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Biomedical subjects

J Gunn

Publications and source records attributed to J Gunn.

At least 109 records · Page 6Linked to original sources
PubMed1991

Treatment needs of prisoners with psychiatric disorders.

OBJECTIVE: To describe the prevalence of psychiatric disorder and the treatment needs of sentenced prisoners in England and Wales. DESIGN: Population survey based on a 5% sample of men serving prison sentences. SETTING: Sixteen prisons for adult males and nine institutions for male young offenders representative of all prisons in prison type, security levels, and length of sentences. SUBJECTS: 406 young offenders and 1478 adult men, 404 and 1365 of whom agreed to be interviewed. MAIN OUTCOME MEASURES: History of psychiatric disorder, clinical diagnosis of psychiatrist, and required treatment. RESULTS: 652 (37%) men had psychiatric disorders diagnosed, of whom 15 (0.8%) had organic disorders, 34 (2%) psychosis, 105 (6%) neurosis, 177 (10%) personality disorder, and 407 (23%) substance misuse. 52 (3%) were judged to require transfer to hospital for psychiatric treatment, 96 (5%) required treatment in a therapeutic community setting, and a further 176 (10%) required further psychiatric assessment or treatment within prison. CONCLUSIONS: By extrapolation the sentenced prison population includes over 700 men with psychosis, and around 1100 who would warrant transfer to hospital for psychiatric treatment. Provision of secure treatment facilities, particularly long term medium secure units, needs to be improved. Services for people with personality, sexual, and substance misuse disorders should be developed in both prisons and the health service.

Adolescent↗
PubMed1990

Malignant thymoma causing tricuspid valve obstruction.

A 57-year-old man presenting with a retrosternal mass was found to have a malignant thymoma. This was treated with surgery and radiotherapy. It recurred 5 years later as an intra-cardiac mass causing tricuspid valve obstruction.

Heart Valve Diseases↗
PubMed1988

Using the psychological stress evaluator in conditions of extreme stress.

The Psychological Stress Evaluator (PSEV) is a machine for detecting signs of stress in the voice. It was tested using tape recordings of negotiators during a prolonged terrorist siege in which a number of death threats were issued. The study aimed to test whether the PSEV could distinguish between the traces of terrorist voices before the death threats from voice traces at other points. A scoring system using the proportion of voice oscillations falling above defined amplitude levels was used. PSEV scores did rise significantly more just before the actual shooting of a hostage. Unfortunately, the apparatus proved to be slow and cumbersome in practice and of limited, or no, use during the course of incidents similar to the one analysed.

Humans↗
PubMed1987

A ten-year follow-up of men discharged from Grendon prison.

A ten-year follow-up on the criminal records of men discharged from Grendon Prison was carried out. These records were compared with those of a matched control group, and no differences were found regarding frequency or severity of post-discharge convictions. The validity of this exercise is questioned, and several case histories presented. An examination of subsequent offending within the Grendon group suggests that for some men, the better motivated and more intelligent, exposure to the Grendon regime may have contributed to a change in their criminal behaviour.

Adult↗
PubMed1986

Education and forensic psychiatry.

With the world-wide increase in more expansion in Forensic Psychiatry, the author discusses developments in this field in Britain and sets out models for future development, particularly as it refers to the training of young psychiatrists interested in this field. In addition, there is a discussion of the academic and research endeavours.

Education, Medical, Graduate↗