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Biomedical subjects

F Specht

Publications and source records attributed to F Specht.

At least 19 recordsLinked to original sources
PubMed2000

Male adolescent sex offenders against children: similarities and differences between those offenders with and those without a history of sexual abuse.

This study compares a defined sample of male adolescents (n = 36) with regard to their personal development, family characteristics and the types of offence they committed. Adolescent sex offenders with (n = 16) and without (n = 20) a history of sexual abuse who had offended against children were investigated during ongoing criminal proceedings by means of questionnaires and intelligence tests. The most important characteristic that distinguishes the two groups from each other is the more frequent absence of the parents of adolescents who committed sexual offences against children and had a history of sexual abuse. The consequences to be drawn from these results with regard to aggressive sexual delinquency in adolescence are discussed and suggestions are made with regard to further avenues of investigation.

Adolescent↗
PubMed2000

[Comparison of suicide attempts by male and female adolescents. Results of a 10-year patient population of a child and adolescent psychiatry clinic].

OBJECTIVE: This study examines the way in which suicide attempts differ between male and female adolescents. METHODS: The characteristics of 173 female and 62 male adolescents who were treated at a clinic for child and adolescent psychiatry over a period of 10 years were investigated. RESULTS: Suicide attempts by adolescents in the patient population did not decrease in accordance with suicides in the same age-group among the general population. Male adolescents more often attempted suicide in a place where they were less likely to be discovered, but did not use a "harsher" method than female adolescents. The diagnosis rendered according to ICD-10 in 36% of cases was not always typical for the respective sex. CONCLUSIONS: The ways in which adolescents attempt suicide have clearly changed over the past years. Diagnoses that are untypical for the respective sex may represent a risk factor.

Adolescent↗
PubMed2000

[Development of child guidance clinics in Germany--an overview].

The development of child guidance centres began before 1910 with single institutions characterized by various subject areas (medicine, pedagogy, psychology) as well as by the connection of counselling and therapeutic treatments. Since about 1920 it has become customary to call such institutions child guidance centres. A consistent development lead to the fact that in the Child and Adolescent Aid Law of 1990 child guidance centres are called institutions which are capable of handling different problems with a multi-professional staff and various methods, and offering counselling and treatments as required. People seeking advice shall be able to contact child guidance centres directly of their own free will.

Adolescent↗
PubMed1998

[Variability of inpatient child and adolescent psychiatry--results of a multicenter documentation].

OBJECTIVE: For the first time in the German-speaking countries a complete evaluation of all 1236 inpatient treatment episodes within one year of investigation was carried out. METHOD: Case-related patient documentation at all of the 13 clinics for child and adolescent psychiatry in Lower Saxony and Bremen were evaluated. RESULTS: Data from all clinics agreed widely on the following: 1. the divergent family structures of the young patients compared to those of the general public, 2. a high degree of individual psychotherapy, and 3. the inclusion of the patient's social circumstances in the individual psychotherapy. Nonetheless, results for most of the variables assessed differed strongly. Inpatient child and adolescent psychiatric care thus seems to vary highly among clinics within the same epidemiological area. CONCLUSIONS: Hence, even when the reported number of episodes is high, no general conclusions on inpatient child and juvenile psychiatric treatment can be drawn on the basis of admissions data for individual clinics. Interinstitutional comparisons must be made on the assumption that there is no prototype clinic for child and adolescent psychiatry. Additional general conclusions include the lack of a disorder-specific approach to treatment. The entry of a large number of patients into foster or state homes following inpatient treatment reflects the impact upon them of abnormal psychosocial circumstances, as well as their decreased psychosocial adaption.

Adolescent↗
PubMed1995

[Modification of rehabilitation possibilities by psychiatric disorders. Concepts and explanations in implementing section 35 of the child and adolescent welfare regulation].

Giving integration assistance to children and youths whose chances of integration are longterm impaired due to the effects of mental disturbances require that the helping systems involved--especially the youth aid of children and youth psychiatrics (as a part of the health services)--cooperate. This presupposes that the terms and procedures have been clarified as discussed in this article.

Adolescent↗
PubMed1993

[Rules of specialty skills in psychosocial counseling of children, adolescence and parents].

This article is a revised version of a short expert opinion of the Ministry of Work, Health and Social Matters of the state of North Rhine-Westphalia (West Germany) dealing with the rules of expert skills in educational counselling. After the attempt of clarifying terms (consultation, therapy, medicine) the processes of consultation and treatment are described in general as influencing in a communicative way, whereby common qualitative characteristics are pointed out. The author also goes into taking ethical principles into consideration, possibilities of preventive effectiveness and consequences for education and further training of experts working in educational counselling facilities.

Adolescent↗
PubMed1992

[Inpatient and partial hospitalization facilities for child and adolescent psychiatry in the unified Germany, 1991].

First results of the project "Surveys regarding the structure of psychiatric institutions for children and adolescents in the Federal Republic of Germany" are described. On July 1, 1991 there were 111 in-patient institutions with a total capacity for 6363 children and youths. The contributing shares of each state (Bundesland) vary enormously. The number of accommodations per 100,000 residents is between 2.1 and 19. One reason for this discrepancy lies in the fact that the services of the institutions are called upon without regard to the state borders. More important though is the fact that in the new states the psychiatric institutions for children and youths also treat young patients who are psychologically or mentally handicapped with neuropsychiatric complications to a greater extent than comparable institutions in the old states.

Adolescent↗
PubMed1992

[Child and adolescent psychiatry--how, where, for whom? Questions on medical care and medical care research].

Regarding the question of child psychiatry--how, where, for whom? research of medical care can provide some answers, which are referred to here. However, many questions regarding epidemiology and research of structure, use and development remain open. Because of constant urgency to take action provisional situations have to be accepted, processes have to be attended to, statements have to be examined concerning their validity and theories concerning their range.

Adolescent↗
PubMed1989

[Anorexia nervosa and Down syndrome].

This article reports on a 24-year-old woman patient with anorexia nervosa and Down's syndrome. Following examination of previous case studies on the simultaneous occurrence of these illnesses, the authors make a further contribution to the controversial discussion of whether primary anorexia can occur at all in the mentally retarded or whether it should not rather be considered an anorectic reaction related to other disorders, e.g. depressive disturbances.

Adult↗
PubMed1980

[Youth and the danger of suicide (author's transl)].

FRom 1972 to 1977 the frequency of suicide in the total population of the Federal Republic of Germany has increased from 19.8 to 22.7 per 100,000. There are no satisfactory grounds for assessing suicidal acts of young people differently from those of adults. Differences are to be assumed in the central aspects of suicidal considerations (signal, aggression, rehabilitation, interruption). The incidence of suicidal behavior in adolescence can be explained as the effect of transitional conditions. The increase is connected with overlapping crises in the sphere of life of young people. Understanding suicidal behavior in youth as the result of a chain of past conflicts and stresses can direct the intervention in the sense of a sequence of countersteps.-20

Adolescent↗