Purpose of the present study is to point-out a number of psychiatric-forensic remarks about the management of violent behav- ior against the person (VBP) amongst psychiatric patients. The study is the authors’ personal contribution based on clinical and forensic ex- perience as experts in the management of psychiatric patients with VBP. Twelve psychiatric-forensic remarks have been highlighted in the present study: 1) VBP is a multifactorial event; 2) the risk of VBP against the person may change rapidly over time in quantity and quality; 3) there are no methods for reliable prediction of VBP in a single clinical-case; 4) there are no medications with an indication of “heal” the VBP; 5) there are no therapeutic measures that neutralize always, quickly and without recurrences VBP; 6) there exist clinical hypotheses to assess VBP; 7) there exist principles of victimology to assess VBP; 8) there are emotional reactions that can affect the evaluation and clinical and forensic management of VBP; 9) the responsibility of the psychiatrist has to be evaluated at the moment of the events; 10) the responsi- bility of the psychiatrist must be contextualized in the single clinical-case; 11) there is the need to clarify the individual professional respon- sibility of psychiatrists who treated a patient; 12) there is the need to clarify the criteria for the definition of the guarantee role. The above- mentioned twelve psychiatric-forensic remarks have implications in the assessment and management of psychiatric patients with violent be- havior. They may constitute a basis for further discussion aiming to obtain consensus amongst psychiatrists about good clinical practice and forensic implication in the management of psychiatric patients with VBP and to avoid charges and convictions.

Osservazioni psichiatrico-forensi sulle imputazioni e condanne agli psichiatri per il comportamento violento del paziente / Nivoli, Giancarlo; Lorettu, Liliana; Carpiniello, Bernardo; Milia, Paolo; Pinna, Federica; Lepretti, Andrea; Depalmas, Cristiano; Nivoli, ALESSANDRA M. A.. - In: RIVISTA DI PSICHIATRIA. - ISSN 2038-2502. - 52:3(2017), pp. 101-108. [10.1708/2722.27761]

Osservazioni psichiatrico-forensi sulle imputazioni e condanne agli psichiatri per il comportamento violento del paziente

NIVOLI, Giancarlo
Methodology
;
LORETTU, Liliana
Conceptualization
;
MILIA, Paolo
Membro del Collaboration Group
;
DEPALMAS, Cristiano
Membro del Collaboration Group
;
2017-01-01

Abstract

Purpose of the present study is to point-out a number of psychiatric-forensic remarks about the management of violent behav- ior against the person (VBP) amongst psychiatric patients. The study is the authors’ personal contribution based on clinical and forensic ex- perience as experts in the management of psychiatric patients with VBP. Twelve psychiatric-forensic remarks have been highlighted in the present study: 1) VBP is a multifactorial event; 2) the risk of VBP against the person may change rapidly over time in quantity and quality; 3) there are no methods for reliable prediction of VBP in a single clinical-case; 4) there are no medications with an indication of “heal” the VBP; 5) there are no therapeutic measures that neutralize always, quickly and without recurrences VBP; 6) there exist clinical hypotheses to assess VBP; 7) there exist principles of victimology to assess VBP; 8) there are emotional reactions that can affect the evaluation and clinical and forensic management of VBP; 9) the responsibility of the psychiatrist has to be evaluated at the moment of the events; 10) the responsi- bility of the psychiatrist must be contextualized in the single clinical-case; 11) there is the need to clarify the individual professional respon- sibility of psychiatrists who treated a patient; 12) there is the need to clarify the criteria for the definition of the guarantee role. The above- mentioned twelve psychiatric-forensic remarks have implications in the assessment and management of psychiatric patients with violent be- havior. They may constitute a basis for further discussion aiming to obtain consensus amongst psychiatrists about good clinical practice and forensic implication in the management of psychiatric patients with VBP and to avoid charges and convictions.
2017
Osservazioni psichiatrico-forensi sulle imputazioni e condanne agli psichiatri per il comportamento violento del paziente / Nivoli, Giancarlo; Lorettu, Liliana; Carpiniello, Bernardo; Milia, Paolo; Pinna, Federica; Lepretti, Andrea; Depalmas, Cristiano; Nivoli, ALESSANDRA M. A.. - In: RIVISTA DI PSICHIATRIA. - ISSN 2038-2502. - 52:3(2017), pp. 101-108. [10.1708/2722.27761]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/202102
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