Search results for ‘Subject term:"personality disorders"’ Sort:
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An agitation of contrary opinions
- Author:
- TYRER Peter
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s1-s2.
- Publisher:
- Cambridge University Press
Those people who are dangerous often have personality disorders. Should these individuals be dealt with by criminal justice or mental health services? England (note not Scotland) has taken the mental health route with the Dangerous and Severe Personality Disorder Programme. Is this bold move wise or foolish? To answer this question we have both evidence and opinion – neither is conclusive.
Personality disorder and the law in Scotland: a historical perspective
- Authors:
- DARJEE Rajan, CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 14(2), September 2003, pp.394-425.
- Publisher:
- Taylor and Francis
Describes the evolution of the law relating to personality disorders in Scotland, including the consideration of the development of diminished responsibility, the introduction of moral imbecile and the 'absence' of psychopathic disorder from the Mental Health (Scotland) Act 1960 and the Mental Health (Scotland) Act 1984. Although statute law has been very similar to that in England and Wales, legal practice in relation to diminished responsibility prior to the abolition of the death penalty excluded psychopathic offenders, and psychiatric practice since the 1970s has tended to reject hospital disposals for offenders with primary personality disorders. This historical understanding of personality disorder in Scotland helps to clarify the current differences between Scotland and England and Wales, and helps in the understanding of future developments in Scotland.
Changing legal characteristics of dangerous and severe personality disorder (DSPD) patients and prisoners
- Authors:
- TREBILCOCK Julie, WEAVER Tim
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 23(2), April 2012, pp.237-243.
- Publisher:
- Taylor and Francis
This paper investigated the legal status of 172 dangerous and severe personality disorder (DSPD) patients and prisoners with respect to indeterminate sentences. Dangerous and severe personality disorder prisoners were more likely to have been serving indeterminate sentences, while patients admitted to hospital units were more likely to have been given determinate sentences. At admission, the majority of prisoners were in advance of their tariff expiry or parole eligibility dates, while the majority of patients had passed them. Patients previously serving a determinate prison sentence were close to their non-parole date (NPD), the date they expected to be released from prison, with 40% of pre-NPD patients found to have less than two weeks to serve. At follow-up 85% of patients originally serving a determinate sentence had passed their NPD. The findings suggest that a proportion of patients were ‘preventively detained’ within the DSPD hospital units.
Managing personality disordered offenders in the community: a psychological approach
- Authors:
- DOWSETT John, CRAISSATI Jackie
- Publisher:
- Routledge
- Publication year:
- 2008
- Pagination:
- 215p., bibliog.
- Place of publication:
- London
This book provides a practical guide to the management and treatment of a group who comprise some of the most troubled offenders, who provoke the most anxiety in our society. Illustrated throughout with relevant case examples, this book provides a detailed account of key issues in the assessment of both personality disorder and offending. The authors explore the current state of knowledge regarding treatment approaches, before suggesting a framework for thinking about community management, legislation, and multi-agency practice. The book concludes with a discussion of community pilot projects currently taking place throughout England and Wales.
Dangerous and severe personality disorder and in need of treatment
- Author:
- MULLEN Paul E.
- Journal article citation:
- British Journal of Psychiatry, 190(Supplement 49), May 2007, pp.s3-s7.
- Publisher:
- Cambridge University Press
The Dangerous and Severe Personality Disorder Programme was born out of a populist law and order reaction, developed on false premises, but is now evolving into an exciting initiative for providing effective services to a group of offenders with mental illness who psychiatry, and the justice services, have so long ignored. Enthusiasm, flexibility and an evidence-based approach may yet lead to real progress towards the improved management of disturbed high-risk offenders, improving the psychological and social functioning of the offenders as well as delivering a safer community.
Reid v. the United Kingdom: restricted patients and the European Convention on Human Rights
- Authors:
- DARJEE Rajan, CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(3), September 2005, pp.508-522.
- Publisher:
- Taylor and Francis
This article describes the recent decision of the European Court of Human Rights in the case of a patient with personality disorder detained under a restriction order in Scotland's high security hospital. This is set in the context of recent case law in Scotland in similar cases and in England where forensic patients have made challenges, in domestic courts under the European Convention on Human Rights (ECHR), to their detention and treatment. We conclude that the ECHR has offered little in the way of tangible benefit to such patients.
Personality disorder: challenges for social workers
- Author:
- TITUS Natalie
- Publisher:
- University of East Anglia. School of Social Work and Psychosocial Studies
- Publication year:
- 2004
- Pagination:
- 63p.,bibliog.
- Place of publication:
- Norwich
Views personality disorder as a social construction. Includes literature search, discussion of theories and views on forthcoming legislation
United in opposition
- Author:
- RADCLIFFE Mark
- Journal article citation:
- Nursing Times, 16.7.02, 2002, pp.22-23.
- Publisher:
- Nursing Times
Looks at what the government's new draft Mental Health Bill will mean for patients.
Using a model to guide data gathering, interpretation, and communication in capital mitigation evaluations
- Authors:
- MARCZYK Geoffrey, et al
- Journal article citation:
- Journal of Forensic Psychology Practice, 3(3), 2003, pp.89-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
The use of a model can have a direct impact on several areas of forensic mental health assessment, and is important in gathering and interpreting data, reasoning about the results and conclusions, and communicating the results of such an assessment. The following report and accompanying discussion illustrates the application of a forensic model in the context of a defense-initiated capital mitigation evaluation under Pennsylvania State law. The first step in employing a model was to identify the relevant legal standard, which required the forensic clinician to assess character traits, contextual circumstances, extreme mental or emotional disturbance, and mental and cognitive deficits that might have had a direct impact on the defendant's ability to conduct or conform his conduct to the requirements of the law at the time of the alleged offense. In the second part of the model, these clinical characteristics were related to the tasks and functional abilities that are part of the relevant legal question. Finally, using the third step of the model, the forensic clinician assesses the strength of the causal connection between the existence of mental and cognitive deficits and the functional abilities related to the relevant legal question. In addition to improving the overall quality and accuracy of the evaluation, the use of this type of model is consistent with the guidelines and substantive criteria for capital mitigation articulated by the United States Supreme Court. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Personality disorders, psychopathy and other mental disorders: co-morbidity among patients at English and Scottish high-security hospitals
- Authors:
- BLACKBURN Ronald, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 14(1), April 2003, pp.111-137.
- Publisher:
- Taylor and Francis
Mental health legislation in Britain has traditionally encouraged distinction between personality disordered and mentally ill offenders, but research on co-morbidity indicates that few patients exhibit an Axis I or an Axis II disorder in isolation. This study compared male high-security hospital patients in the English Mental Health Act categories of psychopathic disorder (n= 54) and mental illness n = 61) and the Scottish legal category of mental disorder (n= 60), using structured instruments to assess personality disorders, psychopathy and Axis I disorders. The mental illness and psychopathic disorder categories were not differentiated by personality disorders,psychopathy,or AxisI disorders,except for more lifetime drug abuse and more lifetime and current psychosis among the mentally ill. A majority of patients with mental disorder under Scottish legislation also exhibited personality disorders. Grouping by primary clinical diagnosis of personality disorder or mental illness produced few differences on Axis I or Axis II, and overall there was a relatively strong correlation between the presence of an AxisI and an AxisII disorder. Legal and clinical attempts to separate personality disordered and mentally ill offenders maybe ill-conceived because Axis I and Axis II disorders tend to coexist.