Tsimploulis Georgios, Niveau Gérard, Eytan Ariel, Giannakopoulos Panteleimon, Sentissi Othman
J Nerv Ment Dis. 2018 May;206(5):370-377. doi: 10.1097/NMD.0000000000000805.
The significant progress of psychiatry in the 20th century provided a sophisticated theoretical framework to analyze the complex relationships between crime and mental illness. Schizophrenia has been traditionally associated with severe cognitive and affective deficits that heavily influence empathy, judgment capacities, but also control of impulsiveness. Although there is an association between psychotic disorders and absence or decrease of legal responsibility, their relationship is also determined by sociodemographic, developmental, and clinical factors. These disorders are associated not only with abolished criminal responsibility but also with diminished responsibility. We conduct a systematic literature review to examine the relation between schizophrenia and criminal responsibility. We have found that this clinical entity is often associated with diminished or abolished criminal liability. We discuss these findings, focusing on the specific deficits found in patients with schizophrenia and examining how this problem affects their behavior and eventually their accountability for their crimes.
20世纪精神病学的重大进展提供了一个完善的理论框架，用于分析犯罪与精神疾病之间的复杂关系。传统上，精神分裂症与严重的认知和情感缺陷有关，这些缺陷会严重影响同理心、判断能力，还会影响冲动控制。虽然精神障碍与法律责任的缺失或降低之间存在关联，但其关系也由社会人口统计学、发育和临床因素决定。这些障碍不仅与刑事责任的免除有关，还与责任减轻有关。我们进行了一项系统的文献综述，以研究精神分裂症与刑事责任之间的关系。我们发现，这种临床实体通常与刑事责任的减轻或免除有关。我们讨论这些发现，重点关注精神分裂症患者中发现的特定缺陷，并研究这个问题如何影响他们的行为以及最终他们对自己罪行的责任。
