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KMID : 0381219910230010082
Journal of RIMSK
1991 Volume.23 No. 1 p.82 ~ p.110
A Comparative Study on Substance Use Patterns between Psychiatrically Illed Criminals and Non-criminals in Korea





Kee Baik-Seok

Abstract
These study was aimed to reveal important differences between general and forensic psychiatric inpatients in their psychoactive substance use patterns in order to prevent unexpected criminal offense and to aid understanding mentally illed criminals sentenced to rehalitative custody¡¯s by the courts in Korea.
Subjects in this study were composed of 196 forensic psychotic in-patients who were institutionalized in the Kongju Forensic psychiatric institute and 272 general psychotic in-patients who were selected through 3 stage clustered stratified sampling methods.
In data analysis, initial analysis was performed to reveal difference of substance use patterns between 122 felony cases. 35 violence cases, 39 larceny cases and 272 control cases, while second analysis was also attempted to analysis personal, psychiatric and familial characteristics of criminal drug users. Subjects of second analysis were composed of 63 criminal drug users, 134 criminal unusers, 83 non-cirminal drug users and 189 non-criminal unusers.
Data were processed by personal computer using SPSS/PC+ program and were statistically analyzed by chi-square test and ANOVA.
Summary of the results were as follows:
1) In the analysis of drug use among criminal offenders, larceny group showed higher experience rate of drug as 38.4% compared with violence group (37.1%), felony group (27.9%) or control group (30.5%), but the rate of psychoactive substance use including alcohol and cigarette was significantly higher rate in the group of violence compared with other groups.
2) The rate of drunken crime was the highest among violent offender as 34.3%, while the rate of offense under the influence of drug was highest in felony group as 17.2%. Particularly, the violent offenders apted to drink high potency alcohol such as Soju and tended to drink too much above 3
bottles.
3) In the analysis of favorite use of substances by subtypes of crimes, violent offenders showed higher rate of using alcohol, inhalants and sedatives, the larceny group used to smoke cigarette or marihuana, while the felony group tended to use antipyretics compared with control group.
4) Criminal drug users showed lower educational level, more rearing from rural area and more believed Buddhism compared with other groups.
5) Criminal drug user tended to have narcissistic, dependent, or passive aggressive personality traits and were more complaints of interpersonal sensitivity, obsessive compulsive symptoms, anxiety or paranoid ideas. And they suffered from various life change events such as death of surrounding peoples and showed more maladjustment in their job life.
6) In the analysis of interrelationship between criminal drug use and their family environment, criminal potentiality was closely related with familial socio-demographic status, while potentiality to take drugs non-therapeutic purpose was significantly correlated with their familial other control groups.
Particularly, the criminal drug users tended to show unhappy family environment and unhealthy family climate compared with other control groups.
7) Criminal drug use was more significant correlationships with their maternal child rearing practice, while it was not correlated with paternal ones.
Particularly criminal drug users perceived their maternal practice as more rigid and punishment oriented attitude or indifferent attitude toward their children compared with other control groups.
From these results, the authors concluded that unhappy family environment and loss of mothering figure in their early life were more potent contributing factors to make illegitimate drug use among criminal offenders. And so we proposed that more flexible mothering approach of surrounding personnel¡¯s were needed in order to establish therapeutic programs to help these severely disturbed criminal drug users.
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