Ter Harmsel J F, Molendijk T, van El C G, M'charek A, Kempes M, Rinne T, Pieters T
Tijdschr Psychiatr. 2016;58(1):20-9.
Developments in neurosciences and genetics are relevant for forensic psychiatry.
To find out whether and how genetic and neuroscientific applications are being used in forensic psychiatric assessments, and, if they are, to estimate to what extent new applications will fit in with these uses.
We analysed 60 forensic psychiatric assessments from the Netherlands Institute of Forensic Psychiatry and Psychology, Pieter Baan Center, and 30 non-clinical assessments from 2000 and 2009.
We found that (behavioral) genetic, neurological and neuropsychological applications played only a modest role in forensic psychiatric assessment and they represent different phases of the implementation process. Neuropsychological assessment already occupied a position of some importance, but needed to be better integrated. Applications from neurology were still being developed. Clinical genetic assessment was being used occasionally in order to diagnose a genetic syndrome with behavioral consequences.
If further validated information becomes available in the future, it should be possible to integrate new research methods more fully into current clinical practice.
神经科学和遗传学的发展与法医精神病学相关。
了解基因和神经科学应用在法医精神病学评估中是否以及如何被使用,并且,如果它们被使用,估计新应用在多大程度上适合这些用途。
我们分析了荷兰法医精神病学和心理学研究所、彼得·班中心的60份法医精神病学评估,以及2000年和2009年的30份非临床评估。
我们发现(行为)遗传学、神经学和神经心理学应用在法医精神病学评估中仅起适度作用,且它们代表实施过程的不同阶段。神经心理学评估已占据一定重要地位,但需要更好地整合。神经学应用仍在开发中。临床基因评估偶尔用于诊断具有行为后果的遗传综合征。
如果未来能获得进一步验证的信息,应该有可能将新的研究方法更充分地整合到当前临床实践中。