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首页> 外文期刊>The journal of forensic psychiatry & psychology >Autistic spectrum disorder, personality disorder and reading disability: A complex case that falls between the cracks?
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Autistic spectrum disorder, personality disorder and reading disability: A complex case that falls between the cracks?

机译：自闭症谱系障碍，人格障碍和阅读障碍：介于两者之间的复杂案例吗？

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摘要

This case report describes an individual convicted of a violent offence whose complex mental health difficulties appear to be a reason for excluding him from services. During the individual's admission to a specialised service for personality disorder, a range of structured and semi-structured assessments identified an array of psychological difficulties. Clinical formulation was informed by a contemporary evidence-based typology and suggested that his violence was characterised by anxiety and vengeful/ruminative anger. The fact that the individual's needs were multiple - including autism, personality disorder, dyslexia and a rare neuropsychological profile - paradoxically appeared to be a reason for mental health services not to intervene, so that he continues to languish in prison. As forensic services in the future are likely to be required to provide for an increasingly difficult clientele, this case highlights not only potential deficiencies in current forensic mental health provision, but the challenges that services are likely to face in the future.
机译：该案例报告描述了因暴力犯罪而被定罪的个人，其复杂的精神健康困难似乎是将其排除在服务之外的原因。在个人接受针对人格障碍的专门服务期间，一系列结构化和半结构化评估确定了一系列心理困难。现代的循证医学分类法为临床提供了依据，并表明他的暴力行为表现为焦虑和复仇/反刍的愤怒。个人需求多种多样，包括自闭症，人格障碍，阅读障碍和罕见的神经心理学特征，这自相矛盾的是精神卫生服务部门不予干预的原因，因此他继续在监狱中苦苦挣扎。由于将来可能需要法医服务来为越来越困难的客户提供服务，因此本案例不仅突显了当前法医精神卫生服务的潜在缺陷，而且强调了服务将来可能面临的挑战。

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