Nidotherapy in practice
Abstract
Background: Nidotherapy is a form of management for chronic and persisting mental disorders that concentrates on making environmental changes to make a better fit between person and environment. In the context of nidotherapy all types of environmental change, physical, social and personal, are considered relevant.Aims: To describe the principles of nidotherapy, how it is used in clinical practice, and how it fits in with other aspects of treatment.Method: Descriptions of the procedures and skills used in treatment with brief vignettes of problems that arise in practice, how it integrates with other forms of management, and the patients for whom it should be selected.Results: Summaries of data associated with successful nidotherapy interventions and also of relative failures, together with strategies of engagement.Conclusions: Although nidotherapy is a relatively recent introduction to psychological treatments in psychiatry it is argued that it does not overlap with other modalities of treatment and deserves to be considered at times of persistent symptoms, handicaps and therapeutic despair.Declaration of interest: PT is grant holder and KK the main nidotherapist in a current study of nidotherapy in antisocial personality disturbance funded by the NHS National Programme on Forensic Mental Health.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
At present there is no evidence supporting the efficacy of nidotherapy for challenging behaviour in people with intellectual disability.
“Nidotherapy offers environmental adjustment rather than direct treatment and at present there is no evidence supporting its efficacy for challenging behaviour in people with intellectual disability (Tyrer 2007).”
From Interventions for challenging behaviour in intellectual disability (2014) · cites this paper as Tyrer 2007
For treatment-resisting (Type R) personality disorder, adapting the environment to the personality through nidotherapy may be better than seeking personality change.
“it may be better to try and adapt the envi ronment to the personality and this can be done systemati cally in the form of nidotherapy”
From Personality disorder: a new global perspective (2010) · cites this paper as [35]
Cites
Diagnosis and Assessment in Autism
Schopler, E., & Mesibov, G. B. (1988) · Springer eBooks · doi:10.1007/978-1-4899-0792-9 · Cited by 224 · see citing works
Treatment Rejecting and Treatment Seeking Personality Disorders: Type R and Type S
Tyrer, P., Mitchard, S., Methuen, C., & Ranger, M. (2003) · Journal of Personality Disorders · doi:10.1521/pedi.17.3.263.22152 · Cited by 195 · see citing works
Self-citationFive-Year Course and Outcome of Dysthymic Disorder: A Prospective, Naturalistic Follow-Up Study
Klein, D. N., Schwartz, J. E., Rose, S., & Leader, J. B. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.6.931 · Cited by 187 · see citing works
Sakamoto, N., Martin, R. G., Kumano, H., Kuboki, T., & Al‐Adawi, S. (2005) · The International Journal of Psychiatry in Medicine · doi:10.2190/7weq-216d-tvnh-pqj1 · Cited by 138 · see citing works
‘Pfropfschizophrenie’ revisited
Doody, G. A., Johnstone, E. C., Sanderson, T. L., Owens, D. G. C., & Muir, W. J. (1998) · The British Journal of Psychiatry · doi:10.1192/bjp.173.2.145 · Cited by 135 · see citing works
Barry, M. M., & Zissi, A. (1997) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00800666 · Cited by 127 · see citing works
Social Contexts: Transcending Their Power and Their Fragility
Moos, R. H. (2003) · American Journal of Community Psychology · doi:10.1023/a:1023041101850 · Cited by 126 · see citing works
Nidotherapy: a new approach to the treatment of personality disorder
Tyrer, P. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.01362.x · Cited by 78 · see citing works
Self-citationPrinciples of Nidotherapy in the Treatment of Persistent Mental and Personality Disorders
Tyrer, P., Sensky, T., & Mitchard, S. (2003) · Psychotherapy and Psychosomatics · doi:10.1159/000073032 · Cited by 75 · see citing works
Self-citationReid, D. H., Everson, J. M., & Green, C. W. (1999) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1999.32-467 · Cited by 74 · see citing works
Prevalence of personality disorder in the case-load of an inner-city assertive outreach team
Ranger, M., Methuen, C., Rutter, D., Rao, B., & Tyrer, P. (2004) · Psychiatric Bulletin · doi:10.1192/pb.28.12.441 · Cited by 63 · see citing works
Self-citationNidotherapy: making the environment do the therapeutic work
Tyrer, P., & Bajaj, P. (2005) · Advances in Psychiatric Treatment · doi:10.1192/apt.11.3.232 · Cited by 54 · see citing works
Self-citationBrowder, D. M., Bambara, L. M., & Belfiore, P. J. (1997) · Journal of Behavioral Education · doi:10.1023/a:1022815604235 · Cited by 33 · see citing works
Personality disorder and community mental health teams : a practitioner's guide
Sampson, M., McCubbin, R. A., & Tyrer, P. J. (2006) · Wiley eBooks · Cited by 25 · see citing works
Self-citationModestin, J. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.t01-1-01362.x · Cited by 2 · see citing works
Editorial: Nidotherapy as a treatment strategy in stress
Tyrer, P. J. (2003) · Stress and Health · doi:10.1002/smi.972 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Personality disorder: a new global perspective
TYRER, P., MULDER, R., CRAWFORD, M., NEWTON-HOWES, G., SIMONSEN, E., NDETEI, D., KOLDOBSKY, N., FOSSATI, A., MBATIA, J., & BARRETT, B. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00270.x · Cited by 102 · see citing works
Self-citationRanger, M., Tyrer, P., Miloseska, K., Fourie, H., Khaleel, I., North, B., & Barrett, B. (2009) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00001019 · Cited by 76 · see citing works
Self-citationCorner, C., Rojas, A. M., Bryant, L., Ostler, P. J., & Hoskin, P. (2008) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2007.12.026 · Cited by 72 · see citing works
Tyrer, P. J., Oliver, P., Romeo, R., Knapp, M. R. J., Huline‐Dickens, S., Bouras, N., Ahmed, M. Z., Cooray, S., Deb, S. S., Murphy, D., et al. (2009) · Health Technology Assessment · doi:10.3310/hta13210 · Cited by 55 · see citing works
Self-citationInterventions for challenging behaviour in intellectual disability
Ali, A., Blickwedel, J., & Hassiotis, A. (2014) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.113.011577 · Cited by 51 · see citing works
Tyrer, P. J., Miloŝeska, K., Whittington, C. J., Ranger, M., Khaleel, I., Crawford, M., North, B. V., & Barrett, B. M. (2011) · The Psychiatrist · doi:10.1192/pb.bp.110.029983 · Cited by 51 · see citing works
Self-citationThe place for nidotherapy in psychiatric practice
Tyrer, P. J., Kramo, K., Miloŝeska, K., & Seivewright, H. (2006) · Psychiatric Bulletin · doi:10.1192/pb.31.1.1 · Cited by 38 · see citing works
Self-citationSpencer, S., Rutter, D., & Tyrer, P. J. (2009) · International Journal of Social Psychiatry · doi:10.1177/0020764008095934 · Cited by 29 · see citing works
Self-citationAggressive Behaviour in Adults with Intellectual Disability
Oliver, P., Murphy, D., & Tyrer, P. J. (2009) · CNS Drugs · doi:10.2165/11310930-000000000-00000 · Cited by 27 · see citing works
Self-citationWhat can clinical behaviour analysis contribute to nidotherapy?
Veale, D. M., Smith, G., & Drossel, C. (2009) · Personality and Mental Health · doi:10.1002/pmh.104 · Cited by 22 · see citing works
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403 · Cited by 22 · see citing works
Self-citationNidotherapy: Harmonising the Environment with the Patient
Tyrer, P. J., & Tyrer, H. (2009) · Cited by 15 · see citing works
Self-citationLana, F., & Martin, M. (2013) · PubMed · Cited by 9 · see citing works
Vollmer, T., Koppen, G., Iovița, C., & Schießl, L. (2024) · Architecture · doi:10.3390/architecture4030029 · Cited by 5 · see citing works
Other treatments for persistent disturbances of behaviour
Tyrer, P. J., & Tyrer, S. P. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544392.046 · Cited by 3 · see citing works
Self-citationPsychotherapy for personality disorder
BATEMAN, A. W., & Fonagy, P. (2012) · doi:10.1093/med/9780199696758.003.0113 · Cited by 2 · see citing works
Narayanan, V., Acharya, B., Prasad, C. P., & Gautam, D. (2012) · International Journal of Medical Physics Clinical Engineering and Radiation Oncology · doi:10.4236/ijmpcero.2012.13010
Chand, S. B., Chaurasia, P. P., Adhikary, M. P., & Jha, A. K. (2015) · World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany · doi:10.1007/978-3-319-19387-8_401
Bornstein, R. F. (2017) · Personality and Mental Health · doi:10.1002/pmh.1383
Hopwood, C. J., & Smith, J. D. (2017) · Personality and Mental Health · doi:10.1002/pmh.1386
Methods of Delivering Treatment
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.007
Self-citationPractice of Quality Assurance of HDR Brachytherapy in Nepal
Srivastava, R. P., Chaurasia, P. P., Chand, S. B., Prasiko, G., & Jha, A. K. (2007) · Springer eBooks · doi:10.1007/978-3-540-36841-0_430
Economic Benefits of Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.013
Self-citationThe General Philosophical Principles of Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.004
Self-citationTyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.015
Self-citationThe Four Phases of Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.006
Self-citationWhat Are the Qualities of a Good Nidotherapist?
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.010
Self-citationHow to Develop Skills in Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.009
Self-citationNidotherapy for People with Intellectual Disability and Dementia
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.008
Self-citationCommon Misconceptions about Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.014
Self-citationTyrer, P. J., & Tyrer, H. (2018) · doi:10.1017/9781911623403.001
Self-citationAssessing the Patient for Nidotherapy
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.005
Self-citationTyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.012
Self-citationTyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.016
Self-citationTyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.003
Self-citationNidotherapy, Physical and Occupational Health and Social Care
Tyrer, P. J., & Tyrer, H. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623403.011
Self-citationTyrer, P. J., & Tyrer, H. (2018) · doi:10.1017/9781911623403.002
Self-citationNew Insights on Challenging Behavior: Assessment and Treatment Across the Lifespan
Hassiotis, A., & Vegh, B. (2024) · Autism and child psychopathology series · doi:10.1007/978-3-031-66902-6_9 · Cited by 2 · see citing works
- Authors
- Tyrer, P., & Kramo, K.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Tyrer, Peter
- ORCID
- Tyrer, Peter
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2007-01
- Volume
- 16
- Issue
- 1
- Pages
- 117-129
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2108816256
- Cited by
- 38
- References
- 16
- Citations by year
- 2024: 2 · 2018: 17 · 2017: 2 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- person-environment fit, environmental change, chronic mental illness, persistent symptoms, treatment integration, patient engagement, treatment failure, forensic mental health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
