Disrobing behaviour in a forensic inpatient, a case report
Bibliographic record
Abstract
Disrobing is a behaviour with serious implications for sexual safety. It is a challenge to manage in the inpatient environment and a barrier to discharge to the community. This paper presents an overview of the literature on disrobing – distinct from exhibitionistic disorder – and primarily described in the developmental disabilities’ literature, and with respect to affective psychoses and epileptic post-ictal states. A case of disrobing in a forensic inpatient is outlined, which does not easily fit within the previously described explanatory or diagnostic paradigms for this behaviour. Behavioural and psychological analyses are reported, leading to a formulation of disrobing in this case as a complexly derived behaviour in a patient with chronic psychotic illness and a history of childhood sexual abuse. The importance of transdiagnostic thinking in patients with such complex histories is reviewed with attention to the intersection of deficits in distress tolerance from chronic psychotic illness and childhood sexual trauma. This case highlights the need for more research into trauma-informed interventions suitable for the serious mental illness (SMI) population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.005 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.005 | 0.005 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".