接受自愿治疗,对未成年人有性兴趣的个人:他们带来什么风险?
Fritjof von Franqué1, Ralf Bergner-Koether2,3, Stefanie Schmidt1
1Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Frontiers in psychiatry
|December 11, 2023
概括
由于对未成年人产生性兴趣而寻求治疗的个人显示,过去的儿童性虐待 (CSA) 和儿童性虐待材料 (CSAM) 犯罪率很高. 治疗资源对于这个高风险群体至关重要.
科学领域:
- 法医心理学 法医心理学
- 儿童保护研究 儿童保护研究
- 临床心理学 临床心理学
背景情况:
- 儿童性虐待 (CSA) 和儿童性虐待材料 (CSAM) 对儿童福利构成重大威胁.
- 指示的预防策略针对的是对儿童有性兴趣的个人,包括那些没有冒犯或被发现的人.
- 治疗对未成年人有性兴趣的非法医个体的疗效是有争议的,因为人们认为风险低.
研究的目的:
- 评估寻求治疗的非法医人员中CSA和CSAM的复发风险.
- 为了比较这个人群中的历史CSA/CSAM率与一般男性人口数据.
- 评估CSA和CSAM风险评估工具的预测准确度. 在这个队列中.
主要方法:
- 在自愿寻求治疗的非法医个人样本中分析历史的CSA和CSAM率.
- 观察到的重犯率与德国男性代表性样本和被定罪犯的数据进行比较.
- 评估风险评估工具的预测性能,包括具有CASIC评级的CPORT.
主要成果:
- 与一般男性人口样本相比,参与者在过去的CSA和CSAM中表现出明显更高的比例.
- 在CSAM中,重犯率为39%,大约是预期的11倍.
- 在CSA,重犯率为14%,与被定罪罪犯没有显著差异.
- 具有CASIC评级的CPORT显示了对CSA和CSAM的一些预测能力,但差异差.
结论:
- 寻求治疗的非法医人员中,很大一部分人具有CSA/CSAM的重大风险.
- 对这一群体的治疗资源的投资是基于已识别的风险而合理的.
- 需要进一步的研究,以提高非法医客户的风险评估准确性.
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