for Health and Clinical Excellence in England & Wales - published guidance on a diverse range of fifteen clinical, technology, interventional and public health subjects.  Their clinical guidance on Medicines Adherence  interested me, as too did their public health guidance on Promoting Physical Activity for Children and Young People.  The subject of this post is the clinical guidance on Antisocial Personality Disorder and in my next post, I'll talk about their guidance on Borderline Personality Disorder.  As Dr Tim Kendall, Joint Director, National Collaborating Centre for Mental Health, states: "Approximately 2 million people in the UK have personality disorders, with antisocial and borderline disorders being the most common.

Handouts & questionnaires for emotions, schema & personality

Here are a set of diverse handouts and questionnaires on emotions, schema and personality.  The "triangle of emotions" is a model I put together to help guide work on the longer term dysfunctional personality patterns that we probably all experience to some extent.  The "big five" is a very widely used way of assessing personality, and this "ten aspects" version I find particularly interesting.  There are then a series of handouts from Arnoud Arntz's fine work on understanding and treatment of borderline personality disorder.  I have found that Arntz's ideas seem more broadly helpful than just with borderline (which anyway is a poor descriptor for this emotional regulation disorder).  There are also some sheets derived from Young's associated work on schema. 

A stumble may prevent a fall.
- Thomas Fuller

Emotions, feelings & personality

This section contains handouts and questionnaires about emotions, feelings & personality.  It seems helpful to understand emotions through an evolutionary perspective - we have emotions, to a large extent, because they had (and have) survival value.  We are the descendants of people with adaptive emotional systems that helped them stay alive and function well.  Typically unwelcome feelings that seem maladaptive are due to emotions that are firing off inappropriately.  As a rule of thumb, if an emotion is an appropriate reaction to a situation it can help us respond successfully.  If the emotion is inappropriate then it's likely to be more useful to work to change the emotional response - through therapy or other approaches. 

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