Scardaccione G
Quad Criminol Clin. 1978 Oct-Dec;20(4):435-74.
The literature on the treatment in regard of criminals, normal or mentally unbalanced, has been particularly abundant in recent years. The present work reviews some of it, with a view to establishing some evaluation criteria in respect of treatment, in its practical implementation and at the level of scientific research in the sector. In the first part of this work, starting from recent and drastic criticisms on treatment, that point out the inefficacy of it in respect of a decrease in the relapsation rate, an analysis is carried out, on the basis of the latest research work, of the methods of execution and of the results obtained by the various treatment methodologies applied; also highlighted are the weak spots that still exist, at the level of methodological approach, in the scientific research sector, as well as the poor integration existing between the latter and administrative structures of the criminal execution setup. The second part of the work chiefly deals with of the psychiatric features of the treatment vis-à-vis normal or mentally unbalanced convicts; as it is pointed out, psychiatric treatment is confronted with special difficulties in its intramural application, owing to the ever existing conflicting views between the experts and the administrative setup; the efficacy and the possibility of implementation are pinpointed, of some therapeutic treatment methodologies (individual psychotherapy--group psychotherapy--group counseling). A picture emerges therefrom that is by far less alarming than the initial assumption: the practical application of the treatment may be improved and made more effective, whilst the rôle psychiatry must acquire in the work towards the rehabilitation of the criminal, must be necessarily defined.
近年来,关于对罪犯(包括正常罪犯和精神失衡罪犯)的治疗的文献特别丰富。本研究回顾了其中一些文献,以期在治疗的实际实施以及该领域的科研层面确立一些治疗评估标准。在本研究的第一部分,从近期对治疗的激烈批评入手,这些批评指出治疗在降低累犯率方面无效,基于最新的研究工作,对各种治疗方法的实施方式和取得的结果进行了分析;同时还强调了科研领域在方法论层面仍然存在的薄弱环节,以及科研与刑事执行机构行政结构之间存在的整合不足问题。研究的第二部分主要探讨了针对正常或精神失衡罪犯的治疗的精神病学特征;正如所指出的,由于专家与行政机构之间一直存在相互冲突的观点,精神病治疗在机构内应用时面临特殊困难;还指出了一些治疗方法(个体心理治疗——团体心理治疗——团体咨询)的疗效和实施可能性。由此呈现出的情况远没有最初设想的那么令人担忧:治疗的实际应用可以得到改进并变得更有效,同时必须明确精神病学在罪犯改造工作中必须发挥的作用。