Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-30T19:17:08.378Z Has data issue: false hasContentIssue false

Chapter 10 - Forensic Psychiatry

Published online by Cambridge University Press:  07 October 2022

By
Gwen Adshead
Edited by
Christopher C. H. Cook  and
Andrew Powell
Christopher C. H. Cook
Affiliation:
Institute for Medical Humanities, Durham University
Andrew Powell
Affiliation:
Formerly Warneford Hospital and University of Oxford
Get access

Summary

This chapter discusses how issues of spirituality present in forensic psychiatric practice, and especially in the treatment of offenders with mental health disorders. The context of the work of forensic psychiatric services is described. Then three domains of forensic psychiatric practice (the medico-legal, secure psychiatric care and existential forensic psychiatry) are explored, and the ways in which issues of spirituality arise are considered. The chapter concludes with some comments about the importance of the forensic psychiatrist keeping an open mind that can change, in order that his or her patients may experience change. The work draws on the author’s experience of forensic and prison services in England and Wales; prisoners are referred to mainly as ‘he’ because the majority of both offenders and prisoners are male.

Keywords

crueltyhopeoffendingrecovery narrativesrehabilitation
Type
Chapter
Information
Spirituality and Psychiatry , pp. 195 - 206
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adshead, G. (2000) Care or custody? Ethical dilemmas in forensic psychiatry. Journal of Medical Ethics, 26, 302–304.Google Scholar
Adshead, G. (2011) The life sentence: narrative approaches to the group therapy of offenders. Group Analysis, 44, 175–195.Google Scholar
Adshead, G. (2016) Stories of transgression: narrative therapy with offenders. In Cook, C. C. H., Powell, A. and Sims, A., eds., Spirituality and Narrative in Psychiatric Practice: Stories of Mind and Soul. London: RCPsych Publications, pp. 94–107.Google Scholar
Adshead, G., Berko, Z., Bose, S., Ferrito, M. and Mindang, M. (2018) Is there a murderer here? The language of agency and violence in homicide perpetrators. In Adlam, J., Kluttig, T. and Lee, B. X., eds.. Violent States and Creative States. Volume 2: Human Violence and Creative Humanity. London: Jessica Kingsley Publishers, pp. 53–66.Google Scholar
Barnao, M., Ward, T. and Robertson, P. (2016) The Good Lives Model: a new paradigm for forensic mental health. Psychiatry, Psychology and Law, 23, 288–301.Google Scholar
Booker, C. (2004) The Seven Basic Plots. London: Continuum.Google Scholar
Boyle, J. (1984) The Pain of Imprisonment. London: Pan.Google Scholar
Corlett, H. and Miles, H. (2010) An evaluation of the implementation of the recovery philosophy in a secure forensic service. British Journal of Forensic Practice, 12, 14–25.CrossRefGoogle Scholar
Drennan, G. and Alred, D. (2013) Recovery in forensic mental health settings: from alienation to integration. In Secure Recovery: Approaches to Recovery in Forensic Mental Health Settings. London: Routledge, pp. 1–22.Google Scholar
Favril, L., Yu, R., Hawton, K. and Fazel, S. (2020) Risk factors for self-harm in prison: a systematic review and meta-analysis. The Lancet Psychiatry, 7, 682–691.Google Scholar
Fazel, S., Hayes, A. J., Bartellas, K., Clerici, M. and Trestman, R. (2016) Mental health of prisoners: prevalence, adverse outcomes, and interventions. The Lancet Psychiatry, 3, 871–881.Google Scholar
Ferrito, M., Vetere, A., Adshead, G. and Moore, E. (2012) Life after homicide: accounts of recovery and redemption of offender patients in a high security hospital – a qualitative study. Journal of Forensic Psychiatry & Psychology, 23, 327–344.Google Scholar
Ford, K., Barton, E. R., Newbury, A. et al. (2019) Understanding the Prevalence of Adverse Childhood Experiences (ACEs) in a Male Offender Population in Wales: the Prisoner ACE Survey. Wrexham: Public Health Wales and Bangor University.Google Scholar
Fox, B. H., Perez, N., Cass, E. et al. (2015) Trauma changes everything: examining the relationship between adverse childhood experiences and serious, violent and chronic juvenile offenders. Child Abuse & Neglect, 46. 163–173.Google Scholar
Galanter, M. (2005) Spirituality and the Healthy Mind: Science, Therapy, and the Need for Personal Meaning. Oxford: Oxford University Press.Google Scholar
Galanter, M. (2007) Spirituality and recovery in twelve-step programs: an empirical model. Journal of Substance Abuse Treatment, 33, 265–272.CrossRefGoogle Scholar
Glorney, E., Raymont, S., Lawson, A. and Allen, J. (2019) Religion, spirituality and personal recovery among forensic patients. Journal of Forensic Practice, 21, 190–200.CrossRefGoogle Scholar
Griffith, E. E. (1998) Ethics in forensic psychiatry: a cultural response to Stone and Appelbaum. Journal of the American Academy of Psychiatry and the Law, 26, 171–184.Google Scholar
Griffith, E. E., Stankovic, A. and Baranoski, M. (2010) Conceptualizing the forensic psychiatry report as performative narrative. Journal of the American Academy of Psychiatry and the Law, 38, 32–42.Google Scholar
Haney, C. (2017) “Madness” and penal confinement: some observations on mental illness and prison pain. Punishment & Society, 19, 310–326.CrossRefGoogle Scholar
Heads, T., Taylor, P. and Leese, M. (1997) Childhood experiences of patients with schizophrenia and a history of violence: a special hospital sample. Criminal Behavior and Mental Health 7: 117–130.CrossRefGoogle Scholar
Hesse, E. (2008) The Adult Attachment Interview. In Cassidy, J. and Shaver, P., eds., Handbook of Attachment: Theory, Research, and Clinical Applications, 2nd ed. New York: The Guilford Press, pp. 552–598.Google Scholar
Hillbrand, M. and Young, J. L. (2008) Instilling hope into forensic treatment: the antidote to despair and desperation. Journal of the American Academy of Psychiatry and the Law, 36, 90–94.Google Scholar
Horner, S. (2019) Through a glass darkly. In Fletcher, J., ed., Chaplaincy and Spiritual Care in Mental Health Settings. London: Jessica Kingsley Publishers, pp. 171–184.Google Scholar
Hughes, K., Bellis, M. A., Hardcastle, K. A. et al. (2017) The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. The Lancet Public Health, 2, e356–e366.Google Scholar
Langer, L. L. (1991) Holocaust Testimonies: The Ruins of Memory. London: Yale University Press.Google Scholar
Liettu, A., Mikkola, L., Säävälä, H. et al. (2010) Mortality rates of males who commit parricide or other violent offense against a parent. Journal of the American Academy of Psychiatry and the Law, 38, 212–220.Google Scholar
McAdams, D. P. (2006) The Redemptive Self: Stories Americans Live By. Oxford: Oxford University Press.Google Scholar
McAdams, D. P., Josselson, R. and Lieblich, A., eds. (2001) Turns in the Road: Narrative Studies of Lives in Transition. Washington, DC: American Psychological Association.Google Scholar
Maruna, S. (2001) Making Good: How Ex-Convicts Reform and Rebuild Their Lives. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Maruna, S. and Ramsden, D. (2004) Living to tell the tale: redemption narratives, shame management, and offender rehabilitation. In Lieblich, A., McAdams, D. P. and Josselson, R., eds., Healing Plots: The Narrative Basis of Psychotherapy. Washington, DC: American Psychological Association, pp. 129–149.Google Scholar
Mela, M. A., Marcoux, E., Baetz, M. et al. (2008) The effect of religiosity and spirituality on psychological well-being among forensic psychiatric patients in Canada. Mental Health, Religion and Culture, 11, 517–532.Google Scholar
Norko, M. A. (2018) What is truth? The spiritual quest of forensic psychiatry. Journal of the American Academy of Psychiatry and the Law, 46, 10–22.Google Scholar
Rohr, R. (2012) Falling Upward: A Spirituality for the Two Halves of Life. London: SPCK Publishing.Google Scholar
Saleem, R., Treasaden, I. and Puri, B. K. (2014) Provision of spiritual and pastoral care facilities in a high-security hospital and their increased use by those of Muslim compared to Christian faith. Mental Health, Religion & Culture, 17, 94–100.Google Scholar
Shaw, K. (2019) The voice of chaplaincy. In Winder, B., Blagden, N., Hocken, K. et al., eds., Sexual Crime, Religion and Spirituality. Cham: Palgrave Macmillan, pp. 25–43.Google Scholar
Shepherd, A., Doyle, M., Sanders, C. and Shaw, J. (2016) Personal recovery within forensic settings – systematic review and meta‐synthesis of qualitative methods studies. Criminal Behaviour and Mental Health, 26, 59–75.Google Scholar
Slade, M. (2009) Personal Recovery and Mental Illness. Cambridge: Cambridge University PressGoogle Scholar
Starr, M., trans. (2014) Julian of Norwich: The Showings. Norwich: Canterbury Press.Google Scholar
Swinton, J. (2013) Beyond kindness: the place of compassion in a forensic mental health setting. Health and Social Care Chaplaincy, 1, 11–21.CrossRefGoogle Scholar
Thomas, A., Völlm, B., Winder, B. and Abdelrazek, T. (2016) Religious conversion among high security hospital patients: a qualitative analysis of patients’ accounts and experiences on changing faith. Mental Health, Religion & Culture, 19, 240–254.CrossRefGoogle Scholar
West, M. L., Mulay, A. L., DeLuca, J. S., O’Donovan, K. and Yanos, P. T. (2018) Forensic psychiatric experiences, stigma, and self-concept: a mixed-methods study. Journal of Forensic Psychiatry & Psychology, 29, 574–596.Google Scholar
Williams, A., Moore, E., Adshead, G., McDowell, A. and Tapp, J. (2011) Including the excluded: high security hospital user perspectives on stigma, discrimination, and recovery. British Journal of Forensic Practice. 13, 197–204.Google Scholar
Williams, R. J. and Liebling, A. (2018) Faith provision, institutional power, and meaning among Muslim prisoners in two English high-security prisons. In Kerley, K. R., ed., Finding Freedom in Confinement: The Role of Religion in Prison Life. Santa Barbara, CA: Praeger, pp. 269–291.Google Scholar
Witharana, D. and Adshead, G. (2013) Mindfulness-based interventions in secure settings: challenges and opportunities. Advances in Psychiatric Treatment, 19, 191–200.Google Scholar
Wordsworth, W. (1798/2004) Lines written a few miles above Tintern Abbey. In Gill, S., ed., Selected Poems. London: Penguin Classics.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×