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":"9 1","pages":"59-68"},"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":"29 1","pages":"167-172"},"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":"9 1","pages":"643-658"},"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":"15 1","pages":"588-608"},"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":"150 1","pages":"659-671"},"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}
Pub Date : 1998-12-01DOI: 10.1080/09585189808405377
D. C. James, M. Schramm
Multiple personality disorder is extremely uncommon in England and Wales, and appears to be virtually unknown as a presentation at court. A case is described in which an arrested man appeared in different personalities to the police, at court and in psychiatric hospital. The problems caused to legal and medical professionals are described. Recommendations are given as to how psychiatrists should deal with any further cases that might arise in a forensic setting in the United Kingdom.
{"title":"‘Multiple personality disorder’ presenting to the English courts: A case-study","authors":"D. C. James, M. Schramm","doi":"10.1080/09585189808405377","DOIUrl":"https://doi.org/10.1080/09585189808405377","url":null,"abstract":"Multiple personality disorder is extremely uncommon in England and Wales, and appears to be virtually unknown as a presentation at court. A case is described in which an arrested man appeared in different personalities to the police, at court and in psychiatric hospital. The problems caused to legal and medical professionals are described. Recommendations are given as to how psychiatrists should deal with any further cases that might arise in a forensic setting in the United Kingdom.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"14 1","pages":"615-628"},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81574662","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: 10.1080/09585189808405374
H. Gordon, S. Hammond, R. Veeramani
Abstract The study describes the characteristics of patients requiring transfer to the male and female special care units of a Special Hospital over a 2-year period. A literature review is undertaken in regard to intensive care units in general psychiatric hospitals and special care units in Special Hospitals. The study seeks to analyse any differences between patients requiring special care and patients in the hospital as a whole and compares patients in special care units of Special Hospitals with patients in general psychiatry requiring intensive care.
{"title":"Special care units in Special Hospitals","authors":"H. Gordon, S. Hammond, R. Veeramani","doi":"10.1080/09585189808405374","DOIUrl":"https://doi.org/10.1080/09585189808405374","url":null,"abstract":"Abstract The study describes the characteristics of patients requiring transfer to the male and female special care units of a Special Hospital over a 2-year period. A literature review is undertaken in regard to intensive care units in general psychiatric hospitals and special care units in Special Hospitals. The study seeks to analyse any differences between patients requiring special care and patients in the hospital as a whole and compares patients in special care units of Special Hospitals with patients in general psychiatry requiring intensive care.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"25 1","pages":"571-587"},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87374318","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: 10.1080/09585189808405368
D. Tidmarsh
{"title":"Asylums or crude cauldrons of containment? The future of the Special Hospitals","authors":"D. Tidmarsh","doi":"10.1080/09585189808405368","DOIUrl":"https://doi.org/10.1080/09585189808405368","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"51 4 1","pages":"505-508"},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72653553","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: 10.1080/09585189808405381
H. Putkonen, Jutta Collander, M. Honkasalo, J. Lönnqvist
Abstract Female homicide has been associated with several psychiatric disorders. This distinct field seems to be in need of more research, and therefore we wanted to explore the homicidal women of Finland. We studied written reports of forensic psychiatric evaluations of female offenders committing homicide or attempted homicide during the years 1982–92. Of the investigated women, 28.0% were diagnosed with a psychotic illness, 43.9% with alcoholism and 72.0% with a personality disorder. Comorbidity was common. Only 38.6% of the studied women had a single diagnosis. Those diagnosed as psychotic were not considered legally responsible for their acts. Most offenders had had previous psychiatric care. All the women committing neonaticidc were diagnosed with a personality disorder and none was deemed fully responsible for her act. Further analyses with a new study design might elucidate the characteristic homicidal woman.
{"title":"Finnish female homicide offenders 1982–92","authors":"H. Putkonen, Jutta Collander, M. Honkasalo, J. Lönnqvist","doi":"10.1080/09585189808405381","DOIUrl":"https://doi.org/10.1080/09585189808405381","url":null,"abstract":"Abstract Female homicide has been associated with several psychiatric disorders. This distinct field seems to be in need of more research, and therefore we wanted to explore the homicidal women of Finland. We studied written reports of forensic psychiatric evaluations of female offenders committing homicide or attempted homicide during the years 1982–92. Of the investigated women, 28.0% were diagnosed with a psychotic illness, 43.9% with alcoholism and 72.0% with a personality disorder. Comorbidity was common. Only 38.6% of the studied women had a single diagnosis. Those diagnosed as psychotic were not considered legally responsible for their acts. Most offenders had had previous psychiatric care. All the women committing neonaticidc were diagnosed with a personality disorder and none was deemed fully responsible for her act. Further analyses with a new study design might elucidate the characteristic homicidal woman.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"84 1","pages":"672-684"},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83864985","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: 10.1080/09585189808405372
D. Canter, D. Hughes, S. Kirby
The present study investigates the variations in crime scene behaviour that exist among child sex offenders. Hypotheses concerning behavioural consistencies are drawn from the diverse literature on child sexual abuse wherein three conceptually distinct behavioural themes are identified, characterized by aggressive, intimate, or criminal-opportunist modes of offender-victim interaction. Crime scene data from 97 recorded child sex offences are analysed using multivariate statistical procedures to assess the validity of the themes. The results provide empirical support for all three themes, suggesting a multivariate model of offence behaviour in child sexual abuse. These findings effectively demonstrate that paedophilia can exist as both a pathology and a form of criminality.
{"title":"Paedophilia: Pathology, criminality, or both? The development of a multivariate model of offence behaviour in child sexual abuse","authors":"D. Canter, D. Hughes, S. Kirby","doi":"10.1080/09585189808405372","DOIUrl":"https://doi.org/10.1080/09585189808405372","url":null,"abstract":"The present study investigates the variations in crime scene behaviour that exist among child sex offenders. Hypotheses concerning behavioural consistencies are drawn from the diverse literature on child sexual abuse wherein three conceptually distinct behavioural themes are identified, characterized by aggressive, intimate, or criminal-opportunist modes of offender-victim interaction. Crime scene data from 97 recorded child sex offences are analysed using multivariate statistical procedures to assess the validity of the themes. The results provide empirical support for all three themes, suggesting a multivariate model of offence behaviour in child sexual abuse. These findings effectively demonstrate that paedophilia can exist as both a pathology and a form of criminality.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":"2016 1","pages":"532-555"},"PeriodicalIF":1.4,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86560706","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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