The role of emotional resilience, childhood parentification, and attachment style on antisocial behaviour in adulthood: a comparison of an offender and normative population

Purpose: Despite a robust link between poor caregiver attachment and antisociality, few studies have examined the influence of parentification and emotional resilience on delinquency in later life, in groups at differing risk for antisocial conduct. Methodology: This pilot study compared the influence of parentification, attachment style (avoidant or anxious) and emotional resilience on adulthood antisocial behaviour in an offender and normative sample. Of the 137 participants in this study, 66 were supervised by the National Probation Service (age M = 36.90, SD = 13.91), and 71 were recruited from community-dwelling and student populations (age M = 31.83, SD = 13.25). Findings: In partial support of the predictions, participants in the offender group reported significantly greater levels of attachment anxiety compared to the normative group. However, emotional resilience was positively associated with antisociality in the normative sample. Research implications: This small-scale investigation indicates value in exploring these specific variables in a larger, matched samples study, to enable clearer comparisons to be made between offender and normative groups. Practical implications: The preliminary findings suggest that attachment anxiety is associated with antisociality in offender populations, which indicate a therapeutic focus on attachment anxiety as part of correctional care and offender rehabilitation. Originality: This study is novel in its aim to examine the influence of childhood parentification, attachment deficits and emotional resilience on adulthood antisociality in participants from a high-risk offender sample and non-high-risk normative sample

Rehabilitating antisocial personalities: treatment through self-governance strategies

Offenders with antisocial personality disorder (ASPD) are widely assumed to reject psychotherapeutic intervention. Some commentators, therefore, argue that those with the disorder are better managed in the criminal justice system, where, following the introduction of indeterminate sentences, engagement with psychological treatment is coercively linked to the achievement of parole. By comparison, National Institute of Clinical Excellence guidelines on the management and treatment of ASPD recommend that those who are treatment seeking should be considered for admission to specialist psychiatric hospitals. The rationale is that prison-based interventions are underresourced, and the treatment of ASPD is underprioritised. The justification is that offenders with ASPD can be rehabilitated, if they are motivated. One problem, however, is that little is known about why offenders with ASPD seek treatment or what effect subsequent treatment has on their self-understanding. The aim of this paper is to address these unresolved issues. It draws on the findings of Economic and Social Research Council (ESRC) funded qualitative study examining the experiences of sentenced male offenders admitted to a specialist personality disorder ward within the medium secure estate and the medical practitioners who treat them. The data are analysed with reference to Michel Foucault’s work on governmentality and strategy in power relations. Two arguments are advanced: first, offenders with ASPD are motivated by legal coercive pressures to implement a variety of Foucauldian-type strategies to give the false impression of treatment progress. Second, and related, treatment does not result in changes in self-understanding in the resistive client with ASPD. This presupposes that, in respect of this group at least, Foucault was mistaken in his claim that resistive behaviours merely mask the effectiveness of treatment norms over time. Nevertheless, the paper concludes that specialist treatment in the hospital setting can effect changes in the resistive offender’s self-understanding, but not if the completion of treatment results, as is commonplace, in his prison readmission

Violent Forensic Psychiatry Patients: Individual Differences and Consequences for Treatment.

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An adapted version of the Rosenzweig Picture-Frustration Study (PFS-AV) for the measurement of hostility in violent forensic psychiatric patients.

Contains fulltext : 51547.pdf (publisher's version ) (Closed access)BACKGROUND: The original Rosenzweig Picture-Frustration Study (PFS), designed to measure reactive aggressive behaviour in adults, contains 24 pictures of ambiguous situations in which someone is making a remark that can be interpreted as provocative. AIM: An adapted version of Rosenzweig's PFS (PFS-AV) was developed to assess the hostile thoughts elicited by interpersonal frustrating situations in forensic psychiatric patients with a conduct disorder or an antisocial personality disorder. METHODS: Patients were asked to give their responses in a few words on paper, which were then evaluated for hostility using a seven-point Likert scale. The patients also completed questionnaires on personality and on aggressive and socially competent behaviour. RESULTS: Twelve of the 24 pictures that had a good internal consistency, inter-rater reliability, and test-retest reliability were selected. In support of the instrument's concurrent validity, scores on the PFS-AV were positively correlated with those on the aggressive behaviour questionnaires but less strongly than the correlations between the aggressive behaviour questionnaires mutually. The validity of the PFS-AV was demonstrated by the positive correlation between PFS-AV hostility and neuroticism, and by the negative correlation with extraversion, openness, agreeableness and conscientiousness. A relatively low but positive correlation was found with social anxiety and a negative correlation was found with social skills in situations where approaching behaviour may be exhibited. CONCLUSION: The adapted version of the PFS-AV appears reliably and validly to measure hostility in violent forensic psychiatric patients

Aggression Control Therapy for Violent Forensic Psychiatric Patients: Method and Clinical Practice

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Development of the Observation Scale for Aggressive Behavior (OSAB) for Dutch forensic psychiatric inpatients with an antisocial personality disorder.

Contains fulltext : 51902.pdf (publisher's version ) (Closed access)The Observation Scale for Aggressive Behavior (OSAB) has been developed to evaluate inpatient treatment programs designed to reduce aggressive behavior in Dutch forensic psychiatric patients with an antisocial personality disorder, who are "placed at the disposal of the government". The scale should have the sensitivity to measure changes in the possible determinants of aggressive behavior, such as limited control of displayed negative emotions (irritation, anger or rage) and a general deficiency of social skills. In developing the OSAB 40 items were selected from a pool of 82 and distributed among the following a priori scales: Irritation/anger, Anxiety/gloominess, Aggressive behavior, Antecedent (to aggressive behavior), Sanction (for aggressive behavior) and Social behavior. The internal consistency of these subscales was good, the inter-rater reliability was moderate to good, and the test-retest reliability over a two to three week period was moderate to good. The correlation between the subscales Irritation/anger, Anxiety/gloominess, Aggressive behavior, Antecedent, Sanction was substantial and significant, but the anticipated negative correlation between these subscales and the Social behavior subscale could not be shown. Relationships between the corresponding subscales of the OSAB and the FIOS, used to calculate concurrent validity, yielded relatively high correlations. The validity of the various OSAB subscales could be further supported by significant correlations with the PCL-R and by significant but weak correlations with corresponding subscales of the self-report questionnaires. The Observation Scale for Aggressive Behavior (OSAB) seems to measure aggressive behavior in Dutch forensic psychiatric inpatients with an antisocial personality disorder reliably and validly. Contrary to expectations, a negative relationship was not found between aggressive and social behavior in either the OSAB or FIOS, which were used for calculating concurrent validity