Matthew's Reading Room

The Author: Gwen Adshead

Gwen Adshead is a distinguished British forensic psychiatrist and psychotherapist renowned for her work with some of the UK’s most dangerous and complex offenders. With over thirty years of experience in the field, Adshead has treated individuals in various high-security settings, including the infamous Broadmoor Hospital. She has a unique ability to blend psychiatric expertise with a deep understanding of human psychology, exploring the factors that drive people to commit heinous acts. I had the privilege of meeting Gwen Adshead when I invited her to Malta to run seminars for Maltese professionals. During our time together, I was struck by her grounding presence and the calm, empathetic approach she brings to her work. Adshead’s contributions extend beyond clinical practice; she is also a prolific writer and speaker, frequently contributing to discussions on the psychology of violence, mental health, and criminal behaviour.

Summary of “The Devil You Know”

“The Devil You Know” by Gwen Adshead is a compelling and insightful exploration of the minds of some of society’s most dangerous individuals. Through a series of case studies, Adshead delves into the lives of her patients—people who have committed acts of violence that defy understanding. She presents these cases with empathy and clinical precision, avoiding sensationalism while highlighting the complexities of each individual’s life and actions.

The book explores the psychological, social, and environmental factors contributing to violent behaviour, challenging readers to consider the fine line between good and evil, sanity and madness. One of the central themes is that understanding does not equate to excusing. Adshead is clear that her role is not to justify the actions of her patients but to understand the root causes of their behaviour to prevent further harm.

Adshead takes the reader into the therapeutic process, offering a rare glimpse into the challenges and rewards of working with individuals who have caused immense pain to others. She explores how trauma, mental illness, and societal failures can converge to create the conditions for violence and how, through therapy, it is possible to work towards healing and rehabilitation, even in the most seemingly hopeless cases.

My Thoughts on “The Devil You Know”

Reading “The Devil You Know” was a profoundly impactful experience. Gwen Adshead’s ability to humanise what society often views as beyond redemption is both unsettling and enlightening. As a psychotherapist, I am constantly exploring the complexities of human behaviour. Still, Adshead’s work takes this exploration to a new level by delving into the darkest aspects of the human psyche.

One of the most powerful aspects of the book is Adshead’s commitment to empathy. Her approach to her patients is a model of compassion, even when dealing with individuals who have committed unspeakable acts. This level of empathy is both admirable and challenging—it pushes the reader to consider the humanity in every individual, no matter how heinous their actions. This resonates deeply with my belief that every person, no matter how lost, has the potential for growth and transformation.

Adshead’s work also challenges us to rethink our concepts of good and evil. Her patients have done terrible things, yet she insists on seeing them as more than their actions. This perspective is crucial in therapeutic work, where the focus must always be on the potential for change and healing rather than on past behaviours. It’s a reminder that, as therapists, our role is to guide our clients towards understanding and growth, not to judge them for their past.

The book also offers valuable insights into the therapeutic process, mainly when working with complex and dangerous individuals. Adshead’s reflections on maintaining professional boundaries while offering genuine human connection are particularly relevant. Every therapist must balance empathy and boundaries, and Adshead’s approach provides a thoughtful and nuanced perspective on this dynamic.

Additionally, “The Devil You Know” raises important questions about the role of society in creating the conditions for violence. Adshead’s case studies often reveal how trauma, neglect, and societal failures contribute to the development of violent behaviour. This perspective underscores the importance of addressing systemic issues, such as inequality and inadequate mental health care, as part of the broader effort to prevent violence.

I Encourage Clients and Colleagues to Incorporate the Teachings from “The Devil You Know”

• Practice Empathy, Even in Difficult Situations: Strive to understand the underlying causes of behaviour, mainly when working with challenging clients.
• Avoid Simplistic Judgements: Recognise that individuals are more than the sum of their actions and focus on their potential for change and growth.
• Understand the Role of Trauma: Acknowledge how past trauma can influence present behaviour and use this understanding to inform therapeutic interventions.
• Balance Boundaries with Compassion: Maintain professional boundaries while offering genuine empathy and support to clients, especially those with severe issues.
• Reflect on Societal Factors: Consider how broader societal problems, such as inequality and neglect, contribute to individual behaviours and advocate for systemic change where possible.

In Summary

“The Devil You Know” by Gwen Adshead is a powerful and thought-provoking exploration of the human mind, particularly in the context of extreme and violent behaviour. Through her work with some of society’s most challenging individuals, Adshead offers a profound reminder of the importance of empathy, understanding, and the belief in the potential for change. This book is essential for anyone interested in the intersections of psychology, criminal justice, and the human condition.