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PubMedDate not supplied

[Prognosis of dangerousness in adolescent psychiatry expert assessment].

The clinical assessment and prediction of violent behavior are two of the most important, but also most difficult tasks for child and adolescent psychiatrists who work in the forensic psychiatric area. The purpose of this article is to give an overview about the most prominent aspects of this problem. Therefore the judicial, methodological and methodical basis of the prediction of dangerous behavior is discussed as well as different methods that are used to predict dangerous behavior. It is shown that "dangerousness" is in most cases the result of an interaction between the individual dispositions of a person and a violence-prone situation. Furthermore it is put emphasis on the fact that many psychiatrists are not aware of their own cognitive processes that lead them to a conclusion concerning the dangerousness of a person and also do not use the bulk of the information that is available to them; so many studies showed that dangerousness is judged in the first line in the light of former delinquency and much less in the light of other anamnestic data or the actual behavior. Finally some proposals are made concerning the improvement of the quality of the clinical prediction of dangerousness.

Adolescent↗
PubMed1981

A comparison of "offender" and "non-offender" male patients admitted to the State Hospital, Carstairs between 1966 and 1975.

A comparison was made between 'offender' (part V) and 'non-offender' (part IV) male patients admitted to the State Hospital, Carstairs, over a ten year period. More than a third of the 'non-offender' group had at some time in the past been in penal institutions. During their stay in the State Hospital, the 'non-offender' patients were more disturbed in behaviour than their 'offender' counterparts, and relatively fewer of them were discharged during the period of study.

Adolescent↗
PubMed1988

Monoamines, glucose metabolism, aggression towards self and others.

The evidence is reviewed that violent and suicidal behavior is associated with a deficiency of the serotonin system and that individuals with poor impulse control tend to become hypoglycemic during an oral glucose tolerance test, and have low levels of 5-hydroxyindole acetic acid in the cerebrospinal fluid. It is postulated that serotonergic deficits may predispose individuals to poor impulse control, disturbance of glucose metabolism, alcohol abuse, violent behavior and suicide.

Aggression↗
PubMed2005

The criminal activity of sexual offenders in adulthood: revisiting the specialization debate.

Two major hypotheses have been put forward to describe the criminal activity of sexual offenders in adulthood. The first hypothesis states that sexual offenders are specialists who tend to repeat sexual crimes. The second hypothesis describes sexual offenders as generalists who do not restrict themselves to one particular type of crime. The current state of knowledge provides empirical support for both the specialization and the generality hypothesis. The presence of both generality and specialization in the offending behavior of sexual offenders is not as contradictory as it may first appear. However, methodological problems limit the possibility of drawing firm conclusions. Indeed, the specialization hypothesis is based on just one parameter of criminal activity, that is, recidivism, which only takes into account two consecutive crimes. The generality hypothesis is focused mainly on two criminal activity parameters, participation and variety, which do not take into account the dynamic nature of criminal activity over time. Developmental criminology provides a new paradigm to explore the issue of generality and specialization in the offending behavior of sexual offenders.

Adult↗
PubMed2004

Intervening as a passenger in drinking/driving situations.

This study sought to query adolescents about drinking/driving situations and interventions used in these circumstances. A human science qualitative method was used to analyze descriptions of situations and interventions to gain the perspective of the life world of the young person. Findings include the drinking/driving situations of entangled, endangered, and stranded. Passenger interventions included persuading, interfering, planning ahead, and threatening. Practice, education, and research implications for those who work with adolescents are offered.

Adaptation, Psychological↗
PubMed1993

Guilt and help from friends: variables related to healthy behavior.

American college students' self-reported status regarding 13 health-related behaviors, and several potential predictors of healthy behavior were assessed. Healthy behaviors were, at best, weakly related to being informed about or agreeing with a rule that the unhealthy alternatives were dangerous. Healthy behaviors were more strongly related to reports that guilty feelings would result from choosing the unhealthy alternatives and that friends would help with the healthy behaviors. Higher levels of reported self-control also predicted healthier behavior.

Feeding Behavior↗
PubMed1995

The limits of empirical studies on research ethics.

The results of empirical research in psychology and psychiatry are increasingly being used to formulate as well as understand problems at the interface of law and psychiatry. There has been a proliferation of studies, such as the determinants of individual competence or threat to self or others, the results of which are influencing policy and legislative decisions as well as buttressing holdings in court cases. In this article, I explore the issues of interpretation of epidemiological studies, particularly the role of ideological positions on the design and results of empirical findings, the importance of the way data are interpreted, and the role of ideologies in the way research findings are presented to provide support for policy positions. Two levels of analysis are involved in determining the validity of a study. The first addresses the questions of whether the study meets the statistical and epidemiological requirements for reliable results. These include considerations such as the appropriateness of the study design and methods for gathering and interpreting data. The second focuses on the underlying framework of the study. This involves factors such as the perspectives and values of those conducting the study, the explicit and implicit dominating ideologies where they operate, and the extent to which the study is constructed to reaffirm specific ideologies. This level of analysis is essential for disclosing the influences of ideologies on the results of studies and the way in which data are interpreted. In this article, I try to demonstrate through critiques of selected studies that the first stage of analysis is insufficient without an examination of underlying preconceived values to establish the meaningfulness of results.

Aged↗
PubMed1983

Behavioral precipitants to civil commitment.

The authors examined retrospectively the prehospitalization behavior of 66 voluntary and involuntary psychiatric patients to determine precipitating factors in each person's hospitalization. Involuntary patients had engaged in dangerous acts directed against others more frequently than had voluntary patients. However, very little significant harm was caused by members of either group.

Commitment of Persons with Psychiatric Disorders↗
PubMed1994

The conduct of socially sensitive research: sex offenders as participants.

This article examines some extra-research variables inherent in conducting community-based research with child molesters and other sex offenders. These include such issues as informed consent with court-referred participants, confidentiality when interagency collaboration is necessary, and duty to take proper care. Methods for establishing the scientific credibility of the project, responding to client grievances, dealing with client crises, and protecting staff and the surrounding community also are addressed. Adopting procedures similar to those described here could be an important step in ensuring the viability of other socially sensitive research projects.

Behavioral Research↗