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Emotional problems and intellectual disability: comparing groups with and without forensic involvement 情绪问题和智力残疾:比较有和没有法医介入的群体
IF 0.5 Q3 Nursing Pub Date : 2020-09-21 DOI: 10.1108/jidob-05-2020-0010
Rachel Craven, Lyn Shelton
Individuals with intellectual disability (ID) are known to experience increased emotional and behavioural concerns. The study aims to assess whether detained ID patients with a forensic history (IDPF) have increased difficulty managing their impulse control in comparison to detained ID patients without a forensic history (IDP). Using the externalising behaviour problems (EBP) subscale of the EPS, the study aims to compare the differences between the IDFP and IDP groups.,A total of 60 patients with ID detained under the Mental Health Act 1983 (Revised 2007) were assessed using the behaviour rating scale of the EPS. The outcome scores of the EBP were used to examine any observed differences between the scores of forensically involved patients [n = 34] and those without a forensic history [n = 26]. It was hypothesised that patients with a forensic history would display higher scoring on externalised behavioural problems (EBP) than patients without such a history.,Non-parametric testing revealed that there were no significant differences in EBP scoring between the two sample groups. These findings indicate that, for patients in the present study, no differences were detected in the presentation of these two distinct groups. In fact, with the exception of the verbal aggression subscale of the EBP, the other three subscales (physical aggression, non-compliance and hyperactivity) show that actually the IDP group displayed the higher ranked means in these subscales when compared with the forensically involved group.,These results indicate possible increased treatment needs within the IDP group and question whether offending history is necessarily a reliable predictor of ongoing hostility and behavioural concerns within similar inpatient services.
众所周知,患有智力残疾(ID)的人会经历更多的情感和行为问题。本研究旨在评估与没有法医史的被拘留的ID患者(IDPF)相比,有法医史的被拘留ID患者(IDP)管理冲动控制的难度是否增加。利用外化行为问题量表(EBP),本研究旨在比较IDFP和IDP群体之间的差异。根据1983年《精神卫生法》(2007年修订版)拘留的60名身份证患者使用EPS行为评定量表进行了评估。EBP的结果评分用于检验法医介入患者[n = 34]与无法医史患者[n = 26]评分之间的差异。假设有法医史的患者在外部性行为问题(EBP)上的得分高于没有法医史的患者。非参数检验显示两组患者的EBP评分无显著差异。这些发现表明,对于本研究中的患者,在这两个不同组的表现中没有发现差异。事实上,除了EBP的言语攻击子量表外,其他三个子量表(身体攻击、不服从和多动)显示,与法医参与组相比,IDP组在这些子量表中表现出更高的排名。这些结果表明,国内流离失所者群体的治疗需求可能会增加,并质疑犯罪史是否一定是类似住院服务中持续敌意和行为担忧的可靠预测因素。
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引用次数: 0
Learning disability training and probation officer knowledge 学习残疾培训和缓刑官知识
IF 0.5 Q3 Nursing Pub Date : 2020-01-13 DOI: 10.1108/jidob-10-2019-0018
Margaret Townsend, Jayne Henry, Rachel R. Holt
Knowledge about learning disabilities has found to be limited in both health and social care staff. To improve the treatment of individuals with learning disabilities and mental health problems within the criminal justice system (CJS), Lord Bradley recommends that professionals receive mental health and learning disability awareness training. However, little is known about the impact of training on the knowledge of professionals in the CJS. This study aims to investigate the impact of a 3-h learning disability training session on the knowledge of probation officers.,Using a repeated measures design, the impact of a 3-h learning disability training session on the knowledge of 12 probation officers was analysed.,In support of this study’s hypothesis, a repeated measures t-test revealed a significant difference between participants pre-training and post-training learning disability knowledge questionnaire (LDKQ) scores. Participants scored significantly higher on the LDKQ post-training compared to pre-training. A linear regression revealed that years worked in probation did not significantly predict participant’s difference scores.,Limitations of this study and directions for future studies are discussed.,This paper demonstrates that learning disability training can significantly improve the knowledge of probation officers.
卫生和社会保健工作人员对学习障碍的了解有限。为了在刑事司法系统(CJS)内改善对有学习障碍和精神健康问题的个人的治疗,布拉德利勋爵建议专业人员接受精神健康和学习障碍意识培训。然而,关于培训对CJS专业人员知识的影响,人们知之甚少。本研究旨在探讨为期3小时的学习障碍培训对缓刑官知识的影响。采用重复测量设计,分析了3小时学习障碍培训课程对12名缓刑官员知识的影响。为了支持本研究的假设,重复测量t检验显示参与者训练前和训练后的学习障碍知识问卷(LDKQ)得分存在显著差异。参与者在训练后的LDKQ得分明显高于训练前。线性回归分析显示,在试用期工作的年数并不能显著预测被试的差异得分。讨论了本研究的局限性和未来的研究方向。研究表明,学习障碍培训可以显著提高缓刑官的知识水平。
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引用次数: 2
Guest editorial 客座编辑
IF 0.5 Q3 Nursing Pub Date : 2019-11-28 DOI: 10.1108/jidob-12-2019-048
John L. Taylor
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引用次数: 0
Contributing factors to providing an effective community-based forensic service for people with a learning disability: a literature review 为有学习障碍的人提供有效的社区法医服务的因素:文献综述
IF 0.5 Q3 Nursing Pub Date : 2019-08-29 DOI: 10.1108/jidob-03-2019-0005
A. Wark
PurposeLegislative guidance stipulates that people with a learning disability have the right to receive local provision of personalised support within the least restrictive environment. On these bases there is a growing emphasis on the requirement for local authorities to develop appropriate services for people who are currently in a hospital setting. The purpose of this paper is to examine the literature addressing factors influencing the provision of effective community-based forensic services.Design/methodology/approachThe six articles were analysed separately using the evaluation tool – Currency, Relevance, Authority, Accuracy, Purpose. The six articles used divergent sample groups and employed both qualitative and quantitative methods to collate data. The articles shared a purpose of examining forensic community service provision with an aim to improve services.FindingsThere were three themes that emerged consistently across the literature these included: balancing risk management vs individual autonomy; multi-disciplinary and multi-agency working; service improvement. There is a growing emphasis on the need to replace long-term hospital placements with specialist, community provision, employing least restrictive methods and positive responses to crisis situations. In this climate, it is crucial that multi-disciplinary agencies from local authority, health and the charitable and private sector continue to work collaboratively on the integration of service provision in order to bring about the development of effective and responsive community services.Research limitations/implicationsResearch limited to peer reviewed and published research papers focusing on the subject of community forensic services with publications specifically made within the time frame of the Transforming Care Agenda.Practical implicationsThis paper looks to examine the practical solutions to providing effective community forensic services for a person with an intellectual disability and makes recommendations for research into improving service specific training for support staff.Social implicationsFollowing the Winterbourne View Hospital scandal (BBC One, 2011) instigations were made to make legislative change under the Transforming Care Agenda. Despite a renewed conviction in the rights of people to be a part of their local community without segregation or discrimination, professionals in the field continue to report a failure to reduce numbers of people in long stay hospitals and secure settings. With commissioning under pressure to make these intentions a reality it is a really good time to reflect on practice and evaluate service models to establish the factors that bring about positive outcomes for individuals enabling inclusion within community settings.Originality/valueThis review will focus on the literature evidencing positive intervention and outcome focussed methods of supporting people with a forensic history in the community. This
目的立法指导规定,学习障碍者有权在限制最少的环境中获得当地提供的个性化支持。在此基础上,人们越来越强调要求地方当局为目前在医院的人提供适当的服务。本文的目的是审查有关影响提供有效的社区法医服务的因素的文献。设计/方法/方法使用评估工具——货币、相关性、权威性、准确性、目的——分别分析了这六篇文章。这六篇文章使用了不同的样本组,并采用了定性和定量的方法来整理数据。这些文章的共同目的是审查法医社区服务的提供,以改善服务。发现文献中一致出现了三个主题,包括:平衡风险管理与个人自主;多学科和多机构工作;服务改进。人们越来越强调有必要用专家、社区服务、使用限制最少的方法和对危机情况的积极反应来取代长期的医院安置。在这种情况下,至关重要的是,来自地方当局、卫生、慈善和私营部门的多学科机构应继续合作,整合服务提供,以发展有效和响应迅速的社区服务。研究局限性/影响研究仅限于同行评审和发表的研究论文,重点关注社区法医服务,并在《转变护理议程》的时间框架内专门发表出版物。实际影响本文旨在探讨为患有精神分裂症的人提供有效社区法医服务的实际解决方案智力残疾,并就改进支助人员服务特定培训的研究提出建议。社会影响Winterbourne View医院丑闻(BBC One,2011)之后,根据《转变护理议程》,人们发起了立法改革。尽管人们重新相信人们有权在不受隔离或歧视的情况下成为当地社区的一部分,但该领域的专业人员仍报告称,未能减少长期住院医院和安全环境中的人数。由于委托工作面临着使这些意图成为现实的压力,现在是反思实践和评估服务模式的好时机,以确定为个人带来积极结果的因素,从而使其能够融入社区环境。原创性/价值本综述将重点关注证明积极干预和以结果为中心的方法支持社区中有法医史的人的文献。这是一篇分析同行评审和发表的研究的完全原创的作品。
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引用次数: 2
Comparing STATIC-99R and STABLE-2007 between persons with and without intellectual disabilities 在智力障碍者和非智力障碍者中比较STATIC-99R和STABLE-2007
IF 0.5 Q3 Nursing Pub Date : 2019-08-29 DOI: 10.1108/jidob-01-2019-0003
M. Delforterie, J. van den Berg, Betto Bolt, T. van den Hazel, Leam A. Craig, R. Didden
PurposeWhile there is a significant proportion of people with a mild intellectual disability (MID) or borderline intellectual functioning (BIF) who commit sexual offenses, little research has focused on the risk factors for sexual recidivism in people with MID-BIF. The purpose of this paper is to compare the scores on the STATIC-99R and STABLE-2007 between persons with sexual offense histories with and without MID-BIF.Design/methodology/approachData using the STATIC-99R and STABLE-2007 were collected in 85 male patients divided into an MID-BIF group (IQ 50–85, n=50) and comparison group (IQ>95, n=35).FindingsThe MID-BIF group and comparison group did not differ significantly on the static risk factors and total score of the STATIC-99R. However, of the 13 dynamic risk factors of the STABLE-2007, the MID-BIF group scored significantly higher on the items Impulsive acts, Poor problem solving skills and Lack of concern for others, while the comparison group scored significantly higher on the item Deviant sexual preference.Originality/valueThe higher score on a number of dynamic risk factors for patients with MID-BIF could partly be explained by the characteristics associated with MID-BIF. Although dynamic criminogenic risk factors which are usually identified as targets for treatment appear the same for people with and without MID-BIF who commit sexual offenses, adaptations to the modality of treatment will still need to be made for people with MID-BIF.
目的虽然有相当一部分轻度智力残疾(MID)或边缘智力功能(BIF)的人实施性犯罪,但很少有研究关注轻度智力残疾患者性再犯的风险因素。本文的目的是比较有和没有MID-BIF的性侵犯史的人在STATIC-99R和STABLE-2007上的得分。设计/方法/方法使用STATIC99R和STABLE-2007收集了85名男性患者的数据,他们被分为MID-BIF组(IQ 50-85,n=50)和比较组(IQ>95,n=35)static-99R的静态危险因素和总分差异显著。然而,在STABLE-2007的13个动态风险因素中,MID-BIF组在冲动行为、解决问题能力差和缺乏对他人的关心等项目上得分显著较高,而对照组在偏离性偏好方面得分显著较高。原创性/价值MID-BIF患者在许多动态风险因素上得分较高,部分原因可以解释为与MID-BIF相关的特征。尽管通常被确定为治疗目标的动态犯罪风险因素对性犯罪的有和没有MID-BIF的人来说似乎是一样的,但仍需要对MID-BIF患者的治疗方式进行调整。
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引用次数: 2
Intellectual disabilities and offending behaviour: the awareness and concerns of the police, district attorneys and judges 智力残疾和犯罪行为:警察、地区检察官和法官的意识和关注
IF 0.5 Q3 Nursing Pub Date : 2019-05-30 DOI: 10.1108/jidob-04-2019-0007
E. Søndenaa, Terje Olsen, P. Kermit, Nina Christine Dahl, Robert Envik
PurposeThe purpose of this paper is to examine the awareness of intellectual disabilities (ID) amongst professionals in the criminal justice system (CJS) and their knowledge of those persons, either as victims, witnesses, suspects, accused or defendants.Design/methodology/approachA survey of the professionals in the CJS (n=388), combined with a series of focus group interviews with experienced professionals (n=20), was conducted.FindingsOne out of three respondents (police, district attorneys and judges) reported that they have regular contact with suspects who have an ID. Differences in knowledge of ID amongst professionals in the CJS can explain awareness and detection of persons with ID.Research limitations/implicationsNon-responders may represent professionals with no knowledge or less interest in these issues.Originality/valueReflections on ID have not previously been studied in the Norwegian CJS. The findings serve as a basis and status quo for further research.
本文的目的是研究刑事司法系统(CJS)专业人员对智力残疾(ID)的认识,以及他们对这些人的了解,无论是作为受害者、证人、嫌疑人、被告还是被告。设计/方法/方法对CJS的专业人员(n=388)进行了调查,并与有经验的专业人员(n=20)进行了一系列焦点小组访谈。调查结果三分之一的受访者(警察、地方检察官和法官)报告说,他们经常与有身份证的嫌疑人接触。CJS专业人员对ID知识的差异可以解释对ID患者的意识和检测。研究局限/意义无应答者可能代表对这些问题不了解或不感兴趣的专业人员。挪威CJS以前没有研究过对ID的反思。研究结果可作为进一步研究的基础和现状。
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引用次数: 2
Moral judgement and aggressiveness in children and adolescents with intellectual disability 智障儿童和青少年的道德判断和攻击性
IF 0.5 Q3 Nursing Pub Date : 2019-05-13 DOI: 10.1108/JIDOB-10-2018-0012
L. Oubrahim, N. Combalbert, V. Salvano-Pardieu
PurposeThe purpose of this paper is to investigate the prevalence of aggressive behaviour among children and adolescents with intellectual disability (ID) and to demonstrate a possible link with moral judgement.Design/methodology/approachThis study was carried out using two scales on a sample of 60 young people with ID in specialized schools. The first scale was “Behavior Problems Inventory-Short Form” (Rojahn et al., 2012) used to assess the frequency of aggressive behaviour and the second involved several scenarios about social situations of aggressiveness to assess moral judgement.FindingsThe main findings indicate that children and adolescents with ID gave more importance to the factor “consequences” than to that of “intent”. Moreover, there was a link between moral judgement and aggressive behaviour. Indeed, aggressive people found it harder to take into account the other’s point of view. Regarding moral judgement, they gave greater importance to the “consequences” factor than non-aggressive people.Originality/valueThe study aimed to establish, for the first time, a link between aggressiveness and moral judgement (blame) in ID (Anderson, 1996). This study clearly provides useful information regarding public health for patients, professionals and families. The authors were able to measure a similar frequency of aggressive behaviour in both children and adolescents with ID. The authors also highlighted a link between these aggressive behaviours and moral judgement. This knowledge should enhance understanding of manifestations of aggressiveness in this population, and improve diagnostic assessment. It should also help define appropriate directions for educational interventions to prevent the onset of aggressive behaviour or delinquency.
目的本文的目的是调查智力残疾儿童和青少年攻击行为的普遍性,并证明其与道德判断的可能联系。设计/方法/方法本研究采用两种量表,以60名专科学校的ID青年为样本。第一个量表是“行为问题清单简表”(Rojahn et al.,2012),用于评估攻击性行为的频率,第二个量表涉及攻击性社会情境的几个场景,用于评估道德判断。主要研究结果表明,ID儿童和青少年更重视“后果”因素,而不是“意图”因素。此外,道德判断与攻击行为之间存在联系。事实上,好斗的人发现更难考虑到对方的观点。关于道德判断,他们比没有攻击性的人更重视“后果”因素。独创性/价值该研究旨在首次建立ID中攻击性和道德判断(指责)之间的联系(Anderson,1996)。这项研究清楚地为患者、专业人员和家庭提供了有关公共卫生的有用信息。作者能够测量出患有ID的儿童和青少年的攻击行为频率相似。作者还强调了这些攻击行为与道德判断之间的联系。这些知识应能增强对该人群攻击性表现的理解,并改进诊断评估。它还应有助于确定适当的教育干预方向,以防止攻击性行为或犯罪的发生。
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引用次数: 2
Autism, intellectual disabilities and additional psychosis, and affiliation to groups with violent ideology: short communication 自闭症、智力残疾和其他精神病,以及与具有暴力意识形态的群体的关系:短期交流
IF 0.5 Q3 Nursing Pub Date : 2019-03-11 DOI: 10.1108/JIDOB-09-2018-0010
Ann Magritt Solheim Inderberg, Kristin Horndalsveen, Arne-Henrik Elvehaug, Yugbadal Mehmi, Ingvild Jørstad, T. L. Bakken
PurposePeople with autism spectrum disorders (ASD) have been associated with criminal acts and affiliation with groups and organisations with violent ideology and practice. The purpose of this paper is to present patients in mental health services with both ASD and psychosis, who are affiliated with such groups.Design/methodology/approachThree vignettes are used as examples. Some of the information is combined for the three participants for presentation. They were scored for mental health symptoms and behaviour problems on admission and discharge from inpatient care.FindingsThe combination of ASD and psychosis aggravates the problems of both conditions, which may elicit a collapse of both cognitive functioning and especially impulse control, and of the ability to judge whether situations are dangerous or offensive or not.Originality/valueThe present paper may contribute to a better understanding of the combination of ASD, psychosis and affiliation with groups and organisations as described, especially regarding the importance of identifying psychosis.
目的自闭症谱系障碍(ASD)患者与犯罪行为以及与具有暴力意识形态和实践的团体和组织的关系有关。本文的目的是介绍精神卫生服务中同时患有ASD和精神病的患者,他们属于这类群体。设计/方法论/方法三个小插曲作为例子。将三位参与者的部分信息组合在一起进行演示。他们在入院和出院时对心理健康症状和行为问题进行评分。发现ASD和精神病的结合加剧了这两种情况的问题,这可能会导致认知功能,尤其是冲动控制的崩溃,以及判断情况是否危险或冒犯的能力的崩溃。原创性/价值本文可能有助于更好地理解ASD、精神病以及与所述团体和组织的关系的组合,特别是关于识别精神病的重要性。
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引用次数: 2
Social climate and aggression in IDD services IDD服务中的社会气候和侵略性
IF 0.5 Q3 Nursing Pub Date : 2019-02-06 DOI: 10.1108/JIDOB-11-2018-0013
Joanne Robinson, Leam A. Craig
PurposeThe purpose of this paper is to adapt a social climate measure for use within a forensic intellectual and developmental disabilities (IDD) service and examine perceptions of social climate and the links with patient aggression across three levels of security.Design/methodology/approachFour staff participated in a focus group to discuss how the Essen Climate Evaluation Schema (EssenCES) could be adapted for IDD patients. Subsequently, a pilot study with three patients highlighted some difficulties in administering the adapted measure. Alterations in the administration of the measure were implemented with a further ten patients residing across three levels of security. The EssenCES was adapted to include more visual prompts to assist in the patients’ completion of the measure. The frequency of aggressive incidents in each of the three settings was also collated.FindingsStatistical analysis revealed a non-significant trend where positive social climate ratings increased as the security level decreased. There was a significant difference in the frequency of aggressive incidents across the three levels of security; however, there were no significant relationships found between the questionnaire ratings and the frequency of incidents.Research limitations/implicationsThe results lacked statistical power due to the low number of participants. Further studies with adapted social climate measures need to be conducted to assess the implications of social climate on individuals with IDD in secure forensic services.Originality/valueThe study adapted and piloted a social climate measure for individuals in a forensic IDD service.
目的:本文的目的是调整社会气候测量在法医智力和发育障碍(IDD)服务中使用,并检查社会气候的感知以及与三个安全级别的患者攻击的联系。设计/方法/方法四名工作人员参加了一个焦点小组,讨论如何将埃森气候评估方案(要点)适用于IDD患者。随后,一项针对三名患者的试点研究强调了实施适应措施的一些困难。对该措施的管理进行了改变,另有10名患者居住在三个安全级别。精华被改编为包括更多的视觉提示,以帮助患者完成测量。在这三种情况下,攻击事件的频率也被整理。统计分析显示,随着安全水平的降低,积极的社会气候评级增加,这一趋势并不显著。在三个安全级别中,攻击性事件发生的频率存在显著差异;然而,问卷评分与事件发生频率之间没有明显的关系。研究限制/启示由于参与者人数少,研究结果缺乏统计效力。需要对适应的社会气候措施进行进一步研究,以评估社会气候对安全法医服务中的缺碘症患者的影响。独创性/价值该研究为法医IDD服务中的个人调整并试行了一种社会氛围措施。
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引用次数: 2
The contributory role of autism symptomology in child pornography offending: why there is an urgent need for empirical research in this area 自闭症症状学在儿童色情犯罪中的作用:为什么迫切需要在这一领域进行实证研究
IF 0.5 Q3 Nursing Pub Date : 2018-12-01 DOI: 10.1108/JIDOB-06-2018-0008
C. Allely, L. Dubin
Purpose As recently highlighted by Creaby-Attwood and Allely (2017) it is crucial that the possible innate vulnerabilities that contributed to sexual offending behaviour in an individual with an autism spectrum disorder (ASD) are taken into consideration for the application of a diversion program to avoid the stigma of a criminal conviction or during sentencing for a non-custodial outcome. Specifically, in those defendants with a diagnosis of what used to be referred to as Asperger's Syndrome (AS) and now is recognised as an ASD and who are charged and convicted of a non-contact sexual offence, education and mental health intervention will best serve the interests of justice. Design/methodology/approach This paper focuses on one particular type of sexual offending behaviour, namely, possession of child pornography. A systematic PRISMA review was conducted. Findings The authors linked examples of child pornography in the research literature to the ASD symptomology and describe how the symptomology explains such behaviour as not reflecting actual sexual deviance. Originality/value Downloading and viewing of child pornography by individuals with ASD has received relatively little research outside the mental health field. This review is of particular importance to those in the criminal justice system who may not have much knowledge and understanding of ASD. It is suggested that diversion programmes and mental health courts should be set up for this particular population charged with this particular crime in mind so that the necessary treatment/intervention/support and care can be given to this particular group. Keywords: Autism Spectrum Disorder; Asperger’s syndrome; child pornography; child exploitative material; pretrial diversion
目的正如Creaby Attwood和Allely(2017)最近强调的那样,至关重要的是,在应用分流计划时,要考虑到可能导致自闭症谱系障碍(ASD)患者性侵犯行为的先天脆弱性,以避免刑事定罪的耻辱,或在因非监禁结果判刑时。具体而言,对于那些被诊断为阿斯伯格综合症(as)的被告,现在被认定为自闭症谱系障碍,并被指控和定罪犯有非接触性犯罪,教育和心理健康干预将最符合司法利益。设计/方法/方法本文关注一种特定类型的性侵犯行为,即持有儿童色情制品。进行了系统的PRISMA审查。研究结果作者将研究文献中儿童色情的例子与自闭症谱系障碍症状学联系起来,并描述症状学如何解释这种行为,认为它没有反映出实际的性变态。原创/价值ASD患者下载和观看儿童色情作品在心理健康领域之外的研究相对较少。这项审查对刑事司法系统中那些可能对ASD不太了解和理解的人来说尤其重要。有人建议,应为被控犯有这一特定罪行的特定人群设立分流方案和心理健康法庭,以便为这一特定群体提供必要的治疗/干预/支持和护理。关键词:自闭症谱系障碍;阿斯伯格综合症;儿童色情;剥削儿童的材料;审前转处
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引用次数: 10
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Journal of Intellectual Disabilities and Offending Behaviour
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