Fantastic Metropolis

car n. small motor vehicle for carrying passengers (abbr. of motor car).

Abstract: Young psychopaths in special hospital: Car Media Therapy—treatment and outcome

G Boscombe, M Henderson and SK Singh
Newberry-Anderson Hospital, Manchester

BACKGROUND: The ‘Young Persons Unit’ (YPU) at Broadmoor Hospital offers psychotherapeutic treatment using Car Media Therapy (CMT) for young adult male patients with a history of violent and sexual offences. The study objective was to report background details, treatment and outcome of the unit’s personality disordered patients. METHODS: The sample consisted of 92 patients, with the legal classification of secondary or dyssocial psychopathic disorder, treated on the unit for at least one year. Treatment involved sustained exposure to CMT. On a daily basis patients were subjected to a high level of audio, visual and written media on car culture—songs, films articles, advertisements and documentaries. Outcome was recorded until discharge from statutory supervision. Outcome measures were recidivism and a variety of social factors. RESULTS: At follow-up 12 patients had reoffended, with four having committed serious violent or sexual offences. Two patients had died. A history of violent behaviour and/or sex offending combined with inability to secure a sustained and high level of car usage was the strongest predictor of subsequent reoffending. No patients with good social outcome and ability to secure a sustained and high level of participation in car culture reoffended. CONCLUSION: Young patients with violent and or sexually predatory tendencies and diagnosed as secondary or dyssocial psychopaths can be successfully treated with CMT. The management of serious sex offenders in this group requires further attention however. Sustained CMT for a longer period may help to prevent future reoffending for this group.

The Review of Psychiatry 240

YPU Broadmoor: CMT Week 12—The Celebrity Car Journalist (3) Jeremy Clarkson—Top Gear Magazine (Extract)

“Then there was this procession of modern stuff; Bentleys, Astons, Maseratis, Ferraris and so on, all of which drew squeals of joy from the boys and a noticeable swelling from some of their fathers. King of the hill was undoubtedly the TVR Speed Twelve that Tiff was driving. And what was this car exactly? Behind the engineering, it’s basically a big, purple boot in the face for the women in shawls who run around town centres crying about their dead window boxes.”

The Secondary, or Neurotic, Psychopath

Secondary psychopaths, to distinguish them from primary psychopaths, have severe emotional problems and would most likely be diagnosed as neurotic. They are often referred to as “acting-out neurotics, neurotic delinquents, symptomatic psychopaths, or simply neurotic characters” (Bartol, 1995, p.58). Their delinquency can be attributed to inner conflicts and psychological discord (Bartol, 1995). Levenson, Kiehl, and Fitzpatrick (1995) concur by saying that secondary, or neurotic, psychopaths have an emotional disorder (extreme impulsivity) that can account for their exhibiting antisocial behaviour, whereas a purely primary psychopath will exhibit no such disorder. Levenson, Kiehl, and Fitzpatrick (1995) further go on to say that although a primary psychopath is the “true” psychopath, secondary, or neurotic, psychopaths are the ones most likely to come into contact with law enforcement personnel.

Encyclopedia of Psychology

YPU Broadmoor: CMT Week 21—The Automobile Road Test (162) BMW M5 —Auto Planet Magazine (Extract)

“From almost any angle, the Beemer looks the part. From the front, it’s all subdued, civilised aggression with a hint of raw menace. The hooded quad lamps give it a sinister look, topped off by that famous kidney grille. It’s this view you’re most likely to get (in your rear view mirror), apart, that is, from the back end—as this crazy ‘bahnstormer scythes past, giving you a brief look at the Five’s haughty but perfectly proportioned rump…”