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论杀人-自杀结构在法医精神病学中的应用。

Utility of homicide-suicide constructs in forensic psychiatry.

机构信息

Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie, Wydział Filozofii Chrześcijańskiej, Instytut Psychologii.

出版信息

Psychiatr Pol. 2022 Jun 30;56(3):591-602. doi: 10.12740/PP/OnlineFirst/130530.

DOI:10.12740/PP/OnlineFirst/130530
PMID:36342987
Abstract

In foreign literature, the term ‛dyadic death' is used to describe a situation of a murder followed by the perpetrator's suicide. It differs from the term ‛extended suicide' used in Poland. While it is recognized that the occurrence of ‛dyadic death' can be caused, apart from mental disorders, by unfavorable environmental factors, ‛extended suicide' is equated with the occurrence of severe depressive disorders in the perpetrator. The above-mentioned constructs describing a homicide-suicide were analyzed from the psychiatric and criminological point of view. The study shall discuss a case of a young woman who drowned her young son in a public place, and then declared her suicide intentions. An analysis of the course of mental disorders in the perpetrator, her biological burdens, situational and family conditions was carried out, and the personality factors that led to her mental decompensation were taken into account. Pathological motivational background of the perpetrator of her son's murder was clearly modified by her personality dysfunctions exacerbated by life difficulties. It differed from the motivation of a ‛typical' perpetrator of ‛dyadic death' or ‛extended suicide' presented in the literature. Settlements in cases involving murder and subsequent suicide attempts require a thorough forensic-psychiatric and criminological analysis. In some cases, the terms describing such situations do not refer to the clinical condition of the offender but to the nature and image of the crime. Abuse of these terms may contribute to judicial errors.

摘要

在国外文献中,术语“对偶死亡”用于描述谋杀后凶手自杀的情况。它与波兰使用的“延伸自杀”术语不同。虽然人们认识到“对偶死亡”的发生除了精神障碍外,还可能由不利的环境因素引起,但“延伸自杀”等同于凶手发生严重的抑郁障碍。从精神病学和犯罪学的角度分析了上述描述杀人-自杀的结构。本研究将讨论一名年轻女子在公共场所溺死其幼子,然后宣布自杀意图的案例。对凶手精神障碍的过程、她的生物负担、情境和家庭条件进行了分析,并考虑了导致她精神崩溃的人格因素。导致她儿子被谋杀的凶手的病理性动机背景,明显受到生活困难加剧的人格功能障碍的影响。这与文献中描述的“对偶死亡”或“延伸自杀”的“典型”凶手的动机不同。涉及谋杀和随后自杀企图的案件的解决方案需要进行彻底的法医精神病学和犯罪学分析。在某些情况下,描述此类情况的术语不是指罪犯的临床状况,而是指犯罪的性质和形象。滥用这些术语可能导致司法错误。

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