Citation

Oswald P, Saloppé X, Ducro C, Macquet D, Cornu PJ, Pham T, Delaunoit B. Encephale (1974) 2016; 43(3): 229-234.

Vernacular Title

Caractéristiques cliniques d'une population internée : un cas particulier, l'établissement de défense sociale « Les Marronniers » à Tournai (Belgique).

Affiliation

CRP Les Marronniers, 94, rue Despars, 7500 Tournai, Belgique.

Copyright

(Copyright © 2016, Masson Editeur)

DOI

10.1016/j.encep.2015.10.002

PMID

27644913

Abstract

BACKGROUND: In Belgium, the law of "social defense" stipulates that an accused "which is either in a state of dementia or in a serious state of mental disturbance or mental deficiency, incapable of controlling his actions" can be interned. The establishment of social defense (ESD) in Tournai (Belgium) hosts 350 inmates.

OBJECTIVES: In collaboration with the Centre for research in social defense, we organized a systematic assessment of patients interned in ESD. This is the first study evaluating prospectively this population.

METHODS: Of the total, 229 patients signed informed consent. Different scales of assessment (MINI, WAIS-III, SCID II) were used. Descriptive analyzes were applied (SPSS version 12).

RESULTS: We show that 48.8 % of our participants had committed a sexual offense (rape or attempted rape, indecent assault, public outrage or mixed). The average intelligence quotient is 71.4. According to the MINI, 33.2 % of participants showed no psychiatric disorder. Among psychiatric disorders, psychotic disorders are the most represented (37.4 %). According to the SCID, personality disorders were absent in 26.8 % of our participants. Most of the axis II disorders are represented personality disorders related to cluster B (57.3 %) mainly with antisocial personality disorder (37.9 %).

CONCLUSION: These data demonstrate the significant heterogeneity of our sample and the need for the establishment of specific care routes to each subpopulation.

Copyright © 2016 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Language: fr