A change of direction in the disposal of mentally disordered offenders: the impact of the Crime (Sentences) Act 1977.
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Biomedical subjects
Publications and source records attributed to H Prins.
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Recent instruction from the Department of Health requires the institution of an independent inquiry into all cases of homicide committed by those who have been in contact with the psychiatric services. The background to this instruction is explored briefly within the context of more general concerns about violence and homicide, and the advantages and disadvantages of such inquiries are discussed.
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The background to the Mental Health (Patients in the Community) Act, 1995 is reviewed briefly. Some problems concerning the Act's provisions for 'supervised discharge' are then discussed. Some more general extrapolations follow concerning the problems of legislating for social and personal 'ills'.
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The current concept of psychopathic disorder is reviewed against a short historical background. Aetiology is commented upon briefly and key characteristics described. Support is provided for the view that the concept has a degree of usefulness in clinical management provided it is viewed in a focused and restricted fashion.
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The medical staff at the Department of Pediatrics in the Academic Medical Center, Amsterdam, are strongly involved in the analysis of the effectiveness and efficiency of the clinical care provided. One method to increase effectiveness and efficiency is to provide clinicians with a comprehensive summary of their medical activities.
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This paper examines the diversion of the mentally disordered offender against a background of the treatment of the mentally disordered in general. Some myths about incarceration are explored and the proposal is made that diversion is not a new idea. Finally, caution is expressed in the espousal of diversion in an uncritical fashion.
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This article extends upon material presented in a previous issue of this journal (Med. Sci. Law, 1990, 30, 39-44). Three groups of respondents were asked to comment upon the degree to which they considered psychopathic disorder to be a treatable condition. The modest findings suggest that although few clear cut views exist as to the best treatment modality there are firmer indications as to those thought to be unhelpful.
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Aspects of possession are reviewed in historical, cultural and clinical contexts. Consideration is given to differential diagnosis and management. It is suggested that a multi-disciplinary approach is required for a condition that stands at the boundaries of psychiatry. Two quotations from Elizabethan playwrights are relevant to the theme of this paper: 'Beware you do not conjure up a spirit you cannot lay' Ben Johnson, The New Inn (Act III, Scene ii) 'Farewell the tranquil mind: farewell content.' Shakespeare, Othello (Act III, Scene iii).
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