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Lookup NU author(s): Professor Donald Grubin
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In England and Wales most patients with the legal classification of psychopathic disorder who are compulsorily detained in hospital receive treatment in one of the three high-security 'Special Hospitals'. The aim of this study was to describe their psychopathology and examine its relationship with institutional performance. The sample consisted of 89 young male patients with this legal classification who had received treatment in Broadmoor Hospital. All subjects' hospital medical records were examined and the data used to calculate scores on Hare's Revised Psychopathy Checklist (PCL-R), to diagnose DSM-III-R personality disorders, and to quantify aspects of behaviour whilst in hospital. A score of 25 or above on the PCL-R was found to be associated with the diagnoses of borderline, antisocial and narcissistic personality disorder, lack of improvement in social functioning, continued need for seclusion or special care, and discharge to a resource in the community rather than to a hospital. The findings raise questions concerning the provision of therapeutic resources to criminal 'psychopaths'.
Author(s): Reiss D, Grubin D, Meux C
Publication type: Article
Publication status: Published
Journal: Journal of Forensic Psychiatry
Year: 1999
Volume: 10
Issue: 2
Pages: 290-299
Print publication date: 01/09/1999
ISSN (print): 0958-5184
ISSN (electronic): 1469-9478
Publisher: Routledge
URL: http://dx.doi.org/10.1080/09585189908403682
DOI: 10.1080/09585189908403682
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