RESUMO
In the following article similarities and differences concerning the treatment of sex offenders in the psychiatric forensic commitment (§ 63 German penal code) and of persons with a self-reported sexual interest in children, who were diagnosed and treated in the outpatient prevention of sexual abuse (PSM) in Göttingen are demonstrated. Diagnostic and therapeutic characteristics of outpatient prevention as well as the initial results of the evaluation of the Göttingen therapy manual are presented and differentiated from the normal treatment program in psychiatric forensic commitment.
Assuntos
Assistência Ambulatorial/legislação & jurisprudência , Assistência Ambulatorial/métodos , Psiquiatria Legal/legislação & jurisprudência , Psiquiatria Legal/métodos , Prevenção Primária/legislação & jurisprudência , Delitos Sexuais/prevenção & controle , Delitos Sexuais/psicologia , Assistência Ambulatorial/normas , Psiquiatria Legal/normas , Alemanha , Regulamentação Governamental , Prevenção Primária/métodos , Prevenção Primária/normasRESUMO
This is the case report of a 63 year old female patient, who was admitted to the hospital due to an unexplained anemia. A malignant melanoma of the cheek was excised four years previously (stage II, Clark level V, TNM classification: pT4, pNl, MO), followed by chemotherapy. By x-ray and CT examination an intestinal malignant growth was assumed. Laparotomy revealed a metastasis of the malignant melanoma, situated in the middle of the jejunum as cause of the occult bleeding. Complete resection of the tumor was successfully carried out. A second look laparotomy one year later revealed no further tumor growth in the abdominal cavity.