The secure and forensic mental health system sustains its legitimacy predominantly by acting to assuage public fear of the perceived risk posed by people with mental disorders. In this paper we aim to consider the totalising nature of the policies and practices which govern the care and treatment of mentally disordered offenders.
A discursive exploration of the restrictive nature of policies and practices which govern the care and treatment of mentally disordered offenders.
We further draw parallels between the potential for harm due to disproportionately risk averse ways of working with patients in secure settings and Arendt's conceptualisations of the nature of totalitarian regimes and the harms they incur.
Although secure and forensic psychiatric settings are ostensibly hospitals and not prisons, given the potential for harm associated with involuntary psychiatric treatment within closed institutions, it is crucial that risk related practices are scrutinised and challenged.Le texte complet de cet article est disponible en PDF.
Keywords : Forensic, HRA, Incarceration, MHA, Psychiatry