title: A biofeedback intervention to control impulsiveness in a severely personality disordered forensic patient.
abstract: 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.
authors.affiliation: Institute of Mental Health, Nottingham, UK.
authors.forename: Rick
authors.initials: R
authors.lastname: Howard
authors.forename: Klaus
authors.initials: K
authors.lastname: Schellhorn
authors.forename: John
authors.initials: J
authors.lastname: Lumsden
mesh_terms: D000328:Adult; D018692:Antimanic Agents / Q000627:therapeutic use; D001288:Attention / Q000502:physiology*; D001676:Biofeedback, Psychology / Q000379:methods*; D002220:Carbamazepine / Q000627:therapeutic use; D002540:Cerebral Cortex / Q000503:physiopathology; D003265:Contingent Negative Variation / Q000502:physiology*; D057237:Criminals / Q000523:psychology*; D053483:Eye Movement Measurements; D006801:Humans; D007175:Impulsive Behavior / Q000503:physiopathology / Q000517:prevention & control*; D007989:Libido / Q000187:drug effects; D008297:Male; D009483:Neuropsychological Tests; D010349:Patient Compliance / Q000523:psychology; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy*; D055502:Secondary Prevention; D057566:Self Report; D012742:Sex Offenses / Q000331:legislation & jurisprudence; D016896:Treatment Outcome; D017329:Triptorelin Pamoate / Q000627:therapeutic use
chemical_list: D018692:Antimanic Agents; D017329:Triptorelin Pamoate; D002220:Carbamazepine