THE SUNDAY TIMES BESTSELLER A SUNDAY TIMES, NEW STATESMAN & IRISH TIMES BOOK OF THE YEAR SHORTLISTED FOR THE CRIME WRITERS ASSOCIATION GOLD DAGGER FOR NON-FICTION A perspective-shattering work into the minds of violent criminals that reveals profound consequences for human nature and society at large. *INCLUDES A NEW CHAPTER* 'Brilliant . . . The book is a powerful myth buster. Name a sterotype about violent offenders and Adshead upends it.' SUNDAY TIMES 'Deeply moving . . . the most overwhelming feeling I had on finishing this book was of hope . . . Compassionate and fascinating.' GUARDIAN Dr Gwen Adshead is one of Britain's leading forensic psychiatrists. She treats serial killers, arsonists, stalkers, gang members and other individuals who are usually labelled 'monsters'. Whatever their crime, she listens to their stories and helps them to better understand their terrible acts of violence. Here Adshead invites the reader to step with her into the room to meet twelve patients and discover how minds can change. These men and women are revealed in all their complexity and shared humanity. Their stories make a powerful case for rehabilitation over revenge, compassion over condemnation. The Devil You Know will challenge everything you thought you knew about human nature. 'An unmissable book.' OBSERVER 'Adshead's compassion is almost as shocking as the offences themselves . . . it gives her distance and extraordinary insight.' THE TIMES, Books of the Year 'The Devil You Know has permanently recalibrated my empathy dial.' NEW STATESMAN, Books of the Year 'Deeply humane.' IRISH TIMES, Books of the Year 'Exceptional.' VAL McDERMID 'Extraodinary.' SEBASTIAN FAULKS 'Gripping . . . ultimately enlightening.' PHILIPPE SANDS 'Fascinating and beautifully written.' CHRISTIE WATSON

This Second Edition of Forensic Psychiatry covers the clinical, legal, and ethical issues for the treatment of mentally disordered offenders for all of the United Kingdom and Republic of Ireland jurisdictions. Written by an expert interdisciplinary team from the fields of both law and psychiatry, this is a comprehensive and up-to-date guide which includes clinical observations, guidance, and ethical advice across the psychiatric discipline. The title has been updated with expanded topics on developmental disorders, neuroscience and its use in legal settings, human rights law, dementia, and traumatic brain injury. New legal cases have also been incorporated to reflect changes in legislation, including but not limited to diminished responsibility, deprivation of liberty, and automatism. There are also new parts on forensic psychotherapy, cross-cultural diagnostic validity, and radicalisation. Alongside practical advice on managing clinical and legal situations, the handbook provides concise examples, summaries of relevant legislation, and introductions to different ethical approaches and clinical observations. Uniquely focusing on the interface between psychiatry and law, this title is essential reading for the forensic psychiatrist, as well as lawyers and judges.

Designed as a companion to the Forensic Psychiatry (Oxford Specialist Handbook), Second Edition, this new casebook complements the domains of both theory and practice put forward in the handbook, but also works as a standalone volume for those who wishes to enhance their decision making in cases they may confront in their discipline. Organised into three sections, the casebook allows the practitioner to think through not only the technical medical aspects of real-life clinical cases, but also the legal and ethical aspects. Part A provides an introduction to the theory and practice of decision-making; Part B presents cases across clinical, legal, and ethical domains; and Part C offers frameworks for critiquing decisions. This robustly discursive approach to a fact-based but also value-laden discipline enhances the opportunity to put knowledge into practice. The Oxford Casebook of Forensic Psychiatry expresses the concept that 'knowing is the only part of deciding', offering an essential practitioner's guide to decision making in clinical, forensic, and legal psychiatry.

Working in any area of mental health nursing presents complex issues regarding the nurse-patient relationship. For those working in prolonged clinical contact with offenders, relationships with patients and colleagues can be particularly emotionally intense and sometimes difficult to express. This book attempts to understand and articulate the emotional labour of forensic nursing and explores the challenge of establishing and maintaining therapeutic relationships with offenders. The first book to consider the emotional and relational component of forensic mental health nursing, the chapters cover a number of specialist forensic areas from this psychodynamic perspective, such as women's services, services for people with personality disorders, intensive care, high security psychiatric hospitals, medium secure units and services for adolescent offenders. A chapter on therapeutic communities is also included, along with chapters on challenging relational phenomena such as working with hate and the difficulties of managing difference when working in environments that produce high levels of anxiety. Therapeutic Relationships with Offenders provides essential information for mental health nurses working in the forensic field and will be of interest to any professionals working with challenging populations and people with personality disorders.

Medical Psychotherapy draws together succinct descriptions of the major models of psychotherapy, written by specialists who offer an accessible, theoretical, and evidence based depiction of each therapy and its clinical role for patients. Written by the foremost voices on psychotherapy in the UK, this handbook will appeal to specialist trainees in psychiatry and consultants working in psychotherapy, along with psychologists, and allied health professionals.

Personality disorder used to be a diagnosis of exclusion, a condition deemed 'untreatable'. This situation has been transformed in the past ten years, with a huge expansion of research and clinical interest in personality disorders: what it is like to have a personality disorder, what sort of services are helpful, what treatments work best and what staff need to know. This book provides an expert synthesis of these clinical advances. It covers the nature of personality disorders, assessment, diagnosis and classification, management and a broad range of therapeutic approaches. Written by practitioners with real expertise in the field, the book is equally suitable for psychiatric trainees and more experienced clinicians from the full range of disciplines in mental healthcare. Five chapters have been specially commissioned for this book, while previous versions of the other fifteen chapters have been published in the journal Advances in Psychiatric Treatment - many have been extensively updated by the authors.

What social change has been achieved over the past 30 years? What have been the main barriers to progress? What great achievements can we identify and celebrate today? Marking Jessica Kingsley Publishers' 30th year of publishing books on social and behavioural issues, this book gathers together over 30 leading thinkers from diverse disciplines - from autism specialists and social workers through to trans rights activists and complementary therapists. Contributors provide a thoughtful account of how their field of expertise has changed over the past 30 years, and how they see it evolving in the future. Offering a unique insight into many professions, 30 Years of Social Change highlights much of the positive social change achieved in the past 30 years across these fields and the challenges we face in the future.

As a psychodynamic theory of both normal development and psychopathology, attachment theory has particular utility for forensic psychiatry. A Matter of Security provides an attachment theory based account of the development of arousal and affect regulation, which offers a new way of thinking about mental disorders in offenders. This book also discusses the development of personality in terms of interpersonal functioning and relationships with others, which is essential to understanding both interpersonal violence and abnormal personality development. Attachment theory also offers a model of therapeutic work with patients that have particular resonance with forensic work because it uses the language of security. This collection focuses on attachment theory applied to forensic psychiatry and psychotherapy.

Personality Disorder offers a comprehensive and accessible collection of papers that will be practically useful to practitioners working in secure and non-secure settings with patients who have personality disorders. This book brings together fourteen classic papers, which address the impact that working with personality disorder patients can have on staff. It also offers theoretical explanations for personality disorder, and explores other issues such as the concept of boundaries in clinical practice, psychiatric staff as attachment figures and the relationship between severity of personality disorder and childhood experiences. Each paper is introduced with contextual material, and is followed by a series of questions that are intended to be used as educational exercises. This book will be essential reading for clinical and forensic psychologists, psychiatrists, community psychiatric nurses, social workers and students.

Forgiveness has often viewed as a religious obligation but is increasingly being advocated as a means of healing, release and promoting wellbeing. Forgiveness is variously viewed as a duty, virtue or cure, but when it comes to practising forgiveness in real life we find it is always caught up in the complexity of the situation. This book shines a light on how we tend to think about forgiveness in practice, including examples from social work, family therapy, chaplaincy and criminal justice. The book contains many different perspectives on how we think about forgiveness, including overviews of four major religions and reflections from those working in the healing professions. Without advocating a particular approach this book raises important questions around self-forgiveness and forgiving institutions and encourages the reader to think again about forgiveness and how it impacts, challenges and transforms relationships.

People who use forensic mental health services are defined by the fact that they have violated boundaries, often in many ways. For clinicians employed to work therapeutically with this client group however, the capacity to initiate and maintain boundaries is critical to safety as well as to good treatment outcomes. This book provides a thorough introduction to the subject of professional and therapeutic boundaries and their particular complexities within forensic mental health settings. The contributors, all experts in their respective fields, address the challenges of establishing working boundaries within forensic mental health services from multiple perspectives. They explore the ways in which boundaries can be initiated and maintained in different areas of forensic mental health work, including in psychotherapy, mental health nursing, arts therapies, forensic psychiatry and family therapy, and when working with different client groups, including children and adolescents, offenders with severe personality disorders in high security settings and sex offenders. Consideration is also given to boundaries and homicide, maternal boundary violations and boundaries in a forensic learning disability service. This authoritative, interdisciplinary resource will support all forensic mental health practitioners in this crucial aspect of their work.

This groundbreaking book explores the psychodynamics and socio-politics of the forensic therapeutic milieu, addressing some of the most difficult and complex issues facing practitioners. It sets out a psycho-social framework for understanding the predicament and the needs of those who live in and those who work in forensic mental health settings. It brings to life the thinking of those working on the frontline in an increasingly difficult and hostile environment, and draws together fresh and stimulating approaches to engagement with highly complex individuals who present challenges to traditional models of psychiatric assessment and treatment. Contributors with considerable clinical experience and expertise from a range of disciplines consider the ethical, emotional and intellectual challenges of their work, and describe ways in which genuine containment and change can be achieved despite numerous perceived assaults on therapeutic relationships, and on the therapeutic milieu itself. Combining clinical case studies with organisational perspectives and clear descriptions of theoretical processes, they explore key issues including the challenges of maintaining role-appropriate, 'boundaried' relationships; the tensions between public protection and individual confidentiality; questions of risk and responsibility; duty of care and respect for individual liberty; the challenges posed by inter-professional tensions and rivalries; as well as specific clinical dilemmas. The difficulties they experience in fulfilling specific therapeutic roles in the face of uncertainties about the funding and commissioning of their services are addressed, and the final part of the book outlines some of the ways in which individuals, particular services and whole organisations may protect themselves when under attack. This unique and highly original book is essential reading for all those working, or training to work, in both forensic and non-forensic inpatient therapeutic milieux and for academics and lay readers interested in the societal dynamics of inclusion and exclusion that are replicated and magnified in these settings.