Hare Psychopathy Checklist Revised profiles of male patients with Asperger's syndrome detained in high security psychiatric care

Murphy, David

doi:10.1080/14789940601014777

Cited by 26 publications

(13 citation statements)

References 8 publications

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“…Despite the wealth of clinical interest in this area, research describing interventions and their outcomes for offenders with ASD is scarce (Murphy ). Three major reports on autism and offending behaviour provide little emphasis on treatment (Scottish Executive Social Research ; Birmingham City Council ; National Autistic Society ).…”

Section: Discussionmentioning

confidence: 99%

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Esan¹,

Chester²,

Gunaratna³

et al. 2014

Research Intellect Disabil

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Abstract:Background: To describe the characteristics of those with autism spectrum disorder (ASD) treated within a forensic intellectual disability hospital and to compare them with those without ASD.Method: Service evaluation of a cohort of 138 patients treated over a 6 year period.Results: Of the 138, 42 had an ASD. Personality disorders and harmful use or dependence on drugs were significantly lower in the ASD group. The ASD group was less likely to be subject to criminal sections or restriction orders. Self-harm was significantly higher in the ASD group. There were no differences in the length of stay and direction of care pathway.Conclusions: Although the ASD and non-ASD groups differ on clinical and forensic characteristics, their treatment outcomes appear similar. This suggests that the diagnostic category of ASD alone may be inadequate in predicting the treatment outcome. There is a case to identify distinct typologies within the ASD group. Method: Service evaluation of a cohort of 138 patients treated over a 6 year period. Journal of Applied Research in Intellectual DisabilitiesResults: Of the 138, 42 had an ASD. Personality disorders and harmful use or dependence on drugs were significantly lower in the ASD group. The ASD group was less likely to be subject to criminal sections or restriction orders. Self-harm was significantly higher in the ASD group. There were no differences in the length of stay and direction of care pathway. Conclusions:Although the ASD and non-ASD groups differ on clinical and forensic characteristics, their treatment outcomes appear similar. This suggests that the diagnostic category of ASD alone may be inadequate in predicting the treatment outcome. There is a case to identify distinct typologies within the ASD group.

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Section: Discussionmentioning

confidence: 99%

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Esan¹,

Chester²,

Gunaratna³

et al. 2014

Research Intellect Disabil

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“…In the UK, Murphy (2007) found that none of the patients with Asperger syndrome at Broadmoor Hospital received an overall score on the PCL-R above the cut-off for psychopathy. Interestingly, in the different domains of the PCL-R these indi vi duals frequently received higher scores on the affective component (including features such as lack of remorse or guilt, shallow affect, lack of empathy and failure to accept responsibility for one's actions) and lower scores on the other components than did a comparison group of the hospital's patients without Asperger syndrome.…”

Section: Offenders With Asperger Syndrome and Psychopathymentioning

confidence: 99%

Asperger syndrome and criminal behaviour

Dein¹,

Woodbury‐Smith²

2010

Adv. psychiatr. treat

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SummaryThe importance of considering antisocial behaviour among people with autism-spectrum disorders is apparent from the significant number of case reports and case series describing criminal behaviour of people with a diagnosis of Asperger syndrome. The evidence so far does not support a specific association between the syndrome and criminal offending. However, a small yet significant number of offenders with autism who engage in illegal behaviour find themselves socially excluded or detained in secure provisions for prolonged periods. This article gives an overview of the scant empirical evidence relating to criminality within the context of Asperger syndrome, and offers suggestions for managing the syndrome in mentally disordered offenders.

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“…Qualitative investigations have highlighted the cognitive, social and risk profile differences between ASD patients and non-ASD patients in HSPC (e.g. Murphy, 2003Murphy, , 2007Murphy, , 2010Murphy, , 2013. From the perspective of staff, 90 per cent of 206 surveyed (including psychiatrists, psychologists, nursing staff, social workers and occupational therapists) believed patients with ASD were more vulnerable than other patient groups and reported making adjustments in their everyday practice for ASD patients.…”

Section: Do Individuals With An Asd Differ From Other Patient Groups In Hspc?mentioning

confidence: 99%

Incompatibilities and seclusion of patients with an autism spectrum disorder detained in high-secure psychiatric care

Murphy

Bush

Puzzo

2017

JIDOB

Self Cite

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Purpose Whilst individuals with an autism spectrum disorder (ASD) represent a relatively small proportion of patients detained in high-secure psychiatric care (HSPC), previous research suggests that such individuals present with difficulties and needs significantly different from non-ASD patient groups. However, to date, there has not been any formal examination of how individuals with an ASD are represented in records of key risk management actions (i.e. seclusions and incompatibilities with other patients). The paper aims to discuss these issues. Design/methodology/approach An observation of hospital data examining two key risk management actions for a group of individuals with an ASD is detained in one HSPC hospital. These include the number of formal incompatibilities with other patients and the number of, and hours in, seclusion. Both actions require extra staff and security provisions and can decelerate the rehabilitation and recovery process. Findings In addition to suggesting an overall increase in the general prevalence of ASD within the hospital compared to previous estimates, individuals with an ASD appear to have a disproportionately higher number of incompatibilities with other patients compared to those patients without an ASD and experience more and longer periods of seclusions. Originality/value Although the methodological limitations of the study are acknowledged, explanations for the findings are discussed along with future research and recommendations as to how ASD patients might be best managed in the hospital. It is argued that the findings add further support for a specialist ASD service within HSPC.

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Hare Psychopathy Checklist Revised profiles of male patients with Asperger's syndrome detained in high security psychiatric care

Cited by 26 publications

References 8 publications

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

The Clinical, Forensic and Treatment Outcome Factors of Patients with Autism Spectrum Disorder Treated in a Forensic Intellectual Disability Service

Asperger syndrome and criminal behaviour

Incompatibilities and seclusion of patients with an autism spectrum disorder detained in high-secure psychiatric care

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