Mel'nik V I
Lik Sprava. 1999 Jul(5):58-60.
237 patients with epilepsy having committed 248 socially dangerous acts (SDA) during the period of nonconvulsive paroxysmal states (dysphorias, twilight sleep states of consciousness, schizophrenia-like psychoses) were studied by clinical-psychopathological routines. During the above psychopathological periods epileptic patients committed their SDAs on relatively rare occasions. But a high specific weight of aggressive acts having been committed during these very periods including grave ones (against life, health, and dignity of the personality), the incidence of the above states encountered in the clinical practice of dealing with epilepsy patients together with a high probability of their committing SDAs during the periods concerned determine the above contingent of patients in periods of nonconvulsive paroxysmal states as being of high social danger. In all cases the character of SDA was determined from the psychopathological context of psychotic episodes.
对237例癫痫患者进行了临床-心理病理学常规研究,这些患者在非惊厥性发作状态(烦躁不安、意识朦胧睡眠状态、类精神分裂症性精神病)期间实施了248起社会危险行为(SDA)。在上述心理病理期间,癫痫患者实施SDA的情况相对少见。但恰恰在这些时期实施的攻击行为(包括严重的攻击行为,针对他人生命、健康和人格尊严)所占比例较高,在癫痫患者临床诊疗实践中上述状态的发生率以及在相关时期实施SDA的高概率,决定了处于非惊厥性发作状态的上述患者群体具有高度社会危险性。在所有病例中,SDA的性质均根据精神病发作的心理病理背景来确定。