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Tū Tahanga: A Qualitative Descriptive Study of a Culturally Adapted Violence Prevention Programme in a Forensic Mental Health Service TúTahanga:法医心理健康服务中适应文化的暴力预防计划的定性描述性研究
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-07-15 DOI: 10.1080/14999013.2021.1953194
Francis Florencio, D. Healee, Te Ratahi, N. Wiki, B. McKenna
Abstract There is growing evidence that culturally adapted, evidence-based, violence prevention programmes can have benefits for people in correctional and forensic mental health services. Adding to this evidence is crucial, given the over-representation of Indigenous people and ethnic minorities in such services. This qualitative descriptive study describes Tū Tahanga, which combines the ManAlive violence prevention programme, with Māori (Indigenous people of Aotearoa/New Zealand) cultural concepts. This was developed for Māori service users in a forensic mental health service. Content analysis was undertaken through interviews with participants in the group (N = 11). Core aspects of ManAlive were maintained. These aspects coexist with cultural concepts of a specific healing space, a holistic Māori model of health, and the creation of family like supportive relationships reinforced by living in the same facility. This description lays a platform for future evaluative research to determine the impact of the programme on reducing violent offending.
摘要越来越多的证据表明,适应文化、循证的暴力预防方案可以为惩教和法医心理健康服务人员带来好处。鉴于土著人民和少数民族在此类服务中的代表性过高,补充这一证据至关重要。这项定性描述性研究描述了TúTahanga,它将ManAlive暴力预防方案与毛利人(新西兰奥特亚土著人)的文化概念相结合。这是为法医心理健康服务中的毛利人服务用户开发的。内容分析是通过对小组参与者的访谈进行的(N = 11) 。ManAlive的核心方面得以保留。这些方面与特定的治疗空间、整体的毛利人健康模式以及通过生活在同一设施中加强的家庭式支持关系的文化概念共存。这一描述为未来的评估研究奠定了平台,以确定该方案对减少暴力犯罪的影响。
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引用次数: 3
The Physical Health and Activity of Patients under Forensic Psychiatric Care: A Scoping Review 法医精神病护理下患者的身体健康和活动:范围界定综述
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-07-05 DOI: 10.1080/14999013.2021.1943570
K. Moss, C. Meurk, M. Steele, E. Heffernan
Abstract We completed a scoping review to map current knowledge and identify research gaps relating to the physical health and activity of patients under forensic psychiatric care, and interventions to improve physical health and activity. Twenty-four articles comprising 22 studies were included in the review. There was a high prevalence of overweight and obesity among forensic patients and weight gain often occurred following admission. Interventions showed some health benefits, but there is insufficient evidence. Future research could benefit from adapting approaches evaluated in general mental health services. Future interventions should consider co-design and assess implementation factors and cost-effectiveness.
摘要我们完成了一项范围界定审查,以绘制当前知识图谱,并确定与接受法医精神病护理的患者的身体健康和活动以及改善身体健康和行为的干预措施有关的研究空白。该综述共收录了24篇文章,包括22项研究。法医患者中超重和肥胖的患病率很高,入院后体重经常增加。干预措施显示出一些健康益处,但证据不足。未来的研究可能受益于调整在一般心理健康服务中评估的方法。未来的干预措施应考虑共同设计和评估执行因素和成本效益。
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引用次数: 2
Behavioral Inhibition and Activation System Factors in Offenders and Non-Offenders 罪犯和非罪犯的行为抑制和激活系统因素
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-07-02 DOI: 10.1080/14999013.2021.1947422
P. W. Molleman, J. Driessen, C. Schilder, B. H. Bulten, I. Brazil
Abstract Objective The main aim was to investigate whether forensic psychiatric inpatients can be distinguished from prisoners and non-offender healthy controls based on their performance on neurocognitive tasks measuring behavioral inhibition and behavioral activation. Method This study used preexisting data from 120 male forensic psychiatric inpatients, 60 male prisoners and 66 male non-offender healthy controls. A multinomial logistic regression analysis was used to study the links between our outcome measures and group membership. To this end, we used outcome measures from a Continuous Performance task, an emotional Stroop task and behavioral inhibition system and behavioral activation system (BIS/BAS) questionnaire. Results BIS/BAS scores had discriminatory power for distinguishing forensic psychiatric inpatients from prisoners. Measures from the Continuous Performance task and the emotional Stroop task did not significantly differ between the offender groups. Conclusions BIS/BAS are relevant concepts in the context of criminal behavior and could play a role in the development of new approaches to subtype offender populations, because they seem useful for differentiating forensic psychiatric inpatients from prisoners. For clinical practice, our results suggest that these concepts should be routinely assessed as part of neuropsychological testing in forensic psychiatric settings.
摘要目的研究是否可以根据住院法医精神病患者在测量行为抑制和行为激活的神经认知任务中的表现,将其与囚犯和非罪犯的健康对照区分开来。方法本研究采用120名男性法医精神病住院患者、60名男性囚犯和66名男性非罪犯健康对照的已有数据。使用多项逻辑回归分析来研究我们的结果测量与小组成员之间的联系。为此,我们使用了连续表现任务、情绪Stroop任务、行为抑制系统和行为激活系统(BIS/BAS)问卷的结果测量。结果BIS/BAS评分对司法精神病住院患者和罪犯具有一定的鉴别能力。连续表现任务和情绪Stroop任务的测量结果在犯罪组之间没有显著差异。结论BIS/BAS是犯罪行为背景下的相关概念,可以在开发针对亚型罪犯群体的新方法中发挥作用,因为它们似乎有助于区分法医精神病住院患者和囚犯。对于临床实践,我们的研究结果表明,这些概念应该作为法医精神病学环境中神经心理学测试的一部分进行常规评估。
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引用次数: 2
Adolescents’ Quality of Life and Mental Health Needs during the Initial Phase in a Closed Institution 封闭式机构初期青少年的生活质量和心理健康需求
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-06-04 DOI: 10.1080/14999013.2021.1934195
Nele Van Hecke, Florien Meulewaeter, S. Rowaert, C. Nieuwenhuizen, L. Van Damme, W. Vanderplasschen, S. Vandevelde
Abstract This study investigated adolescents’ Quality of Life and mental health needs during the first weeks in a closed institution for mandatory care and treatment to inform (gender-specific) rehabilitation. Questionnaires concerning socio-demographic variables, Quality of Life and mental health needs were administered (n = 182; 90 boys and 92 girls; mean age = 16.2). Given the high prevalence of mental health needs in this study population and their significant negative correlation with QoL, we argue for a holistic view on rehabilitation and to broaden treatment aims in youth forensic care by including not only determinants of recidivism but also determinants of QoL.
摘要本研究调查了青少年在封闭机构接受强制性护理和治疗的头几周的生活质量和心理健康需求,以告知(特定性别)康复。对社会人口统计学变量、生活质量和心理健康需求进行问卷调查(n = 182;90名男孩和92名女孩;平均年龄=16.2)。鉴于本研究人群中心理健康需求的高患病率及其与生活质量的显著负相关,我们主张对康复持全面的看法,并通过不仅包括累犯的决定因素,还包括生活质量的决定因素来扩大青年法医护理的治疗目标。
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引用次数: 4
Intellectual Disability among Violent Repeat Offenders and Its Relation with Psychopathology and Self-Sufficiency 暴力惯犯的智力残疾及其与精神病理和自立的关系
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-05-21 DOI: 10.1080/14999013.2021.1928339
Victoria B. M. Verheijen, Menno W. Segeren, T. Fassaert, C. Grimbergen
Abstract Despite the recognized importance of mild to borderline intellectual disability (MBID) among offender populations, there is insufficient understanding of its prevalence and associations with other social-psychiatric problems. Therefore this study investigated MBID prevalence and its relation with psychopathology and self-sufficiency problems (SSPs) in important life-domains among young adult violent repeat offenders (N = 432) enrolled in a focused deterrence program in Amsterdam. Offenders participated voluntarily in a social psychiatric screening which included the Screener for Intellectual Disability and Learning Disorders (SCIL) to assess MBID, the Dutch version of the self-sufficiency matrix (SSM-D) to assess SSPs, and an assessment of the presence of psychiatric disorders according to DSM methodology. Results showed an MBID prevalence of 51.1%. Nearly all offenders presented with at least one psychiatric disorder (95.0%) and SSPs in multiple life-domains. Among MBID offenders, symptoms of mood- and anxiety disorders, substance dependency and higher variety in SSPs were more frequently observed than among non MBID offenders. These results indicate the importance of adapting communication and treatment programs to increase their responsivity to MBID offenders. Self-sufficiency problems, that may reflect shortcomings in adaptive functioning specifically among MBID offenders, can be considered criminogenic needs and should be targeted accordingly to reduce recidivism.
摘要尽管轻度至临界智力残疾(MBID)在犯罪人群中的重要性得到了公认,但对其流行率以及与其他社会精神问题的关系却知之甚少。因此,本研究调查了年轻成年暴力惯犯(N = 432)参加了阿姆斯特丹的重点威慑计划。罪犯自愿参加社会精神病筛查,其中包括评估MBID的智力残疾和学习障碍筛查员(SCIL)、评估SSP的荷兰版自给自足矩阵(SSM-D),以及根据DSM方法评估精神障碍的存在。结果显示,MBID的患病率为51.1%。几乎所有罪犯都至少有一种精神障碍(95.0%)和多个生活领域的SSP。在MBID罪犯中,与非MBID罪犯相比,情绪和焦虑障碍的症状、物质依赖性和更高的SSP种类更常见。这些结果表明,调整沟通和治疗计划以提高他们对MBID罪犯的反应性的重要性。自给自足的问题可能反映出特别是MBID罪犯在适应功能方面的缺陷,可以被视为犯罪需求,并应相应地针对这些问题,以减少累犯。
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引用次数: 2
Detecting Coached Feigning of Schizophrenia with the Inventory of Problems – 29 (IOP-29) and Its Memory Module (IOP-M): A Simulation Study on a French Community Sample 用问题量表-29 (iopo -29)及其记忆模块(iopo - m)检测精神分裂症的教化伪装:一个法语社区样本的模拟研究
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-04-04 DOI: 10.1080/14999013.2021.1906798
I. Banovic, F. Filippi, D. Viglione, F. Scrima, A. Zennaro, Angelo Zappalá, L. Giromini
Abstract Evaluating the credibility of the respondent’s cognitive and psychological complaints is a core component of forensic mental health assessment. The Inventory of Problems-29 (IOP-29) and a new IOP-Memory module (IOP-M) are designed specifically for that purpose. Initial research suggests that they might provide practitioners with a quick and thus potentially efficient check of an examinee’s presentation credibility, based on the integration of both symptom and performance validity indicators. To contribute to emerging research on this topic, this study used a simulation design to examine the validity of the IOP-29 and IOP-M and their robustness in detecting coached feigning of schizophrenia. It is the first to extend this duo of measures to a French sample. Results from 115 volunteers supported the effectiveness of both IOP instruments. Because all participants were male, however, our findings may not generalize to females.
摘要评估被调查者的认知和心理投诉的可信度是法医心理健康评估的核心组成部分。问题清单-29(IOP-29)和一个新的IOP内存模块(IOP-M)是专门为此目的设计的。初步研究表明,基于症状和表现有效性指标的整合,它们可能会为从业者提供一种快速、有效的检查考生陈述可信度的方法。为了促进这一主题的新兴研究,本研究使用模拟设计来检验IOP-29和IOP-M的有效性及其在检测精神分裂症的指导伪装方面的稳健性。这是第一次将这两项指标扩展到法国样本。来自115名志愿者的结果支持了两种IOP仪器的有效性。然而,由于所有参与者都是男性,我们的研究结果可能不会推广到女性。
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引用次数: 15
Demystifying Zoophilia: Classification and Psychological Aspects of Humans Having Sexual Relationships with Animals 揭开动物癖的神秘面纱:人类与动物发生性关系的分类和心理方面
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-04-03 DOI: 10.1080/14999013.2020.1842564
L. Emmett, Lisa Klamert, B. U. Stetina
Abstract In the course of the present study 445 users of zoophilia forums were asked to complete an online survey measuring social anxiety, self-esteem and empathy. Comparisons between the recruited sample and existing classifications of zoophilia demonstrated that only about a half of the sample (51.5%) stated engaging in sexual activity with animals by answering detailed questions about the nature of their sexual interaction. A large part of the sample for example reported high self-esteem (85.7%) which is inconsistent with previous findings linking zoosexuality to a deficit in selfesteem. In consideration of the findings a new classification of Zoophilia is proposed.
摘要在本研究中,445名恋童癖论坛用户被要求完成一项在线调查,测量社交焦虑、自尊和同理心。招募的样本与现有的嗜动物分类之间的比较表明,只有大约一半的样本(51.5%)通过回答有关动物性互动性质的详细问题来表示与动物进行性活动。例如,很大一部分样本报告了高自尊(85.7%),这与之前将动物性行为与自尊缺陷联系起来的研究结果不一致。考虑到这些发现,提出了一个新的嗜动物分类法。
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引用次数: 1
Firesetting among People with Mental Disorders: Differences in Diagnosis, Motives and Behaviour 精神障碍患者的纵火:诊断、动机和行为的差异
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-04-03 DOI: 10.1080/14999013.2020.1830891
V. Nanayakkara, J. Ogloff, T. Mcewan, L. Ducat
Abstract Despite the prevalence of mental disorder among firesetters, there is limited empirical research on how firesetting manifests in people with different psychiatric conditions. In this study, classification methodology was used to explore different types of firesetting committed by people with mental disorders. Associations between motives, diagnoses, situational, and behavioral variables were also observed to clarify the nexus between mental disorder and firesetting. A sample of 103 mentally disordered firesetters referred to community-based forensic mental health services was used. Four types of firesetting perpetrated by people with mental disorders were differentiated using multidimensional scaling: (1) Psychotic Struggle, (2) Hopeless, (3) Dysregulated, and (4) Fire Interest. In the first two types of firesetting, motives of revenge and suicide were mainly derived from psychotic symptoms and a more direct relationship between psychosis and firesetting was observed. Conversely, the latter two types featured motives of express frustration and excitement seeking, in association with personality disorder and pyromania, respectively. These types indicated pathways to firesetting wherein the corresponding mental disorder appeared to exacerbate predisposing vulnerabilities for firesetting. The implications for clinical formulation and theory development are discussed, emphasizing the need to better understand the etiology of firesetting including the underlying motives, psychopathology and context.
摘要尽管纵火者中普遍存在精神障碍,但关于纵火如何在不同精神状况的人中表现出来的实证研究有限。在这项研究中,使用分类方法来探索精神障碍患者犯下的不同类型的纵火行为。动机、诊断、情境和行为变量之间的关联也被观察到,以阐明精神障碍和纵火之间的关系。使用了103名精神障碍消防员的样本,他们被转介到社区法医心理健康服务机构。使用多维量表对精神障碍患者的四种纵火行为进行了区分:(1)精神斗争,(2)绝望,(3)调节障碍和(4)火灾兴趣。在前两种类型的纵火中,复仇和自杀的动机主要来源于精神病症状,并且观察到精神病与纵火之间有更直接的关系。相反,后两种类型的动机分别与人格障碍和纵火狂有关,表现为沮丧和寻求刺激。这些类型表明了纵火的途径,其中相应的精神障碍似乎加剧了纵火的易感性。讨论了对临床配方和理论发展的影响,强调需要更好地理解纵火的病因,包括潜在的动机、精神病理学和背景。
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引用次数: 2
Prevalence of Mental Health Problems in Men and Women in an Australian Prison Sample: Comparing Psychiatric History Taking and Symptom Screening Approaches 澳大利亚监狱样本中男性和女性心理健康问题的患病率:比较精神病史和症状筛查方法
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-03-17 DOI: 10.1080/14999013.2021.1895379
Daria Korobanova, S. Spencer, K. Dean
Abstract In an Australian survey of male and female adult prisoners (N = 1,132), two approaches to identifying mental health problems (symptom screening and self-reported psychiatric history) were compared. A higher proportion of women (77.7%) than men (61.8%) reported a prior diagnosis of at least one disorder. Almost half (49.8%) screened positive for current symptoms of mental illness. The proportion of symptom screen-positive individuals missed by psychiatric history ranged from 15.5% to 81.6%. To identify all potential mental health need and fully inform service development, future studies should consider a range of approaches to case ascertainment, although validation of new approaches is required.
摘要在澳大利亚对成年男女囚犯的调查中(N = 1132),比较了两种识别心理健康问题的方法(症状筛查和自我报告的精神病史)。女性(77.7%)比男性(61.8%)报告先前诊断为至少一种疾病的比例更高。近一半(49.8%)的人对当前的精神疾病症状筛查呈阳性。精神病史遗漏的症状筛查阳性个体比例从15.5%到81.6%不等。为了确定所有潜在的心理健康需求并充分了解服务发展,未来的研究应考虑一系列病例确定方法,尽管需要验证新方法。
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引用次数: 2
Structured Professional Judgment (SPJ) Violence Risk Case Formulation and Psychopathic Personality Disorder 结构化职业判断(SPJ)暴力风险案例形成与精神病性人格障碍
IF 1.4 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Pub Date : 2021-03-15 DOI: 10.1080/14999013.2021.1895378
Dylan T. Gatner, K. Douglas, S. Hart, P. R. Kropp
Abstract The bivariate, empirical association between psychopathic personality disorder (PPD) and violence has been well established. Yet, questions remain about how to explain why this association occurs. To address this conceptual gap, we presented a review of theories of violence related to PPD. Next a conceptual analysis of how psychopathic traits may influence violent decisions was conducted. Specifically, we systematically analyzed how Comprehensive Assessment of Psychopathic Personality (CAPP; Cooke et al., International Journal of Forensic Mental Health, 11(4), 242–252, 2012) traits influence violence from a structured professional judgment (SPJ) theory of violence known as SPJ decision theory. This conceptual analysis clarifies how various CAPP traits may motivate, disinhibit, or destabilize violence. Implications include the role of causality and clinical applications of violence risk case formulations.
精神病态人格障碍(PPD)与暴力之间的双变量、经验关联已经得到了很好的确立。然而,如何解释这种关联发生的原因仍然存在疑问。为了解决这一概念上的差距,我们对与产后抑郁症有关的暴力理论进行了回顾。接下来,对精神病态特征如何影响暴力决定进行了概念性分析。具体而言,我们系统地分析了精神病人格综合评估(CAPP;Cooke et al.,《国际法医心理健康杂志》,11(4),242-252,2012)特征从结构化职业判断(SPJ)暴力理论(称为SPJ决策理论)影响暴力。这一概念分析阐明了各种CAPP特征是如何激发、解除抑制或破坏暴力的。影响包括因果关系的作用和暴力风险案例公式的临床应用。
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引用次数: 2
期刊
International Journal of Forensic Mental Health
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