Adult Male Prisoners Research Articles

An exploration of nursing students' lived experience of clinical placement in adult male prisons: A phenomenological study.

To explore nursing students' lived experience of a clinical placement within healthcare in a prison, to gain an insight into the support provided prior to and during this unique clinical placement. An inductive phenomenological study. Participants included 14 nursing students from three undergraduate nursing programmes in England, Adult (n = 4), Learning Disability (n = 3) and Mental Health (n = 7). Following a clinical placement in a prison, each participant completed a semistructured audio-recorded interview on MS Teams between October and December 2021. Audio recordings were transcribed verbatim and thematic analysis was completed. Two overarching themes were identified, 'shock' due to the (a) reality of prison; (b) overwhelming emotional impact and (c) frequency and severity of self-harm and 'surprise' due to (a) the need to work with prison officers; (b) recognizing and addressing preconceptions of people in prison and (c) the development of clinical knowledge, skills and becoming a nurse. The need remains for a comprehensive strategy of preparation and orientation for nursing students before commencing a clinical placement in prison, which includes the development of knowledge and clinical skills to support the complex health and social care needs of people in prison. Our research identified the support provided to nursing students prior to clinical placement in prison varies considerably. The development of a preparation and orientation programme has the potential to reduce pre-placement anxiety, emotional burden and support nursing students in addressing their preconceptions of people in prison. This approach is essential to support future nursing students to embrace the unique opportunity of a clinical placement within a prison, enhance their clinical knowledge and skills, and develop as a nurse. Our paper adheres to the consolidated criteria for reporting qualitative research (COREQ). None.

The Harms of Imprisonment and Envisioning a Desistance-Supporting ‘Good Society’

Research evidence in the 21st century strongly indicates that prisons are inherently harmful environments in which to try to support rehabilitation, because of their destructive impact on identity, self-actualisation, mental health and social relationships. Yet HM Prison and Probation Service (HMPPS) continues to propose that prisons can be legitimate sites of rehabilitation as well as centres of punishment. This article begins by interrogating this proposition by looking at research conducted in an adult male prison. By specifically focusing on the interpersonal conflicts and tensions that the men experience in their daily lives, the research highlights the ‘relational’ and ‘self-actualising’ harms that undermine the development of a successful rehabilitative culture within a prison. The article then moves on to consider a utopian vision of a ‘desistance-supporting’ rehabilitative ‘good society’ by drawing on a second piece of research that captures the voices and experiences of participants in a very successful community-based resettlement project. Lessons learned from this are then collated to consider how to build a rehabilitative ‘good society’ in prisons. The article concludes with a cautionary note about the possible difficulty of creating such a society in neoliberal times.

Oral Findings in Male Prisoners: A Systematic Review.

Background: Modern penitentiary systems attach great importance, at least in the area of formal and codified arrangements, to providing inmates with access to health care and rehabilitation. The aim of our study was to analyze the Web of Science (WoS) and SCOPUS medical databases in order to search for and evaluate the available literature discussing the oral status and dental treatment needs of adult male prisoners. Methods: The following terms were used: prisoners or inmates; oral health, oral status; periodontal status, periodontal disease; oral hygiene; caries; mucosa; and saliva. The studies were screened based on their title and abstract according to the PICO (population, intervention, control, and outcome) criteria. The research protocol was prepared on the basis of the 2020 PRISMA guidelines and was not registered. The available literature discussing the oral status and dental treatment needs of adult imprisoned patients was analyzed. The inclusion criteria were as follows: articles published in English between 1 January 2012 and 2022; articles discussing the oral cavity status of adult inmates over 18 years old (hard tissues, periodontal status, saliva, mucosa condition, or oral hygiene); articles with a full text available; and articles that were assessed as satisfactory according to the Newcastle-Ottawa Scale. Results: A total of 934 articles were identified, out of which 9 were included in the systematic review. Two articles discussed the oral condition of prisoners in Europe (Russia and Finland), four examined prisoners in Asia (three in India and one in Saudi Arabia), two examined prisoners in Africa (Nigeria), and one examined prisoners in the Americas (Brazil). Conclusions: The oral status of prisoners has been widely discussed in the available literature. Among inmates, a higher frequency of both caries and periodontal disease along with poorer oral hygiene were observed. It can be concluded that inmates should have access to specialized treatment from periodontists and endodontists.

The experiences of men in prison who do not receive visits from family or friends: A qualitative systematic review.

Visits present an opportunity for prisoners to preserve family ties and reduce isolation, but not all receive visits from family or friends whilst incarcerated. To locate, appraise and synthesise qualitative data on the experiences of adult male prisoners (aged 18years+) who do not receive prison visits from family or friends. Nine electronic databases were searched from the date of their inception until March 2023. The quality of included studies was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies, and data from the studies were synthesised using the thematic synthesis method. Eighteen studies from seven countries (the USA, the UK [England, Northern Ireland & Scotland], Canada, Netherlands and the Philippines) were eligible for inclusion. Three main themes emerged: (1) reasons for not receiving visits, (2) harmful effects of not receiving visits and (3) the value of volunteer visitor programmes. Practical problems were cited as interfering with visiting opportunities, but also some prisoners or families chose not to meet in prison. Loneliness and depression were extensively described as effects of not receiving visits. Qualities associated with volunteer visitors included raised self-esteem, improved mood and personal growth. Narratives of the experiences of adult men in prison without visits from family or friends suggest that not only the practical difficulties of imprisonment affect visiting; barriers that prisoners themselves impose would merit further exploration, as would family and relationship dynamics during incarceration and the emotional impact of prison visits, for both prisoners and their families. There are suggestions of therapeutic as well as humanitarian benefits from volunteer visiting programmes. There is a gap in the literature about any specific effect on rebuilding family relationships.

Profiles of vulnerability for suicide and self-harm in UK prisoners: Neurodisability, mood disturbance, substance use, and bullying.

Screening for vulnerability factors associated with historic suicidality and self-harm on entry to prison is critical to help prisons understand how to allocate extremely limited mental health resources. It has been established that having previous suicide attempts increases odds of future suicidality and self-harm in prison. We utilised administrative screening data from 665 adult male prisoners on entry to a category B prison in Wales, UK, collected using the Do-IT Profiler. This sample represents 16% of all prisoners who entered that prison during a 26-month period. 12% of prisoners reported a history of attempted suicide, 11% reported historic self-harm, and 8% reported a history of both. Historic traumatic brain injury and substance use problems were associated with a 3.3- and 1.9- times increased odds of a historic suicide attempt, respectively, but no significant increased risk of historic self-harm (95% CI: 1.51-6.60 and 1.02-3.50). However, those who were bullied at school had 2.7 times increased odds of reporting a history of self-harm (95% CI: 1.63-6.09). The most salient risk factors associated with both historic suicide and self-harm were higher levels of functional neurodisability (odds ratio 0.6 for a 1 standard deviation change in score, 95% CI: 0.35-0.75), and mood disturbance (odds ratio 2.1 for a 1 standard deviation change in score, 95% CI: 1.26-3.56). Therefore, it could be beneficial for prisons to screen for broader profiles of needs, to better understand how to provide appropriate services to prisoners vulnerable to suicide and self-harm. Multidisciplinary care pathways for prisoner mental health interventions are important, to account for complex multimorbidity. Adaptations may be needed for mental health interventions to be appropriate for, for example, a prisoner with a brain injury. Understanding this broad profile of vulnerability could also contribute to more compassionate responses to suicide and self-harm from prison staff.

First steps towards a core outcome Set for measuring aggressive behavior in prisoners: a systematic review of current methods

ABSTRACT A large body of literature has examined the cause and treatment of aggressive behavior in prisons, but heterogeneity in the outcome measures used has led to difficulties comparing outcomes across studies. This systematic review aims to identify a Core Outcome Set for measuring aggression in prisons. Studies were eligible for inclusion if they measured aggressive behavior in adult male prisoners, described original research, and were in English. A systematic search of Medline, PubMed, PsycInfo, CINAHL and Cochrane databases to 7 March 2022 was conducted. Risk of bias was assessed using the QUADAS-2 method. The titles and abstracts of 19,619 records were screened, with 641 reports identified for full-text examination. From these reports, 283 studies with a total of 1,402,931 prisoners were included. These studies were predominantly published from 2000 onwards, published in North America, used a cross-sectional design, and included a single method to measure aggressive behavior. The studies most commonly used self-report and official records of misconduct, with staff report and mixed methods less common. Official records of misconduct and the Buss-Perry Aggression Questionnaire were identified as possible candidates for inclusion into a Core Outcome Set, but caveats exist around the specificity and sensitivity of these measures.

The Management of Adult Male Prisoners with Substance Use Disorders Presenting with Suspected Internal Concealment of Illicit Drugs: Challenges, Clinical Implications, and Best Practice Response

Purpose: Internal concealment as a means of trafficking illicit drugs into prison is common and exposes internal concealers to risk of intoxication and overdose death. The management of internal drug concealment is a medical emergency that remains a challenge to healthcare professionals and custodial officers in prison settings

Prisoners' Educational Experiences in Five Different Prison Sports Programmes: A Research Note.

Organized sports programmes offer manifold opportunities for learning and personal development. Prisoners in organized sports programmes could profit from these educational opportunities, which could eventually support their process of reintegration into society. However, research on the educational experiences of imprisoned individuals during organized sports activities is scarce. Using quantitative survey data (N = 568 adult male prisoners) collected within the scope of the Hessian Prison Sports Study in Hesse, Germany, the present study examines educational experiences that are instigated through participation in five different prison sports programmes (fitness, racket, and team sports, running groups, and strength training). The results show that participants reported few educational experiences. The most common experiences reported were learning to exert effort and acquiring health-related knowledge. The findings reveal distinct patterns for specific sports programmes. For instance, team sports more frequently address cooperation skills and fairness. This paper advocates for more attention to the educational potential of sports in prison settings, where sports outcomes should be better aligned with the desired educational outcomes.

Synthetic cannabinoid use in an adult male prison in the UK

IntroductionSynthetic cannabinoids (i.e. Spice) are a major public health problem in UK prisons, however, research in this area is limited. Here we aimed to draw comparisons between people with and without experience of using synthetic cannabinoids in prison, to characterise the features of, and motivations for use within this setting and evaluate support for different treatment interventions. MethodQuestionnaires were administered to 122 people in a category-B prison for adult males in England between July 2022 and March 2023. Participants were asked questions related to their sociodemographic and custodial characteristics, use of synthetic cannabinoids (and other drugs) inside and outside of prison and psychological distress was measured via the Brief Symptom Inventory (BSI-18). Those that had ever used synthetic cannabinoids in prison completed additional questions related to features of use, motivations for use and support for various interventions. ResultsIn total 46.7 % (n = 57) of participants reported use of synthetic cannabinoids in prison and this group experienced significantly greater levels of psychological distress compared to those reporting no use (mean (± standard deviation) BSI-18 scores = 23.7 (±16.7) vs 12.8 (±13.6), p < 0.001). Participants mostly reported using paper-based preparations (77.4 %) and use via e-cigarettes (75.9 %). The most strongly endorsed motivations for use included to alleviate boredom (91.1 % strongly agree/agree), to make the sentence pass faster (89.3 % strongly agree/agree) and to cope with stress (80.4 % strongly agree/agree). The interventions that received most support were strategies to better manage time and medication to manage withdrawal. ConclusionsThe use of synthetic cannabinoids in UK prisons typically involves the use of paper-based preparations via e-cigarettes, and use is associated with greater levels of psychological distress. Motivations for use were mostly pragmatic (e.g. to alleviate boredom or cope with stress) and interventions should prioritise increasing the time individuals spend out of cells and in meaningful activity.

Pattern of illicit substance use and associated factors among male inmates of a highly populated Brazilian prison complex

ABSTRACT Objective This study aimed to assess the pattern of illicit substance use and associated factors among male inmates of a highly populated Brazilian prison complex. Methods A cross-sectional study was conducted with a population-based sample of 756 adult male prisoners. A semi-structured questionnaire was answered with the aid of a previously trained interviewer. Chi-square tests and binary logistic regression were used to analytically assess the data. Results About 49.5% of the inmates reported use during imprisonment. Marijuana was the most common drug among illicit drug users (77.8%), followed by crack and cocaine (1.9% and 0.3%, respectively). Over 20% of drug users presented polydrug consumption pattern. The consumption of illicit substances was associated with prisoner’s gender identity (p = .047), marital status (p < .001), age (p < .001), income (p < .001), tobacco and alcohol consumption (p < .001, for both associations). Tobacco and alcohol consumption, younger age and not being in a relationship were associated with an increased risk of consuming illicit drugs during imprisonment. Conclusions The prevalence of illicit drug use by male prisoners was high. Polydrug use pattern often accompanies the consumption of alcohol and tobacco.

Monitoring prisoners preparing for release: Who ‘fails’ in open prison conditions?

Open prisons play a vital role in offender rehabilitation and resettlement but absconds, temporary release failures (TRFs) and re-offences have damaging implications for the legitimacy of these institutions. Identifying and mitigating the risk for such ‘failures’ is crucial. The present study examined predictors of failure in a sample of 316 adult male prisoners in two open prisons in England and Wales. Almost one-third ( n = 100) of the sample failed in open conditions, the greatest proportion ( n = 83 , 26.3%) instigated by the prison to maintain security and good order (security recall). Yet, only seven re-offended in the year following custodial release . Absconds, custodial re-offences, and TRFs were rare events. Regression analysis identified five factors predicting security recall. Current behaviour, rather than static/historical risk factors, more reliably predicted such failures. Behavioural monitoring and systemic policy re-evaluation are proposed as way of mitigating failures in open prisons.

Prisoners’ experiences of custodial parkrun in the UK: links to rehabilitation culture and desistance

PurposeParkruns are weekly, free, community-based, 5 km runs around open spaces, with a growing body of research indicating their social, physical and psychological benefits. Thirty-one custodial establishments in England and Wales regularly offer parkruns. The purpose of this paper is to consider prisoners' experiences of parkrun in custodial settings, and these are discussed in the context of the evidence base regarding parkrun in the community and the wider literature on prison sport, desistance, and rehabilitation culture.Design/methodology/approachUsing an inductive, qualitative approach, data was collected at three English prisons, via semi-structured interviews with 24 adult male prisoners who participated in parkrun. Data was subjected to thematic analysis.FindingsIn total, five themes reflecting positive experiences associated with custodial parkrun were identified: connection with others; healthy living; a safe and predictable exercise environment; a sense of purpose; and a re-humanising experience. Factors appearing frequently in the wider parkrun research are present in the perceptions of parkrunners in custody. In addition, factors deemed important to desistance and promoting a rehabilitation culture were also found in the experiences of the sample.Practical implicationsThe work emphasises the successes of His Majesty’s Prison and Probation Service (HMPPS) and parkrun working in partnership to support custodial events. By highlighting the positive experiences of custodial parkrun on prisons and prisoners, the authors anticipate that their findings may encourage further sites to consider launching parkrun events and prompt existing sites to consider their events in line with efforts to promote desistance and a rehabilitation culture.Originality/valueTo the best of the authors’ knowledge, this is the first paper to explore custodial parkrun. The findings indicate that custodial parkrun supports HMPPS strategic goals by offering an opportunity for prisons to promote desistance.

‘There is nothing for me’: A qualitative analysis of the views towards prison education of adult male prisoners convicted of a sexual offence

AbstractThis current study examined the perceptions and lived experiences of prisoners (n = 24) who do not engage with prison education. United Kingdom and international research highlights that prisoners who attend prison education programmes have lower recidivism rates and increased employment opportunities upon release (Abeling‐Judge, 2019; Bozick et al., 2018). This qualitative study interviewed adult males who are serving a custodial sentence for a sexual offence in England and Wales. The data were analysed thematically with two key themes emerging from the rich dataset: (i) ‘Poor quality education’, highlighting the limitations of prison education and lack of quality provision; (ii) ‘We are sex offenders’, explored non‐engagement with prison education due to their ‘sex offender’ label. The findings highlight how current prison education provision needs to focus on a programme of study relevant to an individual.

The clinical stages of psychosis among violent and non-violent adult prisoners in Australia

IntroductionPast research examining the relationship between psychosis and criminality has typically focused on chronic schizophrenia and violence. However, contact with the criminal justice system is not constrained to the most unwell or most violent. The present study is novel as it examines the different clinical stages of psychosis, from the at-risk mental states (ARMS)/Ultra-High Risk (UHR) to the early and chronic psychotic illness phase, across the entire spectrum of criminal offending.ObjectivesThe main study objective is to establish the prevalence of the clinical stages of psychosis among adults entering custody and to examine the sociodemographic and forensic characteristics associated with the different stages of psychosis. A further aim is to examine whether psychosis-spectrum prisoners differ from non-psychotic prison controls across these characteristics.MethodsParticipants consist of unselected 291 adult male and female prisoners entering the largest maximum security reception centres in New South Wales (NSW), Australia. They completed a range of semi-structured questionnaires and adapted mental health screening measures. The Comprehensive Assessment of At Risk Mental States (CAARMS; Yung et al., 2005) was used to ascertain whether participants met the Ultra High Risk (UHR), First Episode of Psychosis (FEP) or Established Psychosis (EP) criteria.ResultsParticipants were 34.25 years old (SD = 10.69) on average and men were significantly older than women (p = 0.035). Among prisoners with a psychosis-spectrum illness (n = 121), the prevalence of UHR was 24%, First Episode Psychosis (FEP) was 6% and established psychosis was 11%. Compared to controls, psychosis spectrum prisoners were found to have higher levels of social disadvantage, psychiatric comorbidities and multiple incarceration episodes. However, psychosis was not associated with a greater risk of violent offending. Implications on the complex illness burden associated with psychosis and the need for early identification and intervention across forensic mental health services will be further discussed.ConclusionsThis study is novel as it examines the full spectrum of psychotic illness across the entire spectrum of criminal offending. The findings support the notion that risk of criminal justice contact and complex illness burden exist across the different clinical stages of psychosis, from the UHR to the early FEP and chronic psychosis stages, for both violent and non-violent offending. Early intervention services must consider how to more effectively identify and intervene to reduce the risk of criminal justice system contact among mentally ill individuals.Disclosure of InterestNone Declared

The dynamics of peer support work in a UK adult male prison: A way of performing positive masculinities?

This article explores how peer support work gives male prisoners opportunities to develop and perform positive masculinities within prison. As a former prison officer, I returned to the same prison (a category B local in England) in 2014/2015 to conduct a qualitative/ethnographic study with ( n = 19) male prisoners around engagement with peer support work. Data was analysed thematically to extract narratives relating to expressions of masculinity that challenge existing assumptions of hegemonic masculinity. ‘Insider’ positionality is a key aspect of this article when exploring the dynamics between researcher and researched, especially around building trust and rapport with male prisoners who express emotions and vulnerability. Findings suggest that peer support workers adopt a range of strategic and healthy masculinities, including protective approaches to support vulnerable prisoners. Peer support workers form homosocial bonds with each other and flows of male intimacy and generativity are evident in the care and concern shown towards others. However, there are challenges for peer support workers who have to negotiate multiple audiences to ensure personal safety and survival in prison, thus placing them in a precarious liminal position. In addition, peer support workers can be exploited by staff through neoliberalist policies and practices. Recommendations to support and develop male peer support work schemes concludes this article, which has relevance for prisons internationally that may model progress made within His Majesty's Prison and Probation Service.

Taking Chatman back to prison: rethinking the theory of life in the round

PurposeThis paper serves to test the validity of Chatman’s theory of “Life Lived in the Round” within a modern prison context. In particular, it examines Propositions Five and Six of her theory.Design/methodology/approachData regarding the information-seeking practices of Australian adult female and male prisoners from maximum-, medium- and minimum-security facilities was gathered through 106 surveys and 27 semi-structured interviews. Participants’ information-seeking from sources internal and external to the “small world” of the prison was described. The information behaviours of the participants were examined against Chatman’s theory of “Life in the Round” to determine its applicability in the prison context.FindingsThe data gathered does not support Chatman’s theory of “Life Lived in the Round”, despite that theory being developed in a prison context. Neither Proposition Five nor Proposition Six of Chatman’s theory can be supported when examined in the light of the current data.Research limitations/implicationsThe inability of the data to support Chatman’s theory requires a reassessment of the applicability of the theory, at least to the prison context. As the theory was generated in part from a prison study, the foundational understandings of the theory could be questioned as a result of this current research.Originality/valueAlthough Chatman’s theory has been examined against the information behaviours of other “Small World” communities, none of these studies have taken the theory back to the prison context from which the theory was developed. This study is also novel as its findings do not support Chatman’s theory, in contrast to other previously published examinations.

Experiences of Vulnerability in Adult Male Prisoners: An Integrative Review

Vulnerability linked to offenders tends to focus on victims and society. Understanding prisoner vulnerability is important to better address the negative impact of prison life. This article reviews the evidence of vulnerability reported by male prisoners. Using the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines, 3039 citations were filtered. Data were analyzed using thematic analysis, highlighting four areas of vulnerability: uncertainty, environmental vulnerability, fear of harm, and loss of human connection. The article notes that basic principles for the treatment of prisoners are not met in many areas, indicating a need to shift conceptualizations of vulnerability.

Performing well: Male prisoner experiences of drama, dance, singing and puppetry in England

This paper outlines art form impacts used within Staging Time at an adult male sex offender prison in England by drawing on the voices of prisoners (aged 21–75 years), including those with undiagnosed autistic traits. We qualitatively investigate prisoner experiences from drama (n = 11), dance (n = 12), puppetry (n = 7) and singing (n = 15) projects using a theory of change approach. Based on a themed analysis of self-report data from 4 world cafés and 44 follow-up questionnaires, we conclude arts projects positively contribute to health and well-being, forming healthy relationships and prison culture. By applying a desistance theory lens, we argue arts projects provide building blocks towards crime abstinence. Whilst all arts projects improved prisoner well-being, dance had a greater propensity for increasing physical fitness. With a focus on dance impacts, our research widened to stakeholder and practitioner interviews (n = 4), alongside analysis of secondary data from dance performance audience feedback sheets (n = 48) collected by Staging Time. Audience members included prison staff, prisoners, prisoner family members and close friends and a small group of invited stakeholders. Arts projects have wider impacts on staff, other prisoners and family members.

Service user experiences of a psychologically enhanced resettlement service [PERS] in an English open prison

PurposeThe purpose of this study is to investigate the experiences of adult male prisoners presenting with personality difficulties in an open (Category D) prison in the UK and their experience of a pilot offender personality disorder (OPD) pathway Psychologically Enhanced Resettlement Service (PERS) in the prison.Design/methodology/approachThirteen participants who had engaged with PERS were interviewed about their experiences of open conditions and the service. The interviews were transcribed verbatim and analysed using thematic analysis.FindingsTwo superordinate themes were identified relating to participants’ experience of open conditions, highlighting the challenges they faced. These were “the impact of institutionalization” and “relational barriers”. Two superordinate themes were identified relating to participants’ experiences of PERS; these were “relationships with staff” and “service structure”. Each superordinate theme had subordinate themes.Research limitations/implicationsAnalysis is based on a small number of interviews in one male prison, and only qualitative data were collected. A mixed-methods approach would enable the triangulation of results.Practical implicationsClinical importance for the pilot service is established, and there should be consideration for the rollout of PERS to other open establishments.Originality/valueTo the best of the authors’ knowledge, this study is the first to explore the experiences of Category D prisoners within the open estate engaging with a pilot OPD pathway service. Findings illustrate the difficulties OPD service users encounter managing the transition into open prison conditions and highlight elements of the PERS model that can support this process. Clinical and research implications are identified.

Associations between Omega-3 Index, Dopaminergic Genetic Variants and Aggressive and Metacognitive Traits: A Study in Adult Male Prisoners.

Omega-3 long-chain polyunsaturated fatty acids (n-3 LCPUFA) are critical for cell membrane structure and function. Human beings have a limited ability to synthesise docosahexaenoic acid (DHA), the main n-3 LCPUFA required for neurological development. Inadequate levels of n-3 LCPUFA can affect the dopaminergic system in the brain and, when combined with genetic and other factors, increase the risk of developing aggression, inattention and impulse-control disorders. In this study, male prisoners were administered questionnaires assessing aggressive behaviour and executive functions. Participants also produced blood sampling for the measurement of the Omega-3 Index and the genotyping of dopaminergic genetic variants. Significant associations were found between functional genetic polymorphism in DBH rs1611115 and verbal aggression and between DRD2 rs4274224 and executive functions. However, the Omega-3 Index was not significantly associated with the tested dopaminergic polymorphisms. Although previous interactions between specific genotypes and n-3 LCPUFA were previously reported, they remain limited and poorly understood. We did not find any association between n-3 LCPUFA and dopaminergic polymorphisms in adult male prisoners; however, we confirmed the importance of genetic predisposition for dopaminergic genes (DBH and DRD2) in aggressive behaviour, memory dysfunction and attention-deficit disorder.