Mental Health and Offending Flashcards
1
Q
Psychopathy (3)
A
Same illness has different names:
- Antisocial personality disorder
- Psychopath
- Sociopath
2
Q
Defined (Psychopathy) (3)
A
- Clinically:
- DSM IV
- ICD 10
- PCL R - Legally:
- MHA 1983 - Politically/socially:
- DSPD
3
Q
Causes (Psychopathy) (3)
A
- Genetics
- Environment
- Depravity of maternal care
4
Q
Common? (Psychopathy) (3)
A
- 50% to 75% of prison population
- 1% of public
- 1 in 25 business leaders
5
Q
Management (Psychopathy) (6)
A
- ‘sufferer’ rarely actually suffers
- ‘moral insanity’
- They do not wish to change their behaviour
- Get pleasure from exploiting and manipulating
- Disorder of conduct rather than a disorder of the mind
- Have trouble fitting into social groups
6
Q
Toxic Institutions (3)
A
- Patient groups with different individual needs
- Lack of resources
- Bad management
7
Q
Working with the mentally disordered (3)
A
- High levels of stress
- High levels of satisfaction
- Therapy vs public risk
8
Q
Burnout (Institutions) (2)
A
- Drained
- Dehumanisation:
- Patients become numbers
9
Q
Staff (MH Institutions) (3)
A
- Distant relationships with outside
- Feeling of unsafety
- Fixation with staff relationships
10
Q
Security (MHI) (4)
A
- Pre 1800s, security = mechanical restraints
- Physical security = Fences, walls etc.
- Procedural security = Policies
- Relational security = Knowledge staff have about the patients
11
Q
DSPD (1999) (4)
A
- Able to detain people with anti social personality disorder
- Halfway point between hospital and prison
- Public protection over welfare of mentally disordered persons
- Preventive detention is unethical:
- No therapeutic or mental health help
12
Q
“Two hats” Problem (MHI) (2)
A
- Duty to patient will be trumped by a duty to someone else
2. Dual ethical obligations
13
Q
Conflict in Care (MHI) (3)
A
- Public attitudes towards the MD
- Punishment vs rehabilitation
- Public safety vs patient rights
14
Q
Sex Offences (3)
A
- 2% of all offences
- Victims are reluctant to come forward:
- Trauma of enquiry
- Feelings of shame/stigma
15
Q
Clinical aspects (SO)
A
Popular image, sex offender = mentally ill
16
Q
Sexual Deviancy Classification (4)
A
- Sexual activity not requiring a human partner
- Sexual activity not requiring a willing partner
- Sexual activity under unusual conditions
- Sexually motivated activities in ‘masked’ form
17
Q
Management Issues (SO) (3)
A
- Indeterminate sentences
- Civil commitment for the offender
- Upon release:
- Sarah’s Law
- Sex Offender Register
18
Q
Registration/Public Notification Law UK (SO)
A
- Sexual Offender Act 2003:
- Need to notify police about personal details, i.e. DOB, address - Sarah’s Law:
- Allows parents to ask police if someone with contact to their child has been convicted or suspected
- Parents are not allowed to tell anyone
19
Q
Drawbacks of UKs Public Notification Law (2)
A
- Drive sex offenders underground, makes finding them much harder
- Megan’s law (US) allows more disclosure
20
Q
Registration and Public Notification Law US
A
- Megan’s Law:
- Public has access to law
- Unfair to minor crime, they are on the same register as major offences i.e. rape, paedophilia
21
Q
Case: Graham Seddon, 48 (SO) (4)
A
- Sex offender was released from prison
- Found in Liverpool ‘stalking’ children, carrying children’s toys and colouring books
- Psychiatrists said he was untreatable
- Police could not arrest him as he had not actually committed an offence
22
Q
Paraphilias (4)
A
- An erotosexual condition
- Continually responsive to unusual/unacceptable stimulus/fantasy
- Must be evident for over 6 months to be classified under DSM
- Examples:
- Exhibitionism, common but rarely prosecuted
- Bestiality
- Homosexuality (pre 1973)
