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BACKGROUND: British government Home and Health Departments have been consulting widely about service development for people with ' dangerous severe personality disorder' (DSPD). There has, however, been no consultation with service users, nor is there any user view literature in this area. METHODS: All people detained in one high security hospital under the legal classification of psychopathic disorder were eligible but those on the admission or intensive care wards were not approached. Views of service were elicited using a purpose designed semi-structured interview. The principal researcher was independent of all clinical teams. Confidentiality about patients' views was assured. AIMS: To establish views on services from one subgroup of people nominated by the government department as having 'DSPD'. RESULTS: Sixty-one of 89 agreed to interview. With security a given, about half expressed a preference for a high security hospital setting, 20% prison and 25% elsewhere, generally medium secure hospitals. Participants most valued caring, understanding and 'experience' among staff. An ideal service was considered to be one within small, domestic living units, providing group and individual therapies. Some found living with people with mental illness difficult, but some specified not wanting segregated units. Views were affected by gender and comorbidity. CONCLUSIONS: As the sample were all in hospital, the emphasis on treatment may reflect a placement bias. All but five participants, however, had had experience of both health and criminal justice services, so were well placed to talk with authority about preferences.

Introduction It is typically considered important in clinical practice to generate an understanding of the relationships and consequences of interaction patterns within the families of patients with serious interpersonal difficulties and histories of violent offending. Method Eight men on a dedicated treatment unit for patients with personality disturbance within a maximum security hospital participated in structured groupwork which focused on family awareness. Results Two measures of outcome were employed: their recollections of family life were assessed before and after the intervention, and their general progress in rehabilitation was followed up 12 months later. Summary scores of the participants' recall of feelings associated with familial figures indicate that the group reported changes in their feelings over the eight-month period. For the duration of the group, and during the subsequent year, the group members remained on the same ward; two had been transferred to medium security at follow-up. Discussion The inherent bias and the small numbers in the group prevent generalization. However, it seems that patients who participated in group work are likely to remain on the ward studied or be moved to lower security. The recollection and sharing experiences of family life may have reduced the patients' sense of isolation. Copyright © 2000 Whurr Publishers Ltd.

Summary. The development of children's understanding of the two logical properties of number—class and relation—is subject to debate (Piaget 1952; Brainerd, 1973, 1979). The study was designed to contribute to this debate by exploring the relative acquisition of “number as class” and “number as order”. This was one of several issues examined in a longitudinal study of the development of the understanding of number emerging in a group of 36 children during the first three years of primary school. A battery of Piagetian and neo-Piagetian tests was individually administered during each of the three years, together with a test of number skills. The study used operationally-defined concepts of “number as order” and “number as class”. Trends over the three cycles were analysed. For numbers less than six and small arrays of numbers, order and class were both in evidence. However, as numbers became larger and more numerous, ordination was in evidence sooner than cardination.