title: Civil commitment of sex offenders to mental institutions: should the standard be based on serious mental illness or mental disorder?
abstract: Civil commitment to mental institutions requires that an individual be both seriously mentally ill and dangerous. This principle is erroneously being applied to incarcerated sex offenders nearing release from prison under the theory that they have antisocial personalities or paraphilia disorders, which are called mental illnesses. However, the mental health and legal communities are at odds regarding the use of a diagnosis of personality disorder or paraphilia to justify civil commitment. The author reviews the differences between serious mental illness and mental disorder, the flaws with assessing sex offenders as mentally ill, and the ethical dilemma for social workers employed in mental hospitals.
authors.affiliation: Ohio State University, USA.
authors.forename: R
authors.initials: R
authors.lastname: Alexander
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders; D003951:Diagnostic Errors; D004995:Ethics, Professional; D006801:Humans; D001523:Mental Disorders; D009820:Ohio; D010262:Paraphilic Disorders / Q000175:diagnosis; D010554:Personality Disorders / Q000175:diagnosis; D012742:Sex Offenses; D012947:Social Work