精神分裂症患者暴力行为——司法鉴定资料的对照研究

Violent Offence among Schizophrenics in Forensic Psychiaric Expertise .

目的 通过对精神分裂症患者和非精神病肇事者鉴定资料的对照研究来探讨分裂症患者暴力行为的特殊性。方法 收集被鉴定人的临床、历史,案情资料等因子,在有病组和无病组间分别进行显著性检验:然后通过回归分析,分别考察影响分裂症病人辨认,控制和责任能力的因素。结果 两组被鉴定人一些与案情有关的特点上存在显著差异:其中文化程度、婚姻、职业、作案动机,预谋、自我保护和作案先兆等能够用于预测两组被鉴定人.结论 两组的差异反映了精神病理因素对患者辨认和控制能力的影响,说明分裂症病人的暴力攻击是一种疾病状态。

Objective: To investigate the characteristics of violent offence among schizophrenic patients in forensic psychiatric expertise. Method: Clinical, historical and legal variables of 25 cases were numerically analyzed between schizophrenics and mentally normal offenders. Multiple regression was used to inspect the determinants of capacities of appreciating or controlling the criminal behavior. Results: There were significant differences between the two groups in most of the historical and criminal related factors. Variables such as marital status, occupation, motivation and premeditation were associated with the capacity of behavioral appreciation, while motivation and selfprotection were associated with the control capacity. Conclusion: Psychiatric symptoms played important roles in violent commitment among schizophrenic patients.