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Psychology & Criminal Behaviour (PSY005-1) Case Study 1
PSYCHOLOGY & CRIMINAL BEHAVIOUR (PSY005-1) CASE STUDY
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Psychology & Criminal Behaviour (PSY005-1) Case Study 2
Psychology & Criminal Behaviour (PSY005-1) Case Study
Introduction
When a clinician is tasked with conducting a legal assessment of mental incapacity,
defining mental disease or defect becomes challenging due to the dual necessity of aligning the
concept with medical criteria for a mental disorder and incorporating legal principles of
responsibility and culpability. Black’s Law Dictionary defines legal insanity as "Any mental
disorder severe enough that it prevents a person from having legal capacity and excuses the
person from criminal or civil responsibility" (Ref. 1, p 810). However, determining the threshold
of mental illness poses a significant question. Different legal jurisdictions address this query in
varying ways. Within the courtroom, a spectrum of diagnostic categories or explanations may be
presented, some of which psychiatrists might not categorize as severe mental disorders, yet
certain experts argue that they nullify or diminish criminal responsibility according to Ghiasi
(2023) John Johnson's case is a multifaceted illustration of the intricate interplay between mental
health, substance misuse, and criminal conduct. Aged 35, he currently resides at ABC Hospital
under a Section 37/41 (Mental Health Act, 1983), having been convicted of Manslaughter in
2017. His narrative unfolds against a backdrop of violent offenses, substance misuse, and a
turbulent upbringing characterized by familial discord and psychiatric challenges. Mr. Johnson's
trajectory is emblematic of the challenges inherent in addressing mental health within the
criminal justice system. Within the nuanced context of John Johnson's case, this assignment
contends that a thorough examination of substance misuse, factors influencing juvenile criminal
behavior, and the prevalence of psychoses and personality disorders is crucial for informing
effective interventions and policies within the criminal justice system. This assignment aims to
Psychology & Criminal Behaviour (PSY005-1) Case Study 3
comprehensively analyze John Johnson's case, exploring the intricate intersections of mental
health, substance misuse, and criminal behavior. By addressing three key questions, it seeks to
unravel broader implications for understanding and managing similar cases in the criminal
justice system.
Questions to be addressed
Role of Substance Misuse: Delve into the influence of substance misuse on Mr. Johnson's
history of offending and his present management, contextualized within the broader prevalence
of such issues in the UK Criminal Justice System.
Factors in Juvenile Criminal Behavior: Scrutinize longitudinal cohort evidence to discern
key factors linked to criminal behavior in juveniles, drawing parallels to Mr. Johnson's
experiences.
Psychoses and Personality Disorders: Investigate the prevalence of psychoses and
personality disorders among individuals in the UK Criminal Justice System, while evaluating
their significance in Mr. Johnson's index offense and ongoing management.
Substance Misuse in Mr. Johnson's Offending History
John Johnson's criminal history is intricately entwined with a persistent pattern of
substance misuse, casting a profound impact on the nature and escalation of his offenses. At the
core of this interplay is the index offense, the Manslaughter committed in 2017, which unfolded
against a backdrop of substance-fueled volatility. The case study reveals that on the night of the
Manslaughter, Mr. Johnson, alongside acquaintances, engaged in a cocktail of cocaine, cannabis,
and alcohol at his father's property. The lethal consequences of the evening manifested in a
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Psychology & Criminal Behaviour (PSY005-1) Case Study 4
violent assault on an acquaintance following a dispute over money owed for drugs. The nexus
between substance use and aggressive behavior is stark, painting a vivid picture of how Mr.
Johnson's actions were significantly influenced by the intoxicating cocktail that permeated the
fateful night.
Moving beyond the index offense, Mr. Johnson's extensive criminal record further
illuminates the pervasive role of substance misuse in shaping his offending history. Offenses
against the person, including threats to kill, affray, battery, and common assault, are recurrent
themes. Public disorder offenses and drug-related charges punctuate his criminal narrative,
highlighting a consistent pattern where substance misuse is a common denominator across
multiple transgressions. The early onset of Mr. Johnson into substance use intensifies the
complexity of his case. Initiated into cannabis at the tender age of 12, he swiftly escalated to
daily use by the age of 13. The case study portrays a troubled adolescence marked by illicit
substance involvement and a descent into dealing cannabis. This precocious initiation into
substance use underscores the intricate relationship between environmental factors, familial
dynamics, and Mr. Johnson's vulnerability to substance misuse.
Within the hospital setting, where Mr. Johnson is an inpatient at ABC Hospital, the
challenges of managing his substance misuse persist. Despite the controlled environment, the
case study documents instances of Mr. Johnson seeking and misusing substances. These
incidents, such as the detection of illicit substances in his room and the discovery of self-brewed
'hooch,' highlight the resilience of substance-related behaviors even within highly regulated
healthcare environments. These challenges emphasize the need for tailored interventions that
address the multifaceted dimensions of substance misuse within clinical settings.
Psychology & Criminal Behaviour (PSY005-1) Case Study 5
Zooming out to the broader landscape of the UK Criminal Justice System, Mr. Johnson's
case aligns with the pervasive issue of substance misuse among offenders. Statistics consistently
depict a substantial overlap between substance use disorders and criminality as noted by Johnson
and Elbogen (2013). The government's acknowledgment of this intersection is evident in
initiatives such as diversion programs and treatment options designed to tackle the root causes of
offending behavior, including substance misuse. A substantial proportion of individuals entering
the criminal justice system grapple with substance-related concerns, amplifying the complexity
of their cases. Peacock et al. (2018) claims that, Initiatives such as diversion programs and
treatment options have been instituted to address the root causes of offending, recognizing
substance misuse as a crucial factor requiring targeted intervention.
The prevalence of substance misuse extends beyond individual cases like Mr. Johnson's,
permeating the very fabric of the criminal justice landscape. The systemic nature of this issue
demands a comprehensive and nuanced response, incorporating preventative measures,
rehabilitative programs, and a recalibration of policies to address the intricate interplay between
substance misuse and criminality. Acknowledging this prevalence is imperative for shaping
effective and compassionate strategies that holistically address the challenges posed by substance
misuse within the UK Criminal Justice System.
Substance misuse stands as a foundational element in understanding Mr. Johnson's
offending history. From the index offense to the broader spectrum of his criminal record, the
intricate dance between substance use and criminal behavior is unmistakable according to Tyler
et al. (2019). This analysis not only underscores the need for targeted interventions at both
individual and systemic levels but also emphasizes the urgency of recognizing substance misuse
Psychology & Criminal Behaviour (PSY005-1) Case Study 6
as a complex and enduring challenge within the realms of both clinical and criminal justice
domains.
Factors Associated with Criminal Behaviour in Juveniles
A comprehensive exploration of Mr. Johnson's case necessitates an examination of key
factors associated with criminal behavior in juveniles, drawing insights from longitudinal cohort
evidence. Identifying these factors offers a lens through which to analyze Mr. Johnson's
trajectory, shedding light on the influences that shaped his early experiences with the criminal
justice system.
Longitudinal cohort evidence underscores several salient factors contributing to criminal
behavior in juveniles. Among these, according to the study by (Chaplin et al.
, 2014), a
tumultuous family environment, early exposure to substance misuse, and a history of childhood
trauma emerge as pivotal determinants. These factors create a breeding ground for antisocial
conduct, influencing individuals during their formative years and potentially laying the
groundwork for persistent criminality.
Applying these factors to Mr. Johnson's case reveals striking parallels. His early life was
marked by familial discord, witnessing domestic violence and experiencing physical abuse from
his father. Taylor et al. (2016) indicates that, separation of his parents when he was 12
introduced instability, while his mother's struggle to manage his behavior led to feelings of
rejection. Early initiation into substance misuse further aligns with the identified factors,
indicating a convergence of adverse circumstances that contributed to the development of his
criminal tendencies (Taylor et al.
, 2016).
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Psychology & Criminal Behaviour (PSY005-1) Case Study 7
The trajectory from juvenile offending to persistent criminal behavior is a well-
documented phenomenon. Mr. Johnson's expulsion from school at the age of 17, fueled by verbal
aggression towards a teacher, exemplifies early signs of deviant conduct as indicated in
Hirschfield (2018) study. His subsequent involvement in criminal activities, including petty
crimes and drunk and disorderly behavior, aligns with the longitudinal evidence emphasizing the
predictive power of early delinquency in determining long-term criminal outcomes (Hirschfield,
2018).
Moreover, Mr. Johnson's interactions with the criminal justice system from a young age, as
documented in his PNC record, corroborate the impact of these identified factors (Kane et al.
,
2020). The blend of acquisitive and violent offenses suggests a trajectory influenced by a
complex interplay of environmental, familial, and personal factors (Kane et al.
, 2020). It is
crucial to recognize that the convergence of these elements is not deterministic but indicative of
heightened vulnerability, warranting targeted interventions and rehabilitative measures.
The significance of understanding these factors extends beyond retrospective analysis; it
informs prospective strategies for intervention and prevention. Early identification of at-risk
juveniles, coupled with tailored interventions addressing familial instability, substance misuse,
and trauma, becomes imperative Ogloff et al. (2007). The longitudinal evidence underscores the
malleability of these trajectories, providing a window of opportunity for targeted interventions to
mitigate the risk of persistent criminality. The exploration of factors associated with criminal
behavior in juveniles offers valuable insights into Mr. Johnson's early experiences and
subsequent interactions with the criminal justice system. Ogloff et al. (2007) The identified
factors, when applied to his case, unveil a narrative marked by familial discord, early exposure to
substance misuse, and a trajectory from juvenile delinquency to persistent offending.
Psychology & Criminal Behaviour (PSY005-1) Case Study 8
Psychoses and Personality Disorders in the Criminal Justice System
Commonality of Psychoses and Personality Disorders The correlation between psychiatric disorders and criminal behavior has been a subject of
intense debate and scrutiny, particularly in the wake of numerous mass shootings according to
Schultze‐Lutter, Nenadić and Grant (2019). While the increased attention on mental health in the
aftermath of such tragedies is a positive development, there is a tendency to oversimplify the
relationship between mental illness and criminality. Schultze‐Lutter, Nenadić and Grant (2019)
also notes that, A prevailing notion suggests that individuals with mental disorders are more
inclined to engage in violent and aggressive acts. This impression, which is sometimes
reinforced by media representations of criminals as "crazy" people, leads to the widespread
belief that mental patients are inherently dangerous. However, a considerable amount of research
contradicts this idea, suggesting that people with mental illnesses are more likely to be victims
than perpetrators of violent crimes. Slotema et al. (2018) point that that this prejudice extends to
the criminal court system, where people suffering from mental illnesses are typically viewed as
criminals. In comparison to the average population, they face arrest, charges, and higher jail
sentences. Despite the good movement in acknowledging the significance of mental health, it is
critical to avoid oversimplification and mischaracterization of the link between mental illness
and criminal conduct.
A study by (Rebbapragada, Furtado and Hawker-Bond, 2021), indicates that Within the
realm of the UK Criminal Justice System, the prevalence of psychoses and personality disorders
among offenders is a complex and multifaceted phenomenon. Research indicates that a notable
proportion of individuals within the system grapple with mental health challenges, with
Psychology & Criminal Behaviour (PSY005-1) Case Study 9
psychoses and personality disorders emerging as recurrent themes (Rebbapragada, Furtado and
Hawker-Bond, 2021). The intersection between mental health and criminality underscores the
need for a nuanced understanding of the complexities that underlie offending behavior.
Nichita and Buckley (2020) states that, Psychoses, such as Paranoid Schizophrenia, and
personality disorders, including Antisocial Personality Disorder and Bipolar Personality
Disorder, are prevalent among individuals in contact with the criminal justice system. The co-
occurrence of these mental health conditions contributes to the intricate tapestry of factors
influencing criminal behavior (Mamidi and Gupta, 2018). Individuals with psychoses may
experience distorted perceptions of reality, impacting their ability to conform to social norms and
navigate interpersonal dynamics. Personality disorders, characterized by enduring patterns of
maladaptive behavior, pose challenges to emotional regulation and impulse control (Mamidi and
Gupta, 2018). The criminal justice system's response to offenders with psychoses and personality
disorders involves a delicate balancing act between punishment and therapeutic intervention.
While punitive measures may address the immediate consequences of criminal actions, a more
holistic approach acknowledges the underlying mental health factors that contribute to offending
behavior. Treatment modalities within the criminal justice system aim to address both the mental
health needs of individuals and the societal imperative for public safety.
Relevance to Mr. Johnson's Case In the case of Mr. Johnson, the co-occurrence of Paranoid Schizophrenia, Bipolar
Personality Disorder, and Antisocial Personality Disorder adds layers of complexity to his
criminal history. The relevance of these diagnoses to his index offense lies in the intertwining
dynamics of mental health challenges and substance misuse. Mr. Johnson's reported experiences
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Psychology & Criminal Behaviour (PSY005-1) Case Study 10
of auditory hallucinations and delusional ideation during the index offense align with the
diagnostic criteria for Paranoid Schizophrenia. These symptoms, coupled with a history of
substance misuse, contribute to a nuanced understanding of the factors that precipitated the
violent incident.
Furthermore, the diagnosis of Antisocial Personality Disorder sheds light on Mr.
Johnson's persistent engagement in criminal activities, reflected in his extensive offending
history. The marked proneness to blame others, a disregard for social norms, and a low threshold
for aggression, as outlined in the diagnosis, align with observed behaviors and attitudes
documented in the case study. The coexistence of Bipolar Personality Disorder further
complicates the clinical picture, emphasizing the need for a tailored and comprehensive approach
to Mr. Johnson's ongoing management within the forensic psychiatric setting. The commonality
of psychoses and personality disorders within the criminal justice system underscores the need
for integrated approaches that address both mental health and criminality. In Mr. Johnson's case,
these diagnoses provide crucial insights into the factors influencing his index offense and
ongoing management, emphasizing the imperative for a nuanced understanding and targeted
interventions that consider the interplay of mental health, personality, and criminal behavior.
Conclusion
In unraveling the complexities of John Johnson's case, key findings underscore the
intricate interplay of psychological factors in shaping his criminal trajectory. Substance misuse
emerges as a pervasive catalyst, weaving its influence from the index offense to the broader
canvas of Mr. Johnson's extensive criminal history. The prevalence of substance misuse within
the UK Criminal Justice System, mirrored in his case, necessitates targeted interventions that
Psychology & Criminal Behaviour (PSY005-1) Case Study 11
acknowledge the multifaceted dimensions of this challenge. Exploration of factors associated
with criminal behavior in juveniles unveils a tapestry of familial discord, early exposure to
substance misuse, and a trajectory marked by delinquency. Longitudinal evidence provides a lens
through which to analyze Mr. Johnson's early encounters with the criminal justice system,
offering insights into the predictive power of early deviant behavior. Looking into psychoses and
personality disorders within the criminal justice system reveals their commonality and the
nuanced relevance to Mr. Johnson's case. Paranoid Schizophrenia, Bipolar Personality Disorder,
and Antisocial Personality Disorder intertwine with substance misuse, shaping the contours of
his index offense and ongoing management. The importance of understanding psychological
aspects in criminal behavior reverberates throughout this analysis. Mr. Johnson's case illuminates
the imperative for holistic interventions that address the intricate intersections of substance
misuse, early-life adversities, and mental health challenges. This exploration not only enriches
our comprehension of individual cases but also underscores the broader significance of
integrating psychological perspectives into the realms of criminal justice and mental health. In
navigating the complexities of offenders' experiences, a nuanced understanding becomes the
cornerstone for informed and compassionate interventions, steering towards a more effective and
equitable criminal justice system.
Psychology & Criminal Behaviour (PSY005-1) Case Study 12
References Chaplin, E. et al.
(2014) 'Does substance use predict contact with the criminal justice system for
people with intellectual disabilities?,' Journal of Intellectual Disabilities and Offending
Behaviour
, 5(3), pp. 147–153. https://doi.org/10.1108/jidob-05-2014-0007.
Ghiasi,
N.
(2023)
Psychiatric
illness
and
criminality
.
https://www.ncbi.nlm.nih.gov/books/NBK537064/#:~:text=Certain%20psychiatric
%20conditions%20do%20increase,or%20have%20long%2Dstanding%20paranoia.
Hirschfield, P. (2018) 'Schools and crime,' Annual Review of Criminology
, 1(1), pp. 149–169.
https://doi.org/10.1146/annurev-criminol-032317-092358.
Johnson, S.C. and Elbogen, E.B. (2013) 'Personality disorders at the interface of psychiatry and
the law: legal use and clinical classification,' Dialogues in Clinical Neuroscience
, 15(2),
pp. 203–211. https://doi.org/10.31887/dcns.2013.15.2/sjohnson.
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Psychology & Criminal Behaviour (PSY005-1) Case Study 13
Kane, E. et al.
(2020) 'Are Liaison and Diversion interventions in policing delivering the planned
impact: A longitudinal evaluation in two constabularies?,' Criminal Behaviour and
Mental Health
, 30(5), pp. 256–267. https://doi.org/10.1002/cbm.2166.
Mamidi, P. and Gupta, K. (2018) 'Rakshasa grahonmada: Antisocial personality disorder with
psychotic mania?,' International Journal of Yoga - Philosophy, Psychology and
Parapsychology
, 6(1), p. 24. https://doi.org/10.4103/ijny.ijoyppp_12_17.
Nichita, E.C. and Buckley, P.F. (2020) 'Comorbidities of Antisocial Personality Disorder,'
Article
, pp. 645–670. https://doi.org/10.1002/9781119159322.ch28.
Ogloff, J.R.P. et al.
(2007) The identification of mental disorders in the criminal justice system
.
Peacock, A. et al.
(2018) 'Global statistics on alcohol, tobacco and illicit drug use: 2017 status
report,' Addiction
, 113(10), pp. 1905–1926. https://doi.org/10.1111/add.14234.
Rebbapragada, N., Furtado, V. and Hawker-Bond, G.W. (2021) 'Prevalence of mental disorders
in prisons in the UK: a systematic review and meta-analysis,' British Journal of
Psychiatry Open
, 7(S1), pp. S283–S284. https://doi.org/10.1192/bjo.2021.755.
Schultze‐Lutter, F., Nenadić, I. and Grant, P. (2019) 'Psychosis and Schizophrenia-Spectrum
personality disorders require early detection on different symptom dimensions,' Frontiers
in Psychiatry
, 10. https://doi.org/10.3389/fpsyt.2019.00476.
Slotema, C.W. et al.
(2018) 'Comorbid Diagnosis of Psychotic Disorders in Borderline
Personality Disorder: Prevalence and Influence on outcome,' Frontiers in Psychiatry
, 9.
https://doi.org/10.3389/fpsyt.2018.00084.
Taylor, M.F. et al.
(2016) 'Substance Misuse–Related Parental Child Maltreatment,' Journal of
Drug Issues
, 47(2), pp. 241–260. https://doi.org/10.1177/0022042616683670.
Psychology & Criminal Behaviour (PSY005-1) Case Study 14
Tyler, N. et al.
(2019) 'An updated picture of the mental health needs of male and female
prisoners in the UK: prevalence, comorbidity, and gender differences,' Social Psychiatry
and Psychiatric Epidemiology
, 54(9), pp. 1143–1152. https://doi.org/10.1007/s00127-
019-01690-1.
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