To Treat or Not to Treat? Should the Treatability Criterion for Those with Psychopathic Disorder be Abandoned?

2001 ◽  
Vol 12 (3) ◽  
pp. 647-661 ◽  
Author(s):  
John H. M. Crichton ◽  
Rajan Darjee ◽  
Alexander McCall-Smith ◽  
Derek Chiswick

1983 ◽  
Vol 143 (1) ◽  
pp. 20-29 ◽  
Author(s):  
M. J. MacCulloch ◽  
P. R. Snowden ◽  
P. J. W. Wood ◽  
H. E. Mills

SummaryThis paper explores the genesis of sadistic behaviour in men and its relationship to crime. Sixteen male special hospital patients, each with a diagnosis of psychopathic disorder, formed the basis of this descriptive study. In only three cases were the crimes explicable in terms of external circumstances and personality traits. The offences of the remaining 13 cases became comprehensible only when the offender's internal circumstances were explored: investigation revealed repetitive sadistic masturbatory fantasies which had spilled over into overt behaviour because the patients had felt impelled to seek and create increasingly dangerousin vivo‘try-outs' of their fantasies. The paper discusses the crucial link between sadistic fantasy and behaviour.


Author(s):  
Herschel Prins

<p>This paper, which is divided into five parts, has been prompted by the continuing interest in the complex and emotive topic of psychopathic disorder1 and the possibility of a government Bill aimed at revising the current mental health legislation being introduced in 2003. The unclear nature of the condition and the controversies surrounding it are well encapsulated in the two quotations that head this paper. One or two other literary allusions will also be called in aid later.</p>


1999 ◽  
Vol 23 (11) ◽  
pp. 692-692
Author(s):  
Ernest Gralton ◽  
Julie Crocombe

1972 ◽  
Vol 121 (563) ◽  
pp. 365-368 ◽  
Author(s):  
A. W. Griffiths ◽  
V. Marks ◽  
D. Fry ◽  
G. Morley ◽  
Gillian Lewis

The XYY constitution has achieved some measure of clinical definition, having been found in association with tallness, asocial personality, dilution of intelligence (Griffiths, 1971) and a tendency to psychopathic disorder (Griffiths, Richards, Zaremba, Abramowicz and Stewart, 1970). In addition, neurological, endocrinological, skeletal and other abnormalities have been reviewed (Griffiths, 1971), and the condition, like mongolism, has come to be regarded as affecting many systems of the body to a greater or lesser extent. Biochemical investigations, hitherto largely concerned with sex hormones, especially testosterone, have in general revealed no significant difference from matched controls. Some authors have, however, reported increased plasma testosterone levels both in 46 XY and 47 XYY patients of maximum security hospitals as compared to patients in other psychiatric hospitals and to the general population (Ismail, Harkness, Kirkham, Loraine, Whatmore and Brittain, 1968; Rudd, Galal and Casey, 1968; Price and Van de Molen, 1970). The pre-eminent desirability of rigorously selected controls has been remarked on in these investigations.


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