Rodenhauser P, Khamis H J
Department of Psychiatry, Wright State University School of Medicine, Dayton, OH 45401.
Bull Am Acad Psychiatry Law. 1988;16(4):321-32.
Recognizing that established relationships enhance understanding and therefore improve clinical intuition and inference, the authors examined clinical and legal characteristics of a legally and clinically heterogeneous population of maximum security forensic hospital patients (n = 380). Several findings serve to substantiate outcomes of previous studies of subgroups of offenders. Some new relationships among legal and clinical variables are established. The relationship between admission legal status and Axis I diagnosis is dependent upon the Axis II diagnosis. Those admitted for competency evaluations have the lowest percentage of psychotic diagnoses and the highest IQ. Kidnapers have the highest percentage of psychotic diagnoses and there is a relationship between previous incarceration and drug treatment refusal. The authors discuss clinical implications, generalizability, and the needs for further investigation.
鉴于已建立的关系能增进理解，进而提升临床直觉和推理能力，作者研究了一所戒备森严的法医医院中法律和临床情况各异的患者群体（n = 380）的临床和法律特征。多项研究结果证实了此前针对犯罪者亚群体研究的成果。同时还建立了一些法律和临床变量之间的新关系。入院法律状态与轴I诊断之间的关系取决于轴II诊断。因能力评估入院的患者中，精神病诊断比例最低，智商最高。绑架者的精神病诊断比例最高，且既往监禁与拒绝药物治疗之间存在关联。作者讨论了临床意义、普遍性以及进一步调查的必要性。
