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遗嘱能力评估:法律、医学和神经心理学问题。

Testamentary Capacity Assessment: Legal, Medical, and Neuropsychological Issues.

作者信息

Voskou Panagiota, Douzenis Athanasios, Economou Alexandra, Papageorgiou Sokratis G

机构信息

1 Cognitive Disorders/Dementia Unit, 2nd Department of Neurology, National and Kapodistrian University of Athens, Athens, Greece.

2 2nd Department of Psychiatry, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

J Geriatr Psychiatry Neurol. 2018 Jan;31(1):3-12. doi: 10.1177/0891988717746508.

Abstract

INTRODUCTION

The increase in the aging population and the number of patients with dementia led to the research in older adults' capacity assessment over the last 3 decades. Many cases of contested wills occur due to lack of testamentary capacity (TC), especially in cases of dementia.

AIM

Purpose of the present study was to overview the legal, medical, and neuropsychological aspects of TC as well as the instruments used for TC assessment.

FINDINGS

The testator/testatrix with intact TC has realistic perception of his or her property value, lack of psychopathology affecting contact with reality, and intact intention of how and to whom he or she will dispose his or her assets. It is frequent for the health practitioners to serve as "gold standards assessors" by examining an individual's ability to make a valid will and giving evidence to the court to support or not a will contest. The TC assessment is a complex process of clinical and legal practice requiring usually a variety of methods, that is, interviews, evaluation of clinical records, and administration of neuropsychological instruments.

CONCLUSION

The evaluation of TC is a multidimensional process that integrates both the legal and medical field, requiring a collaborative approach to its definition and assessment.

摘要

引言

在过去三十年中,老年人口的增加以及痴呆症患者数量的增多促使了对老年人能力评估的研究。许多遗嘱争议案件是由于缺乏遗嘱能力(TC)引起的,尤其是在痴呆症病例中。

目的

本研究的目的是概述遗嘱能力的法律、医学和神经心理学方面,以及用于遗嘱能力评估的工具。

研究结果

具有完整遗嘱能力的遗嘱人对其财产价值有现实的认知,不存在影响与现实接触的精神病理学问题,并且对如何以及将资产处置给谁有完整的意图。医疗从业者经常作为“黄金标准评估者”,通过检查个人订立有效遗嘱的能力并向法庭提供证据来支持或不支持遗嘱争议。遗嘱能力评估是一个复杂的临床和法律实践过程,通常需要多种方法,即访谈、临床记录评估和神经心理学工具的应用。

结论

遗嘱能力评估是一个多维过程,整合了法律和医学领域,需要采用协作方法来进行定义和评估。

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