Prison medicine
The prison medicine includes health promotion , disease prevention and medical care for those in the closed prison located. This includes all forms of imprisonment in correctional facilities , including special pre-trial detention , preventive detention , indefinite detention , police custody and historically also prisons and workhouses . The prison medicine is used synonymously as Intramural Medicine (from lat. Intra "inside" and murus so, "wall") as a medicine "behind bars" or prison medicine called. Medical care in forensic psychiatry facilities is a special form .
Further training as a specialist or equivalent specialization is currently not possible anywhere in the world. Prison medicine is therefore practiced by specialists in other specialties, mainly general practitioners , internists and psychiatrists . Today's prison doctors, in contrast to the first prison doctors since the end of the 18th century - who, as doctors who were based outside of the breeding and working houses, took on care in addition to their main external work - are now full-time, state-employed doctors. From this double function between the state requirement for the ability to detain (in some cases also the ability to be executed and tortured ) and the position of trust vis-à-vis the patient with the associated medical ethos, special challenges arise and are the starting point for in some states as well as in the history of prison medicine Abuse and complicity of doctors in totalitarian regimes.
The challenges of modern prison medicine today are predominantly mental and psychiatric illnesses, especially those with a risk of self-harm and suicide , as well as drug addiction . In addition, there is the treatment and prevention of infectious diseases and the treatment of prison-typical injuries as a result of intramural violence.
See also
literature
- Karlheinz Keppler , Heino Stöver (ed.): Prison Medicine. Medical care under prison conditions. Stuttgart (Thieme) 2009 ISBN 978-3-13-147731-6
- Jochanan Shelliem (ed.): As a prison doctor in the Nuremberg trial - The diary of Dr. Ludwig picker . Jonas Verlag 2006 ISBN 978-3-89445-374-9