{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:50:40Z","timestamp":1747194640946,"version":"3.40.5"},"reference-count":16,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>It is now becoming standard practice in most advanced economies to provide specialist services for those with personality disorder. Such services, almost exclusively, provide complex well-structured psychological interventions lasting many months for a small number of those with borderline personality disorder pathology. The evidence suggests that these treatments are effective but they can only be provided for a small number of people. However, in every area the numbers of patients with significant personality disorder far exceeds those that are treated, and most of these have other personality disorders. It is argued that the current service system is not working efficiently and should be replaced by one that provides resources and expertise within community teams with some external advice from specialists but no transfer of responsibility to a designated team.<\/jats:p>","DOI":"10.1192\/bjb.2021.69","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T02:03:15Z","timestamp":1626055395000},"page":"100-102","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Specialist teams as constituted are unsatisfactory for treating people with personality disorders"],"prefix":"10.1192","volume":"46","author":[{"given":"Conor","family":"Duggan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0358-1459","authenticated-orcid":false,"given":"Peter","family":"Tyrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"S2056469421000693_ref3","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.116.055251"},{"key":"S2056469421000693_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2020.48"},{"key":"S2056469421000693_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2018.10.010"},{"key":"S2056469421000693_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.09.019"},{"volume-title":"Working Effectively with \u2018Personality Disorder\u2019: Contemporary and Critical Approaches to Clinical and Organizational Practice","year":"2020","author":"Ramsden","key":"S2056469421000693_ref4"},{"volume-title":"Personality Disorders: From Evidence to Understanding","year":"2021","author":"Tyrer","key":"S2056469421000693_ref16"},{"key":"S2056469421000693_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1510"},{"key":"S2056469421000693_ref11","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050718-095736"},{"key":"S2056469421000693_ref10","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.17.3.263.22152"},{"key":"S2056469421000693_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-019-0106-3"},{"volume-title":"Personality Disorder: No Longer a Diagnosis of Exclusion","year":"2003","key":"S2056469421000693_ref1"},{"key":"S2056469421000693_ref7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.423"},{"volume-title":"Borderline Personality Disorder: Recognition and Management (NICE Clinical Guideline CG78)","year":"2009","key":"S2056469421000693_ref2"},{"key":"S2056469421000693_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1493"},{"key":"S2056469421000693_ref9","article-title":"Personality change in the Nottingham Study of Neurotic Disorder: 30 year cohort study","author":"Yang","year":"2021","journal-title":"Aust NZ J Psychiatry"},{"key":"S2056469421000693_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423615000328"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469421000693","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T07:23:45Z","timestamp":1648538625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469421000693\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,12]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["S2056469421000693"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2021.69","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"type":"print","value":"2056-4694"},{"type":"electronic","value":"2056-4708"}],"subject":[],"published":{"date-parts":[[2021,7,12]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}