Fromberger, Peter

[["dc.bibliographiccitation.firstpage","298"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Nervenarzt"],["dc.bibliographiccitation.lastpage","303"],["dc.bibliographiccitation.volume","85"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Mueller, J. L."],["dc.date.accessioned","2018-11-07T09:43:14Z"],["dc.date.available","2018-11-07T09:43:14Z"],["dc.date.issued","2014"],["dc.description.abstract","For more than 20 years virtual realities (VR) have been successfully used in the assessment and treatment of psychiatric disorders. The most important advantages of VR are the high ecological validity of virtual environments, the entire controllability of virtual stimuli in the virtual environment and the capability to induce the sensation of being in the virtual environment instead of the physical environment. VRs provide the opportunity to face the user with stimuli and situations which are not available or too risky in reality. Despite these advantages VR-based applications have not yet been applied in forensic psychiatry. On the basis of an overview of the recent state-of-the-art in VR-based applications in general psychiatry, the article demonstrates the advantages and possibilities of VR-based applications in forensic psychiatry. Up to now only preliminary studies regarding the VR-based assessment of pedophilic interests exist. These studies demonstrate the potential of ecologically valid VR-based applications for the assessment of forensically relevant disorders. One of the most important advantages is the possibility of VR to assess the behavior of forensic inpatients in crime-related situations without endangering others. This provides completely new possibilities not only regarding the assessment but also for the treatment of forensic inpatients. Before utilizing these possibilities in the clinical practice exhaustive research and development will be necessary. Given the high potential of VR-based applications, this effort would be worth it."],["dc.identifier.doi","10.1007/s00115-013-3904-7"],["dc.identifier.isi","000332742100005"],["dc.identifier.pmid","24549691"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/34132"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1433-0407"],["dc.relation.issn","0028-2804"],["dc.title","Use of virtual reality in forensic psychiatry"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","138"],["dc.bibliographiccitation.journal","International Journal of Methods in Psychiatric Research"],["dc.bibliographiccitation.lastpage","144"],["dc.bibliographiccitation.volume","96"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Müller, Isabel"],["dc.contributor.author","Wernicke, Martina"],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Müller, Jürgen L."],["dc.date.accessioned","2020-06-30T06:41:57Z"],["dc.date.available","2020-06-30T06:41:57Z"],["dc.date.issued","2018"],["dc.description.abstract","Sexual child abuse is one of the most destructive events for child development. One possible approach to avert it is the preventive treatment of individuals with a sexual interest in children. The aim of the current eye tracking study was to compare people with a self-reported sexual interest in children who participate in the outpatient preventive treatment project “PsM”, pedophilic forensic inpatients, and a non-pedophilic control group. Groups were compared with respect to sexual interest and attentional control in the presence of sexual stimuli, both assessed independently of self-report. Two approaches were applied, namely the initial orientation approach for measuring sexual interest, and a sexual distractor task for measuring attentional control. Our data showed for the first time that outpatients with a self-reported sexual interest in children differed from pedophilic forensic inpatients with respect to attentional control but not with regard to sexual interest. Outpatients showed similar sexual interest in children as pedophilic forensic inpatients. They demonstrated significantly better attentional control than pedophilic forensic inpatients in the face of adult sexual stimuli, but the difference regarding child sexual stimuli did not reach significance. This might reflect a higher capacity for self-control and self-regulation in these patients. Nevertheless, child stimuli remain to be important distractors for them. Our results provide valuable additional information for the diagnosis and therapy of outpatients with a self-reported sexual interest in children. Obviously, these data are preliminary and further studies with larger groups should examine if they are replicable."],["dc.identifier.doi","10.1016/j.jpsychires.2017.10.004"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66778"],["dc.language.iso","en"],["dc.title","Sexual interest and sexual self-control in men with self-reported sexual interest in children – A first eye tracking study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","3008"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Journal of Sexual Medicine"],["dc.bibliographiccitation.lastpage","3029"],["dc.bibliographiccitation.volume","8"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Mueller, Juergen Leo"],["dc.date.accessioned","2018-11-07T08:50:21Z"],["dc.date.available","2018-11-07T08:50:21Z"],["dc.date.issued","2011"],["dc.description.abstract","Introduction. Antiandrogen therapy has been used for 30 years to treat paraphilic patients and sexual offenders. Yet the therapeutic success of antiandrogens is uncertain. Furthermore, there is still a lack of comprehensive knowledge about the effects of androgen-lowering therapy in paraphilic patients. Aim. We discuss endocrinological, neurobiological, and therapeutic aspects of paraphilia with the aim of integrating these on the basis of the current neurobiological and clinical knowledge on testosterone that was set out in Part I of this review. Methods. Our review of the human literature comprises the current knowledge about the neurobiology of paraphilia and the known endocrinological, pathophysiological, and genetic aspects of this disorder. The role of testosterone is discussed. A survey of antiandrogen therapy and its outcome in paraphilic patients and sex offenders is provided. Results. Although not all data are consistent, current imaging research suggests that structural and functional changes in pedophilia appear for the most part in brain regions also involved in sexual functions. Not exclusively testosterone but also some other endocrinological and neurochemical parameters could be disturbed in pedophilic patients and child molesters; these include changes in hypothalamic-pituitary function, prolactin levels, and dopaminergic or serotonergic functions. There appears to be a sex-steroid-related genetic influence on antisocial traits, externalizing behavior, and sexual behavior. Most of the studies in which antiandrogen therapy in paraphilic patients and sex offenders have been examined were case reports, or observational or open-label studies, and many did not include adequate control groups. Only a few placebo-controlled double-blind studies have been published with inconsistent results concerning treatment effects. Outcome measures differ between the studies and do not seem ideally suited to their purpose. Conclusions. On the basis of the current knowledge about testosterone and its effects on brain and behavior as described in Part I, and of available results on the relationship between testosterone and paraphilia as well as antiandrogen therapy, we present from a neurobiological perspective an extended scientific proposal for design features to investigate the effects of antiandrogen treatment in large clinical trials. Jordan K, Fromberger P, Stolpmann G, and Muller JL. The role of testosterone in sexuality and paraphilia-A neurobiological approach. Part II: Testosterone and paraphilia. J Sex Med 2011;8:3008-3029."],["dc.identifier.doi","10.1111/j.1743-6109.2011.02393.x"],["dc.identifier.isi","000296712200005"],["dc.identifier.pmid","21797985"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/21678"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1743-6095"],["dc.title","The Role of Testosterone in Sexuality and Paraphilia-A Neurobiological Approach. Part II: Testosterone and Paraphilia"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","1000109"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Journal of Forensic Psychology"],["dc.bibliographiccitation.volume","1"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Herder, Jakob von"],["dc.contributor.author","Steinkrauss, Henrike"],["dc.date.accessioned","2020-06-30T07:34:53Z"],["dc.date.available","2020-06-30T07:34:53Z"],["dc.date.issued","2016"],["dc.description.abstract","Indirect measures of deviant sexual interest have yielded interesting and promising in the field of pedophilicinterest. However, further research is needed. A lot of indirect measures are still at the developmental stageregarding clinical application. They do not reach appropriate psychometric criteria or are not yet sufficiently tested forsusceptibility to manipulation or deception. Furthermore, for some paradigms, the exact mechanisms underlying theattentional processes are still under discussion. This study aimed to measure sexual interest under cognitive load.With this challenging active task subject’s possibility to manipulate their response to the sexual stimuli should belower than in easier tasks and in passive designs. Twenty-two pedophiles, seven forensic control subjects and 50healthy men performed cognitive tasks. Simultaneously, sexually relevant and sexually non-relevant distractors werepresented. Meanwhile, their cognitive performance and eye movements were assessed.As expected healthy subjects showed a certain impairment of cognitive performance when sexually relevantdistractors were presented to them. They took significantly more time to look at sexual adult distractors than atsexual child distractors. In contrast, both forensic groups performed much poorer than the healthy control groupwithout specificity for certain sexual distractors. While forensic control subjects tended to view adult stimuli longerthan those of children, no differences were found for pedophiles. The age preference index for the fixation timedifferentiated moderately between pedophiles and non-pedophiles.Our design worked well with healthy subjects. Further studies should examine if an individual adaptation of thetask difficulty could help to find the expected cognitive performance impairments of pedophiles and forensic subjectswhen they are presented with certain distractor categories."],["dc.identifier.doi","10.4172/2475-319x.1000109"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66793"],["dc.language.iso","en"],["dc.title","Can We Measure Sexual Interest in Pedophiles Using a Sexual Distractor Task?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","940"],["dc.bibliographiccitation.journal","Frontiers in Psychiatry"],["dc.bibliographiccitation.volume","10"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Wild, Tamara Sheila Nadine"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Müller, Isabel"],["dc.contributor.author","Müller, Jürgen Leo"],["dc.date.accessioned","2020-06-30T06:54:49Z"],["dc.date.available","2020-06-30T06:54:49Z"],["dc.date.issued","2020-01-21"],["dc.description.abstract","The use of biomarkers in medicine is a common and valuable approach in several clinical fields. Understanding the relationship between measurable biological processes and clinical outcomes not only is indispensable in the face of understanding physiological processes in healthy as well as in diseased organisms but also for understanding and evaluating treatment effects. Therefore, also in the context of forensic psychiatry, biomarkers and their potentially beneficial effects are of growing interest. The objective of this review is to examine if there are biomarkers that may serve as a tool to support diagnostic process, treatment evaluation, and risk assessment of pedophilic individuals and child sexual offenders. In the first part, we present an overview of the current neurobiological, as well as physiological and psychophysiological approaches to characterize pedophilia and child sexual offending. Secondly, we discuss and evaluate the impact of these approaches on the development of biomarkers for diagnosis, therapy, and risk assessment in pedophilic subjects and child sexual offenders. We conclude that a lot of research has already enhanced our neurobiological knowledge about pedophilia and child sexual offending. Although there surely exist promising parameters and approaches, in our view currently none of these is ready yet to serve as a clinically applicable diagnostic, response, or predictive biomarker for pedophilia and child sexual offending. Therefore, further work remains to be done. The development of a composite diagnostic biomarker to assess deviant sexual interest, combining several measures like functional magnetic resonance imaging, electroencephalogram, eye tracking, and behavioral approaches seems to be most promising. A valid and reliable measurement of deviant sexual interest, insensitive to manipulations could significantly support clinical diagnostic process. Similarly, regarding therapy evaluation and risk assessment, a composite biomarker to assess inhibitory control functions seems to be promising. Furthermore, the application of the Research Domain Criteria-approach, a new approach for investigating and classifying mental disorders, offers the possibility to take research to a new level."],["dc.identifier.doi","10.3389/fpsyt.2019.00940"],["dc.identifier.pmid","32038314"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17134"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66782"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","Frontiers Media S.A."],["dc.relation.eissn","1664-0640"],["dc.relation.issn","1664-0640"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Are There Any Biomarkers for Pedophilia and Sexual Child Abuse? A Review"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","overview_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","253"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Monatsschrift für Kriminologie und Strafrechtsreform / Journal of Criminology an Penal Reform"],["dc.bibliographiccitation.lastpage","265"],["dc.bibliographiccitation.volume","94"],["dc.contributor.author","Mueller, Juergen Leo"],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Haase, Kessy Ann"],["dc.contributor.author","Jordan, Kirsten"],["dc.date.accessioned","2018-11-07T08:53:22Z"],["dc.date.available","2018-11-07T08:53:22Z"],["dc.date.issued","2011"],["dc.description.abstract","Since its introduction in 2004, the additional preventative detention (\"nachtragliche Sicherungsverwahrung\") in Germany has been discussed controversially and emotionally. There are few empirical data about additional preventative detention. We report initial results of a country wide study of the legal probation and danger prognoses of individuals considered to be too dangerous for society but who have served their time in prison. We analyzed expert testimonies from 25 judicial decisions which did not result in additional preventative detention-due to a recent change in the law. It was found that two years after release from prison 28 % of the individuals had committed a serious offense and 38 % had committed a minor offense. About 40 % of the former candidates for additional preventative detention did not reoffend in that time."],["dc.identifier.isi","000295664500003"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/22390"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Carl Heymanns Verlag Kg"],["dc.relation.issn","0026-9301"],["dc.title","Legal Probation after Psychiatric Assessments for Additional Preventative Detention"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","130"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Forensische Psychiatrie, Psychologie, Kriminologie"],["dc.bibliographiccitation.lastpage","139"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Müller, Jürgen Leo"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.date.accessioned","2020-06-30T06:26:44Z"],["dc.date.available","2020-06-30T06:26:44Z"],["dc.date.issued","2015"],["dc.description.abstract","In der 5. Auflage des Diagnostischen und Statistischen Manuals psychischer Störungen (DSM-5) werden psychophysiologische Verfahren als diagnostische Marker bei der Pädophilie eingeführt. Das DSM-5 ist als statistisches und diagnostisches Manual nicht zur Beantwortung rechtlicher Fragen konzipiert. Aus einer forensisch-psychiatrischen Perspektive aktualisiert der Verweis auf diese Techniken dennoch die Frage, ob und wie psychophysiologische Ansätze zur Beantwortung rechtlicher Fragestellungen genutzt bzw. wie diese in die etablierte Begutachtungsmethodik integriert werden können. Dies wird im Folgenden am Beispiel der Pädophilie hinsichtlich der Diagnostik, der Verhaltensinhibition sowie der Prognose diskutiert."],["dc.description.abstract","In the fifth edition of the diagnostic and statistical manual of mental disorders (DSM-5) psychophysiological procedures are included as diagnostic markers for pedophilia. The DSM-5 as a statistical and diagnostic manual is not concipated for answering legal questions; however, from a forensic psychiatric perspective the reference to these techniques updates the question whether and how psychophysiological approaches can be used to answer legal questions and how they can be integrated into established assessment methodologies. These points are discussed in this article with respect to diagnostics, behavioral inhibition and prognosis using pedophilia as an example."],["dc.identifier.doi","10.1007/s11757-015-0321-8"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66773"],["dc.language.iso","de"],["dc.title","Wie können psychophysiologische Techniken zu Diagnose und Prognose beitragen am Beispiel der Pädophilie?"],["dc.title.alternative","How can psychophysiological techniques contribute to diagnosis and prognosis using pedophilia as an example?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","109"],["dc.bibliographiccitation.journal","Brain Imaging and Behavior"],["dc.bibliographiccitation.lastpage","126"],["dc.bibliographiccitation.volume","12"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Wieser, Katrin"],["dc.contributor.author","Methfessel, Isabel"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Dechent, Peter"],["dc.contributor.author","Müller, Jürgen L."],["dc.date.accessioned","2020-06-30T07:23:56Z"],["dc.date.available","2020-06-30T07:23:56Z"],["dc.date.issued","2018"],["dc.description.abstract","Neurofunctional correlates of sexual arousal are of interest in basic research as well as in clinical science. In forensic psychiatry, it is important to use designs which are potentially robust against susceptibility to manipulation or deception. We tested a new design to measure neurofunctional correlates of sexual preference. Twenty-two healthy heterosexual men had to solve a mental rotation task while sexually preferred or non-preferred distractors were presented simultaneously. With this challenging active task, subjects’ possibility to manipulate their response to the sexual stimuli should be lower than in easier tasks and in passive designs. Participants needed more time to solve the mental rotation task when distractors of women and girls were presented compared to distractors of men and boys. FMRI-results showed a network of three brain regions which specifically responded to sexually preferred distractors. Female and adult distractors evoked stronger responses than male and child distractors in regions comprising parahippocampal/fusiform gyrus and amygdala/basal ganglia/thalamus, respectively. Women distractors elicited stronger responses in the inferior parietal lobe compared to all other distractors. Specifically, sexually preferred distractors elicited a weaker downregulation than other distractors. We suppose a different emotion regulation with respect to the sexual relevance of the distractors. To our knowledge, this study is the first to show neurofunctional correlates of sexual preference under cognitive demand. Further studies should examine whether this design is more robust against susceptibility to manipulation than others, in order to be applied as a measurement of sexual preference in forensic patients."],["dc.identifier.doi","10.1007/s11682-016-9669-4"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66790"],["dc.language.iso","en"],["dc.title","Sex attracts - neural correlates of sexual preference under cognitive demand"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.volume","2"],["dc.bibliographiccitation.volumetitle","Assessment"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Müller, Jürgen L."],["dc.contributor.editor","Craig, Leam A."],["dc.contributor.editor","Rettenberger, Martin"],["dc.date.accessioned","2020-06-30T07:05:03Z"],["dc.date.available","2020-06-30T07:05:03Z"],["dc.date.issued","2016"],["dc.description.abstract","The assessment of deviant sexual preference has a long tradition in forensic psychiatry and psychology, as it is one of the strongest predictors for sexual offence recidivism. So far, however, the development of a reliable clinical tool for assessing sexual preference based on brain imaging methods has been unsuccessful. Predicated on the extensive research in basic science, this chapter provides an overview of the current knowledge in measuring sexual arousal and sexual preference in healthy subjects and paraphilic patients using functional brain imaging methods. After a description of the most common methods and experimental designs, studies with healthy subjects are discussed, showing a relatively clear network evoked by sexual arousing stimuli. Furthermore, with respect to the main focus of the chapter, imaging studies on assessing sexual preference are of interest. In the following section, neurobiological models of paraphilia, especially paedophilia, are described, and also studies focusing on structural brain abnormalities in paraphilic patients. Moreover, methods for and results of functional brain imaging studies are discussed that address the question of the underlying neuronal basis of sexual preference in paraphilic subjects. Finally, the potential and limitations of the assessment of (deviant) sexual preference using functional magnetic resonance imaging are critically discussed."],["dc.identifier.doi","10.1002/9781118574003.wattso043"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66785"],["dc.language.iso","en"],["dc.relation.ispartof","The Wiley Handbook on the Theories, Assessment and Treatment of Sexual Offending"],["dc.title","Structural and Functional Magnetic Resonance Imaging in Assessing Sexual Preference"],["dc.type","book_chapter"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","340"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Nervenarzt"],["dc.bibliographiccitation.lastpage","349"],["dc.bibliographiccitation.volume","84"],["dc.contributor.author","Mueller, J. L."],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Haase, Kessy Ann"],["dc.contributor.author","Jordan, Kirsten"],["dc.date.accessioned","2018-11-07T09:27:31Z"],["dc.date.available","2018-11-07T09:27:31Z"],["dc.date.issued","2013"],["dc.description.abstract","The study examines the legal probation of offenders who are considered to be highly dangerous but due to the decision of the Federal High Court were not in retrospective preventive detention (A A 66b StGB). In view of the current discussion, in anticipation of a detailed presentation of the study results the relevant criteria \"probation behavior\", \"personality characteristics\" and \"prognosis quality\" are picked out. The results are evaluated with respect to knowledge of the restrictions conditioned by the study regarding the usefulness for the prognosis of reoffending. The results of this study suggest that it might be useful to describe psychological criteria for the not seriously reoffending group of probands."],["dc.identifier.doi","10.1007/s00115-012-3557-y"],["dc.identifier.isi","000316223200007"],["dc.identifier.pmid","22588561"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/30559"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0028-2804"],["dc.title","Legal probation after deferred retrospective preventive detention. Implications for the amended regulations on preventive detention"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]