精神病司法鉴定中性自我防卫能力鉴定分析

Analyses of cases judging sexual self-defense capacity by forensic psychiatric expertise

目的探讨精神病司法鉴定中女性精神障碍患者被性侵害案例的特征。方法对91例女性精神障碍患者被性侵害案例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（24．2％）；性自我防卫能力削弱者（63．7％）明显多于性自我防卫能力丧失者（34．1％）及性自我防卫能力存在者（2．2％）；无性自我防卫能力者以精神分裂症居多（58．1％），其次为中度精神发育迟滞（22．6％）、轻度精神发育迟滞（9．7％）。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 sexually assaulted cases of female mental disorder patients undergoing forensic psychiatric expertise. Methods Expertise data of 91 female mental disorder patients suffering from sexual assault were retrospectively analyzed. Results Most of the patients were mental retardation（68.1%）, then schizophrenia（24.2 %）; patients with the weakness of sexual self-defensive ability （63.7%） were notably more than ones without sexual self-defensive ability （34.1%） and ones with （2.2 %） ;most of the patients without sexual self-defensive ability were schizophrenia （58.1%）, then moderate mental retardation （22.6%） and mild retardation（9.7%）. Conclusion Sexual self-defense capacities of most female mental disorder patients lose or weaken, to them guardianship and management should be strengthened.