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[根据德国刑法典第63条和第64条制定的法医鉴定中的治疗标准:德国法医精神病学和法医学协会跨学科特别工作组]

[Standards for treatment in forensic committment according to § 63 and § 64 of the German criminal code : Interdisciplinary task force of the DGPPN].

作者信息

Müller J L, Saimeh N, Briken P, Eucker S, Hoffmann K, Koller M, Wolf T, Dudeck M, Hartl C, Jakovljevic A-K, Klein V, Knecht G, Müller-Isberner R, Muysers J, Schiltz K, Seifert D, Simon A, Steinböck H, Stuckmann W, Weissbeck W, Wiesemann C, Zeidler R

机构信息

Asklepiosklinik für Forensische Psychiatrie und Psychotherapie, Rosdorfer Weg 70, 37081, Göttingen, Deutschland.

Schwerpunktprofessur für Forensische Psychiatrie, Universitätsmedizin Göttingen, Georg August Universität Göttingen, Von Sieboldstr. 5, 37075, Göttingen, Deutschland.

出版信息

Nervenarzt. 2017 Aug;88(Suppl 1):1-29. doi: 10.1007/s00115-017-0382-3.

Abstract

People who have been convicted of a crime due to a severe mental disorder and continue to be dangerous as a result of this disorder may be placed in a forensic psychiatric facility for improvement and safeguarding according to § 63 and § 64 of the German Criminal Code (StGB). In Germany, approximately 9000 patients are treated in clinics for forensic psychiatry and psychotherapy on the basis of § 63 of the StGB and in withdrawal centers on the basis of § 64 StGB. The laws for treatment of patients in forensic commitment are passed by the individual States, with the result that even the basic conditions differ in the individual States. While minimum requirements have already been published for the preparation of expert opinions on liability and legal prognosis, consensus standards for the treatment in forensic psychiatry have not yet been published. Against this background, in 2014 the German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) commissioned an interdisciplinary task force to develop professional standards for treatment in forensic psychiatry. Legal, ethical, structural, therapeutic and prognostic standards for forensic psychiatric treatment should be described according to the current state of science. After 3 years of work the results of the interdisciplinary working group were presented in early 2017 and approved by the board of the DGPPN. The standards for the treatment in the forensic psychiatric commitment aim to initiate a discussion in order to standardize the treatment conditions and to establish evidence-based recommendations.

摘要

因严重精神障碍而被定罪且因该障碍仍具有危险性的人,可根据《德国刑法典》(StGB)第63条和第64条被安置在法医精神病设施中进行改善和保护。在德国,约9000名患者依据《德国刑法典》第63条在法医精神病学和心理治疗诊所接受治疗,依据《德国刑法典》第64条在戒毒中心接受治疗。各联邦州通过了关于法医强制治疗患者的法律,结果是各联邦州的基本条件也有所不同。虽然已经公布了关于责任和法律预后专家意见准备的最低要求,但法医精神病学治疗的共识标准尚未公布。在此背景下,2014年德国精神病学、心理治疗、身心医学和神经病学学会(DGPPN)委托一个跨学科特别工作组制定法医精神病学治疗的专业标准。应根据当前科学状况描述法医精神病学治疗的法律、伦理、结构、治疗和预后标准。经过3年的工作,跨学科工作组的结果于2017年初公布,并得到了DGPPN董事会的批准。法医精神病强制治疗的标准旨在引发一场讨论,以便规范治疗条件并制定基于证据的建议。

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