Forensic Psychiatry

Question 1

Forensic substance misuse

Answer 1

Significant increase in risk
Often as a direct consequence
To fund the habit

Question 2

Forensic PD

Answer 2

Strong association with offending 
Often violent
Impulsive with a lack of empathy
Poor anger management
Often substance abuse

Question 3

Psychopathy

Answer 3

Callous, superficial and manipulative
Short tempered, lack guilt and fear
Impulsive and prone to criminality
Strong link with violence

Question 4

Forensic mood disorders

Answer 4

Depression is associated with shop lifting and homicide
Post natal infanticide
Manic can be agressive and irresponsible

Question 5

Assessing risk of violence

Answer 5

Historical factors -> previous, psych, substances
Clinical factors-> delusions and hallucinations, thoughts and plans to harm , fantasies , insight
External factors-> access to victims and methods
Have a responsiblity to warm potential victims

Question 6

Fitness to plead

Answer 6

Mental health at time of trial
Must have capacity to:
Understand the difference between pleas of guilty and not guilty 
Understand the charge
Instruct counsel
Follow evidence
Challenge juror

Question 7

Insanity

Answer 7

Absence of intent at time of offence
Such a defect of reason from disease of the mind not to know the nature and quality of the act
Did not know it was wrong
Leads to acquittal

Question 8

Diminished responsibility

Answer 8

Only applies to murder
Reduces charge to manslaughter
Impaired mental responsibility

Question 9

Automatism

Answer 9

Absence of intent when the mind does not have the potential to control physical acts
Organic causes

Question 10

Forensic schizophrenia

Answer 10

X4 increased risk of violent act
Usually minor offences that are manifestations of impaired social skills
More likely to be victims