Altmark D, Sigal M, Gelkopf M
Lev Hasharon Mental Health Center, Netanya, Israel.
Isr J Psychiatry Relat Sci. 1995;32(2):109-13.
The psychiatric and judicial concepts of mental disorders are similar but not always identical. The gap between them creates confusion, a lack of unity and inconsistencies in decision making. This gap needs to be bridged. In the hinterland of these concepts lies a range of psychiatric disturbances such as encapsulated over organized delusional disorders (Paranoia Vera) and life endangering eating disorders (Anorexia Nervosa). When life threatening or criminal responsibility circumstances arise, the dilemma presented to the psychiatrists on the one hand and the judicial system on the other reaches its peak. Presented in the article are aspects of the gray areas of involuntary commitment and criminal responsibility.
精神障碍的精神病学概念和司法概念相似但并非总是相同。它们之间的差距造成了混乱、缺乏统一性以及决策上的不一致。这种差距需要弥合。在这些概念的背后存在一系列精神障碍,比如局限性的系统性妄想障碍(真性偏执狂)和危及生命的进食障碍(神经性厌食症)。当出现危及生命或刑事责任的情况时,摆在精神科医生和司法系统面前的两难困境达到了顶峰。本文介绍了非自愿住院和刑事责任等灰色地带的相关方面。