P0127 - Forensic psychiatric practice in the Czech Republic involving child and adolescent sexual abuse or assault

Abstract

During recent years laws in the Czech Republic have changed to protect child and adolescent rights according to the standards of the European law.

In psychiatric forensic practice we are more often dealing with demands of the court concerning evaluation in sexual abuse cases.

We can divide these cases into the types which occur most frequently:

1. 1. The abuse of the child by one of the parents

2. 2. The abuse of a child by an older child or an underage adolescent

3. 3. The abuse of an underage adolescent by an older adolescent

Our study describes the methods used during the evaluation process. An example of such a method is the presentation of anatomical dolls.

Our findings include the following characteristics of the evaluated cases:

ad1.

1. – the age of the child is usually 3-4 years

2. – parents are divorcing

3. – the investigation concerning child abuse is often used in custody battles

ad 2.

1. – the sexual abuse occurs often at the places where there are groups of children together

2. – the sexual abuse is a part of bullying

3. – the diagnosis of the perpetrator is usually psychosexual infantilism

ad 3.

1. – the victim of sexual abuse is an underage adolescent of the opposite gender

2. – the perpetrator suffered by the other type of psychopathology in childhood

3. – the perpetrator is showing also other types of antisocial behavior – such as drug abuse