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Unfitness to Plead Consultation Responses - Law Commission ...

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paranoid personality disorder. The equivalent figures for borderline personality disorder<br />

were 23 per cent, 14 per cent and 20 per cent respectively.<br />

According <strong>to</strong> the ONS, paranoid personality disorder is often combined with ASPD in<br />

criminal populations and is characterised by pervasive mistrust and suspiciousness.<br />

People with borderline personality disorder are considered <strong>to</strong> be highly impulsive,<br />

experience brief mood swings, have a poor sense of self-image and have difficulty in<br />

sustaining close relationships. They are the group most often seen by psychiatric<br />

services in prisons.<br />

Another survey also found that prisoners in England and Wales have very high rates of<br />

mental illness, substance misuse and personality disorder.<br />

Prevalence of personality disorder<br />

Male Male Female<br />

Remand Sentenced All<br />

Per cent<br />

Type of personality disorder<br />

Antisocial 63 49 31<br />

Paranoid 29 20 16<br />

Borderline 23 14 20<br />

Avoidant 14 7 11<br />

Obsessive-compulsive 7 10 10<br />

Narcissistic 8 7 6<br />

Schizoid 8 6 4<br />

Dependent 4 1 5<br />

Schizotypal 2 2 4<br />

Histrionic 1 2 1<br />

Any personality disorder 78 64 50<br />

Base (sample size) 181 210 105<br />

50

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