司法精神病鉴定责任能力评定20年变迁

Change of criminal responsibility in forensic psychiatric assessment in 20 years.

目的 探讨２０ 年来司法精神病鉴定中责任能力评定的现状。方法 以１９８９ 年《精神疾病司法鉴定暂行规定》颁布为界，对前后１０ 年责任能力评定结果进行比较分析。结果 规定后较规定前责任能力评定总体呈趋严的趋势（ Ｐ＜ ０－０１） ；对精神分裂症、精神发育迟滞、癫痫性精神病障碍患者责任能力评定趋严（ Ｐ＜０－０１、Ｐ＜ ０－０１ 和Ｐ＜０－０１） ；对盗窃、强奸和流氓危害行为责任能力评定趋严（Ｐ＜ ０－０５） 。结论 规定后１０ 年较规定前１０ 年责任能力评定呈趋严倾向，动机论对责任能力评定的影响较深远，但尚有待进一步研究完善。

Objective To explore the assessment of criminal responsibility in forensic psychiatric practice over 20 years. Methods According to the time that “criminal responsibility in forensic psychiatric assessmen” was encated in 1989, a comparative study was conducted between 400 cases of assessment from 1979 to 1988 and 779 cases from 1989 to 1998.Results Full and partial responsibility was significantly more common in the group after 1989 than in the group before 1988 ( P<0.01 ). It appeared mainly in the patients with schizophrenia, mental retartation and epileptic mental disorders ( P<0.01, P<0.01 and P<0.01 ), also in cases of stealing, rape and hooliganism ( P<0.05, respectively ). Conclusions The assessment of responsibility has become more stringent since 1989. The theroy of motive affected the evaluation of responsibility significantly.