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PsychPearls by Psychiatric Times
57: Treating ‘Morally Objectionable’ Patients
Sep 24, 2021
Dr. James L. Knoll IV, a forensic psychiatrist, discusses treating inmates and morally objectionable patients in the US criminal justice system. The topics explored in this podcast include social hierarchies in prisons contributing to psychiatric illnesses, high prevalence of bipolar disorder and schizophrenia among inmates, the challenges of treating patients in prisons vs jails, the role of mental health courts in improving care, and the difficulties of treating patients with psychopathy or antisocial personality disorders.
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Quick takeaways
- Morally objectionable patients in the criminal justice system require psychiatric care despite being shunned by other inmates and occupying the lowest social hierarchy within prison.
- Correctional settings have a higher prevalence of psychiatric disorders like schizophrenia and bipolar disorder, which can be exacerbated or induced by the prison environment.
Deep dives
Understanding Morally Objectionable Patients
Morally objectionable patients, typically found in the criminal justice system, are individuals who elicit strong negative reactions due to their actions. These patients often occupy the lowest social hierarchy within prison, including sex offenders of children. Despite their objectionable nature, they receive psychiatric care as they are shunned by other inmates and require treatment for their mental illnesses.
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Discover
highlights
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