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[Integrative concepts in modern forensic psychiatry]
1Abteilung forensische Psychiatrie der Psychiatrischen Universitätsklinik Basel.
Therapeutische Umschau. Revue Therapeutique
|March 1, 1996
Summary
Forensic psychiatric evaluations must align with legal objectives, integrating comprehensive diagnostic tools and risk assessments for criminal responsibility. Multidisciplinary approaches are crucial for treating high-risk forensic patients.
Area of Science:
- Forensic Psychiatry
- Psychopathology
- Criminology
Context:
- Forensic psychiatric practice serves public safety and individual rights, requiring a focus on juridical goals.
- Progress necessitates integral and comprehensive diagnostic and therapeutic concepts.
- Current legal evaluations of criminal responsibility are increasingly incorporating advanced psychiatric diagnostic methods.
Purpose:
- To outline the essential components of forensic psychiatric evaluations for determining criminal responsibility.
- To emphasize the importance of systematic analysis of various factors influencing criminal behavior.
- To highlight the necessity of risk assessment and prognosis in forensic psychiatric practice.
Summary:
- Criminal responsibility evaluations require systematic analysis of situational, environmental, substance-related, psychosocial, biographical, and mental disorder factors.
- Prognostic assessments, including risk evaluations of delinquency, crime analysis, mental state, insight, and social factors, are legally mandated.
- Effective therapy for high-risk forensic patients with paraphilias and impulse-control disorders necessitates an integral, multiprofessional approach.
Impact:
- Adoption of operationalized diagnostics, quantitative instruments, and multiaxial systems (e.g., ICD-10) enhances juridical acceptability.
- Systematic data collection and multicenter studies are vital for advancing forensic risk calculation and therapeutic efficacy.
- Addressing the institutional deficit for high-risk forensic patients, particularly in Switzerland, is critical for improving public security and patient care.