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[被捕酗酒者的驾驶适宜性——适宜性测试及补救性心理交通教育]

[Driving fitness of apprehended alcoholics--fitness test and remedial psychological traffic education].

作者信息

Zabel G, Zabel U

出版信息

Blutalkohol. 1991 Mar;28(2):65-83.

PMID:2043336
Abstract
  1. No Therapy Without Screening: According to the prevailing opinion of jurists and psychologists) who are occupied with problems concerning post-schooling and of the traffic authorities in charge of issuing driving licences screening is absolutely necessary with regard to traffic-psychological post-schoolings as characteristical maladjustments of either reparable or irreparable nature can only be detected at such screening). Only medical and psychological screening can help to achieve the necessary clarification.) Screening is frequently connected with counselling for therapy, as it is for example stressed in the names of the institutions concerned in the länder of Rhineland-Palatine, North Rhine-Westphalia and Lower Saxony). 2) Exclusion of Drink-Drivers: Screening is particularly essential to exclude the so called drink-drivers who are alcoholics from post-schooling. The necessity of such an exclusion is stressed by Müller's) latest investigation of traffic--accident data in correlation to the blood-alcohol concentration, and it must be assumed that the percentage of undetected drink-drivers with a medium blood-alcohol concentration is extremely high. One has to agree with Himmelreich) that models for post-schooling must not exclude alcoholics and criminal offenders. In this case one has to differentiate between the problem drinker) who can be post-schooled and the drink-driver described by Winkler.) Bode) and Scherer) with rigid drinking habits, a raised disposition for risk) and a reduced responsibility according to sections 20, 21 of the German Criminal Law (StGB) to such an extend that a consciousness of guilt can be ruled out). Already after the preliminary examination of such alcoholics) it has to be assumed that an immediate traffic-psychological post-schooling will hardly be successful because of the lack or considerably reduced ability of responsibility. Post-schoolings do not have compensatory effects when regular alcohol abuse (drink-driver) is concerned. In extreme cases a detoxication and the attendance of sessions of a self-help group would have to take place first. Only afterwards a traffic-psychological post-schooling can be carried out as a long term therapy. 3) Models for the Post-schooling of Individuals Tested: The "Saarbrücken model" of a collaboration of the medical-psychological institutes of the technical supervision union (TUV) and independent psychologists allows a culmination of different post-schooling and control measures with drink-drivers after negative examinations: medical tests, laboratory, chemical checks of the liver data, traffic-psychological post-schoolings of individuals and the attendance of sessions of self-help groups.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 无筛查则无治疗:根据专注于离校后问题的法学家和心理学家以及负责发放驾驶执照的交通部门的普遍观点,对于交通心理方面的离校后培训而言,筛查绝对必要,因为只有通过这种筛查才能发现具有可修复或不可修复性质的典型适应不良情况。只有医学和心理筛查有助于实现必要的情况澄清。筛查通常与治疗咨询相关联,例如在莱茵兰 - 普法尔茨州、北莱茵 - 威斯特法伦州和下萨克森州等联邦州相关机构的名称中就有所体现。2) 排除酒驾者:筛查对于将所谓的酗酒酒驾者排除在离校后培训之外尤为重要。米勒对交通事故数据与血液酒精浓度相关性的最新调查强调了这种排除的必要性,而且必须假定血液酒精浓度处于中等水平的未被检测出的酒驾者比例极高。人们必须认同希默赖希的观点,即离校后培训模式绝不能将酗酒者和刑事罪犯排除在外。在这种情况下,必须区分可接受离校后培训的问题饮酒者和温克勒所描述的酒驾者。博德和舍勒指出,那些饮酒习惯刻板、有更高风险倾向且根据德国刑法(StGB)第20、21条规定责任减轻到可以排除有罪意识程度的人。在对这类酗酒者进行初步检查后就必须假定,由于缺乏或责任能力大幅降低,立即进行交通心理方面的离校后培训几乎不会成功。当涉及经常酗酒(酒驾者)时,离校后培训没有补偿作用。在极端情况下,首先必须进行解毒治疗并参加自助小组的活动。只有之后才能作为长期治疗开展交通心理方面的离校后培训。3) 被检测个体的离校后培训模式:技术监督协会(TUV)的医学心理机构与独立心理学家合作的“萨尔布吕肯模式”,允许在检测结果为阴性后,对酒驾者采取不同的离校后培训和控制措施:医学检查、实验室检查、肝脏数据的化学检测、个体的交通心理离校后培训以及参加自助小组的活动。(摘要截取自400字)

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