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Adverse Childhood Experiences and Treatability in Dutch Patients with Cluster B Personality Disorders Mandated to Forensic Clinical Care: A Comparison of Men Convicted for Sexual and Violent Offenses
International Journal of Forensic Mental Health ( IF 0.922 ) Pub Date : 2023-09-14 , DOI: 10.1080/14999013.2023.2257641
Denise Dekkers 1 , Marije Keulen-de Vos 1, 2
Affiliation  

Abstract

Adverse childhood experiences (ACEs) have been consistently linked to interpersonal violence and are highly prevalent in correctional populations, particularly in men who perpetrate (sexual) violent behavior. Although exposure to ACEs is common in men who perpetrate interpersonal violence, less is known about the differences between men who commit sexual versus non-sexual violence. This cross-sectional study reports on the differences in prevalence of adverse childhood experiences in Dutch men who committed sexual offenses (N = 29) versus those who committed (non-sexual) violent offenses (N = 29), all who have been mandated to forensic clinical care. Drawing on data from a RCT-study among male forensic psychiatric inpatients with cluster B personality disorders from seven forensic hospitals in the Netherlands, the study explored potential differences in ACEs, and its relationship to treatability in the first year of forensic treatment. No significant differences were found in prevalence of childhood abuse and neglect among men convicted for sexual offenses versus those convicted for violent offenses. In our study, ACEs were not predictive of risk relating to treatability at the start of forensic treatment. Our findings suggest that taking into account trauma histories is of equal importance for both offending groups. Implications regarding trauma-informed forensic care are discussed.



中文翻译:

需要法医临床护理的荷兰 B 类人格障碍患者的不良童年经历和可治疗性:因性犯罪和暴力犯罪而被定罪的男性的比较

摘要

不良童年经历(ACE)始终与人际暴力有关,并且在惩教人群中非常普遍,特别是在实施(性)暴力行为的男性中。尽管接触 ACE 在实施人际暴力的男性中很常见,但人们对实施性暴力与非性暴力的男性之间的差异知之甚少。这项横断面研究报告了犯有性犯罪的荷兰男性 ( N  = 29) 与犯有(非性)暴力犯罪的荷兰男性 ( N = 29) 的不良童年经历发生率的差异。 = 29),所有被授权进行法医临床护理的人。该研究利用荷兰七家法医医院 B 类人格障碍男性法医精神病住院患者的随机对照研究数据,探讨了 ACE 的潜在差异及其与法医治疗第一年可治疗性的关系。因性犯罪而被定罪的男性与因暴力犯罪而被定罪的男性相比,儿童期虐待和忽视的发生率没有显着差异。在我们的研究中,ACE 不能预测法医治疗开始时与可治疗性相关的风险。我们的研究结果表明,考虑创伤史对于两个犯罪群体来说同样重要。讨论了创伤知情法医护理的影响。

更新日期:2023-09-16
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