Forensic Psychiatry.pdf

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forensic
Psychiatry
clinical, legal and ethical issues
Edited by
John Gunn
Pamela J Taylor
Second Edition
Boca Raton London New York
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Version Date: 20131004
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Contents
List of Contributors
Acknowledgements
Preface
Legislation
List of Abbreviations
1
Introduction
Forensic psychiatry
A victim-centred approach
Context
Medical language
Achieving the knowledge and skills
Further enquiry
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xxiii
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2
Criminal and civil law for the psychiatrist in England and Wales
Common law and civil or Roman law
European courts
Court structure, England and Wales
Criminal law in England and Wales
Agencies of the law
Civil law
The Coroner’s court
3
Mental health and capacity laws including their administering bodies
Preamble
Human rights legislation
Historical background
Mental capacity
Mental Health Act 1983 amended by the Mental Health Act 2007
Mental Capacity Act 2005 (MCA)
4
Legal arrangements in the rest of the British Isles and Islands
Preamble
Scotland
Northern Ireland
Military law in the United Kingdom
Isle of Man
Channel Islands
Republic of Ireland
Concluding comments
5
Forensic psychiatry and its interfaces outside the UK and Ireland
The scope and limits of the comparative approach
The scope and limits of this chapter
National, subnational and supranational legal structures
Controversial issues and shifts in public and professional opinions
Contents
Forensic mental health (FMH) services and interventions under criminal and civil law:
Germany and the USA
Forensic psychiatric services and interventions under criminal and civil law:
The Nine Nations (SWANZDSAJCS) Study
Specialist recognition in europe and swanzdsajcs countries
Research in forensic psychiatry, psychology and allied professions
Illustrative cases
Conclusions
Further reading
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6
Psychiatric reports for legal purposes in England and Wales
The forum of the court: Background issues
Constructing a report
The use of reports in criminal proceedings
Civil matters
Examples of other documents which may be consulted
7
The psychosocial milieu of the offender
Introduction
Measurement and epidemiology
The natural history of offending
Factors associated with delinquency and offending
Explaining the development of offending
Implications for prevention
Conclusions
8
Genetic influences on antisocial behaviour, problem substance use and
schizophrenia: evidence from quantitative genetic and molecular
genetic studies
Introduction
Basic genetics
Genetic study
The genetics of antisocial behaviour, problem substance use and schizophrenia
Conclusions
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Violence
Theoretical background
Violence as a health issue
Crimes of violence
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Disordered and offensive sexual behaviour
Sex offending, sexual deviance and paraphilia
Sex offending by females and adolescents
Psychiatric questions
Risk assessment
Sex offender treatment
Treatment or control
iv
Contents
11
The majority of crime: theft, motoring and criminal damage (including arson)
Introduction
Recording of crime
Acquisitive offending
Criminal damage
Arson
Motoring offences
Overview
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Disorders of brain structure and function and crime
Expectations and advances: Conceptualization and measurement of brain structure
Epilepsy in relation to offending
Sleep disorders
Amnesia and offending
Brain imaging studies as a route to understanding violent and criminal behaviour
Serotonergic function in aggressive and impulsive behaviour: Research findings and
treatment implications
Implications of current knowledge of brain structure and function for forensic mental
health practice and research
13
Offenders with intellectual disabilities
Clinical and legislative definitions
People with intellectual disability detained in secure health service facilities in the UK
Crime and people with intellectual disabilities
Theories of offending applied to people with intellectual disabilities
Offenders with intellectual disabilities and additional diagnoses
Genetic disorders, intellectual disability and offending: Genotypes and behavioural phenotypes
Alcohol and substance misuse
Care pathways for offenders with intellectual disabilities
Assessment and treatment of anger and aggression
Assessment and treatment of sexually aggressive behaviour among people with
intellectual disability
Fire-setting behaviour among people with intellectual disability
Assessment and management of risk of offending and/or harm to others among offenders with
intellectual disabilities
Legal and ethical considerations in working with offenders with intellectual disabilities
Conclusions
14
Psychosis, violence and crime
Vulnerable to violence and vulnerable to being violent
Psychosis and crime: The epidemiology
Pathways into violence through psychosis: Distinctive or common to most violent offenders?
Psychosis, comorbid mental disorders and violence
Clinical characteristics of psychosis associated with violence
Environmental factors which may be relevant to violent outcomes among people with
functional psychosis
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