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首页> 外文期刊>The journal of forensic psychiatry & psychology >Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact
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Adolescent sex offenders with autism spectrum conditions: currently used treatment approaches and their impact

机译：青少年性冒犯者具有自闭症频谱条件：目前使用的治疗方法及其影响

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Aims: Offending behaviour in adolescents with autism spectrum conditions (ASC) is rare. However, some theoretical links have been drawn between sexual offending and autism-typical deficits. Although research in this area is scarce, case-studies have begun to evaluate the impact of treatments for juvenile sexual offenders with ASC. This review aimed to summarise the available treatments for this group and their impact on young people (YP). Methods: A systematic literature review was conducted. Six online data-bases were searched for studies detailing interventions with adolescent sexual offenders with ASC. Results: Six case-studies were reviewed. Interventions consisted of detailed assessments, staff training, peer support, medication, and adapted cognitive-behavioural therapy. One case-study used narrative techniques. Only two studies reported on objective and measurable treatment effects whilst the remainder relied solely on anecdotal evidence. Studies presenting quantitative data found a decrease in sexual arousal, absconding, sexually harmful/inappropriate behaviour, and masturbation to deviant fantasies. Anecdotal evidence pointed to increased insight, flexibility, ability to open-up, and reintegration. The overall quality of studies was low with one exception. Research and clinical implications are discussed. Conclusions: Whilst some benefitted from the currently used treatment options, results cannot be generalised due to methodological flaws.
机译：目的：具有自闭症谱条件（ASC）的青少年中的冒犯行为是罕见的。然而，在性冒犯和自闭症典型的缺陷之间绘制了一些理论联系。虽然在这一领域的研究是稀缺的，但案例研究已经开始评估治疗对少年性犯罪者的影响。该审查旨在总结该群体的可用处理及其对年轻人（YP）的影响。方法：进行系统文献综述。搜索了六个在线数据库，用于与ASC的青少年性犯罪者进行详细的研究。结果：审查了六项案例研究。干预措施由详细的评估，员工培训，同行支持，药物和适应的认知行为治疗组成。一种案例研究使用叙事技术。只有两项研究报告了客观和可测量的治疗效果，而其余部分完全依赖于轶事证据。呈现定量数据的研究发现性唤醒，潜逃，性有害/不恰当的行为减少，以及对抗幻想的手淫。轶事证据指出了增加洞察力，灵活性，开放能力和重返社会的能力。整体研究质量低一例。讨论了研究和临床意义。结论：虽然有些受益于目前使用的治疗方案，但由于方法缺陷，结果无法推广。

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