Nidotherapy: a new approach to the treatment of personality disorder.
OBJECTIVE
To develop a treatment, nidotherapy, or nest therapy, so named because it aims to alter the sufferer's personal environment rather than symptoms or behaviour, in the management of personality disorders.


METHODS
Case studies, in which analysis of the environmental circumstances associated with the problems of personality disorder is followed by planned adjustment to that environment so that it makes a more appropriate fit for the personality.


RESULTS
Sustained improvement was found in two individuals with personality disorder after nidotherapy. Those with persistent and predictable personality attributes are easier in principle to treat than those with episodic or variable problems.


CONCLUSIONS
Nidotherapy deserves further consideration in the management of personality disorders.
Tyrer
Peter
P
Department of Public Mental Health, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, UK.
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D012563:Schizophrenia, Paranoid / Q000628:therapy