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

Evidence for late-glacial ice dammed lakes in the central Strait of Magellan and Bahia Inutil, southernmost South America

This paper critically appraises the evidence for a succession of ice-dammed lakes in the central Strait of Magellan (c. 53°S) c. 17 000-12 250 cal. yr BP. The topographic configuration of islands and channels in the southern Strait of Magellan means that the presence of lakes provides compelling constraints on the position of former ice margins. Lake shorelines and glacio-lacustrine sediments have been dated by their association with a key tephra layer from Volcan Reclús (c. 15 510-14 350 cal. years bp) and by 14C-dated peats. The timing of glacial lake formation and associated glacier readvances is at odds with the rapid and widespread glacier retreat of the Patagonian ice fields further north after c. 17 000 cal. yr bp, suggesting rather that the lakes were coeval with the Antarctic Cold Reversal and persisted to the Late-glacial/Holocene transition. This apparent asymmetrical latitudinal response in glacier behaviour may reflect overlapping spheres of northern hemisphere and Antarctic climatic influence in the Magellan region