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[评估广泛意识障碍。碰运气还是有充分依据的法医诊断?]

[Evaluating extensive consciousness disturbance. Roulette or well-founded forensic diagnostics?].

作者信息

Schiffer B

机构信息

Institut für Forensische Psychiatrie, Rheinische Kliniken Essen, Universität Duisburg-Essen, Virchowstrasse, Essen.

出版信息

Nervenarzt. 2007 Mar;78(3):294, 296-303. doi: 10.1007/s00115-005-2041-3.

DOI:10.1007/s00115-005-2041-3
PMID:16468070
Abstract

The difficulties of experts to judge and evaluate so-called affect crimes are due to theoretical and conceptual shortcomings on the one hand and problems of reproducibility on the other. This study describes an attempt to set up diagnostic guidelines for such cases. A vulnerability/stress model was developed which integrates features from different areas: predisposition (including social perception, thinking, and problem solving), triggering conditions (mainly derived from stress theories and concepts), and the established Sass criteria (1983). The characteristics of these respective diagnostic features were collected from a sample of 31 criminal responsibility examinations. Finally, implementing multivariate analysis, 13 criteria were established that could be useful in evaluating criminal responsibility with regard to consciousness disturbances in that they enable testimony based on the prognostic and discriminant validity of the individual criteria.

摘要

专家们在判断和评估所谓的情感犯罪时面临困难,一方面是由于理论和概念上的缺陷,另一方面是可重复性问题。本研究描述了一项为这类案件制定诊断指南的尝试。开发了一种脆弱性/压力模型,该模型整合了来自不同领域的特征:易感性(包括社会认知、思维和问题解决)、触发条件(主要源自压力理论和概念)以及既定的萨斯标准(1983年)。这些各自诊断特征的特点是从31例刑事责任鉴定样本中收集的。最后,通过多变量分析,确立了13条标准,这些标准在评估意识障碍方面的刑事责任时可能有用,因为它们能够基于各个标准的预后和判别效度进行作证。

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本文引用的文献

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Fortschr Neurol Psychiatr. 1985 Feb;53(2):55-62. doi: 10.1055/s-2007-1001953.
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Nervenarzt. 1991 Jan;62(1):49-54.