This study presents psychiatric and forensic characteristics of people accused of a sexual crime and sent for evaluation. Data were drawn from the only institutional psychiatric forensic assessment ...center in Croatia, during a 9-year period, from January 1, 2010 to December 31, 2018. There were 72 cases of sex offenses: 37 with child victims and 35 with adult victims. People accused of sex offenses with child victims were more often sexually abused during childhood and treated psychiatrically as inpatients. They used alcohol less often. Sex offenders with child victims were diagnosed with narcissistic and antisocial personality disorder, dementia, and pedophilic disorder. Those with adult victims were diagnosed with antisocial personality disorder, alcohol related disorders and dementia. Due to these differences, the management of these two groups of offenders in both mental health and penal systems should be different.
There are cases in forensic psychiatric evaluations with inconclusive information or with important information missing. In such situations, when new information becomes available the judge may ask ...an expert to supplement his/her report in the light of new information. For the purpose of this study, we collected 42 supplemental evaluations written in the University Psychiatric Hospital Vrapče to determine possible factors which were associated with changes in supplemental evaluations. The following data were gathered: demographic data, types of criminal offenses, reasons for the supplement evaluation, court questions, and diagnoses. Changes in supplemental evaluations occured more often when the defendants were diagnosed with a personality disorder (PD) only, compared to those who had a PD with a comorbidity, especially substance use disorders. Defendants with the diagnosis of a substance use disorder were 63.7% less likely to have changed experts’ evaluations. The evaluations remained the same when the reason for supplemental evaluations were new witnesses’ testimonies. Considering the principle of economy of actions in a judiciary system, a more critical approach should be taken when the judge requests a supplemental report.
Aim: Artificial intelligence (AI) is making significant inroads into the field of psychiatry, offering new tools and applications. ChatGPT, a specific chatbot, is at the forefront of this digital ...revolution. AI’s use in psychiatry ranges from identifying psychiatric symptoms, predicting treatment responses, and improving medication adherence to assisting in patient education, monitoring, and bridging gaps in mental health care. Materials and Methods: This review used a literature study method. Results: ChatGPT functions as a clinical decision support tool. It can analyse patient data and provide diagnostic insights, recommend evidence-based treatments, and offer drug information. It has demonstrated proficiency in generating summaries from medical records, saving clinicians time and enabling them to focus on patient care. Additionally, chatbots like ChatGPT serve as therapist assistants, offering emotional support between therapy sessions and potentially conducting psychotherapy. Studies have shown positive outcomes, with chatbots reducing depression, anxiety symptoms, and providing 24/7 availability for crisis situations. Users find them non-judgmental and comfortable for discussing sensitive issues. Despite their potential, chatbots have limitations, such as the risk of incorrect or biased information due to their training data. They lack genuine understanding, creativity, and the ability to clarify user input. Ethical considerations regarding responsibility and data usage are paramount. Conclusion: AI, particularly ChatGPT, holds substantial promise in modern psychiatry, enhancing diagnostics, patient education, monitoring, and therapeutic support. Its integration into everyday psychiatric practice requires careful use, continuous oversight, and ethical considerations. Psychiatrists must become more familiar with AI tools to leverage their benefits in patient care.
We derive an effective Reich-Moore approximation (RMA) of the Wigner-Eisenbud R -matrix formalism parameterized by complex-valued resonance energies and widths; this RMA exactly reproduces the total ...eliminated cross section. We show that resonance parameters evaluated for a conventional boundary conditions (BCs), B c = S c (E),are approximately equal to the R -matrix parameters in Park’s formalism by employing a linear approximation of the shift function therein T.-S. Park, Phys. Rev. C 106 (2021) 064612. We outline a method for converting Park’s observed reduced width amplitudes (RWAs) and their covariance matrix into Brune’s alternative R -matrix RWAs and their covariance matrix C. Brune, Phys. Rev. C 66 (2002) 044611. We extend the Park’s R -matrix formalism into the complex plane by introducing a complex-valued basis set of eigenfunctions of a complex-symmetric (non-Hermitian) Hamiltonian in the R -matrix interior. We observe that its R -matrix resonance energies and widths are directly related to the poles and residues, respectively, of Hwang’s sum-over-poles representation of cross sections R.N. Hwang, Nucl. Sci. Eng. 96 (1987) 192.
R
-matrix formalism is extended beyond compound nuclear (CN) resonant reactions to include parameterization of direct as well as doorway processes. Direct processes in the
R
-matrix
exterior
are ...parameterized by a unitary matrix that introduces mixing among wave function coefficients of the incoming and outgoing wave function components at the
R
-matrix channel
surface
. Doorway processes are parameterized by separating the Hilbert space of the
interior R
-matrix region into its doorway and CN subspaces, from which doorway state eigenenergies, reduced width amplitudes, and the strengths of their coupling to CN levels appear as new
R
-matrix parameters. Parameterization of generalized as well as the conventional Reich–Moore approximation for eliminated capture channels in the presence of direct, doorway, and CN processes is presented along with a complex-valued scattering length with contributions from direct, doorway, and CN capture processes. Derivation of Brune’s alternative
R
-matrix parameters is extended to include doorway states. This work suggests how
R
-matrix formalism could be extended further by adopting the concepts from related reaction formalisms.
Recently, a cold moderator was designed and developed for use at the Rensselaer Polytechnic Institute Linear Accelerator (RPI LINAC). This cold moderator proved to easily and safely couple to an ...existing neutron producing target, while enhancing neutron flux below 0.02 eV by up to a factor of 8 by cooling polyethylene down to 29 K. This cold moderator capability allowed for significantly improved counting statistics below 0.02 eV not previously possible due to a poor signal to background ratio. Additionally, testing was performed to characterize the energy resolution of the new cold moderator system and found the system easily capable of resolving resonances in Ta-181 at 4 and 10 eV, while also clearly resolving the Bragg edges found in Be metal below 0.01 eV. Following the design and development of a cold polyethylene moderator, a series of thermal total cross section measurements were performed for polyethylene, polystyrene, Plexiglas and yttrium hydride in the thermal region. These measurements serve to help validate thermal scattering law (TSL) evaluations in the 0.0005 – 1 eV energy range. For polyethylene and polystyrene, two sets of experiments were performed – one with the Enhanced Thermal Target (ETT) and another with the ETT plus the new cold moderator capability (ETTC). The yttrium hydride and Plexiglas measurements were only performed with the ETTC. The measurements for polyethylene help to validate the data processing methodology when using the ETTC, while extending the measured range of polyethylene down to 0.0005 eV. Two different Plexiglas, Plexiglas G and Plexiglas G-UVT, and two different concentrations of yttrium hydride, H/Y = 1.85 and 1.68, were measured. Overall, all materials had generally good agreement with their ENDF/B-VIII.0 TSL evaluations, though some discrepancies were noticed. In the case of the yttrium hydride, the high energy oscillations in the hydrogen cross section and the low energy Bragg edges in the yttrium cross section were clearly seen. These measurements represent the first total cross section measurements that encompass the entire thermal region from 0.0005 – 1 eV for polystyrene and yttrium hydride.
Sigmund Freud smatra se jednim od ranih seksologa, uz Magnusa Hirschfelda i Havelocka
Ellisa. Njegova stajališta o homoseksualnosti (koja nije bolest, niti se terapijskim metodama
može liječiti) ...bliski su suvremenim stajalištima o tom pitanju. Za razliku od aktivnog teorijskog
bavljenja pitanjima seksualnosti u ranim radovima psihodinamičkih psihoterapeuta,
kasniji su autori zanemarili područje seksualnih poremećaja i rodne disforije. Grupna analiza
potpuno je izostala.
Spol je biološka odrednica koja označuje tijelo i obično se doživljava kao binarni koncept
muškog i ženskog (premda postoje i međuspolna, nebinarna stanja). Unatoč teorijskom prihvaćanju
temeljne čovjekove biseksualnosti, ne postoji nijedan rad koji se bavi psihodinamičkim
pitanjima međuspolnih stanja. Rodni identitet naš je doživljaj sebe, naš reprezentant
selfa u odnosu na muževnost/ženstvenost, tj. muškost/ženskost. Rodna uloga predstavlja
socijalne stereotipe ponašanja, odijevanja i tipičnog reagiranja muškaraca i žena u konkretnom
društvu u danom trenutku.
Osim transrodnih osoba, u kojih rodni identitet nije ujednačen sa spolom, postoje i brojne
nebinarne osobe koje svoj rodni identitet ne doživljavaju u dihotomiji muško-žensko, nego
u različitim oblicima androginog ili rodno neutralnog doživljaja sebe (reprezentatna selfa).
Cilj dinamičke psihoterapije, uključujući i grupnu analizu, trebao bi biti mogućnost za propitivanje
i istraživanje vlastitih identiteta, doživljaja, iskustava i osjećaja u uvjetima sigurne
sredine. Moguće je da se u takvim uvjetima osoba susretne sa svojim pravim selfom, koji
može biti i neheteroseksualan i nebinaran.
Hypersexuality disorder (or sexual addiction or excessive sexual drive or compulsive sexual behaviour disorder) is a controversial condition that is present in the International Classification of ...Disease but not in the Diagnostic and Statistical Manual for Mental Disorders. It is defined as a clinical syndrome characterised by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. The condition is more prevalent in men than in women. Some medical conditions were described in fictional literature before their formal recognition in medicine, like Huntington disease, Pickwick syndrome, and Munchausen syndrome. The aim of this article is to analyse the fictional character of Charlotta Castelli Glembay from Miroslav Krleža’s play Messrs Glembays from 1928. Krleža presented a woman with a sexual drive that could be described as uncontrollable, organic (physical) in origin, and different from love and affection (that she also experienced, but only with one particular man). The author gave a special name for her condition – erotic intelligence. This sexual behaviour has distressing and devastating consequences. This paper will argue that the play depicts hypersexuality disorder in a woman, with a designation of its aetiology. In concordance with the prevailing attitudes of the time (the early 20th century), hypersexuality in women had negative attributions.
Hiperseksualni poremećaj (seksualna ovisnost, prekomjeran seksualni nagon ili poremećaj s kompulzivnim seksualnim ponašanjem) kontroverzno je stanje koje je prisutno u jednom (Međunarodna klasifikacija bolesti), no ne i u drugom važećem klasifikacijskom sustavu (Dijagnostički i statistički priručnik za duševne poremećaje). Definira se kao klinički sindrom obilježen ustrajnim obrascem nemogućnosti kontrole poriva, opetovanim seksualnim porivima ili nagonim, koji dovode do opetovanih seksualnih ponašanja. Ovo stanje češće je kod muškaraca, nego kod žena. Neka medicinska stanja opisana su u literaturi prije negoli su formalno prepoznata u medicinskim krugovima, npr. Huntingtonova bolest, Pickwickov sindrom i Munchausenov sindrom. Cilj je ovog rada bio analizirati lik barunice Charlotte Castelli Glembay iz Gospode Glembayevih Miroslava Krleže. Krleža je u ovom djelu opisao ženu sa seksualnim nagonom koji bi se mogao definirati kao nekontroliran, organski (tjelesno) uvjetovan i različit od ljubavi i zaljubljenosti (koju je ona također doživjela, no samo s jednim muškarcem). Krleža je dao i posebno ime za njezino stanje – erotična inteligencija. Konačno, njezino seksualnu ponašanje imalo je uznemirujuće i negativne posljedice. Može se zaključiti da je riječ o opisu hiperseksualnog poremećaja kod žene, uz oznaku njegove etiologije. U skladu s prevladavajućim stavovima toga vremena (početak 20. stoljeća), hiperseksualnost kod žena imala je negativne konotacije.
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