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International Journal of Offender Therapy and Comparative Criminology
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Predicting Threatening Psychopathic Patient Behavior in an Inpatient Milieu

Dennis M. Doren

Mendota Mental Health Institute, 301 Troy Drive, Madison, Wisconsin 53704, U.S.A.

Robert Miller

Colorado Health Sciences Center, Chief Psychiatrist, Colorado Department of Corrections, U.S.A.

Gary J. Maier

Mendota Mental Health Institute, Madison, Wisconsin, U.S.A.

This study describes a practical approach to the successful prediction of threatening behavior by psychopathic patients within an inpatient setting. Patient reports to staff concerning unit members' alleged transgressions were employed to monitor and predict the escalation of dangerous behavior by patients within an inpatient population containing both Axis I and Axis II patients. Results demonstrated that only the psychopaths (a subset of Axis II patients) within the patient population participated in the process of making such reports to the staff. Similarly, the subjects of those reports were also only other psychopaths (and staff, collectively). The successful forecasting of the potentially dangerous events led both to minimal overreactions by staff and to effective management and treatment interventions with the patients.

International Journal of Offender Therapy and Comparative Criminology, Vol. 37, No. 3, 221-229 (1993)
DOI: 10.1177/0306624X9303700303
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