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Accountability and psychiatric disorders: How do forensic psychiatric professionals think?

Höglund, Pontus LU ; Levander, Sten LU ; Anckarsäter, Henrik LU and Radovic, Susanna (2009) In International Journal of Law and Psychiatry 32. p.355-361
Abstract
Swedish penal law does not exculpate on the grounds of diminished accountability; persons judged to suffer from severe mental disorder are sentenced to forensic psychiatric care instead of prison. Re-introduction of accountability as a condition for legal responsibility has been advocated, not least by forensic psychiatric professionals. To investigate how professionals in forensic psychiatry would assess degree of accountability based on psychiatric diagnoses and case vignettes, 30 psychiatrists, 30 psychologists, 45 nurses, and 45 ward attendants from five forensic psychiatric clinics were interviewed. They were asked (i) to judge to which degree (on a dimensional scale from 1 to 5) each of 12 psychiatric diagnoses might affect... (More)
Swedish penal law does not exculpate on the grounds of diminished accountability; persons judged to suffer from severe mental disorder are sentenced to forensic psychiatric care instead of prison. Re-introduction of accountability as a condition for legal responsibility has been advocated, not least by forensic psychiatric professionals. To investigate how professionals in forensic psychiatry would assess degree of accountability based on psychiatric diagnoses and case vignettes, 30 psychiatrists, 30 psychologists, 45 nurses, and 45 ward attendants from five forensic psychiatric clinics were interviewed. They were asked (i) to judge to which degree (on a dimensional scale from 1 to 5) each of 12 psychiatric diagnoses might affect accountability, (ii) to assess accountability from five case vignettes, and (iii) to list further factors they regarded as relevant for their assessment of accountability. All informants accepted to provide a dimensional assessment of accountability on this basis and consistently found most types of mental disorders to reduce accountability, especially psychotic disorders and dementia. Other factors thought to be relevant were substance abuse, social network, personality traits, social stress, and level of education. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Law and Psychiatry
volume
32
pages
355 - 361
publisher
Elsevier
external identifiers
  • wos:000272812200004
  • pmid:19811835
  • scopus:70350574160
ISSN
0160-2527
DOI
10.1016/j.ijlp.2009.09.004
language
English
LU publication?
yes
id
5ddd58d1-8f75-4e78-b1d2-b39488027354 (old id 1500511)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19811835?dopt=Abstract
date added to LUP
2009-11-03 15:29:08
date last changed
2017-01-01 07:34:36
@article{5ddd58d1-8f75-4e78-b1d2-b39488027354,
  abstract     = {Swedish penal law does not exculpate on the grounds of diminished accountability; persons judged to suffer from severe mental disorder are sentenced to forensic psychiatric care instead of prison. Re-introduction of accountability as a condition for legal responsibility has been advocated, not least by forensic psychiatric professionals. To investigate how professionals in forensic psychiatry would assess degree of accountability based on psychiatric diagnoses and case vignettes, 30 psychiatrists, 30 psychologists, 45 nurses, and 45 ward attendants from five forensic psychiatric clinics were interviewed. They were asked (i) to judge to which degree (on a dimensional scale from 1 to 5) each of 12 psychiatric diagnoses might affect accountability, (ii) to assess accountability from five case vignettes, and (iii) to list further factors they regarded as relevant for their assessment of accountability. All informants accepted to provide a dimensional assessment of accountability on this basis and consistently found most types of mental disorders to reduce accountability, especially psychotic disorders and dementia. Other factors thought to be relevant were substance abuse, social network, personality traits, social stress, and level of education.},
  author       = {Höglund, Pontus and Levander, Sten and Anckarsäter, Henrik and Radovic, Susanna},
  issn         = {0160-2527},
  language     = {eng},
  pages        = {355--361},
  publisher    = {Elsevier},
  series       = {International Journal of Law and Psychiatry},
  title        = {Accountability and psychiatric disorders: How do forensic psychiatric professionals think?},
  url          = {http://dx.doi.org/10.1016/j.ijlp.2009.09.004},
  volume       = {32},
  year         = {2009},
}