Müller Jürgen L, Schuierer Gerhard, Marienhagen Jörg, Putzhammer Albert, Klein Helmfried E
Institut für Neuroradiologie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universitätsstrasse 53, 93053 Regensburg.
Psychiatr Prax. 2003 May;30 Suppl 2:S221-5.
"Psychopathy" describes a type of personality disorder characterized by a dysregulation of emotion processing. Social behaviour, emotion regulation and competency are of particular relevance in forensic psychiatry. Structural-morphological and functional imaging studies prove that emotion regulation, aggressive-impulsive behaviour and learning from negative experiences are greatly influenced by frontal brain regions. These abilities are impaired in severe cases of dissocial personality disorders and in traumatic "pseudopsychopathy". We illustrate the importance functional neurobiological changes in patients personality disorders and "acquired psychopathy" by two case reports on patients who were admitted to a forensic-psychiatric facility for sexual crimes.
“精神变态”描述的是一种人格障碍类型，其特征在于情绪处理失调。社会行为、情绪调节和能力在法医精神病学中具有特别重要的意义。结构形态学和功能成像研究证明，情绪调节、攻击冲动行为以及从负面经历中学习受到额叶脑区的极大影响。在反社会人格障碍的严重病例以及创伤性“假性精神变态”中，这些能力会受到损害。我们通过两例因性犯罪被收治到法医精神病学机构的患者病例报告，阐述了人格障碍和“后天性精神变态”患者功能性神经生物学变化的重要性。
