Forensics Flashcards

1
Q

Ganser syndrome

A

Factitious disorder

Approximate answers, somatic conversion symptoms, clouding of consciousness, perceptual disturbance including visual hallucinations (pseudohallucinations)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Prevalance crime and mental disorder

A

4-6 times more common on mentally ill vs general population.

People with psychiatric disorder increased risk of victimisation, and involved in suicide/self-harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Schizophrenia and violence in the community setting

A

10% of people with schizophrenia commited violent act in 12 months vs 2% with no mental disorder (x5 times)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mental disorder in offenders

A

Psychosis 10x more common in prison than general population

Personality disorder 65%; major depression 10%, psychosis 3.7%, organic 1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Homicide

A

34% linked to a mental disorder, 5% schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Penrose law

A

Argued increasing no. of mental health beds reduced number of serious crimes and imprisonment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Homicide

A

1.2/100,000
10% of homicide offenders have had contact with MH services in past 12 months
Victims often acquaintances

Annual risk for schizophrenia and homicide is 1/10,000. UK 1/100,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Filicide

(Mother killing own child)

A

Impulsive killing - battering mothers

Neonaticide - (not in infanticide act), killing in first 24 hrs of life, often unknown to healthcare services

Aggression to spouse displaced to child - retaliating woman

Unplanned pregnancy/ socioecconomic hardship - unwanted children

Child suffering, no secondary gain - mercy killing

Mentally ill mothers - most commonly depression; psychotic illness; personality disorder; dissosiative response.

PD - borderline/dependent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Automatism

A

An offence when the person is not in control of their mind.

Insane = intrinsic cause

Epilepsy, sleepwalking, brain tumor

Sane = extrinsic cause

Acute confusional state, concussion, dissociative state, night terror, hypoglycaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Stalking

A

Rejected; ex-intimate in hope of reconciliation or vengeance

Intimacy; think someone is in love with them and it will be reciprocated

Resentful; revenge for actual or perceived injury

Predatory; stalking forms part of sexual offending

Incompetent suitors; seeking date or brief encounter

Delusional disorder;

  1. Erotomania
  2. Jealousy
  3. Persecution

Mental illness not a noteable factor in those who stalking or attempt to assassinate public figures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sexual offences

A

<10% of sex offenders have a mental illness

Frotteurism; touching or rubbing ones genitals against another person without consent, to derive sexual pleasure or orgasm

Fetishism - sexual interest in inanimate objects

Voyeurism - secretly watching an unsuspecting individual

Sadism - humiliation of others

Masochism - one’s own pain

Paedophilia- pre-pubescent children

Sexual offences <1%; frequently men perp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sexual offences and recividism

A

1/5 released from prison re-offend
Most convinctions are first time

Multiple paraphilias can be a powerful indicator or recividis

Risk factors to reoffending 1 sexual deviance, 2. Antisocial PD 3. Sexual attitudes and intimacy deficits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Arson

A

Young adult males, relational difficulties, unmarried, poorly educated, isolated, unemployed/unskilled

2.5:1, male to female

Psych diagnosis most common PD (increased with substance misuse), psychosis, LD, intoxicated. Low IQ over-represented

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pyromania

A

> 2 occasions, relief in tension

Pathological excitement, tension or arousal prior to the act, fascination and attraction, pleasure/gratificatiom/relief

Recividism 4-20%; childhood fire setting, younger age first offence, no. of offences, alone, unmarried, low IQ, no other offences.

Aversive therapy, reinforcement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Criminal responsibility

A

Actus Reus = doing the act
Mens Rea = being responsible for their actions

Age of criminal responsibility is 10 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fitness to plead
Pritchard criteria

A

Understand the charges and decide whether to plead guilty or not
Follow the course of proceedings
Instruct counsel
Challenge a juror
Give evidence to own defence

17
Q

Unfit to plead

A

Trial of facts

Hospital order +/- restrictions order
Supervision and treatment order
Absolute discharge

Remitted to court when fit to plead

18
Q

Section 47

A

Sentenced prisoner. 2 doctors advise, secretary of state decided need to spend time in hospital for treatment of SMI. When finishes, back to prison.

Section 49 - sec of state decides when you go back to prison.

19
Q

Section 37/41

A

Crown court has decided, on the advice of 2 doctors, thay person should go to psych hospital for treatment, instead of prison.

Section 37, mental healt rx.
Section 41, restriction order, secretary of state decides when patient can leave hospital and jave leave. There may be a conditional discharge.

20
Q

Section 35

A

Criminal court remand an accused person to hospital for psychiatric reports