Internados psiquiátricos por razón penalanálisis clínico y forense de los patrones de respuesta

Resumen

OBJETIVES Mental disorders in criminal internship and security and social reinsertion measures into non-imputable and/or partial non-imputable subjects are the main reflection, by both, criminal and criminological current doctrine and psychiatric experts. Modern interpretation of mental disease and insanity treatment is based in non held in detention as the most important therapeutic measure. The aim of this research is pretended to analyze the clinical and criminological aspects, to contribute for deeper knowledge of this reality, which has a significant social impact. From a psychiatric and forensic point of view, is also important study the mental state by detecting and measuring psychopathological symptoms and analyze key aspects such as behavioral indicators of simulation and dissimulation. Data were obtained by two tests of great psychopathological interest such as the Symptom Inventory Derogatis-Revised (SCL-90-R) and the MMPI-2, which is the multiscale instrument which cover a large spectrum. It is one of the validated tools to explore random patterns of response, psychopathology simulation and defensiveness. The sample consists of individuals 102 inmates (93 males and 9 females) in the Fontcalent Prison Psychiatric Hospital (Alicante), aged between 18 and 65 years (mean age 37.8; SD 10.6). METHODOLOGY The data has been obtained through conducted interviews with open and closed questions with a previous validation period. The inclusion and participation in the investigation were free and voluntarily accepted, and the participation requirements were checked and revised For the cross-check of some results, prisoners in second grade, composed of 100 inmates (90 males and 10 females), aged between 20 and 73 years (M = 41.09; SEM = 1, 08) from the Penitentiary A Lama (Pontevedra) was the sample used . Data were analyzed using the statistical package SPSS Statistics 19.0 for Windows. Statistical analysis of the data was doing with a combination of the inferential and descriptive statistics. RESULT The outcomes shows outstanding levels of marginalization, as a result of social and biographic circumstances, health and criminal history of each subject studied. Those facts represent inconveniences in the implementation of measures for future rehabilitation and social reintegration. The mental state of psychiatric prisoners, obtained by analyzing the basic scales of the MMPI-2, shows that the prevalent clinical picture is schizophrenia. The results obtained after application of SCL-90 shows that psychiatric prisoners has a comorbid diagnostic consisting of obsessive-compulsive disorder, interpersonal sensitivity, depression, generalized and phobic anxiety, hostility, paranoid ideation and psychoticism. CONCLUSIONS To avoid the failure that the imprisonment represents for psych patients is essential to develop programs and projects in order to establish health resources for social normalization in combination with pharmacological measures. The results obtained from the investigation shows that psychiatric prison population is characterized by a pattern of non-acquiescent and non- randomly. They change their conduct over the evaluation process, so patients in adecuate cognitive conditions will be appropriated candidates to evaluate their reactions by applying the proposed measures. It is statistically significant the fact that the scales and rates in the investigation classify psychiatric prisoners as simulators; these classification rates are presented as simulators of honest answers. They are so � called false positives as a result of severe clinical damage. After analyzing the investigation results, the principal conclusion demonstrates the complementarity and concordance between the SCL-90 and MMPI-2 which supports their use in clinical multimethod analysis for evaluation in psychiatry and forensic psychology.