Pourquoi une consultation spécifique pour auteurs d’infractions à caractère sexuel : regard sur six années à l’Unité de Psychiatrie et Psychologie légales de Ville-Evrard

Abstract

This research deals with a retrospective look on the 241 inpatients who crossed the threshold of this Specialized Consultation between January 1, 2010, and September 30, 2016. This research aims to highlight socio-demographic and psychopathological features, if any, and to form opinions and hypotheses concerning the treatment of inpatients under mandatory judicial cares. MethodsTo conduct this research we grounded our hypothesis in a systematic review of files, the gathering of the data contained in those files, and analysis of psychological assessments, and court decisions when available. The data was collected and then compared with the national statistics on crimes in 2015 (ONDRP) and the National Judicial Record. This review concludes with a literature review using databases such as Medline, PubMed, CAIRN, Science Direct searching for the term “Court Ordered Cares”, “Sex Offenders treatment program”, “Criminological Dangerosity Risk”. ObjectivesThis paper aims to determine if there are peculiarities between our active list compared against the national records. What are the main Court Ordered Cares, their length, and what sort of treatment could be initiated within the short term? ResultsThis Specialized Consultation were created 6 years ago in response to an increase in the mandatory supervision involving the psychological treatments of sex offenders. The Paris suburbs (banlieue) were unequally represented at that time and one of the authors of this research decided to start a new consultation designated for this specific population of « patients ». This paper sought to determine if there were some differences between our sample and the national data, from either a psychopathological point of view, or in the categories of crimes. One of our findings was that the length of the mandatory cares mirrored the severity of the judicial sanctions. The mean length of a court ordered care following a sentence, for an offense (exhibitionism, minor sex offenses) was comprised between eighteen months and three years for 76 % of individuals, whereas in cases of serious crimes (rapes e.g.), the length was comprised between three and six years in 71 % of the cases. It could reach a length of six to ten years or more in 15 % of the cases. It might be interesting to consider mandatory cares less than twelve months would not allow for the development of therapeutic bond and thus may prove less effective. Despite a judge's beliefs and hopes, a court ordered care rarely leads to long-term therapy as the probationer tends to regard them as an extension of judicial sanction.