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Psychopathology Studies

Decent Essays

Background

Results from previous studies which have looked at male offenders from both high and medium secure units over a prolonged period of time (average of 2-5 years) have indicated that the HCR20 total score was a good predictor of both violent and other offences following discharge (Gray, Taylor, Snowden 2000). Moreover, historical measures of risk and measures of psychopathy, impulsiveness and anger were greatly predictive of community violence (Doyle & Dolan 2006). Doyle and Dolan (2006) also suggested that dynamic clinical and risk management factors extrapolated from structured professional judgement (rated at discharge) added important incremental validity to the historical factors in predicting community violence. Furthermore, …show more content…

According to David (1990) we typically view difficulties in discerning the feelings experienced by others or in interpreting the significance of events in the outsight world as reflecting deficits in the processing of affective information. In summary, usage of the term, ‘insight’ in the psychopathology literature often implies a bifurcation between knowledge of the self and knowledge of the outside world. Kent and Yellowless (2006) found lack of insight or denial of illness was cited 62.2% of the patients' 442 total admissions, followed by relationship problems (61.1 percent), suicidal ideation (44.8 percent), and noncompliance with medication (43.2 percent) when they examined which 15 factors most frequently contributed to hospital readmission with 50 patients with frequent readmissions over a three-year period. Furthermore, lack of insight appears to be a common feature found in individuals with a mental health diagnosis such as bipolar disorder (Dell'Osso, Pini, Cassano, Mastrocinque, Seckinger, Saetton, Papasogli, 2002) and schizophrenia (Xavier et al, 1994). Results emphasized that a variety of self-awareness deficits are more severe and pervasive in patients with schizophrenia than in patients with schizoaffective or major depressive disorders with or without psychosis and are associated with poorer psychosocial functioning (Xavier et …show more content…

before the individual they are caring for deteriorates. I believe this piece of work will serve as a significant contribution to SLaM services, in particular the pre-discharge unit I work for. It may influence the way in which care-plans are constructed and delivered and the culture around discharge. It will also highlight the importance of issues around engagement in terms of patient staff ratios, relationships and therapeutic interventions. It may also open a discussion for the growing need of community treatment teams and specialized

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