Mental Health and Offending Flashcards

1
Q

Psychopathy (3)

A

Same illness has different names:

  • Antisocial personality disorder
  • Psychopath
  • Sociopath
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2
Q

Defined (Psychopathy) (3)

A
  1. Clinically:
    - DSM IV
    - ICD 10
    - PCL R
  2. Legally:
    - MHA 1983
  3. Politically/socially:
    - DSPD
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3
Q

Causes (Psychopathy) (3)

A
  1. Genetics
  2. Environment
  3. Depravity of maternal care
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4
Q

Common? (Psychopathy) (3)

A
  1. 50% to 75% of prison population
  2. 1% of public
  3. 1 in 25 business leaders
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5
Q

Management (Psychopathy) (6)

A
  1. ‘sufferer’ rarely actually suffers
  2. ‘moral insanity’
  3. They do not wish to change their behaviour
  4. Get pleasure from exploiting and manipulating
  5. Disorder of conduct rather than a disorder of the mind
  6. Have trouble fitting into social groups
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6
Q

Toxic Institutions (3)

A
  1. Patient groups with different individual needs
  2. Lack of resources
  3. Bad management
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7
Q

Working with the mentally disordered (3)

A
  1. High levels of stress
  2. High levels of satisfaction
  3. Therapy vs public risk
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8
Q

Burnout (Institutions) (2)

A
  1. Drained
  2. Dehumanisation:
    - Patients become numbers
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9
Q

Staff (MH Institutions) (3)

A
  1. Distant relationships with outside
  2. Feeling of unsafety
  3. Fixation with staff relationships
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10
Q

Security (MHI) (4)

A
  1. Pre 1800s, security = mechanical restraints
  2. Physical security = Fences, walls etc.
  3. Procedural security = Policies
  4. Relational security = Knowledge staff have about the patients
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11
Q

DSPD (1999) (4)

A
  1. Able to detain people with anti social personality disorder
  2. Halfway point between hospital and prison
  3. Public protection over welfare of mentally disordered persons
  4. Preventive detention is unethical:
    - No therapeutic or mental health help
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12
Q

“Two hats” Problem (MHI) (2)

A
  1. Duty to patient will be trumped by a duty to someone else

2. Dual ethical obligations

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13
Q

Conflict in Care (MHI) (3)

A
  1. Public attitudes towards the MD
  2. Punishment vs rehabilitation
  3. Public safety vs patient rights
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14
Q

Sex Offences (3)

A
  1. 2% of all offences
  2. Victims are reluctant to come forward:
    - Trauma of enquiry
    - Feelings of shame/stigma
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15
Q

Clinical aspects (SO)

A

Popular image, sex offender = mentally ill

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16
Q

Sexual Deviancy Classification (4)

A
  1. Sexual activity not requiring a human partner
  2. Sexual activity not requiring a willing partner
  3. Sexual activity under unusual conditions
  4. Sexually motivated activities in ‘masked’ form
17
Q

Management Issues (SO) (3)

A
  1. Indeterminate sentences
  2. Civil commitment for the offender
  3. Upon release:
    - Sarah’s Law
    - Sex Offender Register
18
Q

Registration/Public Notification Law UK (SO)

A
  1. Sexual Offender Act 2003:
    - Need to notify police about personal details, i.e. DOB, address
  2. 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
  1. Drive sex offenders underground, makes finding them much harder
  2. Megan’s law (US) allows more disclosure
20
Q

Registration and Public Notification Law US

A
  1. 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
  1. Sex offender was released from prison
  2. Found in Liverpool ‘stalking’ children, carrying children’s toys and colouring books
  3. Psychiatrists said he was untreatable
  4. Police could not arrest him as he had not actually committed an offence
22
Q

Paraphilias (4)

A
  1. An erotosexual condition
  2. Continually responsive to unusual/unacceptable stimulus/fantasy
  3. Must be evident for over 6 months to be classified under DSM
  4. Examples:
    - Exhibitionism, common but rarely prosecuted
    - Bestiality
    - Homosexuality (pre 1973)