Introduction William Tucker, M.D. This special section includes the four presentations given as a symposium of the same title at the most recent annual meeting of the American Psychiatric Association in Toronto, Canada. The papers are offered in a different order from that followed at the symposium. First, Robert Hare, Ph.D., describes the devel- opment and application of his Psychopathy Checklist-Revised (PCL-R), which has been used widely throughout forensic and cor- rectional settings as a screening instrument to predict the likeli- hood of reoffense of predatory behaviors. Next, Gary Maier, M.D., describes the special treatment unit he has established in Madi- son, Wisconsin, to provide containment and rehabilitation to those in his state's mental health and corrections systems who repeat- edly exhibit these behaviors. Next, John Bradford, M.D., describes the state-of-the-art in the treatment of the paraphilias, particu- larly, pedophilia, where, with early detection, absence of signifi- cant psychopathy, and motivation to change, treatment can some- times be effective. Finally, William Tucker, M.D., describes the dangers of shifting the burden of responsibility for such predators from the corrections to the state mental health system; he refers to this danger as reverting back to the practice of mixing "mad" and "bad." The purpose of offering this Special Section is to inform mental health professionals, whether practicing in the public sector or around it, of these pressing issues. These issues have wide-rang- ing implications for practice, for public safety and for that of those institutionalized in our prisons and mental hospitals, and for how we regard ourselves as a society. PSYCHIATRIC QUARTERLY, Vol. 70, No. 3, Fall 1999 0033-2720/99/0900-0179$16.00/0 © 1999 Human Sciences Press, Inc. Psychiatric Quarterly Springer Journals


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Kluwer Academic Publishers-Plenum Publishers
Copyright © 1999 by Human Sciences Press, Inc.
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
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