Pub Date : 2011-09-01DOI: 10.1080/14789949.2011.599659
S. Henley
law, wrote the chapter on the use of pharmacotherapy. The chapter is thorough but there is a pervasive sense that it is not written as a medical appraisal of these interventions. It would have benefited from co-authorship by a (psycho)pharmacologist. Whilst acknowledging in their introduction that paedophilia is ultimately a clinical construct, the reader is left confused because the authors contradict this later. The book is described as essential reading for policy makers, those working in agencies with responsibility for sex offenders and students of criminology, psychology and sociology. As a forensic psychiatrist, I consider myself a lifelong student of the latter three subjects and agree that it is an interesting, well-researched and thorough text for that purpose. What it does not do is provide me with a practical guide to managing high-risk sex offenders under my care in the community. The book with the same title by Jackie Craissati is a successful alternative for this purpose.
{"title":"Consultancy and advising in forensic practice: empirical and practical guidelines","authors":"S. Henley","doi":"10.1080/14789949.2011.599659","DOIUrl":"https://doi.org/10.1080/14789949.2011.599659","url":null,"abstract":"law, wrote the chapter on the use of pharmacotherapy. The chapter is thorough but there is a pervasive sense that it is not written as a medical appraisal of these interventions. It would have benefited from co-authorship by a (psycho)pharmacologist. Whilst acknowledging in their introduction that paedophilia is ultimately a clinical construct, the reader is left confused because the authors contradict this later. The book is described as essential reading for policy makers, those working in agencies with responsibility for sex offenders and students of criminology, psychology and sociology. As a forensic psychiatrist, I consider myself a lifelong student of the latter three subjects and agree that it is an interesting, well-researched and thorough text for that purpose. What it does not do is provide me with a practical guide to managing high-risk sex offenders under my care in the community. The book with the same title by Jackie Craissati is a successful alternative for this purpose.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"22 1","pages":"623 - 624"},"PeriodicalIF":1.4,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789949.2011.599659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875160","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 : 2011-09-01DOI: 10.1080/14789949.2011.599652
G. Adshead
This book describes the development of prison therapeutic communities (TCs) and also offers descriptions of the work that happens there, either qualitatively or quantitatively. It contains a rich variety of perspectives: some chapters describe the experience of different groups of prisoners in TCs, and others describe the work of therapists, such as arts therapy or drama therapy. There is an especially valuable research section in which a number of studies that demonstrate the effectiveness of the TC intervention in terms of enhancement of empathy and the reduction of antisocial attitudes and behaviors are reported. I warmly recommend this book to all forensic practitioners. I think it is not fully appreciated that forensic psychiatric services owe a debt of gratitude to the TC paradigm. The origins of the psychiatric treatment of offenders in both prisons and secure psychiatric units lie in a TC principle: that our social identity is part of what makes us human, and if we lose that, we suffer, go mad and die early. Offenders are people who have disconnected themselves from their social worlds; and for those who are mentally ill or severely personality disordered, this has happened twice over. The TC model can also be seen as the forerunner of the biopsychosocial model and the recovery paradigm. These models have in common not only a respect for individual autonomy, but also an understanding that this autonomy consists of multiple elements woven into a narrative of experience. One of those elements is our relationships with other people; and the TC model was arguably the first to suggest that acting antisocially had a meaning that was social and not just an expression of individual psychodynamics. Indeed, I would go so far as to say that the development of prison TCs helped us to understand that people who break the rules are acting ‘‘anti-the-social,’’ i.e. they are unconsciously making a statement about their relationship with the larger groups that they relate to: gender, ethnicity, family, and local community. I am thinking here of a man who killed several members of his family in the context of some very odd beliefs about the world and his place in it. After some time in prison, he came to a secure hospital, where it quickly The Journal of Forensic Psychiatry & Psychology Vol. 22, No. 4, August 2011, 620–627
{"title":"Grendon and the emergence of forensic therapeutic communities: developments in research and practice","authors":"G. Adshead","doi":"10.1080/14789949.2011.599652","DOIUrl":"https://doi.org/10.1080/14789949.2011.599652","url":null,"abstract":"This book describes the development of prison therapeutic communities (TCs) and also offers descriptions of the work that happens there, either qualitatively or quantitatively. It contains a rich variety of perspectives: some chapters describe the experience of different groups of prisoners in TCs, and others describe the work of therapists, such as arts therapy or drama therapy. There is an especially valuable research section in which a number of studies that demonstrate the effectiveness of the TC intervention in terms of enhancement of empathy and the reduction of antisocial attitudes and behaviors are reported. I warmly recommend this book to all forensic practitioners. I think it is not fully appreciated that forensic psychiatric services owe a debt of gratitude to the TC paradigm. The origins of the psychiatric treatment of offenders in both prisons and secure psychiatric units lie in a TC principle: that our social identity is part of what makes us human, and if we lose that, we suffer, go mad and die early. Offenders are people who have disconnected themselves from their social worlds; and for those who are mentally ill or severely personality disordered, this has happened twice over. The TC model can also be seen as the forerunner of the biopsychosocial model and the recovery paradigm. These models have in common not only a respect for individual autonomy, but also an understanding that this autonomy consists of multiple elements woven into a narrative of experience. One of those elements is our relationships with other people; and the TC model was arguably the first to suggest that acting antisocially had a meaning that was social and not just an expression of individual psychodynamics. Indeed, I would go so far as to say that the development of prison TCs helped us to understand that people who break the rules are acting ‘‘anti-the-social,’’ i.e. they are unconsciously making a statement about their relationship with the larger groups that they relate to: gender, ethnicity, family, and local community. I am thinking here of a man who killed several members of his family in the context of some very odd beliefs about the world and his place in it. After some time in prison, he came to a secure hospital, where it quickly The Journal of Forensic Psychiatry & Psychology Vol. 22, No. 4, August 2011, 620–627","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"22 1","pages":"620 - 627"},"PeriodicalIF":1.4,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789949.2011.599652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875094","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 : 2011-04-01DOI: 10.1080/14789949.2010.528012
Ron van Outsem
This review of the literature investigates the possibilities of the incorporation of neurofeedback into the repertoire of forensic psychotherapy. After a brief description of the method, an overview of the empirical evidence of its efficacy in specific areas of treatment is presented. This evidence is then translated into possible applications of neurofeedback in various areas of offender treatment including domestic violence, various other forms of violent and anti-social behavior, certain forms of sexually abusive behavior, and criminal behavior of an obsessive–compulsive nature. It is stressed in this review that neurofeedback is still a relatively new subject of empirical research. Therefore, more research is needed to establish its value for the field of forensic psychotherapy more precisely.
{"title":"The applicability of neurofeedback in forensic psychotherapy: a literature review","authors":"Ron van Outsem","doi":"10.1080/14789949.2010.528012","DOIUrl":"https://doi.org/10.1080/14789949.2010.528012","url":null,"abstract":"This review of the literature investigates the possibilities of the incorporation of neurofeedback into the repertoire of forensic psychotherapy. After a brief description of the method, an overview of the empirical evidence of its efficacy in specific areas of treatment is presented. This evidence is then translated into possible applications of neurofeedback in various areas of offender treatment including domestic violence, various other forms of violent and anti-social behavior, certain forms of sexually abusive behavior, and criminal behavior of an obsessive–compulsive nature. It is stressed in this review that neurofeedback is still a relatively new subject of empirical research. Therefore, more research is needed to establish its value for the field of forensic psychotherapy more precisely.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"22 1","pages":"223 - 242"},"PeriodicalIF":1.4,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789949.2010.528012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875031","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 : 2009-05-27DOI: 10.1080/14789940902770523
K. Dean
{"title":"Key issues in criminal career research: new analyses of the Cambridge Study in Delinquent Development","authors":"K. Dean","doi":"10.1080/14789940902770523","DOIUrl":"https://doi.org/10.1080/14789940902770523","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"20 1","pages":"494 - 496"},"PeriodicalIF":1.4,"publicationDate":"2009-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789940902770523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875020","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 : 2005-03-01DOI: 10.1080/1478994042000325994
J. Keene, J. Rodríguez
There are very few large population studies combining information from mental health and criminal justice populations and therefore a lack of information about the characteristics, risks, and service utilisation of the mentally disordered offender population as a whole. This study, for the first time in the UK, combines anonymised data to link all cases across mental health agency (n = 27,282) and criminal justice agency (n = 23,740) populations within one English county (n = 907,524) over three years. It compares gender and age characteristics of the shared population of mentally disordered offenders with each sub-population and the general county population as a whole. It assesses the risks of offending for mental and non-mental health sub-populations, both overall (six times greater among the mentally disordered) and across genders and age groups (greater among males and youngsters). It assesses the impact of mental health needs and service use on the risks and frequency of offending for different gender and age groups of mental health patients (inpatients were at higher risks and community care patients at lower risks, except for males). Finally it identifies the existence of two distinct 'care' populations and examines how this type of data could inform future service development.
{"title":"Mentally disordered offenders: A case linkage study of criminal justice and mental health populations in the UK","authors":"J. Keene, J. Rodríguez","doi":"10.1080/1478994042000325994","DOIUrl":"https://doi.org/10.1080/1478994042000325994","url":null,"abstract":"There are very few large population studies combining information from mental health and criminal justice populations and therefore a lack of information about the characteristics, risks, and service utilisation of the mentally disordered offender population as a whole. This study, for the first time in the UK, combines anonymised data to link all cases across mental health agency (n = 27,282) and criminal justice agency (n = 23,740) populations within one English county (n = 907,524) over three years. It compares gender and age characteristics of the shared population of mentally disordered offenders with each sub-population and the general county population as a whole. It assesses the risks of offending for mental and non-mental health sub-populations, both overall (six times greater among the mentally disordered) and across genders and age groups (greater among males and youngsters). It assesses the impact of mental health needs and service use on the risks and frequency of offending for different gender and age groups of mental health patients (inpatients were at higher risks and community care patients at lower risks, except for males). Finally it identifies the existence of two distinct 'care' populations and examines how this type of data could inform future service development.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"63 4 1","pages":"167 - 191"},"PeriodicalIF":1.4,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1478994042000325994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59874735","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 : 2004-03-01DOI: 10.1080/14788940410001655916
V. de Vogel, C. de Ruiter
Do clinicians and researchers differ in their violence risk assessment of the same patient? In this study, the Dutch version of the HCR-20 was coded by two independent researchers and two independent clinicians (treatment supervisor and group leader) for 60 patients admitted to a Dutch forensic psychiatric hospital. The aim of the study was threefold: (1) to establish the interrater reliability of the Dutch HCR-20; (2) to gain insight into differences between researchers and clinicians in coding the HCR-20; and (3) to examine the relationship between clinicians' feelings towards their patients and their risk judgment. Overall, the interrater reliability of the HCR-20 was good. The group leaders gave significantly lower HCR-20 scores than the researchers. There were no significant differences between the mean HCR-20 scores of treatment supervisors and researchers, but there was a significant difference in the interpretation of the scores: treatment supervisors had more ‘low risk’ judgments than researchers. Furthermore, it was found that feelings of clinicians towards their patients were associated with their risk judgment. Feelings of being controlled and manipulated by the patient were related to higher HCR-20 scores, whereas positive feelings (helpful, happy, relaxed) were related to lower risk judgments.
{"title":"Differences between clinicians and researchers in assessing risk of violence in forensic psychiatric patients","authors":"V. de Vogel, C. de Ruiter","doi":"10.1080/14788940410001655916","DOIUrl":"https://doi.org/10.1080/14788940410001655916","url":null,"abstract":"Do clinicians and researchers differ in their violence risk assessment of the same patient? In this study, the Dutch version of the HCR-20 was coded by two independent researchers and two independent clinicians (treatment supervisor and group leader) for 60 patients admitted to a Dutch forensic psychiatric hospital. The aim of the study was threefold: (1) to establish the interrater reliability of the Dutch HCR-20; (2) to gain insight into differences between researchers and clinicians in coding the HCR-20; and (3) to examine the relationship between clinicians' feelings towards their patients and their risk judgment. Overall, the interrater reliability of the HCR-20 was good. The group leaders gave significantly lower HCR-20 scores than the researchers. There were no significant differences between the mean HCR-20 scores of treatment supervisors and researchers, but there was a significant difference in the interpretation of the scores: treatment supervisors had more ‘low risk’ judgments than researchers. Furthermore, it was found that feelings of clinicians towards their patients were associated with their risk judgment. Feelings of being controlled and manipulated by the patient were related to higher HCR-20 scores, whereas positive feelings (helpful, happy, relaxed) were related to lower risk judgments.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"15 1","pages":"145 - 164"},"PeriodicalIF":1.4,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14788940410001655916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59874941","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 : 2004-03-01DOI: 10.1080/14789940410001661810
Adrian Grounds Dm FRCPsych, Tom Fryers Md PhD Ffphm Visiting
Medium secure units sit in the middle of a spectrum of forensic inpatient care, called upon both by those leaving maximum security and those testing the limits of local admission. Defining middles is never easy and 3 decades after the development of these units there is still little consensus on precisely what criteria should decide the need for admission, and limited information on what factors operate in practice. Clarity could make admission assessment a more predictable process than it currently is and could even underpin a more rational policy development for forensic psychiatric care. Perhaps with this in mind, in 1998 the Department of Health commissioned two national studies of admission to, and discharge from, medium secure psychiatric care in England and Wales. This issue of the Journal contains a series of three papers describing the study of admission. The initial research brief had ambitious aims. It specified that the study should include samples of referrals to medium secure psychiatric services; a comparison of different areas and models of service provision; generalisable data on who gains access to medium secure care and who does not; an analysis of the determinants of selection; an examination of decision making The Journal of Forensic Psychiatry & Psychology
{"title":"What determines access to medium secure psychiatric provision","authors":"Adrian Grounds Dm FRCPsych, Tom Fryers Md PhD Ffphm Visiting","doi":"10.1080/14789940410001661810","DOIUrl":"https://doi.org/10.1080/14789940410001661810","url":null,"abstract":"Medium secure units sit in the middle of a spectrum of forensic inpatient care, called upon both by those leaving maximum security and those testing the limits of local admission. Defining middles is never easy and 3 decades after the development of these units there is still little consensus on precisely what criteria should decide the need for admission, and limited information on what factors operate in practice. Clarity could make admission assessment a more predictable process than it currently is and could even underpin a more rational policy development for forensic psychiatric care. Perhaps with this in mind, in 1998 the Department of Health commissioned two national studies of admission to, and discharge from, medium secure psychiatric care in England and Wales. This issue of the Journal contains a series of three papers describing the study of admission. The initial research brief had ambitious aims. It specified that the study should include samples of referrals to medium secure psychiatric services; a comparison of different areas and models of service provision; generalisable data on who gains access to medium secure care and who does not; an analysis of the determinants of selection; an examination of decision making The Journal of Forensic Psychiatry & Psychology","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"15 1","pages":"1-6"},"PeriodicalIF":1.4,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789940410001661810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875074","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 : 2003-12-01DOI: 10.1080/14789940310001626649
Bridget Dolan Barrister
{"title":"Legal digest: a summary of recent case-law","authors":"Bridget Dolan Barrister","doi":"10.1080/14789940310001626649","DOIUrl":"https://doi.org/10.1080/14789940310001626649","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"15 1","pages":"272-277"},"PeriodicalIF":1.4,"publicationDate":"2003-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789940310001626649","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875000","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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