Differences between British and Japanese perspectives on forensic mental health systems:A preliminary study  

作　　者：Akihiro Shiina Aika Tomoto Soichiro Omiya Aiko Sato Masaomi Iyo Yoshito Igarashi 

机构地区：[1]Division of Medical Treatment and Rehabilitation,Chiba University Center for Forensic Mental Health [2]Division of Law and Psychiatry,Chiba University Center for Forensic Mental Health [3]Social Psychiatry and Mental Health,Faculty of Medicine,University of Tsukuba [4]Chiba University Graduate School of Medicine

出　　处：《World Journal of Psychiatry》2017年第1期8-11,共4页世界精神病学杂志

基　　金：Supported by The Ministry of Health,Labour and Welfare of Japan from a Grant-in-Aid for Scientific Research,entitled "Tagai-koui wo sita seishin-shougai-sha no shakai-fukki-katei no kokusai-hikaku to iryou-keizai-teki-bunseki(International comparison of the process of rehabilitation and medical economic analysis of mentally disordered offenders)"

摘　　要：AIM To clarify the differences in views on forensic mental health(FMH) systems between the United Kingdom and Japan.METHODS We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content. RESULTS In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony. In the United Kingdom, forensic psychiatrists were responsible for ensuring public safety, and psychopathy was identified as a disease but deemed as not suitable for medical treatment. On the other hand, in Japan, psychopathy was not considered a mental illness. CONCLUSION In conclusion, there are considerable differences between the United Kingdom and Japan with regard to the concepts of FMH. Some ideas taken from both cultures for better FMH practice were suggested.AIM To clarify the differences in views on forensic mental health(FMH) systems between the United Kingdom and Japan.METHODS We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content. RESULTS In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony. In the United Kingdom, forensic psychiatrists were responsible for ensuring public safety, and psychopathy was identified as a disease but deemed as not suitable for medical treatment. On the other hand, in Japan, psychopathy was not considered a mental illness. CONCLUSION In conclusion, there are considerable differences between the United Kingdom and Japan with regard to the concepts of FMH. Some ideas taken from both cultures for better FMH practice were suggested.

关 键 词：Forensic MENTAL health Medical treatment and SUPERVISION act PSYCHOPATHY International comparison Qualitative research 

分 类 号：R749[医药卫生—神经病学与精神病学]