Milieu and Mutilation – a Case for ‘Special’ Treatment? | The British Journal of Psychiatry | Cambridge Core (original) (raw)

Abstract

Special hospitals are principally concerned with the treatment of patients of dangerous, violent or criminal propensities referred from the courts and prisons. However, patients can be transferred from local NHS hospitals. The case of one such patient illustrates the potential benefits of such a transfer, even for patients who are not of immediate danger to others.

Type

Brief Reports

Copyright

Copyright © The Royal College of Psychiatrists

References

Craft, M. D., Stephenson, G. & Granger, C. (1964) A controlled trial of authoritarian and self-governing regimes with adolescent psychopaths. American Journal of Orthopsychiatry, 34, 543–554.Google Scholar

Department of Health and Social Security (1983) Memorandum on Mental Health Act 1983. London: HMSO.Google Scholar

Fingl, E. & Woodbury, D. M. (1975) Behavioural toxicity. In Introduction to the Pharmacological Basis of Therapeutics (ed. Goodman-Gillman, A.). New York: Macmillan.Google Scholar

Gunderson, J. G. & Zanarini, M. C. (1987) Borderline personality disorder. Journal of Clinical Psychiatry, 48, 13–19.Google Scholar

Gunn, J. & Robertson, G. (1976) Psychopathic personality: a conceptual problem. Psychological Medicine, 6, 631–634.Google Scholar

Scannell, T. D. (1989) Community care and the difficult and offender patient. British Journal of Psychiatry, 154, 615–619.CrossRefGoogle ScholarPubMed

Snowden, P. R. (1985) A survey of the regional secure unit programme. British Journal of Psychiatry, 147, 499–507.Google Scholar

Steiner, M., Elizur, A. & Davidson, S. (1979) Behavioural toxicity. Neuroleptic-induced paradoxical behavioural toxicity in young borderline schizophrenics. Confina Psychiatrica, 22, 226–233.Google Scholar

Thomson, I. G. (1986) Milieu therapy. Bulletin of the Royal College of Psychiatrists, 10, 35–36.Google Scholar

Van Putten, T. & Marder, S. (1987) Behavioural toxicity of antipsychotic drugs. Journal of Clinical Psychiatry, 48, 13–19.Google Scholar

Whiteley, J. S. (1970) The response of psychopaths to a therapeutic community. British Journal of Psychiatry, 116, 517–529.Google Scholar