Oosthuizen H, Fick G, Els C
Department of Criminal and Medical Law, University of the Orange Free State, Bloemfontein, South Africa.
Med Law. 1995;14(7-8):601-9.
Mental illness or insanity has a dramatic influence on a person's legal status. A person's status determines his or her competencies such as legal capacity, capacity to act, accountability and capacity to litigate. A mentally ill person is incapable of performing juristic acts; he or she is not capable of becoming a party to legal proceedings; is virtually incapable of committing a crime or being liable for a delict; etc. However, not all mentally ill persons are precluded from performing legal acts or, for that matter, giving valid consent to medical treatment. The reason being that status is factually determined according to the degree to which the mental illness is present at the time when the mentally ill person participates in the legal traffic. The measure of capability depends on the patient's intellectual and volitional capacities that will decide whether the patient can validly contract, litigate or consent to medical treatment. More specifically medical research of a non-therapeutic nature can only be carried out on mental patients who are capable of consenting thereto. This article endeavours to touch upon the different aspects of the mentally ill person's legal status.
精神疾病或精神错乱对一个人的法律地位有着重大影响。一个人的地位决定了他或她的行为能力,如法律行为能力、行动能力、责任能力和诉讼能力。精神病人无能力实施法律行为;他或她不能成为法律程序的一方当事人;实际上无能力犯罪或对不法行为承担责任等。然而,并非所有精神病人都被排除在实施法律行为之外,或者就此而言,不能给予有效的医疗同意。原因在于,地位实际上是根据精神病人参与法律活动时精神疾病的存在程度来确定的。能力的衡量取决于患者的智力和意志能力,这将决定患者是否能够有效地订立合同、提起诉讼或同意接受治疗。更具体地说,非治疗性质的医学研究只能在能够对此给予同意的精神病人身上进行。本文力图探讨精神病人法律地位的不同方面。