ABSTRACT
This chapter examines ways in which the risk presented by forensic patients with intellectual disabilities can be analysed and responded to using a narrative approach. It uses anonymised clinical vignettes to explore the notion of risk assessment as an intersubjective process, the result of a clinical interaction between not only assessor and assessed, but also members of what the author calls the "triangular square". The chapter examines ways in which the dyadic nature of assessment can be modified to incorporate a more systemic perspective, and will consider the particularly powerful forms of countertransference that are encountered in assessing forensic patients with intellectual disabilities. A full risk assessment cannot be conducted without the consent of the patient. Society may see a benefit of conducting the assessment as greater safety for potential victims. Risk assessment reports have the power to help ensure the safety of potential victims of sexual abuse who should be regarded as our primary concern.
