Wenn ja,wie lange? – Dauer antiandrogener Behandlung von Sexualstraftätern mit paraphilen Störungen

Background

Since 2010 a total of 15 individually justified, therapeutically accompanied treatment-free intervals from antiandrogenic treatment (ADT) have been carried out in the Forensic Therapeutic Outpatient (FTA) department in Berlin.

Material and methods

This article describes the conditions under which a responsible and legally justifiable cessation of ADT can be carried out.

Results

In all 15 of the investigated stable, forensically rehabilitated patients who had been on long-term psychotherapeutic treatment, no criminally prognostic or clinically relevant destabilization has so far occurred, which would have necessitated cessation of the treatment-free interval with resumption of the antiandrogenic depot medication.

Conclusion

The short-term experiences from the clinical aftercare practice have so far shown that in a strictly structered aftercare setting with continuous clinical monitoring, it is possible to withdraw even long-standing antiandrogenic medication. This is important not least to attest the argumentation for a removal of supervision of conduct in case destabilization does occur. Further long-term longitudinal investigations will be the subject of later publications.

     

A Value-Added Health Systems Science Intervention Based on My Life,My Story for Patients Living with HIV and Medical Students: Translating Narrative Medicine from Classroom to Clinic

Journal of Medical Humanities - In 2018-2019, at the Keck School of Medicine of the University of Southern California (KSOM), we developed and piloted a narrative-based health systems science...     

Erfahrungen mit der Inklusion maximal Stigmatisierter

This report is based on an oral presentation about the work of the Forensic Outpatient Clinic (FTA) of the Charité – Universitätsmedizin Berlin, which was held on 15 June 2018 at the 22nd June Conference of the Association of Forensic Psychiatry and Psychology Berlin. Besides the aspects discussed in this article the talk covered additional topics, such as trials concerning withdrawal from antiandrogens and the treatment of forensic patients with impaired intelligence. This present report is derived from practical work and focuses on completed treatment of sexual offenders in the FTA and on the known recidivism within this group of 16 persons up until the target date (1 May 2018).     

The Psychological Effects of Unemployment and Unsatisfactory Employment on Young Adults: Findings from a 10-Year Longitudinal Study

The purpose of the present study was to extend the external validity of an earlier longitudinal study of school leavers by including participants from a representative sample of secondary schools. Questionnaires were administered annually to a sample of South Australian school leavers over a 10-year period. At Time 1 participants were in the last compulsory year of high school aged around 15 years and at Time 10 they were aged around 25 years. Results confirmed those from an earlier longitudinal study showing that the transition from school to satisfactory employment was associated with significant improvements in psychological well-being, whereas transition from school to unemployment or unsatisfactory employment showed no change in psychological well-being. The current findings extended the external validity of the earlier study because whereas participants in the earlier study were sampled from co-educational metropolitan public high schools, the current study included participants from every kind of high school: single sex as well as co-educational, rural as well as metropolitan, and private as well as public.     

Links Between Contexts and Middle to Late Childhood Social‐Emotional Development

Guided by the social‐emotional learning (SEL) framework, we studied developmental trajectory patterns of five key competency outcomes spanning middle through late childhood: altruism, empathy, self‐efficacy, aggression, and hyperactivity. We then assessed their links to middle childhood home, parental, and community contexts. Data from the Institute of Education Sciences’ Social and Character Development Program, which comprised nearly 2,400 elementary school students who were followed from Grades 3 through 5, were analyzed using growth mixture modeling. Three trajectory groups emerged for each outcome, which were linked to childhood contexts. Positive parenting was associated with a lower likelihood of following a negative empathy trajectory among children. Neighborhood intergenerational closure promoted a stable self‐efficacy trajectory. Residing in a high‐risk community was linked to increasing normative beliefs about aggression. These findings suggest an important role of contexts in influencing childhood social‐emotional development in the later elementary school years.     

Organizational Attractiveness of Foreign‐Based Companies: A country of origin perspective

Attracting high‐quality applicants is a crucial activity for the success of an organization. In today's globalized world, multinational enterprises need to attract talent not only in the domestic market but also in overseas markets. This exploratory study introduces the country of origin image framework from marketing literature to the context of recruitment in order to examine why foreign companies are (not) attractive to local job seekers, exemplified by the case of Japanese and US companies in Vietnam. Survey results of more than 300 participants confirmed the robustness of our postulated framework. Symbolic images such as the technological development and images of people of a country predicted the attractiveness of foreign companies above and beyond instrumental images of job characteristics. Detailed explanations and practical implications are provided.     

Qualitätskriterien forensischer Ambulanzen des Strafvollzugs

In 2007 the legal reform concerning the supervision of conduct established forensic aftercare as mandatory for patients released from forensic commitment hospitals and offenders released from penitentiaries. Therefore, in the past 10 years forensic outpatient departments have evolved all over Germany in a state-specific manner according to the legal mandate of treating and managing released offenders. Some of these outpatient departments were newly founded and some were long established units for treating and managing offenders that expanded their services for offenders under supervision of conduct. During the past years these heterogeneous outpatient departments have formed a federal network targeting professional exchange, commonalities, discrepancies and distinct characteristics in realizing the legal mandate. Following the debate on minimum requirements in forensic psychiatric aftercare departments of forensic commitment hospitals in 2014, this federal network developed quality criteria. Despite diverse state and trusteeship-specific conditions, these quality criteria emphasize common content and formal factors for a successful forensic outpatient treatment. This article presents the result of a discussion process along with the agreed quality criteria in the categories of the quality of structure, process and results.     

Approaching Shared Heroes: Cultural Transfer and Transnational Jewish History

This special issue of Jewish History is devoted to shared heroes in Judaism, Christianity, and Islam. It explores diverse images of heroes that are shared by at least two of these religious traditions by comparing each figure’s origin, inventions, and reinventions within varying cultural contexts in antiquity, the Middle Ages, and the early modern period and by highlighting the cross-cultural significance of their counterstories and entangled histories. The construction and deconstruction, interpretation and reception of these heroic figures and their sociocultural roles over time and space bear witness to the encounters of Jews and Judaism with neighboring cultures. The approaches to our subject presented in this collection illuminate how the long-established rubric of “the hero” benefits from a cross-cultural approach. In turn, empirical data culled from the cross-cultural study of heroes demonstrate the inner workings of cultural transfer and, we believe, contribute an original perspective to the field of transnational history, which focuses on cultural entanglement.     

Creating a Self-Plagiarism Research Topic Typology through Bibliometric Visualisation

Self-plagiarism, textual recycling and redundancy seemed to be controversial and unethical; however some questions about its definition are still open. The objective in this paper presented study was to use bibliometric analysis to synthesise and visualize the research literature production and derive a typology of self-plagiarism research. Five topics emerged: Self-plagiarism, Institutional self-plagiarism, Self-plagiarism and ICT, Self-plagiarism in academic writing, Self-plagiarism in science. The state of the art topics seem to be “social medium”, “virtual world”, “face book”, “sociomateriality”, “knowledge sharing”, “open access”, “institutional repository”, “retraction” and “responsible conduct”.