刑事责任能力评定中“待分类的精神病性障碍”的诊断分析  

Diagnosis of "Unspecified Psychotic Disorder" in Identifying Criminal Responsibility

作　　者：邱昌建[1] 罗宇鹏 张波 霍克钧[3] 张伟[1] 

机构地区：[1]四川大学华西医院心理卫生中心,四川成都610041 [2]四川西南司法鉴定中心,四川成都610041 [3]四川大学华西基础医学与法医学院,四川成都610041

出　　处：《法医学杂志》2008年第2期131-133,共3页Journal of Forensic Medicine

摘　　要：目的探讨"待分类的精神病性障碍"诊断在刑事责任能力鉴定中的形成原因、判定原则及处理措施。方法分析比较四川西南司法鉴定中心2006年1月至2007年7月刑事责任能力鉴定案例中12例诊断为"待分类的精神病性障碍"的鉴定资料。结果形成此诊断的主要原因是鉴定资料不充分,描述的被鉴定人精神异常表现不具体、不典型(83.3%),或鉴定资料描述的精神异常与鉴定检查时发现的情况不一致。但是即使诊断为"待分类的精神病性障碍",仍可以从作案动机、有无逃逸等评定其刑事责任能力。12例诊断为"待分类的精神病性障碍"的被鉴定人9例(75%)判定为具有限制刑事责任能力,3例(25%)判定为无刑事责任能力。结论"待分类的精神病性障碍"是一种暂时性诊断,在一定程度上可以在司法精神病鉴定中使用,但应慎用。Objective To explore diagnosis and management of ＂unspecified psychotic disorder＂ in determination of criminal responsibility. Methods Analysis of 12 cases of ＂unspecified psychotic disorder＂ during determination of criminal responsibility in Sichuan Forensic Expertise Center in Southwest China from January 2006 to July 2007. Results The main reason to diagnose unspecified psychotic disorder was there were insufficient information and findings . Descriptions of mental abnormalities were not complete and were atypical （83.3%）. Even if ＂unspecified psychotic disorder＂ was diagnosed, it was still possible to determine criminal responsibility by its motivation and intention to escape. 75% suspects were determined to bear limited criminal responsibility and 25% were not criminally responsible. Conclusion The unspecified psychotic disorder is a provisional diagnosis. It should be used cautiously in the course of jurisdictional identification of mental diseases.

关 键 词：司法精神病学 刑事责任能力 鉴定 待分类的精神病性障碍 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R782.630.4[医药卫生—临床医学]