Victimology Final Exam - 09 Flashcards

1
Q

when was the crime of vehicular homicide regulated in italy ? what is the article is it?

A

it was regulated in the criminal code by law no 41 of 23 march 2016; Article 589 bis of the criminal code: “whoever culpably causes the death of a person in violation of the rules on road traffic regulations shall be punished by imprisonment of two to seven years

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2
Q

is vehicular homicide considered crime worldwide?

A

in many countries worldwide, vehicular homicide is not considered an aggravating factor in laws concerning road safety

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3
Q

What specific circumstances increase or decrease the penalty of road traffic homicide in italy?

A

• Is in a state of psycho-physical alteration resulting from the consumption of substances or in a state of serious alcoholic drunkenness (blood alcohol level above 1.5g/L - 3
beers of 330ml): imprisonment from 8 to 12 years
• Is in a state of medium alcoholic drunkenness (0.8-1.5g/L): imprisonment from 5 to 10
• Causes injury/death to more than one person

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4
Q

Who are the indirect victims of a road traffic homicide?

A

¡ The natural person who has suffered harm,
including physical, mental or emotional harm, or
economic loss, which has been directly caused by a
crime.
¡ The family member of a person whose death was
directly caused by a crime and who suffered harm
as a result of that person’s death

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5
Q

What is the definition of trauma?

A

If one thinks about the very definition of trauma
in the DSM-5, it does not only refer to the direct
experience of death, the threat of death or
serious injury; it also refers to the coming to
terms with these events in respect of a loved one
suddenly. As pointed out earlier, death due to
road accidents is sudden and what the family
experiences is, to all intents and purposes, a
traumatic event, with the consequences that this entails

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6
Q

What are victims needs after a road traffic accident?

A

both direct and indirect victims may need
psychological support, there are other needs that differ between
the two types. For example:
¡ Direct victims: medical care;
¡ Family members: information support about the consequences of the accident or how to deal with the bureaucratic procedures following the death of a loved one

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7
Q

At the accident location what should be kept in mind immediately after the accident ?

A

Paramedics are usually the first responders at the scene of the
accident, so they can provide support in the ‘here and now’
when witnesses and victims themselves are frightened and
cannot understand what has happened to them. It should also
be borne in mind that the victim’s family members, in addition
to being themselves involved in the accident, may receive
information about what happened from friends or the media
and reach their loved ones immediately. Consequently, the
way in which professionals come into contact with the victim
becomes extremely important to avoid exposure to further
sources of stress.

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8
Q

What are some actions that can avoid further stress and increase the willingness of the victim to undergo medical procedures or to seek subsequent psychological help?

A
  1. Taking a position of empathic and active listening towards
    emotions, often ambivalent felt by the victim. 2. Providing information about what happened to restore calm. 3. Helping the victim to feel they have control over the situation 4. Emphasise what the survivor has done to ensure saftey “you’ve done everything correctly” 5. Communicate effectively the information worst, such as death of a family member in the accident.
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9
Q

In what cases might one need greater understanding of the psychological effects of the victim and family memebers?

A

In extremely serious situations, other figures, such as the
fire brigade, who are needed when the victim is trapped in
the vehicle and has to be quickly transported to the
ambulance, may intervene. It is therefore also necessary
for these operators to have a greater understanding of
the psychological effects that their procedures may have
on the accident victim and the family members witnessing
the action.

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10
Q

How can it be helpful in hospitals for patients and family members to cope with trauma after an accident?

A

Anne Cummins, around the end of the 1800s in England, first
brought out the figure of the Medical Social Worker, operators
who work in hospitals and offer psychological and psychosocial
support to the patient and/or family members by identifying
psychological, emotional and behavioural reactions to trauma.
Although this figure has been established in other countries, in
Italy, to date, there is still no similar role. It would therefore be
necessary to implement an appropriate tool in emergency rooms
to immediately identify patients and their families who are at
greater risk of developing psychological disorders and to make
psychological counselling available at trauma centres and hospitals
that deal with road accident victims.

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11
Q

How is death notified?

A

death may occur after arrival at the hospital and, consequently, it will
be the responsibility of the hospital staff to manage this delicate moment; however, this task will more likely be entrusted to law enforcement officers if family members are not informed of the event and need to go to their home

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12
Q

The way in which death is communicated can influence:

A
  1. the reaction of the person at the moment of the news. 2. The process of coping and grieving. 3. the psychological sated of the family members
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13
Q

What are some things to keep in mind when communicating delicate matter such as death ?

A
  1. listening to the family member is essential. 2. always take a genuine interest in what the victim is saying 3. things not to say “I know how you feel” 4. Reactions can aslo be violent and angry 5. hand over personal belongings
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14
Q

what are the four stages when conducting a proper gief communication

A
  1. preparation 2. giving the news 3. coping with the reactions of family members 4. leaving
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15
Q

How must one prepare for the grief communication?

A

Identify the most appropriate practitioner to
handle the communication of the news to the
family member, bearing in mind that good
communication is primarily about knowledge of
the incident and the level of emotional
involvement. Subsequently, preparation involves
gathering information in three areas : Event circumstances - answering family member’s questions, balancing the need not to dwell on details and to provide sufficient information to reconstruct the context of the loss. Victim: avoid mistakes and use his or her name when communicating with the family member. Family members : identify the most suitable person to recieve the communication considering, for example , any health problems that might put the person at risk of recieving the news

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16
Q

What are the key steps in “giving the news”?

A
  1. preparation: make it explicit that you are about to give bad news “I have bad news to tell you”. 2. Background: introduce the ain topic: “Marco has been involved in a car accident this morning” 3. Fact: Recport the incident in a direct, concrete, simple way. Use the word “dead” instead of “no longer with us” or “passed away” which maybe create confusion and false hopes . 4. Condolences: represent participation in the others grief so to be appropriate, there must first be a grief response from the person
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17
Q

How to cope with the reactions of family members?

A

• Letting emotions express themselves
freely
• Detached interest
• Normalise
• Acknowledge
• Validate
• Provide practical support as needed (e.g.
phone someone to break the news)

18
Q

Before concluding the intervention of grief communication, (leaving) :

A

-Ensure that the family member is not left alone and wait with him/her for the arrival of other loved ones
-Leave contact details, information about services the family member can contact and a practical guide on what to do.
-Ask the family member if they are ready to visit the body, taking care to be careful to refer to the victim directly by
name
-Ask the family member if they are ready to receive the victim’s personal effects

19
Q

Why is adequate communication of death important?

A

Adequate communication of death can be a form of secondary prevention by
reducing the possibility of developing emotional and psychological problems; where
inadequate communication, coupled with the strong impact that the death of a loved
one can have, can increase the risk of developing serious psychological disorders

20
Q

What are some impaired functioning that family members can develop?

A

• Social
• Reactions to positive events
• Quality of life
• Loss of faith in themselves
• Loss of interest in life, work,
study

21
Q

What are some psychopathological disorders that family members develop ?

A

• Depression
• Anxiety and panic attack
• Suicidal thoughts
• PTSD
• Complicated Grief

22
Q

Bolton and Colleagues found that within two years of their child’s car accident, parents presented with:

A

¡ Depressive disorder (31%)
¡ Anxiety disorder (22%)
¡ At least one mental disorder (43%)

23
Q

What do several studies report about the grieving process?

A

¡ Several studies (Shear, 2012; Shear et al., 2013; Kersting et al., 2011) has reported that
in about 7-10% of individuals in the general population, the grieving process does not
progress towards resolution, which usually occurs within 6-12 months, but persists
with amplified manifestations of the symptoms shown in the immediate post-grieving
phase

24
Q

what is prolonged grief disorder ?

A

Disturbance is characterised by severe and persistent grief
and mourning reactions (negative feelings of sadness, guilt,
anger, ruminations on the causes, circumstances and
consequences of the loss) that persist if at least 12 months
(6 for children) have elapsed since the death of someone
with whom the bereaved individual had a close relationship,
with this time period being taken as the discriminating
factor between normal and pathological bereavement.

25
Q

what are the symptoms of prolonged grief disorder?

A

-Persistent longing/nostalgia for the deceased person
-Sadness and intense emotional pain following the death
-Concern for the deceased
-Concern about the circumstances of death

26
Q

What are the symptoms of suffering related to death?

A

-Marked difficulty in accepting death
-Incredulity or emotional numbness about the loss
-Difficulty indulging in positive memories concerning the
deceased
-Bitterness or anger in relation to the loss
-Negative self-assessment in relation to the deceased or
the loss (self-blame)
-Excessive avoidance of memories of the loss (people,
places, situations)

27
Q

What are the symptoms of social and identity disorder?

A

-Desire to die in order to be close to the deceased
-Difficulty in feeling trust towards others
-Feeling of being alone or detached from others
-Feeling that life is empty or meaningless without the
deceased
-Confusion about one’s role in life or diminished sense of
identity of one’s own identity
-Difficulty or reluctance in pursuing one’s own interests or
in making plans for the future

28
Q

is it possible to have symptoms of grieving after 20 or 30 years?

A

YES: Several authors have noted how, following road accidents, some individuals may continue to present symptoms even 20 to 30 years after the loss

29
Q

Traumatic bereavement:

A

Bereavement due to homicide or suicide with
persistent burdensome thoughts about the traumatic
nature of the death (often in response to memories
of the loss), including the last moments of the
deceased, the degree of suffering and injuries, or the
painful or intentional nature of the death.

30
Q

what does research show about children orphaned as a result of a car accident involving at least one parent?

A

Most children reported that they could not sleep, that they felt depressed, that they were extremely tired, with no energy to do anything, such as concentrate on studying. 50% of the children reported that they could not understand what had happened. This was mainly due to a lack of satisfactory explanation from the surving parent. The moment of grief communication is also a crucial moment for children and parents should be accompanied in this important phase.

31
Q

What is vehicular homicide and how is it regulated in Italy?

A

n Italy, vehicular homicide is regulated by Article 589-bis of the Criminal Code, enacted by Law No. 41 of March 23, 2016. It stipulates that anyone who culpably causes the death of a person by violating road traffic regulations shall be punished by imprisonment of two to seven years.

32
Q

What are the aggravating and mitigating circumstances in cases of vehicular homicide?

A
  • Aggravating Circumstances:
    • Psycho-physical alteration due to substances or serious alcohol intoxication: 8-12 years imprisonment.
    • Medium alcohol intoxication (0.8-1.5g/L): 5-10 years imprisonment.
    • Causing injury/death to more than one person.
  • Mitigating Circumstances:
    • The event is not the exclusive consequence of the offender’s action or omission.
33
Q

Who is considered a victim under Directive 2012/29/EU?

A

A victim is a natural person who has suffered harm (physical, mental, emotional, or economic) directly caused by a crime. Family members of a deceased victim who suffer harm as a result of the death are also considered victims.

34
Q

What are the different psychological needs of direct and indirect victims of road traffic accidents?

A

Direct Victims: Require immediate medical care and psychological support.
Indirect Victims (Family Members): Need information support regarding the accident’s consequences and assistance with bureaucratic procedures following the death of a loved one.

35
Q

What roles do first responders play in supporting road accident victims?

A
  • Paramedics: First on the scene, provide immediate support and stabilize victims.
  • Doctors and Nurses:Offer medical care and psychological support once victims are hospitalized.
  • Law Enforcement: Responsible for communicating bereavement news to family members and ensuring effective communication to avoid additional stress.
36
Q

Why is early psychological intervention important for road accident victims?

A

Early psychological intervention, especially within 72 hours, can significantly reduce anxiety and post-traumatic symptoms in children and their parents, as shown by Kenardy et al. (2008). Immediate support helps in minimizing stress-related symptoms and aids in recovery.

37
Q

How should the death of a loved one be communicated to family members?

A
  • Preparation: identify the most appropriate person to deliver the news.
  • Giving the News: Use clear, direct language and avoid euphemisms.
  • Coping with Reactions: Allow expressions of emotion, provide practical support, and avoid leaving the family member alone.
38
Q

What are the characteristics and symptoms of Prolonged Grief Disorder (PGD)?

A

PGD is characterized by severe and persistent grief reactions that last beyond 12 months. Symptoms include persistent longing for the deceased, sadness, emotional numbness, difficulty accepting the death, bitterness, and social and identity disorders.

39
Q

What psychological impact did the road accident have on Drew in the case study by Stevens and Michael (2014)?

A

Drew, a teenager who survived a car accident that killed his close friend, experienced severe guilt and continuously relived the traumatic event. This led to complicated grief disorder, necessitating psychological treatment to address his trauma and grief.

40
Q

What are the common reactions of children orphaned due to road accidents?

A

Orphaned children often report difficulty sleeping, depression, extreme fatigue, and lack of energy. Many struggle to understand what happened, particularly if explanations from surviving parents are inadequate. Effective grief communication is crucial for their emotional processing and recovery.