Platz W E
Karl-Bonhoeffer-Nervenklinik, Akademisches Lehrkranhenhaus, Freien Universität Berlin, Federal Republic of Germany.
Wien Klin Wochenschr. 1994;106(3):80-5.
With the aim of determining the differences, if any, between voluntarily admitted alcohol-dependent patients and those treated in a forensic hospital with regard to criminal behaviour caused by alcohol, a study was conducted within a clinical section to analyse 41 patients confined under the provisions of the German Penal Code (StGB, section 64) and 55 patients who were admitted voluntarily. There is virtually no difference in the patterns of delinquency of the two groups; plain theft, fraud, defalcation and damage of property are predominant. This however, does not apply to acts of killing, which were exclusively found in patients who were treated in a forensic hospital, the frequency of delinquency being predominant in the latter group. According to anamnesis, a comprehensive list of questions containing more than 400 items as well as a series of test-psychological investigations, a psychic profile is elaborated by means of significant data or showing a tendency towards significance. In accordance with the result of operationalised diagnostics, only 51.2 per cent of the patients of confinement showed a primary alcohol dependence. As far as the other patients of the group (who had been wrongly confined within the meaning of the law) were concerned, the predominant diagnosis was a disturbed personality with accompanying alcohol abuse, whereas in the group of voluntarily admitted patients the proportion of primary alcohol dependence was 81.8 per cent.
为了确定自愿入院的酒精依赖患者与法医医院收治的患者在酒精所致犯罪行为方面是否存在差异(若有差异),在一个临床科室开展了一项研究,分析了41名依据德国刑法典(《德国刑法典》第64条)被收治的患者以及55名自愿入院的患者。两组患者的犯罪模式几乎没有差异;普通盗窃、欺诈、挪用公款和财产损害行为最为常见。然而,杀人行为并非如此,此类行为仅在法医医院收治的患者中出现,且该组患者的犯罪频率更高。根据病史、一份包含400多个项目的综合问题清单以及一系列测试心理调查,通过具有显著意义的数据或显示出显著趋势的数据来制定心理档案。根据操作性诊断结果,仅51.2%的被收治患者表现出原发性酒精依赖。就该组的其他患者(在法律意义上被错误收治的患者)而言,主要诊断为伴有酒精滥用的人格障碍,而在自愿入院患者组中,原发性酒精依赖的比例为81.8%。