Textbook Notes (367,936)
Canada (161,516)
Psychology (9,695)
PSYC39H3 (201)
Chapter 10

PSYC39: Chapter 10 Notes

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David Nussbaum

Chapter 10Mentally Disordered OffendersThe primary tool used for diagnosing mental disorders is the Diagnostic and Statistical Manual of Mental Disorders DSM It was first published in 1952 in order to facilitate diagnosisOriginal DSM was 130 pages and listed 106 disordersCurrent DSM is 886 pages with 297 listed disorders Thats a 280 increaseIt uses a multiaxial systemAxis I Clinical disorders including mood disorders anxiety disorders phobias schizophrenia bipolar disorder dissociative disorders gender identity disorders eating disorders developmental and learning disordersAxis II Mental retardation and personality disorders including avoidant dependent obsessivecompulsive histrionic antisocial borderline narcissistic paranoid schizoid and schizotypal disordersAxis III General medical conditions that may be related to the mental disorder or that might influence the choice of medications for treating the disorderAxis IV Psychosocial or environment factors that may contribute to disorders including family problems educational problems economic problems or problems with the legal systemAxis V Assessment of the patients general well functioning With the advent of psychotropic medications a movement to deinstitutionalize psychiatric patients began in the 1960sPrevalence rates for male and female offenders were respectively 37 and 40 percent for psychotic illness 10 and 12 percent for major depression and 47 and 21 percent for ASPD book said APSD but I say it was a typo lolPrisoners had substantially higher rates of prevalence for all disorders examined compared to a community samplePrisoners were 10 times as likely to have a psychotic disorder PTSD opioid use disorder sedative use disorder or stimulant use disorder than the communityTable 101 on page 329Prevalence rates of major mental disorders in offender and community samples and odds ratio of prisoners having a disorder compared with a community sampleRates of personality disorders are substantially higher in prison populations versus the communityPersonality disordersMaladaptive patterns of relatively inflexible and serious enough to cause distress or impaired functioning Three clusters1Odd or bizarre behaviourParanoid schizoid or schizotypal2Dramaticerratic behaviour Antisocial narcissistic histrionic borderline3Anxiousinhibited behaviourDependant avoidant OCDASPD and paranoid personality disorder are the most common types of personality disorders in the male prison population For females the most prevalent are antisocial and borderline personality disordersPrevalence for any personality disorder prison73 males and 67 femalesMost commonASPD and ParanoidLeast commonHistrionic and dependantThose from the personality disorder group prison were more likely to have had childhood
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