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A biofeedback intervention to control impulsiveness in a severely personality disordered forensic patient
Author(s) -
Howard Rick,
Schellhorn Klaus,
Lumsden John
Publication year - 2013
Publication title -
personality and mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 22
eISSN - 1932-863X
pISSN - 1932-8621
DOI - 10.1002/pmh.1231
Subject(s) - biofeedback , psychology , intervention (counseling) , personality , clinical psychology , borderline personality disorder , impulsivity , personality disorders , psychiatry , social psychology
Impulsiveness in personality disordered forensic patients is associated with poor treatment completion and high risk of re‐offending. A biofeedback training protocol, previously found to reduce impulsiveness and improve attention in children with Attention Deficit Hyperactivity Disorder, was used in an initial attempt to reduce impulsiveness in a severely personality disordered man with borderline, antisocial and histrionic features. Electrocortical, behavioural and self‐report measures of impulsiveness were taken before and immediately following 6 weeks of biofeedback training and at 3 months follow‐up. The patient successfully engaged with the intervention. His self‐reports of reduced impulsiveness and improved attention were corroborated by behavioural and electrocortical measures that indicated reduced impulsiveness and better focused attention. Results suggest this intervention might prove useful in improving behavioural and emotional self‐regulation in severely personality disordered patients. Copyright © 2013 John Wiley & Sons, Ltd.