{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T13:50:39Z","timestamp":1695477039566},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,12,12]],"date-time":"2011-12-12T00:00:00Z","timestamp":1323648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In 1999, the UK government initiated a programme for the assessment and treatment of individuals deemed to have \u2018dangerous and severe personality disorder\u2019 (DSPD). After over 10\u2009years of specialist service development, it is not clear whether DSPD patients represent a distinct group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to establish whether people admitted to DSPD hospital units could be distinguished in presentation or personality traits from people with personality disorder admitted to standard secure hospital services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010eight men detained in high\u2010security hospital DSPD units were compared with 62 men detained in conventional medium or high security hospital units, using the Psychopathy Checklist\u2014Revised (PCL\u2010R) and other standard personality disorder, clinical and offending measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with their counterparts in standard services, the DSPD group had higher scores on PCL\u2010R psychopathy, significantly more convictions before age 18\u2009years, greater severity of institutional violence and more prior crimes of sexual violence. Regression analysis confirmed that only PCL\u2010R Factor 1, reflecting core interpersonal and affective features of psychopathy, predicted group membership.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The DSPD group emerged as having higher psychopathy scores, but as there is currently no evidence that the core personality features of psychopathy are amenable to treatment, there is little justification for treating high\u2010psychopathy forensic patients differently from those with other disorders of personality. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cbm.827","type":"journal-article","created":{"date-parts":[[2011,12,12]],"date-time":"2011-12-12T10:18:21Z","timestamp":1323685101000},"page":"65-78","source":"Crossref","is-referenced-by-count":11,"title":["Are patients deemed \u2018dangerous and severely personality disordered\u2019 different from other personality disordered patients detained in forensic settings?"],"prefix":"10.1002","volume":"22","author":[{"given":"Rick","family":"Howard","sequence":"first","affiliation":[{"name":"Institute of Mental Health Nottinghamshire Healthcare Trust &amp; University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najat","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Institute of Mental Health Nottinghamshire Healthcare Trust &amp; University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor","family":"Duggan","sequence":"additional","affiliation":[{"name":"Institute of Mental Health Nottinghamshire Healthcare Trust &amp; University of Nottingham  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Lumsden","sequence":"additional","affiliation":[{"name":"Broadmoor Hospital West London Mental Health Trust  Southall UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,12,12]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM IV)","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2010.01180.x"},{"key":"e_1_2_7_4_1","volume-title":"The Mask of Sanity","author":"Cleckley H","year":"1941"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14789949.2010.495990"},{"key":"e_1_2_7_6_1","unstructured":"Department of Health & Department of Justice(2011).Consultation on the offender personality disorder pathway implementation plan. 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