{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:02:03Z","timestamp":1785423723869,"version":"3.56.0"},"reference-count":25,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"unspecified","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>This case study explores the interaction of brain pathology, criminal behaviour and art in forensic psychiatry through the case of a 68-year-old man exhibiting neuropsychiatric symptoms and delusions. His progressive cognitive and emotional deterioration led to aggressive behaviour, threats towards colleagues and family and allegations of violent and sexual assault. After months of his refusing treatment, magnetic resonance imaging revealed a grade IV glioblastoma. Despite the terminal diagnosis, he was placed in a forensic acute psychiatric unit while under prosecutorial investigation, because his actions remained criminally relevant. In this restrictive setting, he turned to drawing as his primary coping strategy. His artwork offered both an outlet for suffering and a means of transcending a situation characterised by severe illness, legal deprivation of liberty and existential despair. The case illustrates the benefit of creative expression when medical and legal circumstances appear intractable. It also raises ethical and forensic concerns, including impaired culpability due to amygdala and prefrontal damage, refusal of care, thoughts of physician-assisted suicide and the attribution of legal responsibility.<\/jats:p>","DOI":"10.1192\/bjo.2026.11022","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:55:40Z","timestamp":1774594540000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["When forensic psychiatry clashes with jurisdiction: nemesis and challenges of a patient suffering from glioblastoma"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7692-8986","authenticated-orcid":false,"given":"Ambra","family":"D\u2019Imperio","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kkvpp62","id-type":"ROR","asserted-by":"publisher"}],"name":"Technical University of Munich"},{"id":[{"id":"https:\/\/ror.org\/04h670p07","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Bern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Delessert","sequence":"additional","affiliation":[{"name":"Prison Medicine and Psychiatry Service, Vaud University Hospital Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Ienca","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kkvpp62","id-type":"ROR","asserted-by":"publisher"}],"name":"Technical University of Munich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Starke","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kkvpp62","id-type":"ROR","asserted-by":"publisher"}],"name":"Technical University of Munich"},{"name":"Albert-Ludwigs-University of Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"S2056472426110229_ref11","volume-title":"Madness and Art: The Life and Works of Adolf W\u00f6lfli","author":"Morgenthaler","year":"1992"},{"key":"S2056472426110229_ref21","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1209862"},{"key":"S2056472426110229_ref3","doi-asserted-by":"publisher","DOI":"10.1080\/1068316X.2017.1414817"},{"key":"S2056472426110229_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06868-4"},{"key":"S2056472426110229_ref22","volume-title":"Guidelines for the Management of Dying and Death","year":"2021"},{"key":"S2056472426110229_ref23","volume-title":"Assistierter Suizid im Straf- und Massnahmenvollzug","year":"2019"},{"key":"S2056472426110229_ref12","doi-asserted-by":"publisher","DOI":"10.1037\/xge0000459"},{"key":"S2056472426110229_ref24","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e318273b83f"},{"key":"S2056472426110229_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s12152-021-09471-x"},{"key":"S2056472426110229_ref5","doi-asserted-by":"publisher","DOI":"10.5152\/eurasianjmed.2015.69"},{"key":"S2056472426110229_ref14","unstructured":"14 Swiss Confederation. Swiss Criminal Code of 21 December 1937. Art. 19. St\u00e4mpfli \u00c9ditions SA, 1937."},{"key":"S2056472426110229_ref1","volume-title":"A Sniper in the Tower: The Charles Whitman Murders","author":"Lavergne","year":"1997"},{"key":"S2056472426110229_ref9","first-page":"278","article-title":"What neuroscience can and cannot answer","volume":"45","author":"Choi","year":"2017","journal-title":"J Am Acad Psychiatry Law"},{"key":"S2056472426110229_ref15","unstructured":"15 Fonjallaz, J , Gasser, J. Le Juge et le Psychiatre: une Tension N\u00e9cessaire [The Judge and the Psychiatrist: A Necessary Tension]. Unversity of Nebraska Press, 2017."},{"key":"S2056472426110229_ref16","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2016.15081089"},{"key":"S2056472426110229_ref4","volume-title":"StatPearls","author":"Pirau","year":"2024"},{"key":"S2056472426110229_ref2","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2022.734174"},{"key":"S2056472426110229_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721001525"},{"key":"S2056472426110229_ref18","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2017.16040400"},{"key":"S2056472426110229_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2020.101409"},{"key":"S2056472426110229_ref13","volume-title":"International Classification of Diseases, 11th Revision (ICD-11)","year":"2019"},{"key":"S2056472426110229_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2019.01.021"},{"key":"S2056472426110229_ref25","volume-title":"Collection de l\u2019Art Brut","author":"Dubuffet","year":"1976"},{"key":"S2056472426110229_ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037454"},{"key":"S2056472426110229_ref7","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1706587115"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472426110229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:55:44Z","timestamp":1774594544000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472426110229\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["S2056472426110229"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2026.11022","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e94"}}