Lulu Preston
Barnet, Enfield and Haringey Mental Health NHS Trust
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Publication
Featured researches published by Lulu Preston.
Psychological Medicine | 2009
David V. James; Paul E. Mullen; Michele Pathé; J. R. Meloy; Lulu Preston; Brian Darnley; Frank R. Farnham
BACKGROUND Public figures are at increased risk of attracting unwanted attention in the form of intrusions, stalking and, occasionally, attack. Whereas the potential threat to the British Royal Family from terrorists and organized groups is clearly defined, there is a dearth of knowledge about that from individual harassers and stalkers. This paper reports findings from the first systematic study of this group. METHOD A retrospective study was conducted of a randomly selected stratified sample (n=275) of 8001 files compiled by the Metropolitan Police Services Royalty Protection Unit over 15 years on inappropriate communications or approaches to members of the British Royal Family. Cases were split into behavioural types. Evidence of major mental illness was recorded from the files. Cases were classified according to a motivational typology. An analysis was undertaken of associations between motivation, type of behaviour and mental illness. RESULTS Of the study sample, 83.6% were suffering from serious mental illness. Different forms of behaviour were associated with different patterns of symptomatology. Cases could be separated into eight motivational groups, which also showed significant differences in mental state. Marked differences in the intrusiveness of behaviour were found between motivational groups. CONCLUSIONS The high prevalence of mental illness indicates the relevance of psychiatric intervention. This would serve the health interests of psychotic individuals and alleviate protection concerns without the necessity of attempting large numbers of individual risk predictions. The finding that some motivations are more likely to drive intrusive behaviours than others may help focus both health and protection interventions.
Journal of Forensic Psychiatry & Psychology | 2009
Paul E. Mullen; David V. James; J. Reid Meloy; Michele Pathe; Frank R. Farnham; Lulu Preston; Brian Darnley; Jeremy Berman
This paper considers the problem created by those who harbour unusually intense fixations on public figures. It examines the nature of such pathological fixations and how they differ from the wide range of normal concerns which lead people to communicate with, and even occasionally harass, politicians and other prominent persons. In those harbouring a pathological fixation, there often emerges a pattern of stalking-type behaviour, with repeated attempts at communication and/or contact which create concern. In a small number, the fixation either remains hidden or leads to attempts to communicate about, rather than to, the subject. Occasionally, such a fixation will come to attention with some dramatic approach, or even attack, on the individual with whom the fixated person has been preoccupied. Fixated people are of concern, not just because they create problems for public figures and their security systems, but because many are seriously mentally ill individuals in need of care, who in most cases cause harm only to their own lives and well-being.
Journal of Forensic Psychiatry & Psychology | 2010
David V. James; Thomas R. Kerrigan; Robin Forfar; Frank R. Farnham; Lulu Preston
The main risk of death or serious harm to public figures in western countries comes not from terrorists or criminals, but from the activities of lone individuals with intense pathological fixations, the majority of whom are mentally disordered. We report preliminary efficacy data from the Fixated Threat Assessment Centre (FTAC), the first joint police/National Health Service unit in the United Kingdom, which was set up to assess and manage such risks. One hundred consecutive cases assessed as being of moderate or high concern were examined. Eighty-six per cent suffered from psychotic illness. Following FTAC intervention, 57% were admitted to hospital by local psychiatric services, and 26% taken on by community psychiatric teams. Concern levels were reduced to low through FTAC interventions in 80% of cases. FTAC proved able to catalyse suitable health outcomes which both benefited the patients and reduced risk to public figures. The advantages of joint police-National Health Service units are discussed.
Journal of Forensic Psychiatry & Psychology | 2010
David V. James; Troy E. McEwan; Rachel MacKenzie; J. Reid Meloy; Paul E. Mullen; Michele Pathe; Frank R. Farnham; Lulu Preston; Brian Darnley
In stalking research, the risk domain of persistence concerns the likelihood that intrusive behaviours will continue towards the same target. This is a major source of anxiety to victims, and is of practical importance in the allocation of expensive protective resources. This study examines the associations of persistence in two different samples: a public figure sample concerning inappropriate communications and approaches to members of the British Royal Family, and a sample concerning similar behaviours in a general forensic population. Despite differences in methodology and definition, factors associated with persistence proved similar: psychotic illness, intimacy-seeking motivation and multiple or intrusive forms of communication. The results contribute to the emerging literature on the common ground between risk associations in general population and in public figure samples. They underline the prime importance of motivation and of mental health issues in assessing and managing risk. We recommend the adoption of a common conceptual framework in future research.
Journal of Forensic Sciences | 2011
J. Reid Meloy; David V. James; Paul E. Mullen; Michele Pathe; Frank R. Farnham; Lulu Preston; Brian Darnley
Abstract: Detailed comparison of factors associated with abnormal approach to the prominent and with escalation from communication to approach has not hitherto been undertaken. This partially reflects the failure of individual studies to adopt compatible terminologies. This study involves a careful dissection of six public figure studies, three involving U.S. politicians, two Hollywood celebrities, and one the British Royal Family. Common findings were unearthed across six headings. Approachers were significantly more likely to exhibit serious mental illness, engage in multiple means of communication, involve multiple contacts/targets, and to incorporate into their communication requests for help. They were significantly less likely to use threatening or antagonistic language in their communications, except in those cases involving security breaches. These results emphasize the importance of integrating mental health findings and preventive measures into risk management. Approach should not be regarded as a single behavioral category and has multiple motivations. Future studies should adopt standard terminology, preferably taken from the general stalking research.
Journal of the American Academy of Psychiatry and the Law | 2008
David V. James; Paul E. Mullen; Michele Pathe; J. Reid Meloy; Frank R. Farnham; Lulu Preston; Brian Darnley
Journal of the American Academy of Psychiatry and the Law | 2010
David V. James; J. Reid Meloy; Paul E. Mullen; Michele Pathe; Frank R. Farnham; Lulu Preston; Brian Darnley
Behavioral Sciences & The Law | 2011
David V. James; Paul E. Mullen; J. Reid Meloy; Michele Pathe; Lulu Preston; Brian Darnley; Frank R. Farnham; Mario J. Scalora
Archive | 2008
Paul E. Mullen; David V. James; J. Reid Meloy; Michele Pathe; Frank R. Farnham; Lulu Preston; Brian Darnley
Archive | 2010
David V. James; Thomas R. Kerrigan; Robin Forfar; Frank R. Farnham; Lulu Preston; Buckingham Gate