A short note on the treatment of personality disorder in Danish forensic psychiatry

2006 ◽  
pp. 360-362
Author(s):  
Peter Gottlieb
Keyword(s):  
Personality Disorder ◽  
Forensic Psychiatry ◽  
Short Note

Forensic psychiatry

2020 ◽  
pp. 347-362
Author(s):  
Stephen H. Dinwiddie
Keyword(s):  
Clinical Practice ◽  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Mental State ◽  
Forensic Psychiatry ◽  
Practical Interest ◽  
Antisocial Personality ◽  
Conceptual Space ◽  
Fitness To Stand Trial ◽  
Ethical Conflicts

Forensic psychiatry exists within the ever-changing social and conceptual space where issues of law and mental state meet. Though generally associated with issues such as the insanity defence, fitness to stand trial, and the like, forensic psychiatry includes within its ambit many aspects of everyday clinical practice—issues such as risk prediction, antisocial personality disorder, decisional capacity, and identifying and resolving ethical conflicts. Rather than focusing on topics of little practical interest to the general clinician, articles for this chapter were chosen to address these everyday issues.

Personality Disorder According to the ICD 9 and DSM III and Their Value in Court Reporting

1986 ◽  
Vol 26 (2) ◽  
pp. 113-124 ◽  
Author(s):  
J. J. Gayford ◽  
H. N. K. Jungalwalla
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Forensic Psychiatry ◽  
Critical Evaluation ◽  
Historical Background ◽  
Court Reporting ◽  
Personality Typology

The historical background to classification of personality is briefly reviewed. A more detailed comparative account is given of the ICD 9 (1978) and the DSM III (1980) typological classifications of personality disorders. Their value in court reporting is discussed. A critical evaluation is made of personality typology. The conclusion is that in spite of certain defects they are a useful method of transmitting information and of making prognostications in forensic psychiatry.

scholarly journals Substance misuse and violence: the scope and limitations of forensic psychiatry's role

2001 ◽  
Vol 7 (3) ◽  
pp. 189-196 ◽  
Author(s):  
Peter Snowden
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Violent Crime ◽  
Dual Diagnosis ◽  
Forensic Psychiatry ◽  
Substance Misuse ◽  
Violent Offenders ◽  
Health Problems ◽  
The Past ◽  
Forensic Case

For the past 25 years, forensic psychiatry has been concerned with violent offenders with psychosis and/or personality disorder. If dual diagnosis or comorbidity meant anything to a forensic psychiatrist, it would be the ‘typical’ forensic case – an individual with schizophrenia and a premorbid dissocial personality who had been arrested for a violent crime. In this article I use comorbidity to describe the co-occurrence of two or more conditions (here a psychiatric disorder and health problems arising from substance misuse) rather than dual diagnosis. In fact, many violent offenders have multiple diagnoses. Williams & Cohen (2000) argue that dual diagnosis suggests a closer relationship, perhaps including cause and effect, and is a subset of comorbidity.

Patients with personality disorder admitted to secure forensic psychiatry services

1999 ◽  
Vol 175 (6) ◽  
pp. 528-536 ◽  
Author(s):  
Jeremy Coid ◽  
Nadji Kahtan ◽  
Simon Gault ◽  
Brian Jarman
Keyword(s):  
Mental Illness ◽  
Personality Disorder ◽  
Forensic Psychiatry ◽  
Psychiatric Services ◽  
Future Research ◽  
Dependent Personality Disorder ◽  
Scarce Resources ◽  
Dependent Personality ◽  
Effective Use ◽  
Over Time

BackgroundTreatment of patients with personality disorder remains controversial and severe mental illness is prioritised in secure forensic psychiatry services.AimsTo compare patients with personality disorder and mental illness according to demography, referral, criminality, previous institutionalisation and diagnostic comorbidity.MethodA record survey of 511 patients with personality disorder and 2575 with mental illness admitted to secure forensic psychiatry services between 1 January 1988 and 31 December 1994 from half of England and Wales.ResultsPersonality disorder admissions declined over time; more were female, White, younger and extensively criminal (specifically, sexual and arson offences). Personality disorder was highly comorbid; antisocial, borderline, paranoid and dependent personality disorder were most prevalent.ConclusionsPatients with personality disorder were highly selected and previously known to psychiatric services. Referrer, diagnostic comorbidity and behavioural presentation determined their pathways into care. Future research must determine whether their continuing admission represents effective use of scarce resources and whether new services are required.

scholarly journals Personality disorder

2001 ◽  
Vol 179 (1) ◽  
pp. 81-84 ◽  
Author(s):  
Peter Tyrer
Keyword(s):  
Personality Disorder ◽  
Subject Matter ◽  
Forensic Psychiatry ◽  
The Subject ◽  
As Relationship

It is now respectable to read about personality disorder. It was not always so. Despite the impossibility of practising psychiatry without being aware of the term and the subject matter it describes, it was not appropriate in good psychiatric circles to mention the subject unless presaged by a pause and pronounced with a mocking inflexion that indicated that the words were in parentheses: signposts to somewhere undesirable, usually somewhere in the jungle of forensic psychiatry (a subject about which I write very little in this piece, in an attempt ot redres the balance). I think the reason for this was that personality disorder had such a strong flavour of criticism that, even in a discipline in which stigma confronts us on every corner, its words were the ultimate derogatory label that, once attached, became virtually indelible. Or, as my Landcashire grandmother would say about all unsavoury topics, it was “not very nice and no one really wants to know.”. So research and writing on the subject became almost a samizdat topic, written about in code, discussed in quiet corners between professionals when they could not be overheard, or in proxy phrases such as ‘relationship difficulties’ or ‘patients who are difficult to place’ (Coid, 1991).

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