伪装创伤后应激障碍的识别

Detection of Malingering Post-traumatic Stress Disorder

创伤后应激障碍的鉴定是近年来司法精神病学实践中经常遇到的问题,其中如何识别诈病者也相应地成为业内人员关注的焦点之一。但是由于此障碍所涉及的创伤性事件多种多样,症状表现纷繁复杂,且信息来源主观性成分较大,同时又易有其他多种精神疾患与之共病,因而要作出完全正确的诊断或鉴定结论相当困难。本文通过对大量文献资料的归纳整理,分析了国内外在有关伪装创伤后应激障碍的表现特点、识别方法和测试手段等领域开展的研究现状,期望能为精神疾病司法鉴定中处理相关问题提供一定的帮助和参考。

Assessment of post-traumatic stress disorder is a frequently encountered problem in forensic practices. Detection of malingering has become a focus in these assessments. While it is a difficult task due to kinds of traumatic events, complex clinical symptoms, subjective medical information, and presence of diverse psychotic disorders. The clinical traits, detecting methods and testing instruments of PTSD malingering were reviewed so as to help practical management and assessment.