Pub Date : 1999-04-01DOI: 10.1080/09585189908402137
J. Bland, G. Mezey, B. Dolan
All 87 women patients who were detained in Broadmoor Hospital during the first 6 months of 1994 are described in terms of their demographic and offence characteristics, their behaviours prior to and during admission, their diagnostic categories and treatment needs. Histories of sexual victimization and physical abuse were present in a substantial number of the population. Acts of self-harm represented a more significant management problem (present in 94% of women) than aggression towards others. The most common behaviours leading to admission were assault (71.3%) and arson (47.1%), although 23% of the women had not been convicted of any offence. The findings are discussed with reference to the need to develop within secure settings psychotherapeutic approaches that reflect the complexity of these women's lives as well as the multiple levels of trauma most have experienced.
{"title":"Special women, special needs: A descriptive study of female special hospital patients","authors":"J. Bland, G. Mezey, B. Dolan","doi":"10.1080/09585189908402137","DOIUrl":"https://doi.org/10.1080/09585189908402137","url":null,"abstract":"All 87 women patients who were detained in Broadmoor Hospital during the first 6 months of 1994 are described in terms of their demographic and offence characteristics, their behaviours prior to and during admission, their diagnostic categories and treatment needs. Histories of sexual victimization and physical abuse were present in a substantial number of the population. Acts of self-harm represented a more significant management problem (present in 94% of women) than aggression towards others. The most common behaviours leading to admission were assault (71.3%) and arson (47.1%), although 23% of the women had not been convicted of any offence. The findings are discussed with reference to the need to develop within secure settings psychotherapeutic approaches that reflect the complexity of these women's lives as well as the multiple levels of trauma most have experienced.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76557555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402143
J. Coid, J. Wilkins, B. Coid
Abstract A co-morbid history of fire-setting and self-mutilation in a sample of female remanded prisoners identified a subgroup with severe personality disorder, early onset of behavioural disorder, and extensive criminality. The relationship between fire-setting and self-mutilation in these subjects was mediated through antisocial personality disorder and an underlying mood disorder. The phenomenology of fire-setting and self-mutilating behaviour was identical in women with pyromania.
{"title":"Fire-setting, pyromania and self-mutilation in female remanded prisoners","authors":"J. Coid, J. Wilkins, B. Coid","doi":"10.1080/09585189908402143","DOIUrl":"https://doi.org/10.1080/09585189908402143","url":null,"abstract":"Abstract A co-morbid history of fire-setting and self-mutilation in a sample of female remanded prisoners identified a subgroup with severe personality disorder, early onset of behavioural disorder, and extensive criminality. The relationship between fire-setting and self-mutilation in these subjects was mediated through antisocial personality disorder and an underlying mood disorder. The phenomenology of fire-setting and self-mutilating behaviour was identical in women with pyromania.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72729307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402140
R. Baxter, S. Rabe-Hesketh, J. Parrott
Abstract A cohort of 63 patients with schizophrenia formerly treated in medium security and discharged were followed up with case-notes and interview, up to 10 years later. Outcome variables studied included reconviction, reoffending behaviour, contact with psychiatric services, mortality, health and social needs, and patient satisfaction. Previously, the group had high levels of inpatient psychiatric care (86%), violent offending (68%), substance abuse (71%), alcohol abuse (29%), history of conduct disorder (48%) and periods in care (22%). At follow-up, 2 were dead (by suicide); of the remainder, 92% had retained links with psychiatric services, 30% had been reconvicted of at least one violent offence, and more than this proportion, again, had reoffended violently. Episodes of violent reoffending outnumbered violent reconviction by nearly 4:1. Most violence was ‘non-serious’. In terms of violence, comorbidity with conduct disorder or problem alcohol use doubled reoffending rates compared with schizophren...
{"title":"Characteristics, needs and reoffending in a group of patients with schizophrenia formerly treated in medium security","authors":"R. Baxter, S. Rabe-Hesketh, J. Parrott","doi":"10.1080/09585189908402140","DOIUrl":"https://doi.org/10.1080/09585189908402140","url":null,"abstract":"Abstract A cohort of 63 patients with schizophrenia formerly treated in medium security and discharged were followed up with case-notes and interview, up to 10 years later. Outcome variables studied included reconviction, reoffending behaviour, contact with psychiatric services, mortality, health and social needs, and patient satisfaction. Previously, the group had high levels of inpatient psychiatric care (86%), violent offending (68%), substance abuse (71%), alcohol abuse (29%), history of conduct disorder (48%) and periods in care (22%). At follow-up, 2 were dead (by suicide); of the remainder, 92% had retained links with psychiatric services, 30% had been reconvicted of at least one violent offence, and more than this proportion, again, had reoffended violently. Episodes of violent reoffending outnumbered violent reconviction by nearly 4:1. Most violence was ‘non-serious’. In terms of violence, comorbidity with conduct disorder or problem alcohol use doubled reoffending rates compared with schizophren...","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78781167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402148
H. Gordon, N. Hindley, A. Marsden, M. Shivayogi
The use of mechanical restraint in British psychiatry is seen as unethical. A different view, however, is held in the United States. The article reviews the literature on the use of mechanical restraint and describes the case-history of a patient in a Special Hospital who poses exceptional difficulties in management and for whom mechanical restraint may prove helpful.
{"title":"The use of mechanical restraint in the management of psychiatric patients: Is it ever appropriate?","authors":"H. Gordon, N. Hindley, A. Marsden, M. Shivayogi","doi":"10.1080/09585189908402148","DOIUrl":"https://doi.org/10.1080/09585189908402148","url":null,"abstract":"The use of mechanical restraint in British psychiatry is seen as unethical. A different view, however, is held in the United States. The article reviews the literature on the use of mechanical restraint and describes the case-history of a patient in a Special Hospital who poses exceptional difficulties in management and for whom mechanical restraint may prove helpful.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85815488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402146
E. Miller
This review paper considers the hypothesis that head injury may be a factor that predisposes to offending. Three major types of evidence are reviewed. The psychological changes that commonly follow significant head injury, such as irritability and impulsivity, could put the head injury victim at increased risk of committing criminal acts. Furthermore, and although methodologically flawed, follow-up studies of head injury victims and investigations of convicted violent offenders both give evidence consistent with the notion that head injury helps to precipitate crime. Some methodological and other points are also discussed.
{"title":"Head injury and offending","authors":"E. Miller","doi":"10.1080/09585189908402146","DOIUrl":"https://doi.org/10.1080/09585189908402146","url":null,"abstract":"This review paper considers the hypothesis that head injury may be a factor that predisposes to offending. Three major types of evidence are reviewed. The psychological changes that commonly follow significant head injury, such as irritability and impulsivity, could put the head injury victim at increased risk of committing criminal acts. Furthermore, and although methodologically flawed, follow-up studies of head injury victims and investigations of convicted violent offenders both give evidence consistent with the notion that head injury helps to precipitate crime. Some methodological and other points are also discussed.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77232980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402139
Joanna White, J. Leggett, A. Beech
This article examines self-harming behaviour in the male population of a medium-secure hospital. Data were taken from the case-files and clinical notes of 88 clients and self-harm was related to a number of background factors. The overall incidence of self-harming behaviour was found to be 45.5%, significantly higher than previously reported for similar male populations. Possible links were found: index offence of non-sexual violence; history of physical or sexual abuse; and diagnosis of mental illness. Overdosing and wrist- or throat-cutting were found to be the most common methods of self-harm. The results are discussed in terms of implications for future intervention and the possibility of generalizing findings from previous research focusing on women's self-harming behaviour.
{"title":"The incidence of self-harming behaviour in the male population of a medium-secure psychiatric hospital","authors":"Joanna White, J. Leggett, A. Beech","doi":"10.1080/09585189908402139","DOIUrl":"https://doi.org/10.1080/09585189908402139","url":null,"abstract":"This article examines self-harming behaviour in the male population of a medium-secure hospital. Data were taken from the case-files and clinical notes of 88 clients and self-harm was related to a number of background factors. The overall incidence of self-harming behaviour was found to be 45.5%, significantly higher than previously reported for similar male populations. Possible links were found: index offence of non-sexual violence; history of physical or sexual abuse; and diagnosis of mental illness. Overdosing and wrist- or throat-cutting were found to be the most common methods of self-harm. The results are discussed in terms of implications for future intervention and the possibility of generalizing findings from previous research focusing on women's self-harming behaviour.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75140006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-04-01DOI: 10.1080/09585189908402147
R. Morgan
{"title":"‘The violation of human rights and fundamental freedoms’, report on a mission to the United States of America: Death by example","authors":"R. Morgan","doi":"10.1080/09585189908402147","DOIUrl":"https://doi.org/10.1080/09585189908402147","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78857228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1998-12-01DOI: 10.1080/09585189808405379
T. Wykes, R. Whittington
Abstract The effects of workplace violence were investigated in a group of 39 psychiatric nurses. Comparisons were made between assaulted nurses and a control group matched for age and occupational grade. The dependent variables were traumatic stress responses, general psychological distress, concurrent stressors and workplace danger. Most assaults were physically minor but two participants (5%) met the criteria for a diagnosis of post-traumatic stress disorder (PTSD). Assaulted staff reported poorer mental health than controls and poorer anger control than at baseline. Psychological distress was higher following assaults resulting in physical injury and staff who were repeatedly assaulted reported either significantly higher or significantly lower distress than those assaulted once. This may indicate early differentiation into violence-distressed and violence-habituated groups.
{"title":"Prevalence and predictors of early traumatic stress reactions in assaulted psychiatric nurses","authors":"T. Wykes, R. Whittington","doi":"10.1080/09585189808405379","DOIUrl":"https://doi.org/10.1080/09585189808405379","url":null,"abstract":"Abstract The effects of workplace violence were investigated in a group of 39 psychiatric nurses. Comparisons were made between assaulted nurses and a control group matched for age and occupational grade. The dependent variables were traumatic stress responses, general psychological distress, concurrent stressors and workplace danger. Most assaults were physically minor but two participants (5%) met the criteria for a diagnosis of post-traumatic stress disorder (PTSD). Assaulted staff reported poorer mental health than controls and poorer anger control than at baseline. Psychological distress was higher following assaults resulting in physical injury and staff who were repeatedly assaulted reported either significantly higher or significantly lower distress than those assaulted once. This may indicate early differentiation into violence-distressed and violence-habituated groups.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80844369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1998-12-01DOI: 10.1080/09585189808405375
K. Manocha, G. Mezey
Abstract The seriousness of the problem posed by adolescents who sexually abuse has been increasingly recognized and documented in recent years. The background characteristics of 51 adolescents aged between 13 and 18 years whc were referred to a specialist assessment and treatment facility for young sexual abusers are presented. Victim and abuse characteristics are also described. The results of this study were found to be broadly consistent with those reported in the recent North American and British literature, and support a multifactorial aetiological explanation for adolescent sexual abuse in terms of environmental, familial, interpersonal and developmental elements. Of particular note is a prior history of abuse and victimization and lack of protective parenting. Increasing knowledge about adolescent sexual abusers will aid the various agencies working with young people to recognize those who are at risk of future sexual abusing and to develop appropriate therapeutic interventions.
{"title":"British adolescents who sexually abuse : a descriptive study","authors":"K. Manocha, G. Mezey","doi":"10.1080/09585189808405375","DOIUrl":"https://doi.org/10.1080/09585189808405375","url":null,"abstract":"Abstract The seriousness of the problem posed by adolescents who sexually abuse has been increasingly recognized and documented in recent years. The background characteristics of 51 adolescents aged between 13 and 18 years whc were referred to a specialist assessment and treatment facility for young sexual abusers are presented. Victim and abuse characteristics are also described. The results of this study were found to be broadly consistent with those reported in the recent North American and British literature, and support a multifactorial aetiological explanation for adolescent sexual abuse in terms of environmental, familial, interpersonal and developmental elements. Of particular note is a prior history of abuse and victimization and lack of protective parenting. Increasing knowledge about adolescent sexual abusers will aid the various agencies working with young people to recognize those who are at risk of future sexual abusing and to develop appropriate therapeutic interventions.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90228902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1998-12-01DOI: 10.1080/09585189808405380
Alison Beck-sander, A. Clark
This paper explores various approaches to risk assessment in a mentally ill population. The need to consider both static and dynamic (e.g. specific psychotic symptoms) aspects of risk is highlighted. Empirical findings regarding the link between specific psychotic symptoms and violent behaviour are viewed in the context of recently formulated psychological models of such symptoms. The authors propose that the most clinically useful approach to risk assessment in individual cases is to draw on both actuarial information and the psychological models of psychotic symptoms to inform a functional analysis of an individual's risk behaviour.
{"title":"Psychological models of psychosis: Implications for risk assessment","authors":"Alison Beck-sander, A. Clark","doi":"10.1080/09585189808405380","DOIUrl":"https://doi.org/10.1080/09585189808405380","url":null,"abstract":"This paper explores various approaches to risk assessment in a mentally ill population. The need to consider both static and dynamic (e.g. specific psychotic symptoms) aspects of risk is highlighted. Empirical findings regarding the link between specific psychotic symptoms and violent behaviour are viewed in the context of recently formulated psychological models of such symptoms. The authors propose that the most clinically useful approach to risk assessment in individual cases is to draw on both actuarial information and the psychological models of psychotic symptoms to inform a functional analysis of an individual's risk behaviour.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90413571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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