Gedragsstoornissen: Een forensischpsychiatrische beschouwing

Abstract

Most of the adolescents in forensic psychiatric hospitals turn out to have adisruptive behaviour disorder and a high risk of recidivism. What are the symptomsof the disruptive behaviour disorders? What is known about the aetiologyand course of these disorders? What are the implications for the assessmentand treatment in forensic psychiatric hospitals? In the present literature study,we will address these issues. More specifically, we will focus on neurobiologicalfactors and their interactions with environmental factors, as well as on thepredicting power of the diagnose. Although there is a growing body of evidencethat neurobiological factors and their interplay with environmental factors playa significant role in the aetiology and course of disruptive behaviour disorders,there remain many questions about its causal relationships and underlyingmechanisms. Furthermore, the predicting power of the diagnose of disruptivebehaviour disorder turns out to be limited. Moreover, the findings only allowfor modest conclusions regarding the scientific and clinical implications.