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Seattle University Collaborative Projects - International Academy of ...

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Lydia Pomp, Stenden <strong>University</strong> and INTERVICT, Tilburg Law School, Tilburg <strong>University</strong>(lydia.pomp@stenden.com)Little is known about the social network dynamics <strong>of</strong> forensic psychiatric patients. Suchinformation is <strong>of</strong> great importance for risk assessment and management. A change in socialcircumstances may cause behavioural changes that affect the risk <strong>of</strong> recidivism. Thispresentation compares the social networks <strong>of</strong> forensic psychiatric patients at the time <strong>of</strong> their<strong>of</strong>fenses with these networks during treatment. Thirty-six inpatients were interviewed using aForensic Social Network Analysis (FSNA) questionnaire. The FSNA is an instrument tosystematically chart the relationships and personal networks <strong>of</strong> forensic psychiatric patients inthe context <strong>of</strong> their individual risk behaviour. During the two time frames, various social networkcharacteristics were analyzed. We found significant differences between the two time points;after a period <strong>of</strong> incarceration, there was a decrease in network size and a decrease in the number<strong>of</strong> social supporters, stressful relationships and network members with potential risk factors.These findings are important to assess the influence <strong>of</strong> social resources on a successfullyreintegration <strong>of</strong> forensic psychiatric patients into the community. Because <strong>of</strong> the dynamic nature<strong>of</strong> social networks and their influence on rehabilitation, forensic psychiatric pr<strong>of</strong>essionals need tocheck frequently if there are significant changes in the patient’s network.Music Therapy within Forensic PsychiatryLaurien Hakvoort, Tilburg <strong>University</strong> & ArtEZ Conservatorium, the Netherlands(L.Hakvoort@ArtEZ.nl)A cognitive understanding <strong>of</strong> factors contributing to an <strong>of</strong>fence alone is not enough to preventrelapse. There are a number <strong>of</strong> contextual factors that contribute to violence. A patient has toexperience his lack <strong>of</strong> specific skills, experience that he overestimates his ability to handlesituations, or acts differently under factors like stress (Bouman, De Ruiter & Schene, 2003).Subsequently, the patient has to practice and train newly acquired skills in order to master theseskills and apply them in real-life situations. During multidisciplinary treatment, including musictherapy, many contextual factors receive attention in different contexts. Just like the majority <strong>of</strong>the treatment programs within international forensic psychiatry, music therapy focuses on overtbehavior and is assumed to affect a patient’s (re)actions in a well-defined and structured situation(Codding, 2002; Smeijsters & Cleven, 2004). Due to its nature <strong>of</strong> evoking basic emotional,cognitive, behavioral and neurological reactions in people, music therapy can be an appropriatetool to evoke emotional, cognitive, neurological and behavioral reactions (Gabrielson, 2010;Juslin, Liljeström, Västfjäll & Lundqvist, 2010; Peretz, 2010; Sloboda & Juslin, 2010; Thaut,2005). To explore whether it is possible to put some clinical evidence on these theoretical claims<strong>of</strong> music therapy effectivity within forensic psychiatry, a number <strong>of</strong> explorative studies wereexecuted within four different forensic psychiatric clinics in the Netherlands with a total <strong>of</strong> fivecredentialed music therapists. This presentation focuses on a couple <strong>of</strong> these studies to explorewhether and what kind <strong>of</strong> behavioural change <strong>of</strong> forensic psychiatric patients can be influenced355

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