Psychological assessment of mentally disordered offenders requires a systematic consideration of response styles, including malingering and defensiveness. Important components of these evaluations are standardized diagnostic interviews. However, the ability of offenders to feign mental disorders on such measures to achieve such external incentives as treatment, placement on safer units, or possible release from jail remains uninvestigated. With a known-groups comparison with the data from the Structured Interview of Reported Symptoms as a criterion, 24 suspected malingerers were compared to 64 genuine patients on the Schedule of Affective Disorders and Schizophrenia (SADS), the abbreviated SADS-C, the Suicide Probability Scale, and the Referral Decision Scale.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (M.S.)--University of Michigan, 1985.

In Oregon, "Incompetent to Stand Trial (1ST) Patients" were observed to be increasing in number, remaining in the hospital longer, and costing more to treat. A study was designed to investigate variables that could be used to predict their length of stay at Oregon State Hospital. Data for thirteen independent variables (gender, age, having an Axis I psychosis level diagnosis, having an Axis I substance-related diagnosis, having an Axis II personality disorder diagnosis, evidence of involuntary medications, being on atypical medications at discharge, number of seclusion and restraint events, number of felony charges, number of misdemeanor charges, and number of inter-ward transfers) and one dependent variable (length of stay) were analyzed for 198 1ST patients discharged from Oregon State Hospital between January, 1999 and December, 2001. Bivariate correlations for all variables, and length of stay (LOS) means for all levels of each variable were examined and discussed. A standard multiple regression analysis was performed. The regression model accounted for 36.5% (32.7% adjusted) of the variability in (log) LOS. R for regression was found to be significantly different from zero. Five variables were found to be significant contributors to explaining the variability in (log) LOS: (square root) number of inter-ward transfers (16%), gender (5.8%), evidence of involuntary medications (5.2%), (square root) number of felony charges (2.8%), and (square root) number of seclusion and restraint events (1.6%). Despite accounting for more variability in LOS than several previous studies with psychiatric patients, 67.3% of the variability was unaccounted for by the regression model. Unstandardized regression coefficients for untransformed variables were interpreted, revealing that gender, number of inter-ward transfers, and evidence of involuntary medications significantly predicted the largest increases in LOS. Recommendations were made for further research related to LOS of 1ST patients. / Graduation date: 2003

Reports of people with mental disorders without access to treatment are a major occurrence in prisons outside and within Africa. An estimated 450 000 000 people worldwide suffer from mental or behavioural disorders. The disproportionately high rate of mental disorders in prisons is due to several factors. The factors include the widespread misconception that all persons with mental disorders are a danger to the public; the general intolerance of many societies to difficult or disturbing behaviour, the failure to promote treatment, care and rehabilitation, and above all the lack of or poor access to mental health services in many countries. Many of these disorders may be present before admission to prison and may be further exacerbated by the stress of imprisonment. However mental disorders may develop during imprisonment itself as a consequence of prevailing conditions. / Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011. / http://www.chr.up.ac.za/ / nf2012 / Centre for Human Rights / LLM

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-11-21T08:57:36Z No. of bitstreams: 1 Andrea Saraiva de Barros.pdf: 7442496 bytes, checksum: c3a461e8f2eb65725ec9c7083c3c92c9 (MD5) / Made available in DSpace on 2018-11-21T08:57:36Z (GMT). No. of bitstreams: 1 Andrea Saraiva de Barros.pdf: 7442496 bytes, checksum: c3a461e8f2eb65725ec9c7083c3c92c9 (MD5) Previous issue date: 2018-10-01 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Since the advent of the Law of Psychiatric Reform (Law nº 10.216 / 2001), people diagnosed with mental disorder have been considered subject of rights. Nonetheless, when faced with potential legal consequences there is a frequent scenario of violations. To these people the law attributes the statute of incomputability that removes them from the legal system and that comes with a presumed dangerousness. A safety measure is applied to them, which implicates compulsory determination of treatment that should occur in an outpatient basis or in an inpatient treatment in a Hospital of Custody and Psychiatric Treatment – HCTP. In the state of São Paulo there were hundreds of people waiting for placement in the HCTPs, distributed in regular prison units without assistance. To address that, an alliance between Psychiatry and Justice was created and a cooperation term was established that led to the creation, in 2014, of a psychiatric ward – still inside a regular penitentiary – that could concentrate these people in an irregular situation. The objectives of this research are to reconstruct this history of creation and to understand what today corresponds to the application and execution of safety measures as well as through which paths the reissue of the notion of dangerousness has been occurring. To do so: a) a literature review was carried out around the following axes: the security measures application’s logic in Brazil; the construction of the dangerous subject; the concept of deinstitutionalisation, which guided the Psychiatric Reform, and the disputes that were established in the scenario of security measures, starting from Law nº 10.216 / 2001, highlighting the events of the São Paulo context; b) interviews were made with subjects who participated actively or followed closely the process of creation of that ward; c) analysis of the verification reports of dangerousness’ termination of a 86 patients group who were awaiting for placement in an irregularly confined hospital at psychiatric wards of regular penitentiaries. The empirical study discussed through some analysts, the alliances and tensions in the configuration of the Ward, looking especially at the issue of the drug user subject, a growing phenomenon in all Penitentiary System. Based on the theoretical contributions of Michel Foucault and the authors of Institutional analysis, we were able to understand that judicial asylums and special wards are only some of the spaces of a management model in transinstitutional circuits that absorb the ungovernable subjects, marked by a new situational notion of dangerousness / Embora, no Brasil, as pessoas diagnosticadas com transtorno mental, desde o advento da Lei da Reforma Psiquiátrica (Lei nº10.216/2001), sejam consideradas sujeitos de direitos, quando entram em conflito com a lei observamos um cenário frequente de violações. A essas pessoas a lei atribui o estatuto da inimputabilidade que as retira do ordenamento jurídico e que vem acoplado a uma periculosidade presumida. A elas é aplicada uma medida de segurança que implica na determinação compulsória de tratamento que deverá acontecer em regime ambulatorial ou em regime de internação em Hospital de Custódia e Tratamento Psiquiátrico – HCTP. No Estado de São Paulo haviam centenas de pessoas aguardando por vagas nos HCTPs, pulverizadas por unidades prisionais comuns e completamente desassistidas. Para tanto, a partir de uma aliança entre Psiquiatria e Justiça, estabeleceu-se um termo de cooperação que ensejou na criação, em 2014, de uma ala psiquiátrica – ainda dentro de uma penitenciária comum – que pudesse concentrar essas pessoas em situação irregular. Os objetivos desta pesquisa consistem em reconstruir essa história de criação e compreender ao que responde hoje a aplicação e execução das medidas de segurança bem como por quais caminhos vem se dando a reedição da noção de periculosidade. Para tanto: a) realizamos revisão de literatura em torno dos seguintes eixos: a lógica de aplicação das medidas de segurança no Brasil; a construção do sujeito perigoso; o conceito de desinstitucionalização, norteador da Reforma Psiquiátrica, e o campo de lutas que se estabeleceu no cenário das medidas de segurança, a partir da Lei nº10.216/2001, ressaltando os acontecimentos do cenário paulista; b) entrevistas realizadas com sujeitos que participaram ativamente ou acompanharam de perto o processo de criação daquela Ala; c) análise dos laudos de verificação de cessação de periculosidade, de um grupo de 86 pacientes que estavam aguardando vagas para internação em hospital de custódia irregularmente confinados nas alas psiquiátricas de penitenciárias comuns. O estudo empírico discutiu por meio de alguns analisadores as alianças e tensões na configuração da Ala, olhando especialmente para a questão do sujeito usuário de drogas, perfil crescente em todo o Sistema Penitenciário. A partir dos aportes teóricos de Michel Foucault e dos autores da Análise Institucional, pudemos compreender que os manicômios judiciários e alas especiais consistem apenas em um dos espaços de um modelo de gestão em circuitos transinstitucionais que absorvem os sujeitos ingovernáveis, marcados por uma nova noção situacional de periculosidade