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      Social, Psychological, and Forensic Perspectives on Sexual Abuse : 

      Forensic Psychiatric Analysis of Juvenile Delinquency and Sexual Abuse Perspective

      monograph
      IGI Global

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          Abstract

          This chapter describes how, although, sexual offenders commit sexual offences as a source of pleasure to themselves, sometimes with harm intended, the vast majority of victims endure long-lasting adverse impacts that affect them in all aspects of life. Juvenile delinquency has become much more prevalent, or more so known in the age of digital media and enhanced communication. Thus, the rapid evolvement and revolutionized media has made the issue more known to the communities and society, as the families and stakeholders seek for reasons behind the rise of sexual assaults, and possible strategies to tackle the pandemic. Although, it has often been perceived as a maladaptive and learning related behavior, literature suggests that majority of the juvenile delinquents suffer from psychological and psychiatric disorders, from mild, moderate to severe psychiatric disorders. The most prevalent disorders found were: ADHD, substance abuse disorder, posttraumatic stress disorder (PTSD), depression, conduct disorder, FASD and oppositional defiance disorder to be the most prevalent among juvenile delinquents.

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          The biopsychosocial model 25 years later: principles, practice, and scientific inquiry.

          The biopsychosocial model is both a philosophy of clinical care and a practical clinical guide. Philosophically, it is a way of understanding how suffering, disease, and illness are affected by multiple levels of organization, from the societal to the molecular. At the practical level, it is a way of understanding the patient's subjective experience as an essential contributor to accurate diagnosis, health outcomes, and humane care. In this article, we defend the biopsychosocial model as a necessary contribution to the scientific clinical method, while suggesting 3 clarifications: (1) the relationship between mental and physical aspects of health is complex--subjective experience depends on but is not reducible to laws of physiology; (2) models of circular causality must be tempered by linear approximations when considering treatment options; and (3) promoting a more participatory clinician-patient relationship is in keeping with current Western cultural tendencies, but may not be universally accepted. We propose a biopsychosocial-oriented clinical practice whose pillars include (1) self-awareness; (2) active cultivation of trust; (3) an emotional style characterized by empathic curiosity; (4) self-calibration as a way to reduce bias; (5) educating the emotions to assist with diagnosis and forming therapeutic relationships; (6) using informed intuition; and (7) communicating clinical evidence to foster dialogue, not just the mechanical application of protocol. In conclusion, the value of the biopsychosocial model has not been in the discovery of new scientific laws, as the term "new paradigm" would suggest, but rather in guiding parsimonious application of medical knowledge to the needs of each patient.
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            Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review.

            This article provides a comprehensive review of the research on the use of callous and unemotional (CU) traits for designating an important subgroup of children and adolescents with severe conduct problems. It focuses on the etiological significance of recognizing this subgroup of youths with severe conduct problems, its implications for diagnostic classification, and the treatment implications of this research. The review highlights limitations in existing research and provides directions for future research. The available research suggests that children and adolescents with severe conduct problems and elevated CU traits show distinct genetic, cognitive, emotional, biological, environmental, and personality characteristics that seem to implicate different etiological factors underlying their behavior problems relative to other youths with severe conduct problems. Recognizing these subgroups could be critical for guiding future research on the causes of severe conduct problems in children and adolescents. Further, children and adolescents with both severe conduct problems and elevated CU traits appear to be at risk for more severe and persistent antisocial outcomes, even controlling for the severity of their conduct problems, the age of onset of their conduct problems, and common comorbid problems, which supports the clinical importance of designating this group in diagnostic classification systems. Finally, although children and adolescents with both severe conduct problems and elevated CU traits tend to respond less positively to typical interventions provided in mental health and juvenile justice settings, they show positive responses to certain intensive interventions tailored to their unique emotional and cognitive characteristics.
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              An integrated theory of sexual offending

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                Author and book information

                Book Chapter
                2018
                : 70-85
                10.4018/978-1-5225-3958-2.ch006
                4a6c9a1d-6959-4031-acac-edb7487f4b86
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