schizophrenia. Since July 2003 she has been in private practice in London, and sees a
wide range of patients for diagnostic opinion and review from all over the UK and
Europe. She lectures about psychiatric illness for the general public, other mental
health professionals, solicitors and members of the Bar. She is a Fellow of the Royal
College of Psychiatrists, and also an Examiner for the College.
156.
Professor Howard has held the Chair of Old Age Psychiatry and Psychopathology at
the Institute of Psychiatry since 2002, and is also a consultant old age psychiatrist at
the Maudsley Hospital. He has spent most of his professional life working in one
capacity or another at the Maudsley, which he first joined as a registrar in psychiatry
in 1988. He received his training at London University and the Royal College of
Psychiatry, after reading zoology at Cambridge. He has impressive academic
credentials, and describes himself as a “world authority on paranoid psychoses that
have their first onset in middle age or late life”. His list of publications is even more
extensive than Dr Reveley’s. However, he also has wide experience of clinical work,
and since 1994 he has worked as the catchment area consultant old age psychiatrist
for the Peckham sector of the South London and Maudsley Mental Health Trust. He
has also been an expert witness in a number of notable criminal cases, including the
Pinochet extradition proceedings.
157.
In their joint psychiatric statement dated 1 May 2007, Dr Reveley and Professor
Howard set out their areas of agreement and disagreement. Their main areas of
agreement are as follows:
(a) Bane suffered from Delusional Disorder in accordance with the description
DSM-IV-TR in the Diagnostic Statistical Manual of Mental Disorders, 4 th edition
text revision, 2000.
(b) Part of Bane’s delusional belief system appears to have included a
conspiracy against him, which Professor Howard notes was a “sinister and highly
organised international conspiracy”.
(c)
Bane’s wife, sister and mother were significant figures in the conspiracy.
(d) Zoran was implicated in the conspiracy, apparently as a victim of his
grandmother, mother and aunt.
(e) Many of Bane’s abnormal ideas and beliefs appear to have been
“encapsulated”. He appears to have been capable of communicating rationally
and accurately in areas of his life untouched by his delusions.
(f) Bane was capable of establishing and maintaining some normal social and
business relationships, and it was possible for him to hold ordinary conversations
with people unaffected by the delusional system and to have ordinary
relationships with them, without his delusions becoming apparent.
(g) It is likely that Bane suffered from a delusional disorder from the mid 1980s
until his death.
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