Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Int J Impot Res. 2021 Apr;33(3):348-363. doi: 10.1038/s41443-020-0296-7. Epub 2020 May 11.
In Germany, several treatment programs offer psychotherapy for individuals with a sexual interest in minors (SIM) who are currently not in contact with the criminal justice system. The patients present anonymously in relation to the health insurance and judicial system. Group therapy plays an important role in these programs. However, to date there is poor empirical evidence on indication criteria for group vs. individual treatment for this specific group of individuals. This study examined individuals with SIM who voluntarily participated in a treatment program in Hamburg. We investigated via post-hoc analysis whether there were significant differences regarding readiness to participate in group therapy, dynamic risk factors, psychopathic characteristics, impulsivity and empathy between individuals indicated for group therapy (n = 26) and individuals referred for individual therapy (n = 47). Results show that individuals referred for individual therapy were significantly more impulsive than individuals referred for group therapy, but comparable in respect to readiness to participate in group therapy, dynamic risk, psychopathy, and empathy. These findings suggest that assignment to group vs. individual therapy is mainly based on other criteria than these characteristics. Implications for clinical practice and future research are discussed.
在德国，有几个治疗项目为目前未与刑事司法系统接触的对未成年人有性兴趣的个体（SIM）提供心理治疗。这些患者在与医疗保险和司法系统有关的情况下匿名就诊。小组治疗在这些项目中起着重要作用。然而，迄今为止，针对这一特定群体的个体，小组治疗与个体治疗的指征标准的实证证据不足。本研究调查了自愿参加汉堡治疗项目的 SIM 个体。我们通过事后分析来研究，对于参加小组治疗的准备情况、动态风险因素、精神病特征、冲动和同理心，小组治疗（n=26）和个体治疗（n=47）被推荐的个体之间是否存在显著差异。结果表明，与被推荐参加小组治疗的个体相比，被推荐接受个体治疗的个体的冲动性显著更高，但在参加小组治疗的准备情况、动态风险、精神病特征和同理心方面相当。这些发现表明，小组治疗与个体治疗的分配主要基于这些特征以外的其他标准。讨论了对临床实践和未来研究的影响。
