女性精神分裂症和精神发育迟滞患者性防卫能力司法鉴定

Analyses of forensic psychiatric expertise data for sexual defense-capacity in female patient with schizophrenia or mental retardation

目的探讨女性精神分裂症和精神发育迟滞患者性侵害时性防卫能力评定的有关因素。方法对193例女性精神分裂症和精神发育迟滞性侵害患者性防卫能力的司法鉴定资料进行分析。结果精神分裂症、精神发育迟滞分别占女性性侵害鉴定案件的12．2％、82．0％，两者文化程度、婚姻状况、精神病家族史、有无躯体疾病合并症及脑电图状况比较差异有显著性（P〈0．05或0．01）。本组患者性防卫能力鉴定为丧失占88．1％，削弱占7．3％，存在占4．7％；不同性防卫能力患者案件特征、性自我防卫能力量表评分及日常生活能力量表评分比较差异有显著性（P〈0．05或0．01）；精神分裂症及中重度精神发育迟滞患者多无性防卫能力，轻度精神发育迟滞患者中性防卫能力丧失占51．1％，削弱占28．9％，存在占20．0％。结论女性精神分裂症及中重度精神发育迟滞患者多无性防卫能力，轻度精神发育迟滞患者性防卫能力的评定是目前司法鉴定的难点，性侵害时的特点、案件特征、性自我防卫能力量表评分及日常生活能力量表评分是评定女性性防卫能力的因素，对评定女性性防卫能力有重要作用。

Objective To explore the factors relative to the assessment of sexual defense-capacity of the female with schizophrenia and mental retardation during sex assault. Methods Analyses of 193 forensic psychiatric expertise data for sexual defense-capacity in female with schizophrenia or mental retardation were conducted. Results Patients with schizophrenia or mental retardation respectively made up 12. 2% and 82.0% of all female sex assault cases, there were significant group differences in educational levels, marital status, family history of psychosis, with or without somato complication and FFG status （P〈0.05 or 0.01）. Loss of sexual defense-capacity made up 88. 1% of all cases, weakness did 7. 3% and existence 4.7% ; there were significant differences in case＇ s characteristic and the score of the Capacity of Sexual Self-defense Rating Scale （CSSRS） and Activity of Daily Living Scale （ADL） among patients with different sexual defense-capacities （P〈0.05 or 0. 01）; most patients with schizophrenia and moderate to severe mental retardation had no sexual defense-capacity, among patients with mild mental retardation loss of sexual defense-capacity made up 51.1%, weakness 28.9% and existence 20.0%. Conclusion Most female patients with schizophrenia or moderate to severe mental retardation have no sexual defense-capacity, the assessments sexual defense-capacity of patients with mild mental retardation are expert evidence difficulty now, factors assessing female sexual defense-capacity are characteristics during sex assault, cases＇ characteristics, CSSRS and ADL score which play an important role in assessing female sexual defense-capacity.