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[Intervention for psychotic experience involved in offending behavior].

Akiko Kikuchi1

  • 1Department of Forensic Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry.

Seishin Shinkeigaku Zasshi = Psychiatria Et Neurologia Japonica
|November 17, 2010
PubMed
Summary

Cognitive Behaviour Therapy for Psychosis (CBTp) can help mentally disordered offenders (MDOs) manage psychosis-related offending behaviours. Intensive interventions focusing on aggression-neutralization cognitions are recommended for MDOs with general and psychosis-related risk factors.

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Area of Science:

  • Psychiatry
  • Forensic Psychology
  • Clinical Psychology

Background:

  • Cognitive Behaviour Therapy for Psychosis (CBTp) is an effective adjunct to standard psychiatric care, improving symptom distress, insight, and treatment adherence.
  • Research on CBTp's impact on offending behaviours influenced by psychotic experiences is nascent.
  • Mentally Disordered Offenders (MDOs) present unique challenges requiring tailored therapeutic interventions.

Purpose of the Study:

  • To outline the conceptualization and development of a treatment program for MDOs.
  • To describe individual therapy strategies addressing psychotic experiences linked to offending.
  • To explore the application of CBTp in forensic mental health settings.

Main Methods:

  • Summarization of conceptual frameworks for treating psychosis-related offending.
  • Description of a developed treatment program for MDOs.
  • Discussion of individual therapy techniques targeting psychosis and offending.

Main Results:

  • Intensive interventions are advised for MDOs with both general and psychosis-related risk factors.
  • MDOs may gain advantages from integrating CBTp with general offending behaviour programs.
  • Focusing on aggression-neutralization cognitions is a key therapeutic element.

Conclusions:

  • CBTp holds potential for addressing psychosis-influenced offending behaviours in MDOs.
  • A combined approach of intensive intervention, CBTp, and general offending behaviour programs is beneficial.
  • Targeting specific cognitive processes, such as aggression neutralization, is crucial for treatment success.