Mason Tom, Richman Joel, Mercer Dave
Caswell Clinic/University of Glamorgan, Glanrhyd Hospital, Bridgend, South Wales CF31 4LN, United Kingdom.
Int J Ment Health Nurs. 2002 Jun;11(2):80-93. doi: 10.1046/j.1440-0979.2002.00231.x.
As the medicalization of criminal behaviour expands through forensic psychiatric practice it is reliant upon a therapeutic ideology based on clinical assessment and effective application of treatment strategies. When such criminal offenses are particularly heinous the perpetrators are often referred to as evil by non-professional accounts. However, the extent to which the concept of evil affects the perceptions of mental health professionals working with such offenders is little understood. This paper reports on research conducted in a high-security psychiatric hospital in the North-west of England and examines the construction of care plans in relation to a number of mentally disordered offenders who are considered by a group of mental health professionals as evil. Thematic analysis of mental health professionals' discourse pertaining to the care plans revealed a complex motivational and rational structuring of evil that dictated the switch from medical ideological discourse to lay notions of badness. From this, an Airaksinen model was constructed to display the types of evil manifestations.
随着犯罪行为的医学化通过法医精神病学实践不断扩展，它依赖于一种基于临床评估和治疗策略有效应用的治疗理念。当此类刑事犯罪极其恶劣时，非专业人士往往会称犯罪者为邪恶之人。然而，邪恶概念在多大程度上影响了与这类罪犯打交道的心理健康专业人员的认知，目前还知之甚少。本文报告了在英格兰西北部一家高度设防的精神病医院进行的研究，并探讨了与一些被一群心理健康专业人员视为邪恶的精神错乱罪犯相关的护理计划的制定。对心理健康专业人员关于护理计划的话语进行的主题分析揭示了邪恶的一种复杂的动机和理性结构，这种结构决定了从医学意识形态话语向通俗的不良观念的转变。据此，构建了一个艾拉克斯宁模型来展示邪恶表现的类型。
