英国和日本对法医精神卫生系统看法的差异：一项初步研究。
Differences between British and Japanese perspectives on forensic mental health systems: A preliminary study.
作者信息
Shiina Akihiro, Tomoto Aika, Omiya Soichiro, Sato Aiko, Iyo Masaomi, Igarashi Yoshito
机构信息
Akihiro Shiina, Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, Chiba 260-8670, Japan.
出版信息
World J Psychiatry. 2017 Mar 22;7(1):8-11. doi: 10.5498/wjp.v7.i1.8.
AIM
To clarify the differences in views on forensic mental health (FMH) systems between the United Kingdom and Japan.
METHODS
We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content.
RESULTS
In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony. In the United Kingdom, forensic psychiatrists were responsible for ensuring public safety, and psychopathy was identified as a disease but deemed as not suitable for medical treatment. On the other hand, in Japan, psychopathy was not considered a mental illness.
CONCLUSION
In conclusion, there are considerable differences between the United Kingdom and Japan with regard to the concepts of FMH. Some ideas taken from both cultures for better FMH practice were suggested.
目的
阐明英国和日本在法医精神卫生（FMH）系统观点上的差异。
方法
我们对六位顶尖法医精神病学家进行了一系列半结构化访谈。基于研究团队的讨论，我们创建了一份访谈表格。完成所有访谈后，我们对访谈内容进行了定性分析。
结果
在英国，法医精神卫生的核心领域是风险评估与管理；然而，在日本，法医精神卫生的核心领域是精神病学鉴定。在英国，法医精神病学家负责确保公共安全，精神病态被认定为一种疾病但被认为不适合医学治疗。另一方面，在日本，精神病态不被视为精神疾病。
结论
总之，英国和日本在法医精神卫生概念方面存在相当大的差异。建议从两种文化中汲取一些理念以改善法医精神卫生实践。
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