... There were no psychotic features present, and in particular I could identify no delusional ideas, nor hallucinatory experiences. His general attitude appeared to be to see himself as a victim of life's circumstances, viewing his events from a egocentric point of view with a relatively diminished awareness of the experiences of others involved in interaction with him.
My psychiatric opinion is that this man has a disorder of his personality which could be best described as antisocial. There is some evidence of continuing maturation of his personality in his middle age, which is a recognised phenomena in people with this disorder, though he clearly continues to have difficulties in impulse control. I know of no effective treatment programme which is imposable and likely to be successful in cases of such disorder.
In respect of the described 'apparent propensity for committing crimes of sexual aggression evident in this man's middle years' I would see such behaviour as compatible with the history of a man moving into middle age who has a long history of promiscuity, a long history of antisocial behaviour dating back to his adolescence, and marked disturbance in his parenting/childhood and social conditioning. I do not find him to be suffering from any major psychiatric disorder which might explain the recent alleged sexual behaviours.
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It is my opinion that this man's lack of affection and stability in his early life, led to a life pattern of basing his actions and attitudes upon hatred and anger, this being clearly expressed in many arenas with further cycles of reinforcement through punishment and repeated offending.
Encouraging factors in the Client's present life circumstance are his attachment to his wife and family which appears strong and which he highly values. He has also, over recent years, shown an increasing self awareness and circumspectness towards himself and his life events, which has led him to partially reform his life, particularly in respect of stealing for which he has had no offence for the past 14 years.
It must also be noted that the Client claims that he was unaware of the complainant's correct age and believed her to be 16 years of age.