交通事故颅脑损伤精神伤残鉴定中伪装症状的识别与分析  

Identification and Analysis of Disguised Symptoms in Mental Disability Identification of Brain Injury in Traffic Accidents

作　　者：虞华[1] 余妍[1] YU Hua;YU Yan(Ankang Hospital of Hangzhou Public Security Bureau)

机构地区：[1]杭州市公安局安康医院

出　　处：《医院管理论坛》2018年第12期27-29,共3页Hospital Management Forum

摘　　要：目的探讨交通事故颅脑损伤伤残鉴定案例中伪装精神伤残及表现。方法用瑞文测验和临床评定对112例脑外伤鉴定案例中的精神伤残和伪装情况进行评定和分析。结果在112例案例中,家属夸大病情42例(37.5%),伪装案例80例(71.4%),其中瑞文智商测验不合作者76例(67.9%),伪装智力障碍者64例(57.1%),伪装记忆障碍者32例(28.6%),夸大躯体不适者22例(19.6%),伪装人格改变者11例(9.8%),伤残等级越低者,伪装比例越高。结论交通事故脑损伤伤残鉴定中家属夸大病情,被鉴定人伪装精神伤残现象相当普遍,以伪装智力伤残和记忆力障碍多见。提高识别纠正伪装的能力,有助于提高鉴定水平。Objective To explore the disguised mental disability and performance in brain injury disability identification in traffic accidents.Method The mental disability and disguised mental disability in112cases of brain injury were evaluated and analyzed by Raven's Standard Progressive Matrices(RSPM)and clinical evaluation.Results Among the112cases,the disability was exaggerated by the family in42cases(37.5%),and80cases(71.4%)were identified as disguise cases.Among the disguise cases,there were76cases(67.9%)of noncooperation with RSPM,and64cases(57.1%)of disguised intellectual disability,32(28.6%)cases of disguised memory disorder,22(19.6%)cases of exaggerated physical discomfort,and11(9.8%)cases of disguised personality change.The lower the level of disability,the higher the proportion of disguise.Conclusion In the identification of brain injury and disability in traffic accidents,it is common that family members exaggerate the conditions and that the subjects disguise mental disability,especially intellectual disability and memory disorder.Improving the ability to identify and correct disguise helps to improve the level of identification.

关 键 词：司法精神医学 交通事故 脑外伤 精神伤残 伪装 

分 类 号：D919.4[医药卫生—法医学]