1,721,105 research outputs found
Il corpo in psichiatria forense
L'uso delle neuroscienze ha ampliato le possibilità interpretative nei processi penali e civili, con sviluppo e riproposizione di temi discussi da oltre 200 anni. In particolare il dibattito sul libero arbitrio è tornato centrale nelle valutazioni psichiatrico forens
(Anziani)" Ricerca Monotematica (in collaborazione con Mastronardi V., Ferracuti S. e Abbate L.), in "Atti del 1° Convegno Nazionale CNR Progetto Finalizzato Invecchiamento", Roma 10/11 Gennaio 1992.
Le conseguenze della violenza carnale secondo un appproccio clinico e medico-psichiatrico
Il testo analizza la violenza carnale in tutta la sua portata traumatica per la vittima. Secondo gli orientamenti più recenti tale tipo di reato comporta l'effetto traumatico di un evento al di fuori della normale esperienza quotidiana tale da configurare la diagnosi di disturbo posttraumatico da stress
Comparative forensic psychiatry: I. Commentary on the Italian system
No Abstract availabl
Legislative differences may influence the characteristics of involuntary hospitalised psychiatric patients
Comprehensive reviews aimed at identifying factors
associated with involuntary psychiatric hospitalisation
(IPH) have recently been published,1–3 providing interesting
and challenging results.
In 2019, Walker et al. performed a meta-analysis
and observed that IPH was associated, on an individual
level, with male sex, single marital status, unemployment,
receiving welfare benefits, being diagnosed with a
psychotic disorder or bipolar disorder, previous IPH,
perceived risk to others, positive symptoms of psychosis,
reduced illness insight, reduced adherence to treatment
before hospitalisation and police involvement in
admission.3 The studies included in the meta-analysis
were performed in countries which have diverse legislation,
criteria and procedures in relation to IPH.
As the authors noted, such diversity in legal and
health-care systems may have contributed to the heterogeneity
of results.3
Taking this into consideration, it would be interesting
to explore whether different IPH-related legislative
criteria influence the individual factors associated with
IPH. For example, as reviewed by several authors,4–6
there are countries in which a key criterion for IPH is
the risk for patients to endanger themselves or other
people, which implies a certain level of aggressiveness.
In other countries, however, this is not a recognised
factor relating to IPH, and other dimensions are considered
instead, including the possibility of taking
appropriate extra hospital measures, the capacity to
provide consent and the need for urgent care. There
are also countries in which IPH can be implemented
only in relation to psychotic disorders, while in other
countries it can be implemented in relation to severe
mental disorders in general (this may or may not
include substance use disorders).4–6
It is possible that such legislative aspects can contribute
to influence the qualitative characteristics of
patients undergoing IPH, as indirectly suggested by
studies showing marked quantitative differences in
IPH rates between countries.2,7 Subsequently, while
the findings of the recently published meta-analysis3
are extremely novel, relevant and enriching, we believe
that studies on the risk factors for IPH taking into
consideration the underlying legislation systems
should be encouraged. Although we are aware of the
difficulties of such an approach, this would provide
additional information that could be readily transferred
to clinical settings
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