女性精神障碍患者被性侵害司法鉴定案例分析

Analyses of forensic psychiatric expertise cases for female mental disorder patients suffering from sexual assault

目的：探讨女性精神障碍患者被性侵害案例的特征。方法对273例女性精神障碍患者被性侵害的鉴定资料进行回顾性分析。结果被性侵害的女性精神障碍患者中以精神发育迟滞者居多（68．1％），其次为精神分裂症（19．4％）；性自我防卫能力削弱者（55．3％）明显多于性自我防卫能力丧失者（26．7％）及性自我防卫能力存在者（18．0）；无性自我防卫能力者以精神分裂症居多（57．5％），其次为重度精神发育迟滞（21．9％）、中度精神发育迟滞（12．3％）、器质性精神障碍（5．5％）。结论女性精神障碍患者性自卫能力丧失或削弱者居多，社会及家庭应加强对女性精神障碍患者的监护与管理。

Objective To explore the characteristics of cases about female mental disorder patients suffer-ing from sexual assault .Methods Expertise data of 273 female mental disorder patients suffering from sexual assault were retrospectively analyzed . Results Most of the patients were mental retardation （68 .1% ） , then schizophrenia （19 .4% ）;patients with the weakness of sexual self-defensive ability （55 .3% ） were notably more than ones without sexual self-defensive ability （26 .7% ） and ones with （18 .0% ）;most of the patients without sexual self-defensive ability were schizophrenia （57 .5% ） ,then se-vere mental retardation （21 .9% ） ,moderate mental retardation （12 .3% ） and organic mental disorder （5 .5% ） .Conclusion Capacity of sexual self-defense of most female mental disorder patients lose or weak-en ,to them guardianship and management should be strengthened .