Cosgray R E, Fawley R W
Arch Psychiatr Nurs. 1989 Aug;3(4):241-5.
The term, "Ganser's syndrome," was identified by Sigbert J. Ganser, a German psychiatrist, near the turn of the century. Ganser's syndrome, defined as an hysterical reaction, was often used to describe prisoners who appeared to be trying to escape prosecution. Today, Ganser's syndrome is debated by both psychiatric and judicial systems. This paper addresses these issues by identifying guidelines for assessment and recognition of common malingering behaviors displayed by Ganser's syndrome patients. Psychiatric nurses who practice in both psychiatric and legal systems need an understanding of Ganser's syndrome to adequately assess the patient, plan effective treatment, and complete an evaluation of care. This understanding will enable the nurse to answer the important question, "Could it be Ganser's syndrome?" With the increase of crime and the prison population, the use of "Insufficient Comprehension to Stand Trial" may be a legal option for defendants. If they are exhibiting inappropriate behavior and are a danger to themselves or others, a psychiatric evaluation may be ordered by the court. It is then the responsibility of a psychiatric facility to assess, treat, and evaluate Ganser's syndrome patients in an attempt to return them to competency. The patients may return to court following the psychiatric evaluation if they are found competent to stand trial.
“甘塞尔综合征”这一术语是由德国精神病学家西格伯特·J·甘塞尔在世纪之交前后确定的。甘塞尔综合征被定义为一种癔症反应，常用于描述那些似乎试图逃避起诉的囚犯。如今，甘塞尔综合征在精神病学和司法系统中都存在争议。本文通过确定评估和识别甘塞尔综合征患者所表现出的常见诈病行为的指导方针来探讨这些问题。在精神病学和法律系统中工作的精神科护士需要了解甘塞尔综合征，以便充分评估患者、制定有效的治疗方案并完成护理评估。这种了解将使护士能够回答重要问题：“这会是甘塞尔综合征吗？”随着犯罪率和监狱人口的增加，“缺乏接受审判的能力”可能成为被告的一种法律选择。如果他们表现出不当行为且对自己或他人构成危险，法院可能会下令进行精神病评估。届时，精神病治疗机构有责任对甘塞尔综合征患者进行评估、治疗和评估，以使他们恢复接受审判的能力。如果患者被认定有能力接受审判，他们可以在精神病评估后返回法庭。
