Rehabilitation in Forensic Psychiatry – in the area of conflict between the individual, organization and society

法医精神病学康复 â 在个人、组织和社会之间的冲突领域

• 批准号: 406931463
• 负责人: Professor Dr. Werner Vogd
• 金额: --
• 依托单位: Lehrstuhl für Soziologie
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2019
• 资助国家: 德国
• 起止时间: 2018-12-31 至 2022-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/406931463?language=en
• 关键词: Rehabilitation; Forensic; Psychiatry; area; conflict

Forensic psychiatric care aims on the rehabilitation of mentally ill offenders and is mainly carried out in closed psychiatric hospitals. Due to total or partial exemption from criminal responsibility, treatment focuses not on the punishment of the culprit but on medical treatment of the mentally ill. Not least because of the potential dangerousness of the clients, the institutions are faced with conflicting priorities of different functional systems (e.g. legal, political, economic and medical system). Especially in the context of the rehabilitation of the inmates, understood as the highly organized effort to make a person socially acceptable again, the strong interrelatedness of the individual, the organization and the society becomes obvious. “Transformations” of an inmate’s behaviour not only occurs because of intentional therapeutic treatment, but to a high degree in consequence of the longstanding socialisation in a highly restricted and closed setting. So far the question of how rehabilitation can be realised under the circumstances of a highly organized treatment and which socializing “normality” arises in such an organization remains open.For profound findings in this regard, a comparative reconstruction of the social practices of several forensic psychiatric clinics is to be realized in a qualitative research design. The method of Contextural Analysis, which was developed especially for organizational settings, allows for an adequate reconstruction of such highly paradox institutions. Past approaches tended to dissolve contradictories and inconsistencies either by a sociological or biological reductionism. The sampling also takes county-specific differences of the treatment system into account. Furthermore, all the different groups involved in the therapeutic process (patients, caretakers, therapists, etc.) are considered in order to reconstruct rehabilitation and (milieu-) therapy as an organized practice. For the first time it will be systematically elaborated, which specific demands and tensions are to be dealt with on different levels and by different groups of persons - and how they are arranged in a practicable way in every day practice.

法医精神病护理旨在使患有精神病的罪犯康复，主要在封闭的精神病医院进行。由于全部或部分免除刑事责任，治疗的重点不是惩罚罪犯，而是对精神病患者的医疗。尤其是由于客户的潜在危险，这些机构面临着不同职能系统（例如法律的、政治、经济和医疗系统）的优先事项相互冲突的问题。特别是在囚犯的改造方面-被理解为使一个人重新获得社会接受的高度有组织的努力-个人、组织和社会之间的密切相互关系变得显而易见。囚犯行为的“转变”不仅是因为有意的治疗，而且在很大程度上是由于在高度限制和封闭的环境中长期社会化的结果。在高度组织化的治疗环境下如何实现康复，以及在这样一个组织中出现了何种社会化的“常态”，这些问题至今仍是一个悬而未决的问题。为了在这方面有更深刻的发现，我们将在一个质的研究设计中实现对几个司法精神病诊所的社会实践的比较重建。情境分析方法是专门为组织环境而开发的，它允许对这种高度悖论的制度进行适当的重建。过去的方法倾向于通过社会学或生物学的还原论来消除矛盾和不一致。抽样还考虑到各州处理系统的具体差异。此外，参与治疗过程的所有不同群体（患者、护理人员、治疗师等）被认为是为了重建康复和（环境）治疗作为一个有组织的做法。这将是第一次有系统地阐述，哪些具体的要求和紧张关系将在不同的层面上由不同的人群来处理，以及如何在日常实践中以切实可行的方式安排这些要求和紧张关系。