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[法医精神病学意见中的强迫症]

[Obsessive-compulsive disorders in forensic-psychiatric opinions].

作者信息

Kocur Józef, Trendak Wiesława

机构信息

Zakładu Rehabilitacji Psychospołecznej UM w Łodzi.

出版信息

Arch Med Sadowej Kryminol. 2009 Apr-Jun;59(2):141-4.

Abstract

Obsessive-compulsive disorders and disorders within their spectrum pose a serious diagnostic and therapeutic problem, as the symptoms that appear along with the disorders result from dysfunction of the emotional, motivational and cognitive sphere. The dysfunction is determined by complex genetic, neurochemical and neurophysiological factors. Exacerbation of the symptoms may weaken the control over the disturbed impulses and compulsions, which in turn may lead to violation of law. Therefore, a forensic-psychiatric evaluation in cases related to patients suffering from obsessive-compulsive disorders has to include very complex relations between the type and the circumstances of the committed act or the undertaken actions and the type and intensity of these disorders.

摘要

强迫症及其谱系内的障碍构成了严重的诊断和治疗问题,因为与这些障碍同时出现的症状是由情感、动机和认知领域的功能障碍所致。这种功能障碍由复杂的遗传、神经化学和神经生理因素决定。症状的加重可能会削弱对紊乱冲动和强迫行为的控制,进而可能导致违法。因此,在与强迫症患者相关的案件中进行法医精神病学评估时,必须纳入所实施行为或所采取行动的类型与情况和这些障碍的类型及强度之间非常复杂的关系。

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