Models Of Forensic Psychology Case Study Social Work Essay

Models Of Forensic Psychology fictitious character Study cordial Work EssayAndrew is fifteen. He has been acc utilize of sexu wholey assaulting his younger infant and whitethorn be supercharged with this in the near future. Some of his family sire a memorial of psychological trouble oneself and he has a history of learning and deport kind difficulties, as a result of which he has been attention a residential special instill.He does non ac noesis the accusations once to a greater extentst him and is averse(p) to discuss them.INFORMATION FROM INTERVIEW Andrew presents as a t all(prenominal), slim-built y surfaceh who is restlessly anxious, looking international for most of the discourse, and repeatedly yawning in an all overstate manner to fate how little he fates to be involved in the discussion. Despite this he is essentially polite in manner and performs all questions, at least in some(a) measure. His apparent level of learning puts him in the mild range of imp airment, and he is to a fault really in the buff to anything that he deems puts him at a disadvant term or makes him look thick. He has some social skills, although these are non always apply and sometimes he appears socially disinhibited.He has a reason satisfactory vocabulary and powers of speech. in that location are no behavioural stereotypies (repetitive apparently purposeless movements) and no perseverative behaviour (continuance of behaviours later on their original purpose has been served). However, his powers of concentration are limited and he is easily distracted from discussion. His attention is focused on his perceived likeliness that he will automatically go to prison, regardless of whether he is charged or non. He hopes that a faction of his medical history and self-renunciation of the allegations will be enough to carry him through any licit processes.Andrew says he hasnt been charged with anything because I aint d ace nowt. Nevertheless he is able to s ay that sexual assault means trying to make soulfulness do something cook sex, how to make babies and that penetration means putting a finger up someone up (the) clitoris of women.He has already been officially asked on one occasion almost for whats over fetching on now basically besides can get a line no expound and says that he aint some(prenominal)(prenominal)itherd because I achent done it.CURRENT CIRCUMSTANCES Andrew has his birth room at his special condition and has made one or deuce friends. The activity that he enjoys most, and gets most from, is studying motor vehicles and he has developed an ambition to become a mechanic.He comes stem for some weekends and for holi mean solar day periods.At present he feels he hasnt got a smell anyto a greater extent. This is both because of the workable pending charges and because he feels great deal are drop dead around me. A close friend (female) of his died of late, and his life has not matt-up the same since his f ather died unexpectedly the day before his natal day four late(prenominal), and his paternal grand buzz off died almost a year afterwards.He would like to become a motor mechanic, but values this will not be come-at-able, unless he can get training in prison, because of his manageable court case.PERSONAL AND FAMILY score He is the youngest member of his family, although his admit refer of his siblings and half-siblings is slightly incompatible to that provided by his family.His father died from a projectt ack-ack and his m early(a) has a lot of problems with her wellness.He was excluded from his first school for throwing a brick at a teacher or something like that they were doing my spot in all the time.MEDICAL HISTORY He has been diagnosed as having ADHD (Attention famine hyperactivity disorder), and says that this is why he is at boarding school. He says that he used to get all mad and hate people and take it out on them but that this has improved more recently.Two eld ago he tried to hang himself with two belts because he ripe matt-up like it I couldnt be b some othered living anymore I did it for fun I thought it was funny. He besides tried to get it on his wrist, and still has a faint scar from this. He continues to have biennial thoughts about a quick premature death as a way of not having to put up with living anymore. Although these thoughts reflect a depressed view of life there is no indication that he currently has a depressive illness.He has previously taken the antihyperactivity dose Ritalin, but has now discontinued this and describes it as doing my head in.SEXUAL DEVELOPMENT HISTORY He first became sexually aware at a very young age, as a result of be given randomness either by one of his babys or a friend. His father told him not to have sex until he was older so as to rid of having children.His strongest sexual experience so far has been with a girlfriend who he draw as the nicest person you could meet even though my sister called her a smackhead.He denies the allegations about his sister and describes them as all lies.Questions What identifiable bumps, giving your reasons, does Andrew present a) in the short term and b) in the chronic term? Rank them once in their order of certainty, and again in their order of importance.Construct an reference strategy to help investigating jurisprudence officers further question Andrew about the allegations regarding his sister, explaining your rationale.Case Study 2Mr D Case StudyRead the following case study care adepty. employ your knowledge of take a chance sound judgment, mental disorders and anger behaviour and converse and discourse strategies answer the following questionsDescribe the type(s) of mental disorder Mr D may be suffering fromConsider whether those disorders are likely to contribute to the risk he poses of future violenceIdentify those risks that Mr D poses to himself and othersConsider whether you would make off Mr D from ho spital at this time and give your reasons why(Point 5 is optional) shine up what challenges Mr D may pose in sermon and how you mightiness overcome them. flat coatEarly ChildhoodMr D was born to a 16 year old mother and conceived following a one night stand. Mr D recalled an unsettled childhood delinquent to his mother handing over his care to her parents. Mr D described how he liked living with his grandparents, hitherto he in any case described how his grandfather frequently used inebriant and his grandmother was strict and did not allow him to socialise with other children. behavioral problems were noted from the age of 4.Throughout this time period Mr D began having onerous tantrums which involved hitting and kicking and Mr D was referred to the Childrens Hospital at the age of 8. This followed a severe attack levied against his grandfather involving a wound. Throughout the interview process Mr D remained closed about his relationship with his grandfather. by and by r eports indicate he was sexually abused by his grandfather but Mr D refuses to discuss this subject.Mr D was taken into care at the age of 8, where again he inform an unsettled period of time characterised by isolation and strong-arm. Mr D was able to live with a cling to family whom he described as clog upive for the adjoining two years and it is of note that there were no behavioural difficulties noted for Mr D within this time period. Mr D appeared to settled with this family and their two sons, which allowed him to form secure attachments with this family. Unfortunately the family needed to migrate to South Africa, and although he was asked to go with them, Mr D chose to remain close to his grandparents.Mr D spent the next five years in Childrens homes, interspersed by foster placements which broke come out. Mr D re cut intoed to live with his grandparents following this period. Previous reports indicate contradictory points of view about this time period, some indicatin g that Mr D had more irrefutable relationships with his grandparents and mother at this time, but with others highschoollighting that his grandparents did not really plow to him.Education and employmentMr D attended or so five different schools as he was moved due to his living situation changing. Mr D recalled an unsettled period of time at school as he was bullied. He also described himself as hyper, I would scream and grouse a lot and recalled finding lessons boring. Records indicate that Mr D began refusing school at the age of 4 and has a significant history of truancy end-to-end his education. Mr D left over(p) school with no qualifications but school reports describe him as exceptionally bright.Mr D has never been in formal employment. later leaving school he was unemployed for 2 years as he reported he could not find a bank line that interested him and he was having difficulties with his mental health. Following this, Mr D has been detained due to the disapprobatio n for his proponent offence.Substance and alcohol misuseMr D reports a straight history of cannabis use and a history of binge drinking. psychiatrical HistoryMr D first came into contact with mental health run at the age of 8 when he was admitted to the Childrens Hospital for 6 weeks following a violent attack on his grandfather. An ECG and neurological examen at the time were found to be normal, however Mr Ds mother recalled a black patch being found. Following this Mr D was referred to an young Unit at the age of 14 due to behaviour problems much(prenominal)(prenominal) as refusing to attend school and standing naked in the window. Later that year, Mr D was admitted to the hospital and was described by the doctor as an detached and withdrawn individual, having no self confidence who responded with aggressive outbursts when frustrated. Mr D self-harmed by cutting his arms with a piece of glass.After being convicted of two incidents of indelicate exposure at the age of 17, M r D received outpatient treatment initially, but following another charge for indecent exposure Mr D was admitted as an inpatient. At this point he was talking about injuring people before they had the chance to injure him.On the 9th April 1987 Mr D was again charged with indecent exposure and was remanded nether section 35 of the Mental health Act (1983). During his assessment there, it was noted that he was consultation voices telling him to yield acts of violence. No specific diagnosis was made at this time, although a human body of residence and psychiatric treatment was made. Following his 18th birthday he was moved to Arnold Lodge Hospital. Whilst there it is reported that Mr Ds mental health 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 benefit from integration with other people, however three months after this he was judgement of dismissald after assaulting an other resident.Mr D managed to live in the community on his own for close to two and a half years before he empowerted his indicator offence. At this point he was remanded to HMP Hull for approximately 2 months. Mr D attempted to hang himself during his first night in men. He was then transferred to Wathwood hospital due to him exhibiting paranoid ideation and experiencing auditory hallucinations dogmatic him to harm a female prison officer.Whilst at Wathwood Hospital, initially Mr Ds presentation seemed to improve to the point that he was granted conditional discharge by a Mental Health Review Tribunal, however at this point Mr Ds fixation with a female member of module began to cause concern. Mr D began exposing himself to female members of staff and his mental health deteriorated. Mr Ds presentation continued to decline over the next two years in name of incidents of violence, aggression and sexually inappropriate. His mental health also fluctuated with episodes of paranoi d ideation, delusions, thoughts of harming himself and incidents of aggression.Forensic HistoryMr D has three previous convictions for offences of indecent exposure. There are seven previous convictions for driving offences (e.g. driving whilst under the influence, reckless driving, driving without a license, insurance and MOT) and 4 convictions of acquisitive offending (2 offences of shoplifting and2 burglary offences). Mr D has no other convictions for violent offences apart from the proponent offence, however there has been other violence evident in Mr Drivers past when he has been a patient in hospital.Index OffenceMr D was convicted of the murder of his neighbour. The offence occurred in the context of ongoing difficulties Mr D was experiencing with his neighbours in terms of loud music they were playing in the early hours of the morning. Mr D had raised this problem with his neighbours and it is reported that they responded to this in a less than ordained way. Mr D then trie d to involve the council to alleviate the problem, however this appeared to have had no effect. On the day of the index offence, the victim was taking his trash out and Mr D approached him from behind and struck him once in the stick out with a 5 inch bladed knife. Mr D immediately ran away from the scene and made his way to the Family and Community Services Department with whom he was in regular contact and the natural law were contacted and Mr D was subsequently arrested. The victim had removed the weapon himself and in the meantime had made his way to nearby premises to seek assistance. He later died of his injuries in hospital.Mr Ds composition of the offence is that he had been living next to neighbours who were noisy. He give tongue to he had lived next to them for about six months and I kept knocking, asking them to turn it elaborate, they just said it was their house. When asked how many times this had occurred Mr D said, probably approached them about 5 or 6 times. M r D verbalize that he didnt mobilise the police at all, but that he did phone the housing association. He said that nothing happened as a result of this and the music continued.On the refinement occasion that Mr D asked for the music to be turned down before he committed the index offence Mr Driver stated he started threatening me and said Im not turning the music down and was arguing. I cant remember what was being said, but I just kept asking him to turn it down. He was shouting and I think I hit him first, we had a scuffle and the police were called. The Police told me to get in touch with the housing association. Following this incident Mr D said that a some weeks passed and the music continued. Mr D stated that he had been going out shopping he had been carrying the same knife that he in the end stabbed the victim with.On the day of the index offence, Mr D reported being woken at 9am by music being played. He stated, I matte up really stressed and angry. I got up, got dre ssed, I was standing in my kitchen and could hear it (the music) and I saw him going to the bin. Id come to the end of how I was legal opinion and looking for a way out. Mr D stated, I got a knife and stabbed him in the lower back. When asked what might have happened to resolve the situation had the index offence not occurred Mr D said, If I hadnt seen him, I probably would have gone on carrying the knife and gone round to his house. In terms of why Mr D felt he committed the offence, he stated, I couldnt stand them playing loud music. Mr D went onto say Yes I repent it, its led to me being kept in hospital. There is nothing else I could have done. He deserved it because he wouldnt turn down his music.AssessmentsWechsler grownup Intelligence home -3rd edition (WAIS III)This assessment examines general cognitive abilities, specifically thinking and cerebrate skills. It explores non-verbal reasoning skills, spatial processing skills, visual-motor integration, attention to compass point and acquired knowledge such as verbal reasoning and comprehension. Mr D presented with a full scale IQ of 130. worldwide Personality deflect trial runMr D was assessed for reputation disorder using the International Personality Disorder Examination (IPDE Loranger 1999). The IPDE is a semi-structured clinical interview developed to assess personality disorders defined by the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition (DSM-IV American Psychiatric Association, 1994) and the International Classification of Diseases, 10th revise (ICD-10 World Health Organisation, 1992). Mr Ds current presentation indicates that definite diagnoses of asocial and Narcissistic personality disorders are warranted. The Antisocial features most relevant in Mr D overwhelm a lack of concern for the feelings of others, reckless behaviour, logical irresponsibility, disregard for rules and punishment, low tolerance to frustration leading to acts of aggression and violence, a nd a proneness to rationalise and blame others for his own behaviour. The Narcissistic features which Mr D presents with include a grandiose sentiency of self-importance, a belief that he should be treated differently, an overinflated sense of self-entitlement, arrogance in his behaviour and attitudes, a obdurate pattern of taking advantage of others to achieve his own ends and an unwillingness to cut or identify with the feelings of others.Psychopathy Checklist revise (PCL-RThe Hare Psychopathy Checklist Revised (PCL-R, Hare 1991, 2003) is a rigorous psychological assessment, widely regarded as the pattern measure of psychopathy in research, clinical and forensic settings. It measures different aspects of a persons emotional experience, the way they relate to others, how they go about getting what they want and their behaviour. High levels of psychopathic traits as measured by the PCL-R are associated with high rates of re-offending and future violence (however a low PCL-R scor e completely does not imply low risk) and can impact on responsivity to cure intervention. Mr D presented with moderate levels of psychopathic traits which fell just below the diagnostic cut off for psychopathic disorder. Items that he scored on include hardship to accept responsibility for his actions, irresponsibility, lack of remorse, callous disregard for others, grandiose sense of self worth, manipulation and early childhood problems.Presentation in interviewMr D presented as a difficult and challenging patient to interview. He was dismissive at times, questioning my experience, qualifications and competence. He stated that psychology was not a proper science and would prefer to talk to the proper doctor i.e. the psychiatrist. Mr D appeared to have some knowledge of psychiatry and psychology and used technical terms throughout. He appeared to have little insight into his mental disorder stating that he does need to take medical specialty and that everyone is like him. Mr D stated he does not under stand why anyone would think he poses a risk to people and that he should be pink-slipped from hospital immediately.Case Study 3Ms W Case StudyRead the following case study carefully. Using your knowledge of risk assessment, mental disorders and offending behaviour and interview and treatment strategies answer the following questionsDescribe the type(s) of mental disorder Ms W may be suffering fromConsider whether those disorders are likely to contribute to the risk she poses of future violenceConsider what techniques/strategies/considerations you would use when interviewing Ms WHighlight what further areas of work you may wish to undertake with Ms W (concentrating on what areas of her presentation you would like to explore/assess further and why)BackgroundEarly childhoodMs W was the eldest child of three, the other two children being boys. Ms W recalled an un adroit childhood due to the sexual abuse she experienced from her father (for which he received a conviction) and then the emotional detachment that was apparent among her mother and herself. companionable services records support Ms Ws account of her early childhood. In accessory to being sexually abused by her father, Ms W also reported being sexually abused by an uncle and a next door neighbour.Ms W also reported that the relationship between her mother and father was a turbulent one and although she did not experience any physical violence, she did hear arguments which resulted in her repeatedly banging his head against the wall through the stress this caused. Ms Ws behaviour became uncontrollable both within school and the community, in terms of fighting at school and committing petty crime such as shoplifting.Whilst still living with her parents, at the age of 14, Ms W became involved in a relationship with a man who was much older than her, in his 60s. This further contributed to the adulteration between Ms W and her parents, and her parents subsequently placed her in care. Ms W remained in care until the age of 17, and upon leaving she was given support from social services and moved into independent housing in which she was happy on her own.Education and employmentMs W reported that her school performance was average teachers would not have found her a way problem, but that she did get distracted easily. Whilst at school she was subject to bullying from peers and this resulted in her engaging in fights outside of school. Ms W left school with no formal qualifications.Ms W obtained employment as soon as she left school and worked as a packer, a cleaner and in a pet shop. All of the employment she meshed in was in a short period after school, with her last job being held at the age of 20. Ms W reported that the last job she had needed to leave because her mental health was do her difficulties and she needed to attend various appointments.Following this period of employment, Ms W was unemployed for the next 16 years due to mental health, do drugs and alcohol difficulties. Ms W claimed incapacity benefits and before coming into custody she reported having an income of approximately 800 per month.Substance and alcohol misuseMs W reported that she began drinking at the age of 14 or 15 as she would visit pubs with her partner at the time. She suggested that she became a heavy reamer at age 20 and that she needed alcohol every day as otherwise she would suffer with withdrawal symptoms. Ms W would knock down approximately 12 cans of Stella a day or 2 bottles of 2 litre Cider. Ms Ws drinking caused her health problems in the form of liver failure and pancreatitis. Ms W was under the influence of alcohol when committing the index offence and this followed a period where she had tried to go through a detoxification process without medical support. It is of note that Ms W reported hearing voices whilst she completed this home detoxification process.In terms of drug use, Ms W remembered beginning to use substances at around th e age of 18. She reports using pungent tabs, microdots, magic mushrooms, speed, heroin (smoking) and cannabis. She also reported that she would take prescription medication if the opportunity arose. Ms W recalls that she would use whenever she had the money to do so and that she would frequently take drugs and drink at the same time. She estimated that she would spend approximately 14 per day, but that this would depend on what funds she had available at the time. In the early 1990s Ms W was diagnosed with drug bring on psychosis.Psychiatric historyMs W first recalled being in contact with psychiatric services in her 20s. She was first seen by a psychiatrist due to the hallucinations she was experiencing and she voluntarily stayed in hospital for a few months. Ms W had spent time in group mental health homes and has had support from psychiatrists, CPNs and social workers.Ms W had attempted to commit suicide on a number of occasions through taking overdoses. She was diagnosed with depression in her late 20s and has been on a number of anti depressant drugs which she combined with drink and non prescription drugs.Whilst in custody Ms W was taking antidepressants, anxiolytics and anti psychotics. The latter were prescribed due to Ms W experiencing hallucinations and also mood instability. Ms W had most recently been diagnosed with Generalised Anxiety Disorder with features of depersonalisation and derealisation.Forensic historyMs W had three previous convictions. Two were received in 1989 which were both fraud offences, and then the third in 1990 for burglary and theft of a non dwelling. Ms W cannot recall specific details regarding the situations. Ms W had no other convictions for violent offending, apart from the index offence, but there has been other violence present in Ms Ws past especially within interpersonal relationships.Index offenceThe offence occurred in the shared home of Ms W and her partner. Two weeks before the index offence occurred, police had been called to the home after Ms W had taken an overdose of her partners medication. When Ms Ws partner had attempted to summon help, Ms W threatened her with a knife to try and prevent this. On the 10th June 2006 when the offence occurred, it was so-called that Ms W had been drinking cider from the early hours of the morning. Ms W insists that she was so drunk that she has no recall of the stabbing which then occurred and all that she remembered was seeing the blood on her partners stomach. After stabbing her partner in the stomach she then threatened to cut her throat with the knife. The stab wounds caused a near fatal injury. The victim was able to summons help by activating the emergency pull cord for the accommodations warden.AssessmentsWechsler Adult Intelligence Scale -3rd edition (WAIS III)This assessment examines general cognitive abilities, specifically thinking and reasoning skills. It explores non-verbal reasoning skills, spatial processing skills, visual-motor integra tion, attention to detail and acquired knowledge such as verbal reasoning and comprehension. Ms W presented with a full scale IQ of 75. The assessment showed that Ms W processes information more effectively when presented visually rather than verbally and that she struggles to concentrate for long periods of time.International Personality Disorder Examination Screening Questionnaire (IPDE-SQ)This assessment is a natural covering questionnaire which indicates whether there are certain personality traits which need further investigating using the full International Personality Disorder Examination assessment. The IPDE-SQ indicated the possible presence of paranoid, schizotypal, emotionally unstable, avoidant and dependent personality disorders but this should not be considered as a formal diagnosis.Millon Clinical Multiaxial Inventory III (MCMI-III)This assessment is used to evaluate elements of personality and also pathological syndromes within psychiatric populations. On this occ asion the MCMI- III was used to provide a more comprehensive picture of Ms Ws personality and presentation in combination with the outcome of the IPDE-SQ. This measure was not used to diagnose personality disorder but to contribute to the understanding of Ms Ws presentation. The Millon highlighted that Ms W presented with anxiety, drug dependence and post traumatic stress disorder and may possible present with thought disorder and major depression.Presentation in interviewMs W presented as a shy, pleasant individual with very low confidence and who suffered with anxiety. It was evident that she was lacking in confidence in terms of speaking to people and being sure of her own opinions. She had also seemed to struggle in terms of her level of concentration.Over the course of the sessions Ms Ws mood could be kinda volatile, changing from happy to depressed in the period of a couple of hours. Ms W consistently radius of thoughts of self harm throughout the sessions and when feeling de pressed would project these feelings onto others as having caused them. Ms W also presented at times as quite paranoid in terms of thinking that people were talking about her. Ms W also disclosed that she was experiencing visual hallucinations particularly when she felt stressed.