van Rensburg P H, Gagiano C A, Verschoor T
University of the Orange Free State, Bloemfontein, South Africa.
Med Law. 1994;13(3-4):373-9.
Courts have accepted that epileptics sometimes commit unlawful acts as a result of an epileptic seizure. Reasons for this unlawful behaviour may be found in the interictal, ictal and post-ictal phases of the seizure. Interictal aspects which are relevant to the form of epileptic automatism may be the person's natural tendencies, the same psychodynamic factors which determine the contents of dreams, the person's social background of violence and the contents of a person's thoughts immediately before a seizure. Ictal aspects include the specific part of the brain from which the seizure originates, the loss of integration of incoming sensorial stimuli with motor-emotional output, the loss of higher control associated with a reversion to primitive automatic behaviour and the emergence of repressed feelings and aggressive instincts. Post-ictal violent behaviour may stem from the epileptic's misinterpretation of well-meant attempts by bystanders to protect him or her against the consequences of his or her confused conduct--and is usually characterized by a clouded consciousness, paranoid ideas and hallucinations.
法院已承认,癫痫患者有时会因癫痫发作而实施非法行为。这种非法行为的原因可能存在于癫痫发作的发作间期、发作期和发作后期。与癫痫自动症形式相关的发作间期因素可能包括人的自然倾向、决定梦境内容的相同心理动力因素、人的暴力社会背景以及癫痫发作前此人的即时思想内容。发作期因素包括癫痫发作起源的大脑特定部位、传入感觉刺激与运动-情感输出整合的丧失、与恢复原始自动行为相关的高级控制丧失以及被压抑情感和攻击本能的出现。发作后暴力行为可能源于癫痫患者对旁观者出于善意试图保护其免受其混乱行为后果影响的误解——通常表现为意识模糊、偏执观念和幻觉。