Clinical Appraisals of Individual Differences in Treatment Responsivity Among Patients With Psychopathy: A Consensual Qualitative Research Study

This study addressed which factors expert clinicians consider crucial in successful completion versus dropout in the mandatory forensic psychiatric treatment of psychopathic patients in the Netherlands. Eleven clinicians were interviewed about patient characteristics, treatment (provider) characteri...

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Detalles Bibliográficos
Autor principal: Klein Haneveld, Evelyn (Autor)
Otros Autores: Smid, Wineke ; Timmer, Kelsey ; Kamphuis, Jan H.
Tipo de documento: Electrónico Artículo
Lenguaje:Inglés
Publicado: 2021
En: Criminal justice and behavior
Año: 2021, Volumen: 48, Número: 8, Páginas: 1031-1051
Acceso en línea: Presumably Free Access
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Palabras clave:
Responsivity
Qualitative methods
Qualitative Analysis
Forensic psychiatric treatment
Psychopathy
Descripción
Sumario:This study addressed which factors expert clinicians consider crucial in successful completion versus dropout in the mandatory forensic psychiatric treatment of psychopathic patients in the Netherlands. Eleven clinicians were interviewed about patient characteristics, treatment (provider) characteristics, and other factors they deemed associated with failure (transfer to another facility) or completion. The interviews were coded using the guidelines of Consensual Qualitative Research (CQR). Overall, extremely high scores on Psychopathy Checklist–Revised (PCL-R) Facets 1 (Deceitful Interpersonal Style) and 2 (Defective Affective Experience) were thought to impede treatment retention, particularly by its negative impact on motivation and therapeutic relationship. Older patients, those with a prosocial network, and/or patients with comorbid borderline traits appeared to fare better. Treatment success was deemed more likely when treatment goals and expectations are stipulated in a concrete fashion, when an extended and gradual resocialization trajectory is offered, and the treatment team is expert, cohesive, and stable.
ISSN:1552-3594
DOI:10.1177/0093854820970597