Beahrs J O
M. D. Mental Health Clinic, Portland VA Medical Center, Oregon 97207.
Bull Am Acad Psychiatry Law. 1989;17(2):171-81.
"Hypnosis" denotes either specific phenomena (altered volition, perception, cognition, and recall) or interpersonal transactions that often elicit them. Basic research leads to paradox: hypnosis is validated, and shown to be dissociative in essence, at the same time that neither its phenomena nor transactions can be separated from those of everyday living without logical absurdity. This paradox can be resolved by assuming that consciousness and volition are complex, occurring simultaneously at many levels in the same waking individual. Hypnotic-like phenomena and transactions occur spontaneously, in either covert or overt forms. The former are pervasive, whereas the latter are often associated with psychological trauma. Forensic implications are twofold: for criminal responsibility, and the reliability of eyewitness testimony. Hypnotic-like states and transactions are rarely affirmed as an insanity defense because at some level these subjects are aware of what they are doing and why. Diminished capacity and mitigation of sentence are more appropriate defense strategies. Several conflicted traditions of case law have evolved to protect eyewitness testimony from hypnotic-like distortions in cognition, perception, and memory that can occur either during or outside of formal hypnotic procedures. These include the admissibility of posthypnotic testimony, due process safeguards at eyewitness identification procedures, and the admissibility of expert testimony on the findings of eyewitness research. These areas are inseparable from one another and demand a systematic coordinated approach.
“催眠”既指特定的现象(意志、感知、认知和记忆的改变),也指常常引发这些现象的人际互动。基础研究引发了一个悖论:催眠得到了验证,本质上被证明是分离性的,但与此同时,若将其现象或互动与日常生活中的现象或互动分离开来,就会出现逻辑上的荒谬。通过假定意识和意志是复杂的,在同一个清醒个体的多个层面同时发生,这个悖论可以得到解决。类似催眠的现象和互动会以隐蔽或公开的形式自发出现。前者普遍存在,而后者往往与心理创伤有关。法医学意义有两方面:涉及刑事责任和目击证人证词的可靠性。类似催眠的状态和互动很少被认定为精神错乱抗辩理由,因为在某种程度上,这些受试者知道自己在做什么以及为什么这样做。能力减弱和减轻刑罚是更合适的抗辩策略。为保护目击证人证词免受类似催眠的认知、感知和记忆扭曲影响(这种影响可能在正式催眠程序期间或之外发生),已经形成了几个相互冲突的判例法传统。这些包括催眠后证词的可采性、目击证人身份识别程序中的正当程序保障,以及关于目击证人研究结果的专家证词的可采性。这些领域相互关联,需要一种系统的协调方法。