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Samenvatting Forensische psychiatrie
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LawstudentatVUB Lawstudentatvub@outlook.com 2024-2025Lesnotities Forensische Psychiatrie
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Les 1 (04/10/2024): Inleiding ........................................................................................................................ 7
I. Wat is forensische psychiatrie? .............................................................................................................. 7
Raakvlak tussen psychiatrie en recht..................................................................................................... 7
Therapeutic jurisprudence ..................................................................................................................... 8
Medisch versus juridisch ........................................................................................................................ 8
Medisch versus maatschappelijk ........................................................................................................... 8
II. Wat doet een forensische psychiater? .................................................................................................. 9
Expertises ............................................................................................................................................... 9
Behandeling ........................................................................................................................................... 9
Erkenning ............................................................................................................................................. 11
Wetenschappelijk onderzoek ............................................................................................................... 11
Les 2 (11/10/2024): Internering en deskundigenonderzoek ....................................................................... 11
I. Wat doet een forensische psychiater? ................................................................................................. 11 1
Verschillende denkwijzen ..................................................................................................................... 11
Classificatiesystemen ........................................................................................................................... 12
II. Wat is een internering? ....................................................................................................................... 12
Juridische context en absolute dualiteit (art. 71 Sw.) .......................................................................... 12
Interneringswet (art. 9, §1).................................................................................................................. 13
III. Wat na internering? ............................................................................................................................ 14
Kamer ter Bescherming van de Maatschappij ..................................................................................... 14
Interneringen in België ........................................................................................................................ 14
Het profiel van een geïnterneerde ....................................................................................................... 14
IV. Wat is het doel van een deskundigenonderzoek? .............................................................................. 15
Algemeen ............................................................................................................................................. 15
Waarom deskundigenverslag? ............................................................................................................ 15
Wanneer deskundigenverslag?............................................................................................................ 15
V. Deskundigenonderzoek voor internering ............................................................................................ 16
Is er een stoornis aanwezig? ................................................................................................................ 16
Is er causaliteit tussen de feiten en de stoornis? ................................................................................. 16
Wat is het risico op recidive? ............................................................................................................... 16
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Wat is het advies voor behandeling? ................................................................................................... 16
VI. Hoe goed werkt deskundigenonderzoek? .......................................................................................... 16
Forensic mental health expert testimony and judicial decision-making: A systematic literature review
R.M.S. van Es, M.J.J. Kunst, J.W. de Keijser........................................................................................... 17
Les 3 (18/10/2024): Niet-strafrechtelijk deskundigenonderzoek ................................................................ 17
I. Rechterlijke organisatie ........................................................................................................................ 17
Basisparadigma ................................................................................................................................... 18
Medisch vs. juridisch ............................................................................................................................ 19
Forensische psychiatrie is….................................................................................................................. 19
Vragen aan forensische psychiater ...................................................................................................... 19
II. Doelstellingen in de forensische psychiatrie ....................................................................................... 19
DSM-V .................................................................................................................................................. 19
III. Schadebepaling in niet-strafrechtelijke context (enkele topics) ......................................................... 20
Differentiaal diagnose ......................................................................................................................... 20
IV. Schadebepaling in niet-strafrechtelijke context (percentages) .......................................................... 21
Schaderaming ...................................................................................................................................... 21
Ziektewetgeving................................................................................................................................... 21 2
Les 4 (25/10/2024): Psychopathologie deel 1 ............................................................................................. 22
I. Psychiatrie in detentie .......................................................................................................................... 22
II. In het hoofd van een psychiater .......................................................................................................... 22
Biologisch denkkader ........................................................................................................................... 22
III. Een vleugje neurobiologie .................................................................................................................. 22
IV. Psychotische stoornissen .................................................................................................................... 23
Symptomatologie (3 groepen) ............................................................................................................. 23
Syndromen ........................................................................................................................................... 23
Behandeling ......................................................................................................................................... 24
Link met criminaliteit? ......................................................................................................................... 24
V. Stemmingsstoornissen......................................................................................................................... 25
Symptomatologie ................................................................................................................................ 25
Syndromen ........................................................................................................................................... 25
Behandeling ......................................................................................................................................... 25
Link met criminaliteit ........................................................................................................................... 26
VI. Verslavingsstoornissen ....................................................................................................................... 26
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Verslavende middelen.......................................................................................................................... 26
Gedragsverslavingen ........................................................................................................................... 27
Symptomatologie ................................................................................................................................ 27
Syndromen ........................................................................................................................................... 27
Behandeling ......................................................................................................................................... 28
Link met criminaliteit ........................................................................................................................... 28
VII. Gedragsstoornissen ........................................................................................................................... 28
Periodieke explosieve stoornis ............................................................................................................. 28
Kleptomanie......................................................................................................................................... 29
Pyromanie............................................................................................................................................ 29
Munchenhausen-by-proxy ................................................................................................................... 29
Pseudologia fantastica (staat NIET in DSM-5) ..................................................................................... 29
Les 5 (08/11/2024): Psychopathologie deel 2 ............................................................................................. 30
I. Trauma .................................................................................................................................................. 30
Wat is hechting? .................................................................................................................................. 30
Wat is trauma? .................................................................................................................................... 30
Impact van trauma .............................................................................................................................. 31
3
II. Persoonlijkheidsstoornissen ................................................................................................................ 31
Wat is persoonlijkheid?........................................................................................................................ 31
Wat is een persoonlijkheidsstoornis? .................................................................................................. 32
Cluster A en C ....................................................................................................................................... 32
Cluster B ............................................................................................................................................... 33
Psychopathie........................................................................................................................................ 33
Link met criminaliteit? ......................................................................................................................... 34
III. Mentale beperking ............................................................................................................................. 34
Wat is intelligentie? ............................................................................................................................. 34
Classificatie .......................................................................................................................................... 34
Schaal emotionele ontwikkeling .......................................................................................................... 35
Behandeling ......................................................................................................................................... 35
Link met criminaliteit ........................................................................................................................... 35
IV. Neurocognitieve stoornissen .............................................................................................................. 35
Symptomatologie ................................................................................................................................ 35
Syndromen ........................................................................................................................................... 36
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Behandeling ......................................................................................................................................... 36
Link met criminaliteit ........................................................................................................................... 36
Les 6 (15/11/2024): Personen die zedenfeiten hebben gepleegd .............................................................. 37
I. Seksueel geweld ................................................................................................................................... 37
Prevalentie ........................................................................................................................................... 37
Impact .................................................................................................................................................. 37
Belgisch Strafrecht ............................................................................................................................... 38
Hoofdstuk I/1 ....................................................................................................................................... 38
Hoofdstuk IIIbis/1 ................................................................................................................................ 39
II. Profiel van iemand die zedenfeiten pleegt .......................................................................................... 39
Algemeen ............................................................................................................................................. 39
Psychiatrische comorbiditeit................................................................................................................ 39
Seksuele stoornissen ............................................................................................................................ 40
Vrouwelijke plegers.............................................................................................................................. 40
Stigma.................................................................................................................................................. 41
III. Behandeling voor plegers van zedenfeiten ........................................................................................ 41
Algemeen ............................................................................................................................................. 41
4
Wat werkt? .......................................................................................................................................... 41
Psychotherapiemodellen ..................................................................................................................... 42
Psychofarmaca .................................................................................................................................... 42
COSA .................................................................................................................................................... 43
IV. Belgisch behandellandschap .............................................................................................................. 43
Extramuraal ......................................................................................................................................... 43
Intramuraal.......................................................................................................................................... 43
Les 7 (22/11/2024): Vrouwen die feiten hebben gepleegd......................................................................... 44
I. Casus: Annet ......................................................................................................................................... 44
II. Algemeen............................................................................................................................................. 45
Blik op vrouwen ................................................................................................................................... 45
Prevalentie ........................................................................................................................................... 45
Aard van de feiten ............................................................................................................................... 45
III. Profiel van een vrouw die feiten pleegt.............................................................................................. 46
Algemeen ............................................................................................................................................. 46
Gedetineerde vrouwen ........................................................................................................................ 46
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