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[民主德国的法医精神病学:概述]

[Forensic Psychiatry in the GDR: An overview].

作者信息

Widmer Maria, Schmidt-Recla Adrian, Steinberg Holger

机构信息

Forschungsstelle für die Geschichte der Psychiatrie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universität Leipzig Medizinische Fakultät, Leipzig, Germany.

Forschungsstelle DDR-Recht, Friedrich-Schiller-Universität Jena, Rechtswissenschaftliche Fakultät, Jena, Germany.

出版信息

Fortschr Neurol Psychiatr. 2023 May;91(5):199-208. doi: 10.1055/a-1735-3186. Epub 2022 Feb 28.

DOI:10.1055/a-1735-3186
PMID:35226929
Abstract

In the discussion of medical history of psychiatry in the GDR, little attention has been paid to the subfield of forensic psychiatry. In the following literature-based overview, essential aspects of this specific topic are therefore presented. The content-related discussion in this field took place in particular in the area of forensic psychiatric expertise in criminal law, to which, among others, the most well-known forensic psychiatrist of the GDR, Hans Szewczyk, made important contributions. After the introduction of the Criminal Code in 1968 and the accompanying legal changes regarding reduced or abolished criminal responsibility of delinquents, a discourse took place until the beginning of the 1980s on various questions on the improvement of the quality of expert opinions and further development of their work. The focus was on the assessment of criminal responsibility rather than on the assessment of prognosis, which probably resulted from the abolition of the "Maßregelvollzug" in 1968. Only a few sources refer to the placement and treatment of forensic psychiatric patients. Mentally ill offenders were hardly ever accommodated in specific departments, which were apparently established in a few clinics from the mid-1970s onwards. There was also a lack of specially developed structural treatment concepts specifically for forensic psychiatric patients. Especially for mentally ill lawbreakers with a high level of delinquency, inpatient placement was apparently hardly possible due to a new legislation after 1968. In the area of civil law, only a few sources indicate that the topics of incapacitation and guardianship were addressed.

摘要

在民主德国精神病学的病史讨论中,法医精神病学这一细分领域很少受到关注。因此,在以下基于文献的概述中,将呈现这一特定主题的重要方面。该领域与内容相关的讨论尤其发生在刑法中的法医精神病学专业鉴定领域,民主德国最著名的法医精神病学家汉斯·泽维茨基等人对此做出了重要贡献。1968年《刑法典》出台以及随之而来的关于减轻或免除罪犯刑事责任的法律变革之后,直到20世纪80年代初,围绕提高专家意见质量和进一步发展其工作的各种问题展开了讨论。重点在于刑事责任的评估而非预后评估,这可能是由于1968年废除了“保安处分执行”所致。只有少数资料提及法医精神病患者的安置和治疗。患有精神疾病的罪犯几乎从未被安置在特定科室,这些科室显然是从20世纪70年代中期起在少数几家诊所设立的。也缺乏专门为法医精神病患者制定的结构化治疗理念。特别是对于犯罪程度较高的患有精神疾病的违法者,由于1968年后的一项新立法,住院安置显然几乎不可能。在民法领域,只有少数资料表明涉及了无行为能力和监护的主题。

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