Samenvatting

Hoofdstuk in Progression in forensic Psychiatry: About Boundaries van prof. mr. Marc Groenhuijsen en prof. dr. T.I. Oei.
As a young adolescent the man started using soft drugs and as a result was expelled from
school. Following a registration with RIAGG he was placed in a children’s home for some
years. From the age of twenty he was a frequent substance user. He got hold of these
substances because his father was a dealer. There were contacts with psychiatrists and
psychologists and he was on an anti-psychotic medication that is prescribed with schizophrenia.
Over a period of eight years he was admitted eight times to a psychiatric hospital
with diagnoses such as recurring paranoid schizophrenia, recurring poly-hard drugs use and
ADHD. During his hospitalizations he took no medication, did not satisfactorily comply
with agreements and frequently withdrew from treatment prematurely in spite of advice to
the contrary. He was ultimately given Tbs (1).
In the introduction of a theme issue on Mental Health Care and Justice of
Justitiële Verkenningen [Judicial explorations] from 1991 concerning such a track
record it was stated that many stories can be told about it. “Two of them have farreaching
consequences. From the point of view of the judiciary the track record is
evaluated as to the degree of guilt casu quo attribution and the need to make
society secure. From the point of view of mental health care a person with a
mental disorder committed an offence as a result of his condition and needs
help” (2) Dangerous or mad, that is the division that is sectorially made.