ABSTRACT
UNLABELLED: A case report shows that a patient could make a progress in his therapy with the help of professional behavioural analysis after a 14-year period of stagnating forensic therapy. The method of behavioural analysis represents a criminalistic tool to reconstruct and to analyse an offence on the basis of objective data. Nowadays this method is also used successfully in individual cases in the field of forensic psychiatry. The article shows and discusses the methodology and the current use of behavioural analysis in forensic psychiatry. CONCLUSION: professional behavioural analysis of offences of certain forensic patients provides an additional benefit for their therapy and their risk assessment. This kind of approach should be intensified by increasing cooperation with behavioural analysis units and by further training for forensic therapists.
Subject(s)
Forensic Psychiatry/methods , Homicide/psychology , Sex Offenses/psychology , Social Behavior Disorders/diagnosis , Social Behavior Disorders/psychology , Adult , Germany , Homicide/prevention & control , Humans , Male , Mental Disorders , Sex Offenses/prevention & controlABSTRACT
Perilymphatic fistulas of the inner ear constitute abnormal leaks of perilymphatic fluid into the middle ear or mastoid air cell system and represent a rare cause of otorrhea. We report the case of a 5-month-old child presenting with sudden otorrhea. High resolution CT cisternography showed a malformation of the middle ear and a passage of contrast-enhanced CSF into the tympanic cavity through the left oval window. Surgery confirmed a tear of the tympanic membrane as well as a stapes malformation with aplasia of the crura and an associated perilymphatic fistula through a defect in the stapes footplate. The fistula was closed with adipose tissue from the ear lobe.