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Forensic psychiatry is facing major challenges related to criminal responsibility with an increasing number of offenses and the entanglement of several factors affecting offenders differently.
Objectives
The aim of this study is to determine the characteristics of offenders referred for forensic psychiatric examination.
Methods
We studied the medical files of all the offenders referred to the forensic psychiatry unit in Razi hospital for an examination between January 2010 and October 2020.
Results
The number of people who have undergone a forensic psychiatric examination was 256. Three files were not usable due to lacking data. The offenders were men in 95.7% (242) of the cases. Their average age was 35 years with a range of 17-53 years. They were mostly single (64%) with primary education (58.1%). Forty percent of the studied population were unemployed and 70% of them lived with their parents. Drug abuse was found in half of the cases and the average number of taken drugs is two illicit substances per person. A criminal record was found in 43% of the cases with an average number of two offenses per person. Offenders were found to suffer from schizophrenia in 29% of the cases, personality disorder in 17% of the cases and from intellectual disability in 16.6% of the cases. No psychiatric disorder was found in 24% of the cases
Conclusions
Despite having in common many vulnerability factors, such as low educational level, unemployment and drug abuse, an important number of offenders referred for forensic psychiatric examination weren’t affected by a psychiatric disorder.
One of the tasks of the forensic assessment of family disputes is to establish the fact that a child is set up by one parent against another.
Objectives
Identification of diagnostic markers of psychological induced state in a child due to purposeful actions of a parent living together with him.
Methods
A continuous one-step analysis of the results of forensic assessments on family disputes was carried out in respect of 48 girls and 67 boys aged 3 to 15 years (mean age 7.9 ± 4.5 years). The objective materials presented by the court were analyzed in comparison with the results of a structured interview. The statistical significance of any differences were evaluated using the non-parametric Mann-Whitney (U).
Results
Persistent negative attitude to one of the parents was found in 14% of children. Markers of the induced state at the cognitive level were identified: negative semantic attitudes (U=477.1; p=0.014), distorted image of the rejected parent (U=509.5; p=0.023), transformation of memories (U=389.5; p=0.001). At the emotional level: persistent negative attitude to one of the parents when idealizing the second (U=371.1; p=0.001), emotional involvement of the child in the family conflict (U=556.6; p=0.048). At the behavioral level: declaring a stable set of stereotypical “adult” phrases (U=387.3; p=0.001), regressive behaviors and manifestations of stress in the presence of a rejected parent (U=601.5; p=0.04). Markers on all three levels must co-exist.
Conclusions
There are diagnostic markers of the induced state in a child, which verify the forensic conclusion about the negative impact on his mental state of the parent-inducer.
Disclosure
No significant relationships.
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