Miller E C
Department of Psychiatry, University of Florida College of Medicine, Gainesville.
J Fla Med Assoc. 1993 Oct;80(10):684-8.
Three states have established psychiatric security review boards mandated to primarily provide protection from the potentially destructive behavior of insanity acquitees. Each year in Florida there are 100 of these patients; 5% have been involved in capital offenses. These boards, as compared with the extant judiciary system, are more effective and parsimonious and serve the end of primary prevention. It is recommended that the plea, "not guilty by reason of insanity," be changed to "guilty but insane." The change is largely semantic but should result in greater prosecutorial and public acceptance of the insanity plea and be more in keeping with individual freedom for patients as provided under the Constitution.
有三个州设立了精神病安全审查委员会，其主要职责是保护公众免受因精神错乱而被宣告无罪者可能造成的破坏性行为的伤害。在佛罗里达州，每年有100名此类患者；其中5%涉及死罪。与现行司法系统相比，这些委员会更有效且更节俭，有助于实现一级预防的目标。建议将“因精神错乱而无罪”的抗辩改为“有罪但精神错乱”。这种改变主要是语义上的，但应会使检方和公众更能接受精神错乱抗辩，并且更符合宪法所规定的患者个人自由。
