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Results for “Commitment of Persons with Psychiatric Disorders”

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At least 19 recordsLinked to original sources
PubMed1994

Personality disorders and 'restoration to sanity'.

Historically, the use of the insanity defense has been limited although not exclusively to those with a psychotic mental disorder at the time of the crime. Occasionally, an insanity acquittee may primarily suffer from a personality disorder at the time of commitment to the psychiatric hospital. Such examples can include someone with a personality disorder who malingers psychosis and legal insanity or who at the time of the crime may have been suffering from a drug-induced or brief reactive psychosis. One such case will be presented as well as dilemmas created for the clinician and forensic evaluator. In addition, pertinent medical and psychological literature and legal case precedents will be discussed. Finally, a proposed guideline for the treatment and evaluation of the personality-disordered insanity acquittee will be offered, focusing specifically on the aspects of the personality disorder that contribute to the individual's dangerousness.

Adult↗
PubMed1987

Hospital treatment of patients with pending criminal charges: an ecological approach.

The treatment of hospitalized patients facing criminal charges is shaped by both their psychopathology and by their involvement with the criminal justice system. Psychopathologic presentation, motivation for hospitalization and/or discharge planning may be influenced by delays and uncertainties generated by the legal system. A review of the often informal nature of the criminal justice process suggests options for clinically oriented intervention in expediting the resolution of patients' psychiatric and legal difficulties.

Antisocial Personality Disorder↗
PubMed1994

Treating the mentally disordered criminal offender in a hospital setting.

The author outlines the legislation and treatment system for mentally disordered criminal offenders in Japan, and reviews the recent studies on the treatment of refractory patients in mental hospitals. Involuntary admission of patients referred by a public prosecutor or by a head of a correctional institution is problematic regarding the judgment criteria for admission and discharge, and imposes a burden on practitioners. The author outlines the main problems of the treatment of criminal offenders in a hospital setting: reaction to the hospital environment, lack of motivation for treatment, therapists' reluctance to treat these patients, absence of support for rehabilitation and uncertainty about future risk. Suggested measures for the solution of these difficulties include the role of the Psychiatric Review Board, the psychiatric evaluation system, and therapeutic skills pertaining to dangerous patients.

Antisocial Personality Disorder↗
PubMed1979

Law and mental disorder.

Explore the source record for details and available documents.

Commitment of Persons with Psychiatric Disorders↗
PubMed1988

A clinical study of violence in patients referred on a Form I to a general hospital psychiatric unit.

A retrospective examination of all patients referred by the emergency department of a medium sized general hospital for a mandated Form I psychiatric assessment during a 12 month period was conducted. The principal aim was an analysis of the clinical phenomena and especially the antecedents and course of violent behaviour (following admission and throughout the hospital stay) which in the majority of cases was the reason for the referral. Thirty percent had behaved violently prior to admission but within 24 hours all had settled and during the remainder of their hospital stay were indistinguishable from the generality of the ward population (for example, non-violent). Two-thirds of the patients were non-psychotic; that is, not suffering from a major mental illness; nevertheless, they required a disproportionate amount of time and effort in initial management. A high proportion had several prior admissions to the psychiatric ward, particularly for alcohol misuse and/or a personality disorder.

Adolescent↗
PubMed1989

['Commitment-adequate' personality diagnosis using the Seitz (revised) Personality Questionnaire for Prisoners within the scope of forensic-psychologic-psychiatric expert assessment].

In this contribution, the necessity and expediency, but also the limits of the application of psychodiagnostic methods within the scope of forensic-psychological-psychiatric expertises are discussed. A survey is given on results of statistical analysis, revision and validation gained with a personality questionnaire relevant to prison situation (PFI acc. Seitz, 1983).

Aggression↗
PubMed1982

[Therapeutic interactions with aggression].

This article deals with the following three problems: 1. Which aspects must be given special consideration in respect of psychological diagnosis and therapy planning in those patients who have been referred to psychiatric treatment mainly because of violence displayed by them? 2. What are the conclusions we can draw from our knowledge of the behaviour of persons whose everyday behaviour patterns seem absolutely normal or even characterized by an inhibition of their aggressive tendencies, and who suddenly and unpredictably perform acts of aggression, and what are the conclusions we can draw from our experience in respect of the therapeutic management of such patients? 3. What is our knowledge regarding the actual course of aggressions and violence between patients and therapeutic personnel in everyday psychiatric ward practice, and what are the conclusions regarding a possible improvement of such interactions by appropriate therapy?

Aggression↗
PubMed1987

What constitutes a psychiatric emergency: clinical and legal dimensions.

In true medical emergencies, informed consent is presumed or implied without application of the usual standard. In the litigation over the right to refuse treatment in psychiatry, a limited right for involuntarily committed patients to refuse treatment has been upheld, absent a finding of a psychiatric emergency. Increasingly, clinicians may find that their sole extrajudicial option in instituting treatment over the patient's objection is in invoking a psychiatric emergency. The purpose of this communication is to discuss the clinical and legal issues in defining and invoking a psychiatric emergency in treatment refusal. The substantive and procedural issues in the use of the emergency exception in treatment refusal are discussed with recommendations for their use in clinical practice.

Adult↗
PubMed1983

[Solitary confinement as risk factor for psychiatric hospitalization].

The subjects of this study are prisoners who were hospitalized from custody in a psychiatric clinic. All of such patients of one psychiatric clinic during the period from 1976 till 1978 were compared with a random sample of other psychiatric patients using case reports and other data. Differences were found concerning social, personal, psychiatric, and criminal history as well as psychopathological state and diagnosis. Compared to the complete population of prisoners of the area, prisoners from solitary confinement (mostly remanding custody) were overrepresented. Other risk factors for psychiatric hospitalization of prisoners are described. The results are discussed from prophylactic, therapeutic, and humanitarian points of view.

Adjustment Disorders↗