Shanok S S, Malani S C, Ninan O P, Guggenheim P, Weinstein H, Lewis D O
Am J Psychiatry. 1983 May;140(5):582-5. doi: 10.1176/ajp.140.5.582.
The psychopathology of 29 delinquent and 25 nondelinquent psychiatrically hospitalized adolescent boys was similarly severe. Similar proportions had hallucinations, delusions, learning disabilities, and evidence of neurological impairment, and over half in each group had been diagnosed as being psychotic. Fire-setting, enuresis, and cruelty to animals did not distinguish the two groups. Significantly more of the delinquents had been psychiatrically hospitalized previously, and significantly more of the delinquents had engaged in violently aggressive acts. The household composition of both groups was similar, but more mothers of delinquents than of nondelinquents had been psychiatrically hospitalized. The authors discuss the issue of the treatment of psychiatrically ill violent adolescents.
29名有犯罪行为和25名无犯罪行为的住院接受精神病治疗的青少年男性的精神病理学表现同样严重。有幻觉、妄想、学习障碍以及神经损伤迹象的比例相似,且每组中超过半数被诊断为患有精神病。纵火、尿床和虐待动物并不能区分这两组。有犯罪行为的人之前接受精神病住院治疗的人数显著更多,且有犯罪行为的人实施暴力攻击行为的人数也显著更多。两组的家庭构成相似,但有犯罪行为者的母亲接受精神病住院治疗的人数比无犯罪行为者的母亲更多。作者们讨论了患有精神疾病的暴力青少年的治疗问题。