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An evaluation of a maximum security therapeutic community for psychopaths and other mentally disordered offenders

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Law and Human Behavior

Abstract

Psychopaths present serious problems for the criminal justice system because they are responsible for many serious crimes and appear to be very resistant to treatment. The present study was a retrospective evaluation of the efficacy of a maximum security therapeutic community program in reducing recidivism among mentally disordered offenders, some of whom were psychopaths. The study employed a matched group, quasiexperimental design. The results showed that, compared to no program (in most cases prison), treatment was associated with lower recidivism (especially violent recidivism) for nonpsychopaths and higher violent recidivism for psychopaths. The clinical and research utility of Hare's Psychopathy Checklist was strongly supported.

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References

  • Akman, D. D., & Normandeau, A. (1967). The measurement of crime and delinquency in Canada: A replication study.British Journal of Criminology, 7, 129–149.

    Google Scholar 

  • Andrews, D. A. (1980). Some experimental investigations of the principles of differential association through deliberate manipulations of the structure of service systems.American Sociological Review, 45, 448–462.

    Google Scholar 

  • Andrews, D. A. (1982).The level of supervision inventory (LSI). Toronto: Ministry of Correctional Services (Ontario).

    Google Scholar 

  • Andrews, D. A., Kiessling, J. J., Robinson, D., & Mickus, S. (1986). The risk principle of case classification: An outcome evaluation with young adult probationers.Consulting Journal of Criminology, 28, 377–384.

    Google Scholar 

  • Barker, E. T. (1980). The Penetanguishene program: A personal review. In H. Toch (Ed.),Therapeutic communities in corrections (pp. 73–81). New York: Praeger.

    Google Scholar 

  • Barker, E. T., & Buck, M. H. (1977). L.S.D. in a coercive milieu therapy program.Canadian Psychiatric Association Journal, 22, 311–314.

    PubMed  Google Scholar 

  • Barker, E. T., & Mason, M. H. (1968). The insane criminal as therapist.Canadian Journal of Corrections, 10, 553–561.

    Google Scholar 

  • Barker, E. T., Mason, M. H., & Wilson, J. (1969). Defence-disrupting therapy.Canadian Psychiatric Association Journal, 14, 355–359.

    PubMed  Google Scholar 

  • Barker, E. T., & McClaughlin, A. J. (1977). The total encounter capsule.Canadian Psychiatric Association Journal, 22, 355–360.

    PubMed  Google Scholar 

  • Black, D. A. (1982). A 5-year followup study of male patients discharged from Broadmoor hospital. In J. Gunn and D. P. Farrington (Eds.),Abnormal offenders, delinquency and the criminal justice system (pp. 307–323). New York: Wiley.

    Google Scholar 

  • Blishen, B. R., & McRoberts, H. A. (1976). A revised socioeconomic index for occupations in Canada.Canadian Review of Sociology and Anthropology, 13, 71–79.

    Google Scholar 

  • Bonta, J., & Motiuk, L. L. (1985). Utilization of an interview-based classification instrument: A study of correctional halfway houses.Criminal Justice and Behavior, 12, 333–352.

    Google Scholar 

  • Bonta, J., & Motiuk, L. L. (1987). The diversion of incarcerated offenders to correctional halfway houses.Journal of Research in Crime and Delinquency, 24, 302–323.

    Google Scholar 

  • Buss, A. (1966).Psychopathology, New York: Wiley.

    Google Scholar 

  • Butler, B., Long, J., & Rowsell, P. (1977).Evaluative Study of the Social Therapy Unit. Unpublished report to the Ombudsman of Ontario.

  • Canada. (1977).Proceedings of the Subcommittee on the Penetentiary System in Canada. Standing Committee on Justice and Legal Affairs. House of Commons, Second Session of the Thirtieth Parliament. March 8, 1977.

  • Cleckley, H. (1982).The mask of sanity (4th ed.). St. Louis: Mosby.

    Google Scholar 

  • Copas, J. B., O'Brien, M., Roberts, J., & Whiteley, J. S. (1984). Treatment outcome in personality disorder: The effect of social psychological and behavioural variables.Personality and Individual Differences, 5, 565–573.

    Article  Google Scholar 

  • Corsini, R. (1958). Psychodrama with a psychopath.Group Psychotherapy, 11, 33–39.

    Google Scholar 

  • Craft, M., Stephenson, G., & Granger, C. (1964). A controlled trial of authoritarian and self-governing regimes with adolescent psychopaths.American Journal of Orthopsychiatry, 543–554.

  • Darling, H. F. (1945). Definition of psychopathic personality.Journal of Nervous and Mental Disease, 101, 121–126.

    Google Scholar 

  • DeLeon, G. (1985). The therapeutic community: Status and evolution.The International Journal of the Addictions, 20, 823–844.

    Google Scholar 

  • Elliot, D. S., Huizinga, D., & Ageton, S. (1985).Explaining delinquency and drug use. Beverly Hills: Sage.

    Google Scholar 

  • Fairweather, G. W., Sanders, D. H., Maynard, H., Cressler, D. L., & Bleck, D. S. (1969).Community life for the mentally ill. Chicago: Aldine.

    Google Scholar 

  • Gunn, J. (1977). Criminal behaviour and mental disorder.British Journal of Psychiatry, 130, 317–329.

    PubMed  Google Scholar 

  • Hare, R. D. (1970).Psychopathy: Theory and research, New York: Wiley.

    Google Scholar 

  • Hare, R. D. (1980). A research scale for the assessment of psychopathy in criminal populations.Personality and Individual Differences, 1, 111–117.

    Article  Google Scholar 

  • Hare, R. D. (1983). Diagnosis of antisocial personality disorder in two prison populations.American Journal of Psychiatry, 7, 887–889.

    Google Scholar 

  • Hare, R. D. (1985). Comparison of procedures for the assessment of psychopathy.Journal of Consulting and Clinical Psychology, 53, 7–16.

    Article  PubMed  Google Scholar 

  • Hare, R. D. (1986). Twenty years of experience with the Cleckley psychopath. In W. H. Reid, D. Dorr, J. J. Walker, & J. W. Bonner (Eds.),Unmasking the psychopath (pp. 3–27). New York: Norton.

    Google Scholar 

  • Hare, R. D., & Jutai, J. W. (1983). Criminal history of the male psychopath: Some preliminary data. In K. T. VanDusen & S. A. Mednick (Eds.),Prospective studies of crime and delinquency (pp. 225–236). Boston: Kluwer-Nijhoff.

    Google Scholar 

  • Hare, R. D., & McPherson, L. M. (1984). Violent and aggressive behavior by criminal psychopaths.International Journal of Law and Psychiatry, 7, 35–50.

    Article  PubMed  Google Scholar 

  • Harris, G. T., Rice, M. E., & Cormier, C. A. (1991). Psychopathy and violent recidivism.Law and Human Behavior, 15, 625–637.

    Article  Google Scholar 

  • Hodgins, S. (1983). A followup study of persons found incompetent to stand trial and/or not guilty by reason of insanity in Quebec.International Journal of Law and Psychiatry, 6, 399–411.

    Article  PubMed  Google Scholar 

  • Jones, M. (1956). The concept of a therapeutic community.American Journal of Psychiatry, 647–650.

  • Jones, M. (1968).Social psychiatry in practice. Harmondsworth: Penguin.

    Google Scholar 

  • Jones, M. (1976).Maturation of the therapeutic community. New York: Human Sciences Press.

    Google Scholar 

  • Lipton, H. (1950). The psychopath.Journal of Criminal Law, Criminology, and Police Science, 6, 399–411.

    Google Scholar 

  • Loeber, R., & Stouthamer-Loeber, M. (1986). Prediction. In H. C. Quay (Ed.),Handbook of juvenile delinquency (pp. 225–282). New York: Wiley.

    Google Scholar 

  • Maier, G. J. (1976). Therapy in prisons. In J. R. Lion and D. J. Madden (Eds.),Rage, hate, assault and other forms of violence (pp. 113–133). New York: Spectrum.

    Google Scholar 

  • Maller, J. O. (1971).The therapeutic community with chronic mental patients. Basel: S. Karger AG.

    Google Scholar 

  • Mandelzys, N. (1979). Correlates of offense severity and recidivism probability in a Canadian sample.Journal of Clinical Psychology, 35, 897–907.

    PubMed  Google Scholar 

  • McCann, W. H. (1948). The psychopath and the psychoneurotic in relation to crime and delinquency.Journal of Clinical and Experimental Psychopathology, 9, 551.

    Google Scholar 

  • McCord, W. M. (1982).The psychopath and milieu-therapy. New York: Academic Press.

    Google Scholar 

  • Meloy, J. R. (1988).The psychopathic mind: Origins, dynamics and treatment. Northvale, NY: Aronson.

    Google Scholar 

  • Molof, M. J. (1965).Prediction of future assaultive behavior among youthful offenders. California Department of Youth Authority Research, Report 41.

  • Monahan, J. (1981).Predicting violent behavior: An assessment of clinical techniques. Beverly Hills: Sage.

    Google Scholar 

  • Nuffield, J. (1982).Parole decision-making in Canada. Ottawa: Ministry of Supply and Services.

    Google Scholar 

  • Paul, G. L., & Lentz, R. J. (1977).Psychosocial treatment of chronic mental patients. Cambridge: Harvard University Press.

    Google Scholar 

  • Pruesse, M., & Quinsey, V. L. (1977). The dangerousness of patients released from maximum security: A replication.Journal of Psychiatry and Law, 5, 293–299.

    Google Scholar 

  • Quinsey, V. L. (1981). The long term management of the mentally disordered offender. In S. J. Hucker, C. D. Webster, & M. BenAron (Eds.),Mental disorder and criminal responsibility (pp. 137–155). Toronto: Butterworths.

    Google Scholar 

  • Quinsey, V. L. (1984). Politique institutionelle de liberation, identification des individus dangereux: une revue de la literature (Institutional release policy and the identification of dangerous men: a review of the literature).Criminologie, 17, 53–78.

    Google Scholar 

  • Quinsey, V. L., & Maguire, A. (1983). Offenders remanded for a psychiatric examination: Perceived treatability and disposition.International Journal of Law and Psychiatry, 6, 193–205.

    Article  PubMed  Google Scholar 

  • Quinsey, V. L., & Maguire, A. (1986). Maximum security psychiatric patients: Actuarial and clinical prediction of dangerousness.Journal of Interpersonal Violence, 1, 143–171.

    Google Scholar 

  • Quinsey, V. L., Pruesse, M., & Fernley, R. (1975a). Oak Ridge patients: Prerelease characteristics and postrelease adjustment.Journal of Psychiatry and Law, 3, 63–77.

    Google Scholar 

  • Quinsey, V. L., Pruesse, M., & Fernley, R. (1975b). A followup of patients found not guilty by reason of insanity or unfit for trial.Canadian Psychiatric Association Journal, 20, 461–467.

    PubMed  Google Scholar 

  • Reid, W. H. (1989).The treatment of psychiatric disorders. New York: Brunner/Mazel.

    Google Scholar 

  • Rice, M. E., Quinsey, V. L., & Houghton, R. (1990). Predicting treatment outcome and recidivism among patients in a maximum security token economy.Behavioral Sciences and the Law, 8, 313–326.

    Google Scholar 

  • Rodgers, T. (1947). Hypnotherapy and character neuroses.Journal of Clinical Psychopathology, 8, 519–524.

    Google Scholar 

  • Rosow, H. M. (1955). Some observations on group therapy with prison inmates.Archives of Criminal Psychodynamics, 1, 866–897.

    Google Scholar 

  • Schmideberg, M. (1949). The analytic treatment of major criminals: Therapeutic results and technical problems.International Journal of Psychoanalysis, 30, 197.

    Google Scholar 

  • Schroeder, M. L., Schroeder, K. G., & Hare, R. D. (1983). Generalizability of a checklist for assessment of psychopathy.Journal of Consulting and Clinical Psychology, 51, 511–516.

    Article  PubMed  Google Scholar 

  • Showstack, N. (1956). Treatment of prisoners at the California Medical Facility.American Journal of Psychiatry, 112, 821–824.

    PubMed  Google Scholar 

  • Simon, F. (1971).Prediction methods in criminology. London: HMSO.

    Google Scholar 

  • Steadman, H. J. (1973). Follow-up on Baxtrom patients returned to hospitals for the criminally insane.American Journal of Psychiatry, 130, 317–319.

    PubMed  Google Scholar 

  • Thorne, F. C. (1959). The etiology of sociopathic reactions.American Journal of Psychotherapy, 13, 310–330.

    Google Scholar 

  • Toch, H. (Ed.). (1980).Therapeutic communities in corrections. New York: Praeger.

    Google Scholar 

  • Tong, J. E., & MacKay, G. W. (1959). A statistical followup of mental defectives of dangerous or violent propensities.British Journal of Delinquency, 9, 276–284.

    Google Scholar 

  • Whiteley, J. S. (1967). Concepts of psychopathy and its treatment.Medico-legal Journal, 35, 154–163.

    PubMed  Google Scholar 

  • Widiger, T. A., & Frances, A. (1987). Interviews and inventories for the measurement of personality disorders.Clinical Psychology Review, 7, 49–75.

    Article  Google Scholar 

  • Wong, S. (1984).The criminal and institutional behaviours of psychopaths. Ottawa: Ministry of the Solicitor General.

    Google Scholar 

  • Woody, G. E., McLellan, A. T., Rubersky, L., & O'Brien, C. P. (1985). Sociopathy and psychotherapy outcome.Archives of General Psychiatry, 42, 1081–1086.

    PubMed  Google Scholar 

  • Wormith, J. S. (1984). Attitude and behavior change of a correctional clientele: A 3-year followup.Criminology, 22, 595–618.

    Article  Google Scholar 

  • Wormith, J. S., & Goldstone, C. S. (1984). The clinical and statistical prediction of recidivism.Criminal Justice and Behavior, 11, 3–34.

    Google Scholar 

  • Zamble, E., & Porporino, F. (1988).Coping behavior and adaptation in prison inmates. New York: Springer-Verlag.

    Google Scholar 

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This research was supported by Ontario Mental Health Foundation under grant no. 952-86-88. Thanks are due to Vern Quinsey for helpful comments and to V. Bell, C. Lang, L. Koeshkerian, S. Robinson, and C. MacKnight for assisting in data collection.

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Rice, M.E., Harris, G.T. & Cormier, C.A. An evaluation of a maximum security therapeutic community for psychopaths and other mentally disordered offenders. Law Hum Behav 16, 399–412 (1992). https://doi.org/10.1007/BF02352266

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