Particularities of Offenders Imprisoned for Domestic Violence from Social and Psychiatric Medical–Legal Perspectives

Abstract

Background and Objectives: It is known that there may be an interconditionality between social status, personality disorders, and aggressive behavior. This study aimed to analyze the social and psychiatric diagnosis characteristics in subjects imprisoned for domestic violence acts compared to other types of aggressive behaviors. Materials and Methods: We performed a retrospective study using psychiatric medical–legal reports at the National Institute of Legal Medicine “Mina Minovici” Bucharest from 2016 to 2020. Results: We included 234 cases in our analysis, from which 132 (56%) were domestic violence offenders (DVO), and 102 (44%) were violence offenders imprisoned for other aggressions (OVO). Overall, DVOs were older than OVOs (43.0 +/− 14.7 vs. 36.1 +/− 16.6 years-old). In both study groups, most subjects were men, but the DVO group had more women than the OVO group: 23 cases (17%) and 3 cases (3%), respectively. In 14 cases (11%), previous criminal records were found from the DVO and 31 (30%) from the OVO group. Significantly fewer DVO were chronic psychoactive substance users: 83 (63%) in the DVO group versus 78 (86%) in the OVO group. Significantly more DVO had suicidal tendencies 26 (20%) compared to OVO 9 (9%). DVO subjects had significantly less often unsocialized conduct disorder or antisocial personality disorder compared to the OVO group. Conclusions: We found that DVO, compared to the OVO, were more numerous, older, less abusive, with a less frequent history of psychoactive substance abuse and addictions, and were less frequently indifferent to the committed acts.

Malpractice Claims and Ethical Issues in Prison Health Care Related to Consent and Confidentiality

“…In order to comply with these goals, medical staff need to properly understand the characteristics of the patient, taking into account the aspect of detention. The overlapping of inmate and patient implies some aspects referring to the person’s psycho-social background, such as social marginalization, a very low socioeconomic level, a low level of schooling, reduced intellectual efficiency, aggression, impulsivity, reduced tolerance to frustration, personality disorders, and disorders resulting from substance use [ 3 , 18 ]. All these characteristics, particularly in the context of custodial measures, emphasize the patient’s need to have their autonomy respected within the patient–physician relationship to obtain their compliance and their trust in the physician.…”