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Under the auspices of/Sous l'égide de - International Academy of ...

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316.3.Criminal Career and Relapse <strong>of</strong> Sex Offen<strong>de</strong>rs – Results From a Swiss CohortStudy on Forensic-Psychiatric Risk AassessmentK.D. Römer, Universitäre Psychiatrische Kliniken, Basel, Switzerland (Konstanze.roemer@upkbs.ch)Marc Graf, Universitäre Psychiatrische Kliniken, Basel, SwitzerlandC. Kiss, Universitäre Psychiatrische Kliniken, Basel, SwitzerlandVolker Dittmann, Universitäre Psychiatrische Kliniken, Basel, SwitzerlandAs part <strong>of</strong> <strong>the</strong> Basel cohort study on forensic-psychiatric risk assessment, we examined <strong>the</strong> sub-population<strong>of</strong> 63 sex <strong>of</strong>fen<strong>de</strong>rs. Mean observation time was 90 months and <strong>the</strong> group consisted <strong>of</strong> an almost equalnumber <strong>of</strong> child molesters and <strong>of</strong>fen<strong>de</strong>rs against adult victims. We raised data on previous convictions,forensic assessment, courts <strong>de</strong>cisions, <strong>the</strong> process <strong>of</strong> sentences or court or<strong>de</strong>red treatments and, <strong>of</strong> course,recidivism. 16 subjects re<strong>of</strong>fen<strong>de</strong>d, half <strong>of</strong> <strong>the</strong>m again with sex <strong>of</strong>fences.We will provi<strong>de</strong> data on criminal careers <strong>of</strong> different subtypes <strong>of</strong> <strong>of</strong>fen<strong>de</strong>rs and a differentiated evaluation<strong>of</strong> risk prognosis. The latter being accomplished by means <strong>of</strong> a structured criteria based method, betterknown lately as “structured pr<strong>of</strong>essional judgement”.6.4.Is There a Difference Between Consumers <strong>of</strong> Child Pornography and ChildMolesters?Marc Graf, Universitäre Psychiatrische Kliniken, Basel, Switzerland (marc.graf@upkbs.ch)Volker Dittmann, Universitäre Psychiatrische Kliniken, Basel, SwitzerlandPedophile paraphilia is consi<strong>de</strong>red to be a strong predictor for child abuse. At a first glance, <strong>the</strong> largenumber <strong>of</strong> persons convicted lately for consuming pedophile internet pornography and <strong>the</strong> data onprevalence <strong>of</strong> pedophile sex interest in <strong>the</strong> general population questions whe<strong>the</strong>r this <strong>the</strong>sis can be held. On<strong>the</strong> o<strong>the</strong>r hand, this might explain <strong>the</strong> high prevalence <strong>of</strong> child abuse. The above mentioned questionbecomes crucial, when it is used to <strong>de</strong>ci<strong>de</strong>, for example, whe<strong>the</strong>r a school teacher convicted for <strong>the</strong>consumption <strong>of</strong> pedophile internet pornography, is at risk to commit sex <strong>of</strong>fences against children and<strong>the</strong>refore to disqualify him from his pr<strong>of</strong>ession.The forensic psychiatric <strong>de</strong>partment at <strong>the</strong> univeristy <strong>of</strong> Basel, switzerland, is <strong>the</strong>refore running acomparative study with different group <strong>the</strong>rapies for consumers <strong>of</strong> pedophile pornography and childmolesters. Both, methods and results <strong>of</strong> psychiatric, forensic and biological assessment will be presentedand consi<strong>de</strong>rations for <strong>the</strong>rapy and risk assessment will be outlined.

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