Who should take responsibility for antisocial personality disorder?

  title={Who should take responsibility for antisocial personality disorder?},
  author={Nigel L. G. Eastman},
  pages={206 - 207}
News p 211 and Personal view p 271 The diagnostic boundaries and treatability of personality disorders have always been medically controversial. Whether offenders with antisocial1 or dissocial2 personality disorder—“a most elusive category [with] wavering confines”3—should be treated in hospital or punished in prison is profoundly controversial. Now, because of highly publicised cases of paedophilic violent offenders released from prison and the case of Michael Stone, a convicted psychopathic… Expand
Public health psychiatry or crime prevention?
The government has announced its own solution to the problems presented by people with antisocial or dissocial personality disorder, involving establishing new specialist institutions which would be hybrids of prison and hospital and would house only people with severe personality disorder. Expand
Balancing rights? Dangerous offenders with severe personality disorders, the public, and the promise of rehabilitation
This thesis examines the emergence of the concept of dangerous and severe personality disorder (DSPD) in England and Wales and its subsequent interactions with criminal justice and health policy,Expand
The epidemiology of antisocial personality disorder
  • P. Moran
  • Medicine, Psychology
  • Social Psychiatry and Psychiatric Epidemiology
  • 1999
Despite the large amount of research into antisocial personality disorder, longitudinal data are missing and the validity of the diagnosis remains questionable, the paper concludes with recommendations for future research. Expand
Dangerous severe personality disorder: the controversy continues.
  • J. Beck
  • Medicine
  • Behavioral sciences & the law
  • 2010
Following a high profile murder in 1996, the government in England moved to involuntarily contain individuals, almost all men, who were thought to be at risk of violence and to have a personalityExpand
Nothing left to lose? Freedom and compulsion in the treatment of dangerous offenders
The ‘Dangerous and Severe Personality Disorder’ (DSPD) programme was established following the particularly high-profile double murder of a mother and one of her two daughters: thevery kind ofExpand
Training probation officers in case formulation for personality disordered offenders
Improvements were shown in attitudes towards working with offenders with personality disorder in two of three domains, providing further evidence for the effectiveness of training offender managers in case formulation. Expand
Mental disorder and clinical care in people convicted of homicide: national clinical survey
In Inquiry findings suggest that preventing loss of contact with services and improving the clinical management of patients with both mental illness and substance misuse may reduce risk, but clinical trials are needed to examine the effectiveness of such interventions. Expand
Why the professional-Client Ethic is Inadequate in Mental Health Care
The traditional ‘beneficence-autonomy’ approach to ethics in compulsory psychiatric care is evaluated against the reality of daily practice and it is found that the simple patient-health professional relationship no longer provides an adequate framework for mental health professionals to base their ethical decisions. Expand
Public policy and mental health legislation should be reconsidered
It is proposed that mental health legislation should be viewed in a radically new light, separating interventions aimed at treating people in their own best interests who (because of mental incapacity) are unable to take treatment decisions for themselves from intervention aimed at promoting the safety of the public. Expand
Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: an exploratory randomized controlled trial
CBT did not improve outcomes more than usual treatment for men with ASPD who are aggressive and living in the community in this exploratory study, suggesting that a larger study is required to fully assess the effectiveness of CBT in reducing aggression, alcohol misuse and improving social functioning and view of others. Expand


A survey of forensic psychiatrists' views on psychopathic disorder
Abstract All forensic psychiatrists working in regional secure units (RSUs), Special Hospitals (SHs) and other forensic settings in England, Scotland and Wales were sent a questionnaire, with the aimExpand
Psychopathic personality: a most elusive category.
  • A. Lewis
  • Psychology, Medicine
  • Psychological medicine
  • 1974
For 150 years the diagnostic concept at first called ‘moral insanity’ has been troubling psychiatric nosologists, and little advantage has been taken of the information provided about personality by the investigations of psychologists. Expand
Psychopathic and Antisocial Personality Disorders: Treatment and Research Issues
Coherent discussion of psychopathic disorder is just about possible between two people, but for any more than this number you need to lay on simultaneous translation to make sense of a cacophony of legal, clinical, and lay concepts. Expand
Psychopathic disorder and therapeutic jurisprudence
  • Challenges in forensic psychotherapy
  • 1997
American Psychiatric Association, Diagnostic and statistical manual IV
  • 1994
Report of the committee of inquiry into complaints about Ashworth Hospital
  • 1992
World Health Organisation. International classification of diseases. 10th ed. Classification of mental and behavioural disorders: clinical descriptions and diagnostic guideline
  • 1992
A service out of control
  • Guardian
Jack Straw and police under fire after Stone verdict
  • Times