Purpose Literature suggests that mentally disordered offenders are considerably more difficult to treat and slower to respond to psychological treatment. Less is known about the particular factors that can contribute to this resistance. A more comprehensive understanding of the factors that treating psychologists feel can promote or inhibit progression through rehabilitative treatment may increase the likelihood of positive clinical outcomes. This paper aims to discuss these issues. Design/methodology/approach Four practising psychologists employed within a male medium- and low-secure forensic unit in the North East of England took part in a semi-structured interview. Their views, opinions and experiences regarding patient progression through treatment pathways were recorded, transcribed and analysed. Findings This thematic analysis identified that numerous patient-specific parameters influenced perceived progression, and environmental and external factors had a significant impact on the patients’ expressed attitude towards treatment. Practical implications Alongside issues of motivation and engagement, participants identified external factors that influence perceived treatment success with their forensic patients. Originality/value Additional research is needed to identify the factors that are the most influential in promoting or inhibiting perceived and actual progress. This will hopefully optimise treatment engagement and the motivation to change problematic behaviours in mentally disordered offenders.

中文翻译：

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心理学家对在安全的法医环境中影响成功治疗的因素的理解

目的文献表明，精神错乱的罪犯更难以治疗，对心理治疗的反应也较慢。对于可能导致这种抵抗的具体因素知之甚少。对心理学家认为可以通过康复治疗促进或抑制疾病进展的因素的更全面理解，可能会增加获得积极临床结果的可能性。本文旨在讨论这些问题。设计/方法论/方法英格兰东北部一个男性中，低安全的法医部门中聘用的四名执业心理学家参加了半结构式访谈。记录，记录和分析他们对患者通过治疗途径进展的看法，意见和经验。研究结果该专题分析表明，许多患者特定的参数影响了感知的进展，而环境和外部因素对患者表达的治疗态度有重大影响。实际意义除了动机和参与问题外，参与者还确定了影响法医患者感知治疗成功的外部因素。原创性/价值还需要进行其他研究，以确定对促进或抑制感知和实际进展最有影响力的因素。这将有望优化治疗的参与度，并改善改变精神错乱罪犯行为的动机。环境和外部因素对患者表达的治疗态度有重大影响。实际意义除了动机和参与问题外，参与者还确定了影响法医患者感知治疗成功的外部因素。创意/价值还需要进行其他研究，以确定对促进或抑制感知和实际进展最有影响力的因素。这将有望优化治疗的参与度，并改善改变精神错乱罪犯行为的动机。环境和外部因素对患者表达的治疗态度有重大影响。实际意义除了动机和参与问题外，参与者还确定了影响法医患者感知治疗成功的外部因素。原创性/价值还需要进行其他研究，以确定对促进或抑制感知和实际进展最有影响力的因素。这将有望优化治疗的参与度，并改善改变精神错乱罪犯行为的动机。原创性/价值还需要进行其他研究，以确定对促进或抑制感知和实际进展最有影响力的因素。这将有望优化治疗的参与度，并改善改变精神错乱罪犯行为的动机。原创性/价值还需要进行其他研究，以确定对促进或抑制感知和实际进展最有影响力的因素。这将有望优化治疗的参与度，并改善改变精神错乱罪犯行为的动机。