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Is the existence of a forensic psychiatry justified? On forensic psychiatry in the Scandinavian countries.

In Scandinavia during the past decade forensic psychiatry has been the subject of discussions, which have occasionally reached the height of vehement attacks. Changes in penal laws have expressed a declining interest in the cooperation of psychiatrists in the evaluation and treatment of offenders. Scandinavian forensic psychiatrists, lawyers and criminologists have analyzed and discussed the present situation and have found that there is still a need and justification for forensic psychiatry. Higher priority, however, should be given to psychiatric contributions at the stage after disposition, at the post-trial level. The diagnostic activities at the pre-trial level should be limited to what is necessary for further dispositions. The development of forensic (penal) psychiatry and the trends with the individual Scandinavian countries differ considerably.

Forecasting

[Continuing Education Course of the Swiss Society for Psychiatry. Biological aspects of psychiatry. Introduction].

The author traces the prestigious history of the Burghölzli, cradle of Swiss psychiatry. He also describes the outstanding role played by Zurich as the city in which integration took place between the developing psychiatry, psycho-analysis, psychodynamics and biological research. The author shows how psychiatry, which had been faced with the mechanistric and philosophical dilemma of an epoch, could disengage from the dangers of a reductive approach thanks to Freud's influence, as well as the knowledge produced by biological and psychopathological discoveries. A new equilibration was, thus, found and a multidimensional model came into being. Today psychiatrists may choose to become either clinicians, or psychoanalysts, or devote themselves to research. Contract has become essential as well as the recognition of these different domains, this in order to improve the understanding of mental disorder.

Academic Medical Centers

Reliability of the Group for Advancement of Psychiatry Diagnostic Categories in Child Psychiatry.

A total of 403 multiple diagnoses were independently assigned to 41 patient protocols by 73 psychiatrists, psychologists, and social workers to determine the levels of interrater reliability of the Group for the Advancement of Psychiatry (GAP) diagnostic categories. With the exception of the psychotic disorders category, these diagnostic categories were found to have low levels of interdiagnostician reliability. Differences in the reliabilities across disciplines and levels of training were found. It is noted, however, that neither years of experience, kind of training, nor direct contact with the patient can be regarded as a substitute for improvements in the classification system itself. The importance of a reliable classification system for child psychiatry is emphasized and suggestions for improvements in the present GAP system are made.

Child

Psychiatry and history: aspects of history of psychiatry.

Psychiatry has asked and has been helped from many sides. As far as history is concerned, it was interested, almost exclusively, as long as it was history of psychiatry. In this paper an attempt has been made to show that history and, especially, philosophy of history could offer substantial help, particularly as teachers of methodology and hermeneutics.

History, 18th Century