David Murphy is a chartered forensic and clinical neuropsychologist. He has worked within Broadmoor high secure psychiatric hospital for 12 years and is a practising clinical neuropsychologist. He has developed a special interest in the assessment and management of adults with autism-spectrum disorders who offend. He is also the neuropsychologist for the Autism Diagnostic Research Centre, Southampton, UK.
Correspondence: Correspondence David Murphy, Broadmoor Hospital, Crowthorne, Berkshire RG45 7EG, UK. Email: david.murphy{at}wlmht.nhs.uk
Abstract
This commentary aims to support and elaborate on some of the specific issues raised by Dein & Woodbury-Smith. Although I agree with many of their comments, I believe that the role of neuro-psychological and sensory impairments, as well as dysfunctional coping strategies among individuals with an autism-spectrum disorder who offend, need to be expanded from a psychological perspective. In my experience, the assessment of these factors plays a crucial role in guiding opinions on mental capacity, individual interventions, risk assessment and management. Elements of psychopathy in autism also require clarification. It could be argued that by understanding these issues, any attempts at social inclusion and preventing offending will be more successful.
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