Les auteurs s’interrogent, à partir de l’expérience de l’un d’eux et à l’aide de trois cas, sur les conditions d’une prise en charge psychologique d’agresseurs sexuels lors de leur incarcération et ...sur les écueils auxquels le clinicien est confronté. Le premier cas met en évidence le risque de réduire le sujet criminel à son acte et de perdre de vue son humanité. Il montre également en quoi le début de l’incarcération constitue un moment propice à la reconnaissance des actes. Le deuxième cas renvoie, a contrario, aux sollicitations de soin faites dans le cadre pénitentiaire qui ne sont pas sous-tendues par une authentique demande nécessitant des aménagements du dispositif qui font appel à des médiations voire à la pratique de l’interpellation. Le troisième cas montre quant à lui toutes les difficultés que rencontre le clinicien questionné dans son positionnement, entre une éthique du soin et une demande sociale centrée, à juste titre, sur la menace de récidive.
Based on the experience of one of the authors and with the aid of three case studies, the conditions of psychological care for sex offenders during their imprisonment and the difficulty with which the psychologist is confronted will be examined. The first case underlines the risk of the criminal being reduced to the criminal act committed and losing touch with humanity. The case also illustrates how the period at the beginning of imprisonment is a favourable period in terms of allowing the recognition of committed act. The second case refers, on the contrary, to the nature of care request in penitential institutions, which does not arise from an authentic demand from the patients. In order to create this authentic demand, it is necessary to introduce measures based on mediation or interpellation technique. The third case illustrates the difficulty met by the psychologist in positioning himself between care ethic and the pressure from the society concerning the risk of criminal relapse.
The aim of the present study was to investigate the relationship between the number of injuries inflicted on victim during violent assault and other variables, characterizing the offender and the ...assault. The study is based on all the cases that were processed at the City Court of Tallinn, Estonia in 1986 and 1996. The number of assault-related injuries caused to the victim in Tallinn, Estonia, for 1986 and 1996 revealed bimodal distribution. About 2/3 of the assaults resulted in 1–5 injuries, in 1/3 of the cases the number of inflicted injuries was 10 or higher, with only a relatively small number of injuries in between. This distribution pattern was stable over the 10-year interval between the observations and was invariant to alcohol intoxication, consequences, and reasons for the assault. Comparison of the offenders’ criminal record during the 15-year follow-up period showed that recidivism was more common among those who had committed a multi-injury assault as their first offence. The evident distribution of assaults into few- and multi-injury groups and the fact that the number of injuries caused during the first offence is a more reliable criterion for predicting the further criminal record of the offender than the consequences of the assault suggest that there are two discrete types of behaviour determined by a set of variables characteristic of the offender's psychology.
The author provides a brief review of the current state of therapy for sex offenders in different countries and emphasizes psychotherapeutical models of treatment. He describes the course, ...complications and objectives of this therapy. The Czech model of specialized comprehensive treatments of paraphilic sex offenders is described. After twenty years of specialized approach in the therapy of sex offenders in the Czech Republic, the re-offense rate of 953 treated patients was 17.1%.
