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Models Of Forensic Psychology Case Study Social Work Essay Paper

Words: 4842, Paragraphs: 81, Pages: 17

Paper type: Case study , Subject: Psychology

Andrew is 15. He has been accused of sexually assailing his younger sister and may be charged with this in the close hereafter. Some of his household have a history of mental upset and he has a history of acquisition and behavioral troubles, as a consequence of which he has been go toing a residential particular school.

He does non admit the accusals against him and is loath to discourse them.

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Andrew presents as a tall, slim-built young person who is restlessly dying, looking off for most of the interview, and repeatedly yawning in an overdone mode to bespeak how small he wants to be involved in the treatment. Despite this he is basically polite in mode and replies all inquiries, at least in some step. His evident degree of intelligence puts him in the mild scope of damage, and he is besides really sensitive to anything that he thinks puts him at a disadvantage or makes him look “ thick ” . He has some societal accomplishments, although these are non ever used and sometimes he appears socially disinhibited.

He has a sensible vocabulary and powers of address. There are no behavioral stereotypies ( insistent seemingly purposeless motions ) and no perseverative behavior ( continuation of behaviors after their original intent has been served ) . However, his powers of concentration are limited and he is easy distracted from treatment. His attending is focused on his perceived likeliness that he will automatically travel to prison, irrespective of whether he is charged or non. He hopes that a combination of his medical history and denial of the allegations will be plenty to acquire him through any legal procedures.

Andrew says he has n’t been charged with anything “ because I ai n’t done nowt ” . Nevertheless he is able to state that ‘sexual assault ‘ agencies “ seeking to do person make something – have sex, how to do babes ” and that ‘penetration ‘ means “ seting a finger up person – up ( the ) button of adult females ” .

He has already been officially asked on one juncture about “ for what ‘s traveling on now fundamentally ” but can depict no inside informations and says that he “ ai n’t bothered because I have n’t done it ” .

CURRENT CIRCUMSTANCES –

Andrew has his ain room at his particular school and has made one or two friends. The activity that he enjoys most, and gets most from, is “ analyzing motor vehicles ” and he has developed an aspiration to go a mechanic.

He comes place for some weekends and for vacation periods.

At present he feels he “ has n’t got a life any longer ” . This is both because of the possible pending charges and because he feels “ people are dropping dead around me ” . A “ close friend ( female ) ” of his died late, and his life has non felt the same since his male parent died out of the blue the twenty-four hours before his birthday four ago, and his paternal grandma died about a twelvemonth afterwards.

He would wish to go a motor machinist, but thinks this will non be possible, unless he can acquire preparation in prison, because of his possible tribunal instance.

PERSONAL AND FAMILY HISTORY –

He is the youngest member of his household, although his ain list of his siblings and half-siblings is somewhat different to that provided by his household.

His male parent died from a bosom onslaught and his female parent has a batch of jobs with her wellness.

He was excluded from his first school for “ throwing a brick at a instructor or something like that – they were making my caput in all the clip ” .

MEDICAL HISTORY –

He has been diagnosed as holding “ ADHD ” ( Attention shortage hyperactivity upset ) , and says that this is why he is at get oning school. He says that he “ used to acquire all mad and hatred people and take it out on them ” but that this has improved more late.

Two old ages ago he tried to hang himself with two belts because he “ merely felt like it – I could n’t be bothered populating anymore – I did it for merriment – I thought it was amusing ” . He besides tried to cut his carpus, and still has a swoon cicatrix from this. He continues to hold periodic ideas about a speedy premature decease as a manner of non holding “ to set up with life anymore ” . Although these ideas reflect a down position of life there is no indicant that he presently has a depressive unwellness.

He has antecedently taken the antihyperactivity drug Ritalin, but has now discontinued this and describes it as “ making my caput in ” .

SEXUAL DEVELOPMENT HISTORY –

He foremost became sexually cognizant at a really immature age, as a consequence of being given information either by one of his sisters or a friend. His male parent told him non to hold sex until he was older so as to avoid holding kids.

His strongest sexual experience so far has been with a girlfriend who he described as “ the nicest individual you could run into – even though my sister called her a ‘smackhead ‘ ” .

He denies the allegations about his sister and depict them as “ all prevarications ” .

Questions –

What identifiable hazards, giving your grounds, does Andrew show a ) in the short term and B ) in the longer term? Rank them one time in their order of certainty, and once more in their order of importance.

Construct an interview scheme to assist look intoing police officers farther inquiry Andrew about the allegations sing his sister, explicating your principle.

Case Study 2

Mr D Case Study

Read the undermentioned instance analyze carefully. Using your cognition of hazard appraisal, mental upsets and piquing behavior and interview and intervention schemes answer the undermentioned inquiries:

Describe the type ( s ) of mental upset Mr D may be enduring from

See whether those upsets are likely to lend to the hazard he poses of future force

Identify those hazards that Mr D poses to himself and others

See whether you would dispatch Mr D from infirmary at this clip and give your grounds why

( Point 5 is optional ) Highlight what challenges Mr D may present in intervention and how you might get the better of them.

Background

Early on Childhood

Mr D was born to a 16 twelvemonth old female parent and conceived following a one dark base. Mr D recalled an unsettled childhood due to his female parent handing over his attention to her parents. Mr D described how he liked populating with his grandparents, nevertheless he besides described how his gramps often used intoxicant and his grandma was rigorous and did non let him to socialize with other kids. Behavioral jobs were noted from the age of 4.

Throughout this clip period Mr D began holding terrible fits which involved striking and kicking and Mr D was referred to the Children ‘s Hospital at the age of 8. This followed a terrible onslaught levied against his gramps affecting a knife. Throughout the interview procedure Mr D remained closed about his relationship with his gramps. Later studies indicate he was sexually abused by his gramps but Mr D refuses to discourse this topic.

Mr D was taken into attention at the age of 8, where once more he reported an unsettled period of clip characterised by isolation and intimidation. Mr D was able to populate with a surrogate household whom he described as supportive for the following two old ages and it is of note that there were no behavioral troubles noted for Mr D within this clip period. Mr D appeared to settled with this household and their two boies, which allowed him to organize secure fond regards with this household. Unfortunately the household needed to emigrate to South Africa, and although he was asked to travel with them, Mr D chose to stay close to his grandparents.

Mr D spent the following five old ages in Children ‘s places, interspersed by Foster arrangements which broke down. Mr D returned to populate with his grandparents following this period. Previous studies indicate conflicting points of position about this clip period, some indicating that Mr D had more positive relationships with his grandparents and female parent at this clip, but with others foregrounding that his grandparents did non truly talk to him.

Education and employment

Mr D attended about five different schools as he was moved due to his populating state of affairs altering. Mr D recalled an unsettled period of clip at school as he was bullied. He besides described himself as ‘hyper, I would shout and shout a batch ‘ and recalled happening lessons tiring. Records indicate that Mr D began declining school at the age of 4 and has a important history of hooky throughout his instruction. Mr D left school with no makings but school studies describe him as exceptionally bright.

Mr D has ne’er been in formal employment. After go forthing school he was unemployed for 2 old ages as he reported he could non happen a occupation that interested him and he was holding troubles with his mental wellness. Following this, Mr D has been detained due to the strong belief for his index offense.

Substance and intoxicant abuse

Mr D reports a significant history of hemp usage and a history of orgy imbibing.

Psychiatric History

Mr D foremost came into contact with mental wellness services at the age of 8 when he was admitted to the Children ‘s Hospital for 6 hebdomads following a violent onslaught on his gramps. An ECG and neurological scrutiny at the clip were found to be normal, nevertheless Mr D ‘s female parent recalled a ‘black spot ‘ being found. Following this Mr D was referred to an Adolescent Unit of measurement at the age of 14 due to behaviour jobs such as declining to go to school and standing naked in the window. Later that twelvemonth, Mr D was admitted to the infirmary and was described by the physician as an ‘isolated and withdrawn person, holding no ego assurance who responded with aggressive effusions when frustrated ‘ . Mr D self-harmed by cutting his weaponries with a piece of glass.

After being convicted of two incidents of indecent exposure at the age of 17, Mr D received outpatient intervention ab initio, but following another charge for indecorous exposure Mr D was admitted as an inmate. At this point he was speaking about wounding people before they had the opportunity to wound him.

On the 9th April 1987 Mr D was once more charged with indecorous exposure and was remanded under subdivision 35 of the Mental Health Act ( 1983 ) . During his appraisal at that place, it was noted that he was hearing voices stating him to perpetrate Acts of the Apostless of force. No specific diagnosing was made at this clip, although a status of abode and psychiatric intervention was made. Following his eighteenth birthday he was moved to Arnold Lodge Hospital. Whilst there it is reported that Mr D ‘s mental wellness appeared to deteriorate and violence towards others increased. At the age of 20 Mr D was transferred to a Hostel in Liverpool as it was thought that he would profit from integrating with other people, nevertheless three months after this he was discharged after assailing another occupant.

Mr D managed to populate in the community on his ain for about two and a half old ages before he committed his index offense. At this point he was remanded to HMP Hull for about 2 months. Mr D attempted to hang himself during his first dark in detention. He was so transferred to Wathwood infirmary due to him exhibiting paranoid ideation and sing audile hallucinations commanding him to harm a female prison officer.

Whilst at Wathwood Hospital, ab initio Mr D ‘s presentation seemed to better to the point that he was granted conditional discharge by a Mental Health Review Tribunal, nevertheless at this point Mr D ‘s arrested development with a female member of staff began to do concern. Mr D began exposing himself to female members of staff and his mental wellness deteriorated. Mr D ‘s presentation continued to worsen over the following two old ages in footings of incidents of force, aggression and sexually inappropriate. His mental wellness besides fluctuated with episodes of paranoid ideation, psychotic beliefs, ideas of harming himself and incidents of aggression.

Forensic History

Mr D has three old strong beliefs for offenses of indecorous exposure. There are seven old strong beliefs for driving offenses ( e.g. driving whilst under the influence, foolhardy drive, driving without a licence, insurance and MOT ) and 4 strong beliefs of acquisitive offending ( 2 offenses of shoplifting and2 burglary offenses ) . Mr D has no other strong beliefs for violent offenses apart from the index offense, nevertheless there has been other force evident in Mr Driver ‘s yesteryear when he has been a patient in infirmary.

Index Offense

Mr D was convicted of the slaying of his neighbor. The offense occurred in the context of ongoing troubles Mr D was sing with his neighbors in footings of loud music they were playing in the early hours of the forenoon. Mr D had raised this job with his neighbors and it is reported that they responded to this in a less than positive manner. Mr D so tried to affect the council to relieve the job, nevertheless this appeared to hold had no consequence. On the twenty-four hours of the index offense, the victim was taking his trash out and Mr D approached him from buttocks and struck him one time in the dorsum with a 5 inch bladed knife. Mr D instantly ran off from the scene and made his manner to the Family and Community Services Department with whom he was in regular contact and the constabulary were contacted and Mr D was later arrested. The victim had removed the arm himself and in the interim had made his manner to nearby premises to seek aid. He subsequently died of his hurts in infirmary.

Mr D ‘s history of the offense is that he had been populating following to neighbors who were ‘noisy ‘ . He said he had lived following to them for about six months and ‘I kept knocking, inquiring them to turn it down, they merely said it was their house ‘ . When asked how many times this had occurred Mr D said, ‘probably approached them about 5 or 6 times ‘ . Mr D stated that he did n’t phone the constabulary at all, but that he did phone the lodging association. He said that nil happened as a consequence of this and the music continued.

On the last juncture that Mr D asked for the music to be turned down before he committed the index offense Mr Driver stated ‘he started endangering me and said ‘I ‘m non turning the music down ‘ and was reasoning. I ca n’t retrieve what was being said, but I merely kept inquiring him to turn it down. He was shouting and I think I hit him foremost, we had a hassle and the constabulary were called. The Police told me to acquire in touch with the lodging association ‘ . Following this incident Mr D said that a few hebdomads passed and the music continued. Mr D stated that he had been traveling out shopping he had been transporting the same knife that he finally stabbed the victim with.

On the twenty-four hours of the index offense, Mr D reported being woken at 9am by music being played. He stated, ‘I felt truly stressed and angry. I got up, got dressed, I was standing in my kitchen and could hear it ( the music ) and I saw him traveling to the bin. I ‘d come to the terminal of how I was experiencing and looking for a manner out ‘ . Mr D stated, ‘I got a knife and stabbed him in the lower dorsum. When asked what might hold happened to decide the state of affairs had the index offense non occurred Mr D said, ‘If I had n’t seen him, I likely would hold gone on transporting the knife and gone unit of ammunition to his house ‘ . In footings of why Mr D felt he committed the offense, he stated, ‘I could n’t stand them playing loud music ‘ . Mr D went onto say ‘Yes I regret it, its led to me being kept in infirmary. There is nil else I could hold done. He deserved it because he would n’t turn down his music ‘ .

Appraisals

Wechsler Adult Intelligence Scale -3rd edition ( WAIS III )

This appraisal examines general cognitive abilities, specifically believing and concluding accomplishments. It explores non-verbal logical thinking accomplishments, spacial processing accomplishments, visual-motor integrating, attending to detail and acquired cognition such as verbal logical thinking and comprehension. Mr D presented with a full graduated table IQ of 130.

International Personality Disorder Examination

Mr D was assessed for personality upset utilizing the International Personality Disorder Examination ( IPDE: Loranger ; 1999 ) . The IPDE is a semi-structured clinical interview developed to measure personality upsets defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition ( DSM-IV ; American Psychiatric Association, 1994 ) and the International Classification of Diseases, 10th alteration ( ICD-10 ; World Health Organisation, 1992 ) . Mr D ‘s current presentation indicates that definite diagnosings of Antisocial and Narcissistic personality upsets are warranted. The Antisocial characteristics most relevant in Mr D include a deficiency of concern for the feelings of others, foolhardy behavior, consistent irresponsibleness, neglect for regulations and penalty, low tolerance to defeat taking to Acts of the Apostless of aggression and force, and a proneness to rationalize and fault others for his ain behavior. The Narcissistic characteristics which Mr D presents with include a grandiose sense of ego, a belief that he should be treated otherwise, an overinflated sense of self-entitlement, haughtiness in his behavior and attitudes, a relentless form of taking advantage of others to accomplish his ain terminals and an unwillingness to recognize or place with the feelings of others.

Psychopathy Checklist Revised ( PCL-R

The Hare Psychopathy Checklist Revised ( PCL-R, Hare 1991, 2003 ) is a strict psychological appraisal, widely regarded as the standard step of mental illness in research, clinical and forensic scenes. It measures different facets of a individual ‘s emotional experience, the manner they relate to others, how they go about acquiring what they want and their behavior. High degrees of psychopathologic traits as measured by the PCL-R are associated with high rates of re-offending and future force ( nevertheless a low PCL-R mark entirely does non connote low hazard ) and can impact on responsivity to curative intercession. Mr D presented with moderate degrees of psychopathologic traits which fell merely below the diagnostic cut off for psychopathologic upset. Items that he scored on include failure to accept duty for his actions, irresponsibleness, deficiency of compunction, indurate neglect for others, grandiose sense of ego worth, use and early childhood jobs.

Presentation in interview

Mr D presented as a hard and ambitious patient to interview. He was dismissive at times, oppugning my experience, makings and competency. He stated that psychological science was non a proper scientific discipline and would prefer to speak to the ‘proper physician ‘ i.e. the head-shrinker. Mr D appeared to hold some cognition of psychopathology and psychological science and used proficient footings throughout. He appeared to hold small penetration into his mental upset saying that he does necessitate to take medicine and that everyone is like him. Mr D stated he does non under stand why anyone would believe he poses a hazard to people and that he should be discharged from infirmary instantly.

Case Study 3

Ms W Case Study

Read the undermentioned instance analyze carefully. Using your cognition of hazard appraisal, mental upsets and piquing behavior and interview and intervention schemes answer the undermentioned inquiries:

Describe the type ( s ) of mental upset Ms W may be enduring from

See whether those upsets are likely to lend to the hazard she poses of future force

See what techniques/strategies/considerations you would utilize when questioning Ms W

Highlight what farther countries of work you may wish to set about with Ms W ( concentrating on what countries of her presentation you would wish to explore/assess farther and why )

Background

Early on childhood

Ms W was the eldest kid of three, the other two kids being male childs. Ms W recalled an unhappy childhood due to the sexual maltreatment she experienced from her male parent ( for which he received a strong belief ) and so the emotional withdrawal that was evident between her female parent and herself. Social services records support Ms W ‘s history of her early childhood. In add-on to being sexually abused by her male parent, Ms W besides reported being sexually abused by an uncle and a following door neighbor.

Ms W besides reported that the relationship between her female parent and male parent was a disruptive one and although she did non witness any physical force, she did hear statements which resulted in her repeatedly slaming his caput against the wall through the emphasis this caused. Ms W ‘s behavior became unmanageable both within school and the community, in footings of contending at school and perpetrating junior-grade offense such as shrinkage.

Whilst still populating with her parents, at the age of 14, Ms W became involved in a relationship with a adult male who was much older than her, in his 60 ‘s. This farther contributed to the impairment between Ms W and her parents, and her parents later placed her in attention. Ms W remained in attention until the age of 17, and upon go forthing she was given support from societal services and moved into independent lodging in which she was happy on her ain.

Education and employment

Ms W reported that her school public presentation was mean ; instructors would non hold found her a direction job, but that she did acquire distracted easy. Whilst at school she was capable to strong-arming from equals and this resulted in her engaging in battles outside of school. Ms W left school with no formal makings.

Ms W obtained employment every bit shortly as she left school and worked as a ‘packer ‘ , a cleansing agent and in a pet store. All of the employment she engaged in was in a short period after school, with her last occupation being held at the age of 20. Ms W reported that the last occupation she had needed to go forth because her mental wellness was doing her troubles and she needed to go to assorted assignments.

Following this period of employment, Ms W was unemployed for the following 16 old ages due to mental wellness, drug and intoxicant troubles. Ms W claimed incapacity benefits and before coming into detention she reported holding an income of about ?800 per month.

Substance and intoxicant abuse

Ms W reported that she began imbibing at the age of 14 or 15 as she would see saloon with her spouse at the clip. She suggested that she became a heavy drinker at age 20 and that she needed intoxicant every twenty-four hours as otherwise she would endure with backdown symptoms. Ms W would devour about 12 tins of Stella a twenty-four hours or 2 bottles of 2 litre Cider. Ms W ‘s imbibing caused her wellness jobs in the signifier of liver failure and pancreatitis. Ms W was under the influence of intoxicant when perpetrating the index offense and this followed a period where she had tried to travel through a detoxification procedure without medical support. It is of note that Ms W reported hearing voices whilst she completed this ‘home detoxification ‘ procedure.

In footings of drug usage, Ms W remembered get downing to utilize substances at around the age of 18. She reports utilizing acerb checks, microdots, thaumaturgy mushrooms, velocity, diacetylmorphine ( smoking ) and hemp. She besides reported that she would take prescription medicine if the chance arose. Ms W recalls that she would utilize whenever she had the money to make so and that she would often take drugs and drink at the same clip. She estimated that she would pass about ?14 per twenty-four hours, but that this would depend on what financess she had available at the clip. In the early 1990s Ms W was diagnosed with drug induced psychosis.

Psychiatric history

Ms W foremost recalled being in contact with psychiatric services in her 20s. She was foremost seen by a head-shrinker due to the hallucinations she was sing and she voluntarily stayed in infirmary for a few months. Ms W had spent clip in group mental wellness places and has had support from head-shrinkers, CPNs and societal workers.

Ms W had attempted to perpetrate self-destruction on a figure of occasions through taking overdoses. She was diagnosed with depression in her late 20s and has been on a figure of anti sedative drugs which she combined with drink and non prescription drugs.

Whilst in detention Ms W was taking antidepressants, minor tranquilizers and anti psychotics. The latter were prescribed due to Ms W sing hallucinations and besides temper instability. Ms W had most late been diagnosed with ‘Generalised Anxiety Disorder with characteristics of depersonalization and derealisation ‘ .

Forensic history

Ms W had three old strong beliefs. Two were received in 1989 which were both fraud offenses, and so the tierce in 1990 for burglary and larceny of a non home. Ms W can non remember specific inside informations sing the state of affairss. Ms W had no other strong beliefs for violent offending, apart from the index offense, but at that place has been other force nowadays in Ms W ‘s yesteryear particularly within interpersonal relationships.

Index offense

The offense occurred in the shared place of Ms W and her spouse. Two hebdomads before the index offense occurred, constabulary had been called to the place after Ms W had taken an overdose of her spouse ‘s medicine. When Ms W ‘s spouse had attempted to cite aid, Ms W threatened her with a knife to seek and forestall this. On the 10th June 2006 when the offense occurred, it was alleged that Ms W had been imbibing cyder from the early hours of the forenoon. Ms W insists that she was so intoxicated that she has no callback of the stabbing which so occurred and all that she remembered was seeing the blood on her spouse ‘s tummy. After knifing her spouse in the tummy she so threatened to cut her pharynx with the knife. The stab lesions caused a close fatal hurt. The victim was able to biddings assist by triping the exigency pull cord for the adjustment ‘s warden.

Appraisals

Wechsler Adult Intelligence Scale -3rd edition ( WAIS III )

This appraisal examines general cognitive abilities, specifically believing and concluding accomplishments. It explores non-verbal logical thinking accomplishments, spacial processing accomplishments, visual-motor integrating, attending to detail and acquired cognition such as verbal logical thinking and comprehension. Ms W presented with a full graduated table IQ of 75. The appraisal showed that Ms W processes information more efficaciously when presented visually instead than verbally and that she struggles to concentrate for long periods of clip.

International Personality Disorder Examination – Screening Questionnaire ( IPDE-SQ )

This appraisal is a showing questionnaire which indicates whether there are certain personality traits which need farther probe utilizing the full International Personality Disorder Examination appraisal. The IPDE-SQ indicated the possible presence of paranoiac, schizotypal, emotionally unstable, avoidant and dependent personality upsets but this should non be considered as a formal diagnosing.

Millon Clinical Multiaxial Inventory III ( MCMI-III )

This appraisal is used to measure elements of personality and besides pathological syndromes within psychiatric populations. On this juncture the MCMI- III was used to supply a more comprehensive image of Ms W ‘s personality and presentation in combination with the result of the IPDE-SQ. This step was non used to name personality upset but to lend to the apprehension of Ms W ‘s presentation. The Millon highlighted that Ms W presented with anxiousness, drug dependance and station traumatic emphasis upset and may possible nowadays with thought upset and major depression.

Presentation in interview

Ms W presented as a shy, pleasant person with really low assurance and who suffered with anxiousness. It was apparent that she was missing in assurance in footings of speech production to people and being certain of her ain sentiments. She had besides seemed to fight in footings of her degree of concentration.

Over the class of the Sessionss Ms W ‘s temper could be rather volatile, altering from happy to depressed in the period of a twosome of hours. Ms W systematically spoke of ideas of ego injury throughout the Sessionss and when feeling depressed would project these feelings onto others as holding caused them. Ms W besides presented at times as rather paranoid in footings of thought that people were speaking about her. Ms W besides disclosed that she was sing ocular hallucinations peculiarly when she felt stressed.

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