title: [From perceived dangerousness to the dangerous individual: clinical challenges and vision of society].
abstract: It is a complex task to identify individuals who are persistently dangerous for others because of a mental disorder. The results of unstructured clinical interviews are poor. Risk assessment instruments statistically improve the prediction of violence. However, this prediction remains uncertain for a given individual. The perception of dangerousness is partly subjective and depends on the societal context among other factors. Compulsory therapy can be ordered by the judiciary system either in locked or in opened facilities, depending on the level of security which is required. The approach adopted in Geneva for forensic patients hospitalized in opened wards is inspired by the rehabilitation model, initially developed for severe mental disorders. The focus of treatment is put on dynamic, i.e. modifiable, determinants of criminal behavior.
authors.forename: Michel
authors.initials: M
authors.lastname: Muscionico
authors.forename: Ariel
authors.initials: A
authors.lastname: Eytan
mesh_terms: D003134:Commitment of Persons with Psychiatric Disorders; D003415:Crime / Q000523:psychology; D003617:Dangerous Behavior; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010465:Perception; D012919:Social Behavior; D012931:Social Environment; D014754:Violence / Q000523:psychology