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Biomedical subjects

S Travin

Publications and source records attributed to S Travin.

At least 19 recordsLinked to original sources
PubMed1995

Compulsive sexual behaviors.

CSBs constitute a wide range of complex sexual behaviors that clinicians are increasingly encountering. This article has set forth four models of CSBs: compulsive, affective, addictive, and impulsive. Some of the CSBs appear to fit rather neatly into one of the models, whereas others have features of two or more of them. The identification of these various features has important treatment implications. Although a scientific demarcation of these sexually compulsive disorders awaits further research, clinicians should be aware of the growing number of assessment and treatment approaches for these disorders, as well as of the specialists in the field who can be turned to for consultation and referral depending upon the complexities and dangerousness of the case.

Adult↗
PubMed1990

Assessment and treatment of Spanish-speaking sex offenders: special considerations.

While there is an expanding body of literature pertaining to the special considerations related to the treatment of Hispanic patients whose primary language is Spanish, there is virtually no information reported to aid in the assessment and treatment of Hispanic and primarily Spanish-speaking sex offenders. Beyond the obvious problems posed by differences in language, there are a host of transcultural factors that may impact on the evaluation and engagement of this patient population when they are also largely psychologically unsophisticated and from a low socioeconomic level. The experiences in modifying and implementing a special program to accommodate the needs of this patient group is presented. Reticence to discuss sexuality in a group setting, the relationship between therapists and patients as effected by rules of social etiquette, and the reluctance to criticize other members in the group were prominent features attributed to religious and cultural factors. The authors consider it a necessity to be sensitive to these subtle nuances in order to provide adequate treatment.

Adult↗
PubMed1990

Prevalence and characteristics of violent patients in a general hospital.

A survey was conducted in an inner city general hospital to determine the prevalence and characteristics of violent patients. The patients were evaluated by psychiatrists in the psychiatric emergency and psychiatric consultation services during a six-month period, and in the acquired immunodeficiency syndrome (AIDS) consultation service during a one-year period. Of 1,506 patients seen in the psychiatric emergency service, 103 (6.8%) exhibited violent behavior. The majority of these patients were diagnosed as having schizophrenic disorder or substance abuse disorder. Of 390 patients seen in the psychiatric consultation service, 17 (4.4%) were evaluated for violent behavior. The majority of these were diagnosed as having organic mental disorder or personality disorder. Of 256 patients seen by the AIDS consultation service, 11 (4.3%) were evaluated for violent behavior, of which seven patients were diagnosed as having organic mental disorder and four as having adjustment disorder. The authors conclude that violent behavior in their institution was not as prevalent as previously believed.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Female sex offenders: severe victims and victimizers.

Although there is an extensive body of literature concerning male sexual offenders, there is a marked lack of articles describing sexual offenses committed by females. The authors present a review of the existing literature on this topic and describe five cases of female sexual offenders and four cases of female sexual abusers. Implications for the effective assessment and treatment of this unique population are discussed.

Adult↗
PubMed1989

Legal and ethical issues in the use of antiandrogens in treating sex offenders.

Antiandrogen treatment of sexual offenders raises serious legal and ethical considerations in both the medical profession and in the courts. Discussion is offered on the use of antiandrogens in both an involuntary and voluntary context. The potential negative impact of this treatment modality on such constitutional issues as privacy interests, right to procreative freedom, freedom of speech and communication, and freedom from cruel and unusual punishment is explored and notable, germane court cases are presented. The need for clear ethical guidelines for the administration of this treatment is stressed.

Androgen Antagonists↗
PubMed1988

The use and abuse of erection measurements: a forensic perspective.

The use of erection measurement studies is proliferating in the assessment and treatment of sexual deviants. Because of the nature of sexual offense, there are many inherent legal complications with the implementation of this technology, specifically its use as evidence. The authors present data from a study of 185 sex offenders in an attempt to illustrate the appropriate utility of erection measurements in treatment and its potential for abuse in the legal context.

Expert Testimony↗
PubMed1987

Sexual fantasies in the treatment of paraphiliac disorders: a bimodal approach.

An integrated cognitive-behavioral and focused psychodynamic treatment paradigm is described for the treatment of paraphiliac disorders. The important bridge which links these two modalities is the use of sexual fantasies as a point of therapeutic intervention. A brief review of the literature and one case is presented illustrating the promising nature of this methodology.

Adult↗
PubMed1987

Discharging the violent psychiatric inpatient.

Since psychiatrists may be held legally accountable for their patients' violent acts against others, psychiatrists on inpatient wards are faced with the dilemma of deciding whether or not, and when, to discharge improved but still possibly dangerous patients. This paper presents a survey of an inner-city hospital's experience with violent patients admitted over a seven-month period and describes an interdisciplinary disposition committee, composed of a senior consulting psychiatrist and other mental health professionals, established by this hospital to help make these difficult decisions. The committee carefully evaluates all identified high-risk patients according to specific criteria before such patients are discharged. Two case studies illustrate this process of evaluation.

Adult↗
PubMed1986

Pedophile types and treatment perspectives.

Pedophiles constitute a heterogeneous group of sex offenders. Direct physiological assessment of sexual arousal has significantly increased our diagnostic skill and capability of monitoring treatment response. Erectile response studies have indicated that the majority of pedophiles and incest offenders show arousal to other paraphilias and frequently to appropriate adult sexual stimuli. Many sexual offenders deny or minimize their problem during initial interviews, but when confronted with laboratory results indicating deviant sexual arousal, they often acknowledge and elaborate on the paraphilia(s). Complete data and diagnoses are crucial in integrating treatment in the cognitive-behavioral paradigm.

Adolescent↗
PubMed1985

Pedophilia: an update on theory and practice.

The number of sexual attacks on children is staggering, yet it is extremely difficult to understand what effective treatments are available for the pedophile by reviewing the literature. Therefore, the authors present an update of the changing conceptualizations regarding the offenders and their victims. An overview of the currently used modalities to treat the pedophile is presented with emphasis on the promising cognitive-behavioral approach. A brief description of this approach is given with two case illustrations.

Adult↗
PubMed1985

Mental retardation, organic brain dysfunction, and the forensic clinician: some practical considerations.

Mental retardation as it is frequently interrelated with a variety of organic brain dysfunctions may present unclear clinical pictures. This has particular relevance for the forensic practitioner who often needs to present his findings to the court in a clearly demarcated manner. This paper outlines the more commonly encountered entities in this area with consideration to forensic science implications.

Attention Deficit Disorder with Hyperactivity↗
PubMed1984

Malingering and malingering-like behavior: some clinical and conceptual issues.

Malingering phenomena are reconceptualized along a continuum of other-deceptive, and "malingering-like" mixed-deceptive and self-deceptive categories, depending upon the degree of the subject's conscious self-awareness. This schema heuristically expands the malingering concept to include its multivaried range of clinical presentations which are ubiquitously encountered but underdiscussed in the literature.

Adaptation, Psychological↗
PubMed1982

Mad or bad? some clinical considerations in the misdiagnosis of schizophrenia as antisocial personality disorder.

Some clinicians tend to misdiagnose schizophrenia when there is accompanying antisocial behavior, thus depriving the patient of appropriate treatment. Four factors appear to contribute to this misdiagnosis, the most important of which is the nature of the interaction between examiner and examinee. The authors present a case illustration and discuss the implications for treatment.

Adult↗