ABSTRACT
We present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards women. Data concerning the sexual deviant symptomatology, the general and sexual socialization and the actual psycho-social situation are demonstrated. The sexually deviant symptoms is considered in regard to basic personality deficits and general life-coping strategies of the patients. Concerning the therapeutic procedure and process we emphasize the importance of a concept focussing the individual patient and the psychodynamic function of his deviant symptom. The results at the end of therapy and at follow-up (average 2 1/2 years) are presented. Finally we discuss a concept for the decentralized psychotherapeutic supply of these patients.
Subject(s)
Paraphilic Disorders/therapy , Psychotherapy/methods , Sex Offenses , Aggression/psychology , Ambulatory Care , Exhibitionism/psychology , Exhibitionism/therapy , Humans , Male , Paraphilic Disorders/psychology , Pedophilia/psychology , Pedophilia/therapy , Prognosis , RapeABSTRACT
Creatinphosphokinase (CPK) was determined in 141 patients with manic-depressive and schizophrenic psychoses. In general endogenic psychoses of the manic and depressive type as well as chronic schizophrenias show normal CPK values. In acute cases of paranoid-halluzinatory schizophrenias normal values are predominant. In catatonic schizophrenias, as a rule, clearly increased enzyme activities are found. Thise increased values suggest a postulated somatic disease as a cause of the psychosis. Thus, the determination of CPK provides a useful aid in the diagnosis and control of the course of catatonic schizophrenic.
