Understanding the role of trauma and substance misuse in male mentally disordered offenders

Piek, Nicola Arlette Ann (2016). Understanding the role of trauma and substance misuse in male mentally disordered offenders. University of Birmingham. Foren.Psy.D.

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Abstract

This thesis aims to improve current understanding of the significance of exposure to traumatic stress in the lives of male mentally disordered offenders, who misuse drugs and alcohol. The thesis considers the impact of past trauma on current substance misuse within a secure forensic mental health setting and implications this has for future treatment. The main sources of trauma exposure identified in this study were; witnessing death or serious injury, experiencing a physical or sexual assault as an adult and childhood sexual abuse and neglect. The results suggest that further research is needed into sources of trauma unique to the forensic mental health population, including; the impact of psychosis, offence commission and environmental factors related to the secure hospital or prison setting.
Typically participants reported exposure to multiple traumatic events, with figures above that expected in the general population. There was a positive correlation between experiencing multiple stressful life events and lack of recognition of problematic drug use, lower confidence and reduced internal motivation to address this. Trauma arising from sexual assault or from being in a situation in which one feels helpless appeared to have the most significant impact on participants' internal motivation to address substance use.

Type of Work:

Thesis (Doctorates > Foren.Psy.D.)

Award Type:

Doctorates > Foren.Psy.D.

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