Vignette Number FOR 013
Speciality:
Forensic Psychiatry
Date:
10 October 2001
Vignette:
You are asked to write a court report on a 55 year old man
charged with indecent exposure. He has no previous convictions for
this.
How would you approach the consultation and what psychiatric
diagnosis would you have in mind.
Suggested Probes:
- Are there any clinical features, which would increase your
level of concern?
- What advice are you going to give the court with regard to the
risk of re-offending?
- What information would you require to complete your
report?
- Need to gather information from a range of legal and medical
sources prior to completing assessment.
- Be aware of particular implications of a man in this age
presenting for the first time.
- Possible psychiatric diagnoses include organic brain syndrome,
e.g., frontal lobe dementia, hypomania, depression and substance
abuse.
- Possible association of indecent exposure with other more
serious sexual offending (e.g., if penis erect during exposure, if
escalating behaviour).
- The low actuarial risk of an individual re-offending (low risk
of re-offending if no previous offences of this nature).