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- Brunt, David, 1949-, et al.
(author)
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Patient and staff perceptions of the ward atmosphere in a Swedish maximum-security forensic psychiatric hospital
- 2005
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In: Journal of Forensic Psychiatry & Psychology. - : Taylor & Francis Group. - 1478-9949 .- 1478-9957. ; 16:2, s. 263-276
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Journal article (peer-reviewed)abstract
- The main aim of the study was to describe and compare the patient and staff perceptions of the ward atmosphere of a maximum-security forensic psychiatric hospital in southern Sweden. The main instrument used, the Ward Atmosphere Scale (WAS), was administered to both patients and staff on the eight wards of the hospital, where there was a total of 82 beds. The hospital has a regional responsibility for maximum-security forensic psychiatric care in southern Sweden. Forty-eight per cent of the patients and 82% of the staff consented to participate in the study. The results of the study showed that the patients rated intermediate levels of all the 10 subscales of WAS with the lowest mean scores for Autonomy and Involvement and the highest mean scores for Programme Clarity and Order and Organization. The staff, however, rated a low level of Staff Control and high levels of Programme Clarity, Practical Orientation and Support. The staff and patient perceptions differed on eight of the 10 WAS subscales with only Personal Problem Orientation and Anger and Aggression being rated at similar levels. The results are considered in the light of the limited available literature in the field. Furthermore, the differences between the perceptions of the two groups as well as the clinical implications of these differences are discussed.
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- Dernevik, M, et al.
(author)
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A response to Dr. Gudjonsson's commentary
- 2009
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In: JOURNAL OF FORENSIC PSYCHIATRY & PSYCHOLOGY. - : Informa UK Limited. - 1478-9949 .- 1478-9957. ; 20:4, s. 520-522
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Journal article (other academic/artistic)
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- Nordström, Annika, et al.
(author)
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Victim relations and factors triggering homicides committed by offenders with schizophrenia
- 2006
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In: Journal of Forensic Psychiatry & Psychology. - : Informa UK Limited. - 1478-9949 .- 1478-9957. ; 17:2, s. 192-203
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Journal article (peer-reviewed)abstract
- In Western countries about 10 - 15% of those convicted of homicide suffer from a psychotic disorder. Victims are most often from the offender's immediate network, such as family members and friends. Delusions and/or hallucinations have an important role in violent behaviour, as does coexistent alcohol or drug abuse. In this study, all 48 homicides from 1992 - 2000 committed by offenders in Sweden diagnosed with schizophrenia were studied in order to identify possibly triggering factors related to victim relations. Nine of the 52 victims were strangers to the offender. In 54% of cases, the homicides were associated with obvious delusions and/or hallucinations. Among offenders with family victims 72% suffered from obvious delusions and/or hallucinations, as compared to 43% of offenders with non-family victims. Of the offenders, 79% were known to psychiatric services, but at the time of the crime only 33% had any ongoing contact. Despite 48% having been prescribed antipsychotic drugs, no more than two individuals were actually taking their medication. The offenders who had killed members of their biological families were seldom intoxicated and few had earlier convictions for violent crime. The mental health care services have a major responsibility to prevent homicides and violent crimes being committed by those with schizophrenia.
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- Selenius, Heidi, et al.
(author)
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Assessment of dyslexia in a group of male offenders with immigrant backgrounds undergoing a forensic psychiatric investigation.
- 2006
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In: Journal of Forensic Psychiatry & Psychology. - : Informa UK Limited. - 1478-9949 .- 1478-9957. ; 17:1, s. 1-22
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Journal article (peer-reviewed)abstract
- It is known that offenders with immigrant backgrounds are over-represented in criminal as well as forensic psychiatric populations and that the prevalence of dyslexia among prisoners with Swedish as a native language is much higher than in the general population in Sweden. The aim of this study was to diagnose dyslexia in a sample of 23 male offenders with immigrant backgrounds undergoing a forensic psychiatric investigation with the objective to discuss the appropriateness of a commonly used assessment procedure in accordance with DSM-IV. Dyslexia was diagnosed individually; the participants took reading and writing tests, as well as intelligence and neuropsychological tests. Nine out of 23 participants (39%) were diagnosed as having dyslexia. Thus, dyslexia seems to be common among male offenders with immigrant backgrounds undergoing FPI, and for that reason it is important to investigate their reading and writing abilities. Dyslexia is regarded as a functional impairment in Sweden, and therefore all offenders with dyslexia undergoing a forensic psychiatric investigation, irrespective of their background, should receive help with the legal procedure, for example their crime files and police investigation documents should be read to them. We conclude that in addition to the criteria in DSM-IV the assessment procedure should be extended with phonological tests.
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