Kröber H L
Psychiatrische Klinik, Universitätskrankenhaus Hamburg-Eppendorf.
Nervenarzt. 1995 Jul;66(7):532-41.
Rendering an expert opinion on offenders with personality disorders is one of the most frequent tasks in forensic psychiatry. In Germany, the juridical term "severe mental deviance" for impaired responsibility, caused by severe personality disorder or sexual perversion, causes a lot of problems, because there is no obligatory psychiatric interpretation of this term. This paper gives a review of the different clinical transpositions by German forensic psychiatrists and discusses the model of "progredient psychopathological development." Based on the common elements of these solutions, the paper proposes a clinical interpretation of "severe mental deviance", which is derived from the diagnostic and clinical practice with non-delinquent patients with severe personality disorders.
对患有精神疾病的罪犯提供专家意见是法医精神病学中最常见的任务之一。在德国，由严重人格障碍或性变态导致责任能力受损的法律术语“严重精神异常”引发了诸多问题，因为对此术语并无强制性的精神病学解释。本文回顾了德国法医精神病学家的不同临床转换方式，并讨论了“渐进性精神病理发展”模型。基于这些解决方案的共同要素，本文提出了一种“严重精神异常”的临床解释，该解释源自对患有严重人格障碍的非犯罪患者的诊断和临床实践。
