透视:瑞士苏黎世恋童癖患者的临床治疗。

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY
Fanny de Tribolet-Hardy, Simon Veitz, Laura Dittli, Elmar Habermeyer
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引用次数: 0

摘要

恋童癖患者被认为是儿童性虐待(CSA)的高发人群。然而,人们认为恋童癖的性冲动是可以控制的,不会付诸行动。为了预防儿童性虐待,2021 年在瑞士苏黎世成立了一家恋童癖患者门诊治疗机构。该项目以预防 CSA 和提高生活质量为重点,采用了经验验证的治疗原则,如风险-需求-反应模型(RNR)和美好生活模型(GLM)。在最初的 24 个月中,有 142 人寻求帮助,46 人(平均年龄为 36.0 ± 12.4 岁)完成了评估阶段,三分之二的人患有精神并发症,67.4%的人报告了性犯罪。高辍学率主要是由于正在进行的刑事诉讼或其他心理健康问题。总体而言,该机构的患者一般都是自愿寻求治疗,因此治疗依从性较好,严重的自残比对他人造成严重危害的情况更为普遍。仅针对恋童癖的治疗方法被认为是不够的;还必须解决精神和社会心理因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Perspective: Clinical care of pedophilic individuals in Zurich, Switzerland.

Perspective: Clinical care of pedophilic individuals in Zurich, Switzerland.

Individuals with pedophilia are considered to have an elevated risk for child sexual abuse (CSA). Nevertheless, it is assumed that pedophilic sexual impulses can be controlled from acting out. To prevent CSA an outpatient treatment facility for people with pedophilia was founded in Zurich, Switzerland in 2021. The program focuses on the prevention of CSA and improvement of quality of life, incorporating empirically validated treatment principles, such as the Risk-Need-Responsivity (RNR) model and the Good Lives Model (GLM). Within the initial 24-month 142 individuals sought help, 46 individuals (mean age 36.0 ± 12.4 years) completed the assessment phase, two-thirds suffered from psychiatric comorbidities, and 67.4% reported sexual delinquency. The high drop-out rate was predominantly due to ongoing criminal proceedings, or other mental health conditions. Overall patients at this facility generally sought treatment voluntarily, leading to good treatment adherence, with severe self-harm being more prevalent than acute danger to others. A treatment approach focused solely on pedophilia is considered insufficient; psychiatric and psychosocial factors must also be addressed.

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来源期刊
International Journal of Impotence Research
International Journal of Impotence Research 医学-泌尿学与肾脏学
CiteScore
4.90
自引率
19.20%
发文量
140
审稿时长
>12 weeks
期刊介绍: International Journal of Impotence Research: The Journal of Sexual Medicine addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians.
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