The Influence of Evil on Forensic Clinical Practice

  • Tom Mason
  • Joel Richman
  • Dave Mercer


This chapter reports on research carried out in a high-security psychiatric establishment in the United Kingdom. Data were collected from primary nurses and care plan documentation on patients who were considered to be evil. The results indicate that nursing staff employ medical discourse in an attempt to understand index offenses up until they consider the patient’s actions evil, and beyond help, then they employ lay language as a means to understand such behavior. The care plans reveal a lack of cohesive treatment strategies regarding this group of patients and suggest an absence of credible therapeutic approaches. A model of motivation is set out in which, depending on the nurses’ interpretation of the patient’s ability to manage the values underpinning right and wrong, their free will, and their subsequent choice of action, they can be located as Akratic, Brutish, or medical forms.


Care Plan Personality Disorder Schizoid Disorder Forensic Psychiatry Binary Opposition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Foucault, M. (1978) About the concept of the ‘dangerous individual’ in 19th century legal-psychiatry. Int J Law Psychiatry 1:1–18.PubMedCrossRefGoogle Scholar
  2. 2.
    Billig, M., Condor, S., Edwards, D., Gane, M., Meddleton, D., and Radley, A. (1988) Ideological Dilemmas: A Social Psychology of Everyday Thinking. Sage, London, UK.Google Scholar
  3. 3.
    Mercer, D., Mason, T. and Richman, J. (2000) Out of the mouths of forensic nurses: a ‘pathology of the monstrous’ revisited. Ment Health Care 3:197–200.Google Scholar
  4. 4.
    Joad, C.E.M. (1939) Guide to Modern Wickedness. Faber and Faber Ltd, London, UK.Google Scholar
  5. 5.
    Copjec, J. (1996) Radical Evil. Verso, London, UK.Google Scholar
  6. 6.
    Jordan, M. (1992) Encyclopedia of the Gods. Kyle Cathie Ltd, London, UK.Google Scholar
  7. 7.
    Overing, J. (1985) There is no end of evil: the guilty innocents and their fallible God. In: The Anthropology of Evil (Parkin, D., ed), Blackwell, Oxford, UK, pp. 244–278.Google Scholar
  8. 8.
    Cotterell, A. (1989) The Illustrated Encyclopedia of Myths and Legends. Cassell, London, UK.Google Scholar
  9. 9.
    Girard, R. (1978) Introduction. To Double Business Bound: Essays on Literature, Mimesis and Anthropology. John Hopkins University Press, Baltimore, MD.Google Scholar
  10. 10.
    Needham, R. (1978) Introduction. Primordial Characters. The University Press of Virginia, Charlottesville, VA, p. 6.Google Scholar
  11. 11.
    Levi-Strauss, C. (1969) The Raw and the Cooked. Cape, London, UK, p. 12.Google Scholar
  12. 12.
    Levi-Strauss, C. (1968) Social Structure. Structural Anthropology. Allen Lane, London, UK. pp. 365–366.Google Scholar
  13. 13.
    Rheubottom, D. (1985) The seed of evil within. In: The Anthropology of Evil (Parkin, D., ed), Blackwell, Oxford, UK, pp. 77–91.Google Scholar
  14. 14.
    Parkin, D. (1985) The Anthropology of Evil. Blackwell, Oxford, UK.Google Scholar
  15. 15.
    Macfarlane, A. (1985) The root of all evil. In: The Anthropology of Evil (Parkin, D., ed), Blackwell, Oxford, UK, pp. 57–76.Google Scholar
  16. 16.
    Stinton, T.C.W. (1975) Hamartia in Aristotle and Greek Tragedy. Class Q 25:221–254.CrossRefGoogle Scholar
  17. 17.
    Gellrich, M. (1988) Tragedy and Theory: The Problem of Conflict since Aristotle. Princeton University Press, Princeton, NJ.Google Scholar
  18. 18.
    Thomas, K. (1971) Religion and the Decline of Magic. Weidenfeld and Nicolson, London, UK.Google Scholar
  19. 19.
    Murray, K., Rudge, S., Lack, S. and Dolan, R. (1994) How many high security beds are needed? J Forensic Psychiatry 5:487–500.Google Scholar
  20. 20.
    Mason, T. (1998) Models of risk assessment in mental health practice: a critical examination. Ment Health Care 1:405–407.Google Scholar
  21. 21.
    Monahan, J. and Steadman, H.J. (2001) Major mental disorder and violence: epidemiology and risk assessment. In: Clinical Assessment of Dangerousness: Empirical Contributions (Pinard, G.F. and Pagani, L., eds.), Cambridge University Press, New York, NY, pp. 89–102.Google Scholar
  22. 22.
    Mason, T. and Mercer, D. (1998) Critical Perspectives in Forensic Care: Inside Out. Macmillan, London, UK.Google Scholar
  23. 23.
    Richman, J. and Mason, T. (1992) Quo vadis the special hospital? In: Private Risks and Public Dangers (Scott, S., Williams, G., Platt, S., and Thomas, H., eds.), Averbury, Aldershot, UK, pp. 150–167.Google Scholar
  24. 24.
    HMSO (1977) National Health Services Act. HMSO, London, UK, p. 24.Google Scholar
  25. 25.
    Maden, T., Curle, C., Burrow, S. and Gunn, J. (1995) The Treatment and Security Needs of Special Hospital Patients. Whurr, London, UK.Google Scholar
  26. 26.
    Schutz, A. (1962) Collected Papers I: The Problem of Social Reality. Martinus Nijhoff, The Hague, Netherlands.Google Scholar
  27. 27.
    Garfinkel, H. (1986) Ethnomethodological Studies of Work. Routledge and Kegan Paul, London, UK.Google Scholar
  28. 28.
    Garfinkel, H. (1967) Studies in Ethnomethodology. Bail Blackwell, Oxford, UK.Google Scholar
  29. 29.
    Dreyfus, H (1967) Philosophical issues in artificial intelligence. Publications in the Humanities 80: 32–44.Google Scholar
  30. 30.
    Richman, J., Mercer, D. and Mason, T. (1999) The social construction of evil in a forensic setting. J Forensic Psychiatry 10:300–308.Google Scholar
  31. 31.
    World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders: Clincial Descriptions and Diagnostic Guidelines. WHO, Geneva, Switzerland.Google Scholar
  32. 32.
    Airaksinen, T. (1991) Philosophy and its background. The Philosophy of the Marquis de Sade. Routledge, London, UK, pp. 23–29.Google Scholar
  33. 33.
    Aristotle (1915) Ethica Nicomachea Tr. Sir David Ross. In: The Works of Aristotle Vol. IX. Clarendon Press, Oxford, UK, p. 1149.Google Scholar

Copyright information

© Humana Press Inc. 2006

Authors and Affiliations

  • Tom Mason
    • 1
  • Joel Richman
    • 2
  • Dave Mercer
    • 3
  1. 1.School of Health and Social CareUniversity of ChesterChesterUK
  2. 2.Manchester Metropolitan UniversityManchesterUK
  3. 3.Division of NursingLiverpool UniversityLiverpoolUK

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