Personality pathology in a forensic setting : prevalence, assessment, and prognostic value for treatment

Leiden Repository

Personality pathology in a forensic setting : prevalence, assessment, and prognostic value for treatment

Type: Doctoral Thesis
Title: Personality pathology in a forensic setting : prevalence, assessment, and prognostic value for treatment
Author: Spaans, M.A.
Issue Date: 2016-12-06
Keywords: Assessment
Diagnosis
Forensic
Offenders
Personality
Psychopathology
Self-report
Suspects
Treatment
Abstract: Research on the prevalence, diagnostic and prognostic value for treatment of personality pathology – i.e., both personality disorders and problematic personality characteristics – was carried out within a mainly Dutch forensic mental health setting. Issues such as (dis)simulation and unintentional self-deception limit the utility of self-report instruments within a pre-trial setting. Personality disorders and psychopathic traits in suspected offenders in the Netherlands often lead to court rulings of enforced psychiatric treatment – an internationally unique situation. A prospective study on the predictive value of personality disorder isolated factors that can affect enforced treatment length, such as crime type and comorbidity, that can be a focus for policy makers and forensic mental health experts. Caution is advised when using self-report instruments within the forensic context, especially in the absence of response bias scales and in the case of (legal) incentives for certain outcomes. There is urgent need for international standardization of instruments and terminology and a test battery that is specifically designed for and validated within forensic populations. An increase in (detail of) digital registration of patient, treatment and risk characteristics is necessary for meaningful scientific research, a better assessment of personality and risks, fewer incidents, lower recidivism and shorter treatment.
Promotor: Supervisors: P. Spinhoven; E. de Beurs Co-Supervisor: T. Rinne
Faculty: Social and Behavioural Sciences
University: Leiden
Handle: http://hdl.handle.net/1887/44736
 

Files in this item

Description Size View
application/pdf Cover 192.0Kb View/Open
application/pdf Full text 917.7Kb View/Open
application/pdf Title page_Table of contents 173.2Kb View/Open
application/pdf Chapter 1 Introduction 155.6Kb View/Open
application/pdf Chapter 2 219.9Kb View/Open Full text at publisher site
application/pdf Chapter 3 221.0Kb View/Open Full text at publisher site
application/pdf Chapter 4 198.2Kb View/Open Full text at publisher site
application/pdf Chapter 5 187.1Kb View/Open Full text at publisher site
application/pdf Chapter 6 221.6Kb View/Open
application/pdf Chapter 7 Discussion 182.9Kb View/Open
application/pdf References 162.1Kb View/Open
application/pdf Appendices 111.2Kb View/Open
application/pdf Summary in Dutch 153.4Kb View/Open
application/pdf Acknowledgements_Curriculum Vitae 99.51Kb View/Open
application/pdf Propositions 69.09Kb View/Open

This item appears in the following Collection(s)