Jordan, Kirsten

[["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.artnumber","224"],["dc.bibliographiccitation.journal","Frontiers in Psychology"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Meyer, Sabrina"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Müller, Jürgen L."],["dc.date.accessioned","2019-07-09T11:45:12Z"],["dc.date.available","2019-07-09T11:45:12Z"],["dc.date.issued","2018"],["dc.description.abstract","The decision about unsupervised privileges for sexual offenders against children (SOC) is one of the most difficult decisions for practitioners in forensic high-security hospitals. Facing the possible consequences of the decision for the society, a valid and reliable risk management of SOCs is essential. Some risk management approaches provide frameworks for the construction of relevant future risk situations. Due to ethical reasons, it is not possible to evaluate the validity of constructed risk situations in reality. The aim of the study was to test if behavioral monitoring of SOCs in high-immersive virtual risk situations provides additional information for risk management. Six SOCs and seven non-offender controls (NOC) walked through three virtual risk situations, confronting the participant with a virtual child character. The participant had to choose between predefined answers representing approach or avoidance behavior. Frequency of chosen answers were analyzed in regards to knowledge of the participants about coping skills and coping skills focused during therapy. SOCs and NOCs behavior differed only in one risk scenario. Furthermore, SOCs showed in 89% of all cases a behavior not corresponding to their own belief about adequate behavior in comparable risk situations. In 62% of all cases, SOCs behaved not corresponding to coping skills they stated that therapists focused on during therapy. In 50% of all cases, SOCs behaved in correspondence to coping skills therapists stated that they focused on during therapy. Therapists predicted the behavior of SOCs in virtual risk situations incorrect in 25% of all cases. Thus, virtual risk scenarios provide the possibility for practitioners to monitor the behavior of SOCs and to test their decisions on unsupervised privileges without endangering the community. This may provide additional information for therapy progress. Further studies are necessary to evaluate the predictive and ecological validity of behavioral monitoring in virtual risk situations for real life situations."],["dc.identifier.doi","10.3389/fpsyg.2018.00224"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15057"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59181"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","Frontiers Media S.A."],["dc.relation.eissn","1664-1078"],["dc.relation.issn","1664-1078"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.ddc","610"],["dc.title","Behavioral Monitoring of Sexual Offenders Against Children in Virtual Risk Situations: A Feasibility Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","142"],["dc.bibliographiccitation.journal","BMC Psychiatry"],["dc.bibliographiccitation.volume","14"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Laubinger, Helge"],["dc.contributor.author","Dechent, Peter"],["dc.contributor.author","Mueller, Juergen Leo"],["dc.date.accessioned","2018-11-07T09:40:11Z"],["dc.date.available","2018-11-07T09:40:11Z"],["dc.date.issued","2014"],["dc.description.abstract","Background: Antiandrogen therapy (ADT) has been used for 30 years to treat pedophilic patients. The aim of the treatment is a reduction in sexual drive and, in consequence, a reduced risk of recidivism. Yet the therapeutic success of antiandrogens is uncertain especially regarding recidivism. Meta-analyses and reviews report only moderate and often mutually inconsistent effects. Case presentation: Based on the case of a 47 year old exclusively pedophilic forensic inpatient, we examined the effectiveness of a new eye tracking method and a new functional magnetic resonance imaging (fMRI)-design in regard to the evaluation of ADT in pedophiles. We analyzed the potential of these methods in exploring the impact of ADT on automatic and controlled attentional processes in pedophiles. Eye tracking and fMRI measures were conducted before the initial ADT as well as four months after the onset of ADT. The patient simultaneously viewed an image of a child and an image of an adult while eye movements were measured. During the fMRI-measure the same stimuli were presented subliminally. Eye movements demonstrated that controlled attentional processes change under ADT, whereas automatic processes remained mostly unchanged. We assume that these results reflect either the increased ability of the patient to control his eye movements while viewing prepubertal stimuli or his better ability to manipulate his answer in a socially desirable manner. Unchanged automatic attentional processes could reflect the stable pedophilic preference of the patient. Using fMRI, the subliminal presentation of sexually relevant stimuli led to changed activation patterns under the influence of ADT in occipital and parietal brain regions, the hippocampus, and also in the orbitofrontal cortex. We suggest that even at an unconscious level ADT can lead to changed processing of sexually relevant stimuli, reflecting changes of cognitive and perceptive automatic processes. Conclusion: We are convinced that our experimental designs using eye tracking and fMRI could prospectively add additional and valuable information in the evaluation of ADT in paraphilic patients and sex offenders. But with respect to the limited significance of this single case study, these first results are preliminary and further studies have to be conducted with healthy subjects and patients."],["dc.identifier.doi","10.1186/1471-244X-14-142"],["dc.identifier.isi","000336816600001"],["dc.identifier.pmid","24885644"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/10150"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/33451"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1471-244X"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/2.0"],["dc.title","Changed processing of visual sexual stimuli under GnRH-therapy - a single case study in pedophilia using eye tracking and fMRI"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","e0127156"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","PLoS ONE"],["dc.bibliographiccitation.volume","10"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Meyer, Sabrina"],["dc.contributor.author","Kempf, C. Ruth"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Mueller, Juergen Leo"],["dc.date.accessioned","2018-11-07T09:57:11Z"],["dc.date.available","2018-11-07T09:57:11Z"],["dc.date.issued","2015"],["dc.description.abstract","Virtual Reality (VR) has successfully been used in the research of human behavior for more than twenty years. The main advantage of VR is its capability to induce a high sense of presence. This results in emotions and behavior which are very close to those shown in real situations. In the context of sex research, only a few studies have used high-immersive VR so far. The ones that did can be found mostly in the field of forensic psychology. Nevertheless, the relationship between presence and sexual interest still remains unclear. The present study is the first to examine the advantages of high-immersive VR in comparison to a conventional standard desktop system regarding their capability to measure sexual interest. 25 gynephilic and 20 androphilic healthy men underwent three experimental conditions, which differed in their ability to induce a sense of presence. In each condition, participants were asked to rate ten male and ten female virtual human characters regarding their sexual attractiveness. Without their knowledge, the subjects' viewing time was assessed throughout the rating. Subjects were then asked to rate the sense of presence they had experienced as well as their perceived realism of the characters. Results suggested that stereoscopic viewing can significantly enhance the subjective sexual attractiveness of sexually relevant characters. Furthermore, in all three conditions participants looked significantly longer at sexually relevant virtual characters than at sexually non-relevant ones. The high immersion condition provided the best discriminant validity. From a statistical point of view, however, the sense of presence had no significant influence on the discriminant validity of the viewing time task. The study showed that high-immersive virtual environments enhance realism ratings as well as ratings of sexual attractiveness of three-dimensional human stimuli in comparison to standard desktop systems. Results also show that viewing time seems to be influenced neither by sexual attractiveness nor by realism of stimuli. This indicates how important task specific mechanisms of the viewing time effect are."],["dc.description.sponsorship","Open-Access Publikationsfonds 2015"],["dc.identifier.doi","10.1371/journal.pone.0127156"],["dc.identifier.isi","000354917300096"],["dc.identifier.pmid","25992790"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/11813"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37105"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Public Library Science"],["dc.relation.issn","1932-6203"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Virtual Viewing Time: The Relationship between Presence and Sexual Interest in Androphilic and Gynephilic Men"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","919"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Archives of Sexual Behavior"],["dc.bibliographiccitation.lastpage","928"],["dc.bibliographiccitation.volume","41"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","von Herder, Jakob"],["dc.contributor.author","Steinkrauss, Henrike"],["dc.contributor.author","Nemetschek, Rebekka"],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Müller, Jürgen Leo"],["dc.date.accessioned","2018-11-07T09:07:58Z"],["dc.date.accessioned","2020-06-30T08:11:49Z"],["dc.date.available","2018-11-07T09:07:58Z"],["dc.date.available","2020-06-30T08:11:49Z"],["dc.date.issued","2012"],["dc.description.abstract","It has been proposed that sexual stimuli will be processed in a comparable manner to other evolutionarily meaningful stimuli (such as spiders or snakes) and therefore elicit an attentional bias and more attentional engagement (Spiering and Everaerd, In E. Janssen (Ed.), The psychophysiology of sex (pp. 166-183). Bloomington: Indiana University Press, 2007). To investigate early and late attentional processes while looking at sexual stimuli, heterosexual men (n = 12) viewed pairs of sexually preferred (images of women) and sexually non-preferred images (images of girls, boys or men), while eye movements were measured. Early attentional processing (initial orienting) was assessed by the number of first fixations and late attentional processing (maintenance of attention) was assessed by relative fixation time. Results showed that relative fixation time was significantly longer for sexually preferred stimuli than for sexually non-preferred stimuli. Furthermore, the first fixation was more often directed towards the preferred sexual stimulus, when simultaneously presented with a non-sexually preferred stimulus. Thus, the current study showed for the first time an attentional bias to sexually relevant stimuli when presented simultaneously with sexually irrelevant pictures. This finding, along with the discovery that heterosexual men maintained their attention to sexually relevant stimuli, highlights the importance of investigating early and late attentional processes while viewing sexual stimuli. Furthermore, the current study showed that sexually relevant stimuli are favored by the human attentional system."],["dc.identifier.doi","10.1007/s10508-011-9816-3"],["dc.identifier.fs","583628"],["dc.identifier.isi","000306283300015"],["dc.identifier.pmid","21792688"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8019"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66796"],["dc.language.iso","en"],["dc.notes","This article is distributed under the terms of the Creative\r\nCommons Attribution Noncommercial License which permits any noncommercial\r\nuse, distribution, and reproduction in any medium, provided\r\nthe original author(s) and source are credited."],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0004-0002"],["dc.rights","Goescholar"],["dc.rights.access","openAccess"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Initial Orienting Towards Sexually Relevant Stimuli: Preliminary Evidence from Eye Movement Measures"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","763"],["dc.bibliographiccitation.journal","Frontiers in Psychiatry"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Müller, Isabel"],["dc.contributor.author","Müller, Jürgen L."],["dc.contributor.author","Wild, Tamara S. N."],["dc.date.accessioned","2020-06-30T07:16:57Z"],["dc.date.available","2020-06-30T07:16:57Z"],["dc.date.issued","2019"],["dc.description.abstract","In recent years, web-based health services for a variety of mental disorders have been developed and evaluated. Evidence suggests that guided internet-based therapy can be as effective as conventional face-to-face therapy. In forensic psychiatric practice, few web-based treatments have been implemented up to now. However, to our knowledge, there do not yet exist guided internet-based treatments for child sexual abusers and child sexual exploitation material offenders. This review aims at examining under what conditions patients are most likely to benefit from internet-based treatments. In addition, some computer-based health services in forensic psychiatry will be summarized and their potentials and weaknesses will be discussed. Subsequently, the review focuses on the implications for the development of online treatments for child sexual abusers as well as on a variety of ethical and legal issues that practitioners may encounter during the development, evaluation and delivery of online health services. The review will conclude with proposed quality standards for the development and implementation of web-based interventions for child sexual abusers and child sexual exploitation material offenders. By virtue of the low number of psychotherapists offering therapy to this clientele as well as individual barriers to seeking treatment such as fear of stigmatization, feelings of shame, long access routes, or limited mobility due to physical handicaps, the development of mental eHealth services in this sector could close an important healthcare gap. By increasing the density of supply, more child sexual abusers and child sexual exploitation material offenders would have the chance to engage in treatment and, ultimately, more incidents of sexual assault against minors could be prevented."],["dc.identifier.doi","10.3389/fpsyt.2018.00763"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66788"],["dc.language.iso","en"],["dc.notes.intern","DeepGreen Import"],["dc.publisher","Frontiers Media S.A."],["dc.relation.eissn","1664-0640"],["dc.relation.issn","1664-0640"],["dc.rights","http://creativecommons.org/licenses/by/4.0/"],["dc.title","Web-Based Health Services in Forensic Psychiatry: A Review of the Use of the Internet in the Treatment of Child Sexual Abusers and Child Sexual Exploitation Material Offenders"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","193"],["dc.bibliographiccitation.journal","Frontiers in Psychiatry"],["dc.bibliographiccitation.volume","7"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","von Herder, Jakob"],["dc.contributor.author","Steinkrauss, Henrike"],["dc.contributor.author","Nemetschek, Rebekka"],["dc.contributor.author","Witzel, Joachim"],["dc.contributor.author","Mueller, Juergen Leo"],["dc.date.accessioned","2018-11-07T10:04:38Z"],["dc.date.available","2018-11-07T10:04:38Z"],["dc.date.issued","2016"],["dc.description.abstract","Pedophilic disorder, a subtype of paraphilia, is defined as a recurrent sexual interest in prepubescent children, which is characterized by persistent thoughts, fantasies, urges, sexual arousal, or behavior. Besides a deviant sexual preference, sexual preoccupation was found to be a dynamic risk factor for reoffending. Thus, it is conceivable that sex offenders and especially sex offenders against children have difficulties to control their responses to sexual stimuli. In the current study pedophiles, forensic and non-forensic control subjects had to solve a cognitive task, while sexual distractors were presented simultaneously. This kind of task also requires control functions. Therefore, data were analyzed with respect to attentional control while comparing eye movements toward sexual distractors and toward the cognitive task. We were mainly interested in how early (fixation latency) and late (relative fixation time) attentional processes were allocated to both, the cognitive target stimuli and the sexual distractors. Pedophiles demonstrated significantly lower attentional control in the sexual distractor task than both control groups (non-pedophiles). They showed a shorter fixation latency and longer fixation time for sexual distractors than non-pedophiles. Furthermore, pedophiles demonstrated a longer fixation latency and shorter fixation time for cognitive target stimuli. For classification analyses, an attentional control index (ACI) was built, i.e., the difference between eye movements on cognitive target stimuli and sexual distractors. For the ACI of early attentional processes, i.e., fixation latency, a good classification between pedophiles and non-pedophiles was found. We assumed that the measured attentional control represents inhibitory executive functions, specifically interference control. Further studies should examine if low attentional control in pedophiles is due to low motivation to solve the task or rather to a lack of ability to control attention with respect to sexual and/or neutral distractors. Prospectively, this design could be useful to generate hypotheses about clinical important aspects of controllability, the capacity of self-control, and the severity of a paraphilic disorder."],["dc.identifier.doi","10.3389/fpsyt.2016.00193"],["dc.identifier.isi","000389005400001"],["dc.identifier.pmid","27994559"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14021"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38741"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["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","Impaired Attentional Control in Pedophiles in a Sexual Distractor Task"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","160"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Forensische Psychiatrie, Psychologie, Kriminologie"],["dc.bibliographiccitation.lastpage","165"],["dc.bibliographiccitation.volume","4"],["dc.contributor.author","Stolpmann, Georg"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Schwerdtner, Johannes"],["dc.contributor.author","Müller, Jürgen"],["dc.date.accessioned","2019-07-09T11:52:33Z"],["dc.date.available","2019-07-09T11:52:33Z"],["dc.date.issued","2010"],["dc.description.abstract","Die Symptomatik depressiver Erkrankungen wird unter kriminologischen Aspekten oft als protektiv bezeichnet. Bei wahnhafter Depression können aber schwerwiegende Gewalttaten wie erweiterte Suizide verübt werden. Unterbringungsmaßnahmen nach § 63 des Strafgesetzbuches (StGB) werden bei Depressionen selten angeordnet, und wegen der relativ guten Behandlungsprognose ist eine längerfristige stationäre Unterbringung häufig nicht erforderlich. Bei gravierenden Delikten und therapieresistenter Wahnsymptomatik wird eine Maßregelunterbringung dagegen nicht zu umgehen sein. Anhand zweier Kasuistiken wahnhaft bedingter Tötungsdelikte bei depressiver Erkrankung wird auf Fragen der Schuldfähigkeitsbegutachtung und den Begriff des erweiterten Suizids eingegangen."],["dc.identifier.doi","10.1007/s11757-010-0059-2"],["dc.identifier.fs","575978"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5023"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60221"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","Springer"],["dc.publisher.place","Berlin/Heidelberg"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","570"],["dc.title","Patienten mit einer wahnhaften Depression in der Maßregel nach § 63 StGB"],["dc.title.translated","Patients with delusional depression in forensic psychiatric hospitals"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","88"],["dc.bibliographiccitation.journal","Frontiers in Psychiatry"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Wild, Tamara S. N."],["dc.contributor.author","Müller, Isabel"],["dc.contributor.author","Fromberger, Peter"],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Klein, Lenka"],["dc.contributor.author","Müller, Jürgen L."],["dc.date.accessioned","2020-06-30T07:00:34Z"],["dc.date.available","2020-06-30T07:00:34Z"],["dc.date.issued","2020"],["dc.description.abstract","In Germany, access to outpatient treatment services devoted to the prevention of (further) sexual offenses against minors and child sexual exploitation material (CSEM) offenses is often limited. The therapy project \"Prevention of Sexual Abuse\" tries to fill this gap by providing treatment to patients with a self-reported sexual interest in children and adolescents, irrespective of whether or not they are pedophilic or prosecuted by the legal justice system. Within the project, a treatment manual was developed which specifically addresses dynamic risk-factors in child sexual abusers and CSEM offenders. The treatment manual was conceived to reduce recidivism risk and to contribute to the enhancement of the patients' personal well-being. In this paper, results of the accompanying scientific research are presented: offense-supportive attitudes (N = 23), self-reported CSEM use (N = 10), emotional distress (N = 24), and participants' subjective risk perception of committing (further) sexual offenses (N = 25) reduced during the course of treatment. A reduction of offense-supportive attitudes was further observed from pre-intervention to 1-year follow-up (N = 8). Changes with regard to self-efficacy, quality of life, participants' self-perceived ability to control sexual impulses toward children and adolescents permanently, and several measures assessing different kinds of sexual recidivism did not, however, reach any level of significance. During an average observation period of 2.4 years, six patients confessed to have conducted new sexual exploitation material offenses, while no further sexual abuse cases were reported (N = 19). Due to the used research design and small sample sizes, treatment effects cannot be inferred and external validity is limited. This notwithstanding, results provide first evidence for a relationship between treatment participation and self-reported recidivism and psychological well-being."],["dc.identifier.doi","10.3389/fpsyt.2020.00088"],["dc.identifier.pmid","32194447"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17426"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/66784"],["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","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Prevention of Sexual Child Abuse: Preliminary Results From an Outpatient Therapy Program"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","331"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Psychiatry and Clinical Neurosciences"],["dc.bibliographiccitation.lastpage","340"],["dc.bibliographiccitation.volume","75"],["dc.contributor.affiliation","Klöckner, Mona S.; 1\r\nForensic Psychiatry and Psychotherapy, Clinic of Psychiatry and Psychotherapy\r\nUniversity Medical Center, University of Göttingen\r\nGöttingen Germany"],["dc.contributor.affiliation","Kiehl, Kent A.; 3\r\nThe Mind Research Network & Lovelace Biomedical and Environmental Research Institute\r\nAlbuquerque New Mexico USA"],["dc.contributor.affiliation","Nyalakanti, Prashanth K.; 3\r\nThe Mind Research Network & Lovelace Biomedical and Environmental Research Institute\r\nAlbuquerque New Mexico USA"],["dc.contributor.affiliation","Harenski, Carla L.; 3\r\nThe Mind Research Network & Lovelace Biomedical and Environmental Research Institute\r\nAlbuquerque New Mexico USA"],["dc.contributor.affiliation","Müller, Jürgen L.; 1\r\nForensic Psychiatry and Psychotherapy, Clinic of Psychiatry and Psychotherapy\r\nUniversity Medical Center, University of Göttingen\r\nGöttingen Germany"],["dc.contributor.author","Klöckner, Mona S."],["dc.contributor.author","Jordan, Kirsten"],["dc.contributor.author","Kiehl, Kent A."],["dc.contributor.author","Nyalakanti, Prashanth K."],["dc.contributor.author","Harenski, Carla L."],["dc.contributor.author","Müller, Jürgen L."],["dc.date.accessioned","2021-10-01T09:58:03Z"],["dc.date.available","2021-10-01T09:58:03Z"],["dc.date.issued","2021"],["dc.date.updated","2022-03-21T04:44:58Z"],["dc.description.abstract","Aim To further investigate the neuroanatomical correlates of child sexual offending and disentangle them from the neural correlates of pedophilia, using a multivariate analytical approach in order to minimize loss of statistical power. Methods This study presents structural MRI data on gray matter in an incarcerated, male population of 22 pedophilic and 21 non‐pedophilic child sexual offenders, and 20 violent non‐sexual offender controls, based on a multivariate whole‐brain approach using source‐based morphometry. Results We identify a network of several neuroanatomical regions exhibiting interrelated reduced gray matter in both child sexual offender groups relative to controls, comprising extensive clusters in the bilateral cerebellum and frontal lobe, as well as smaller clusters in the bilateral parietal, temporal, and occipital lobes, the bilateral basal ganglia, the medial cingulate and the hippocampus. Conclusion Our results speak to the interpretation that there are inter‐ and possibly connectivity‐related brain structural abnormalities in child sexual offenders that are not (only) pertaining to pedophilia per se. Interpretations and limitations of the present data are discussed and recommendations for future works are given."],["dc.identifier.doi","10.1111/pcn.13292"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89979"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-469"],["dc.relation.eissn","1440-1819"],["dc.relation.issn","1323-1316"],["dc.rights","This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited."],["dc.title","Widespread and interrelated gray matter reductions in child sexual offenders with and without pedophilia: Evidence from a multivariate structural MRI study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]