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[精神病学中的医学专家评估]

[Medical expert assessment in psychiatry].

作者信息

Pietzcker A

机构信息

Psychiatrische Klinik und Poliklinik, Freien Universität Berlin.

出版信息

Z Arztl Fortbild (Jena). 1996 Nov;90(7):623-6.

PMID:9064935
Abstract

Especially regarding two respects, the psychiatric expert assessment differs from the expert assessment of other medical specialties: (1) No laboratory tests or technical equipment are available for the psychiatrist except for mental disturbances due to physical impacts such as brain injuries or intoxications. The psychiatrist depends on a carefully compiled case history and a differentiated psychodiagnostic. This may lead to a wrong assessment due to a lack of objectiveness. (2) There are a lot of legal areas where only the psychiatric or psychological expert opinion is required: i.e., the question of criminal responsibility during a trial, the assessment of legal capacity and the capability to will, for decisions about the custody of children etc. This is demonstrated with some cases as an example.

摘要

特别是在两个方面,精神病学专家评估不同于其他医学专业的专家评估:(1)除了因脑损伤或中毒等身体影响导致的精神障碍外,精神科医生没有实验室检查或技术设备可用。精神科医生依赖于精心编制的病史和差异化的心理诊断。由于缺乏客观性,这可能导致错误的评估。(2)在许多法律领域,只需要精神病学或心理学专家意见:例如,审判期间的刑事责任问题、法律行为能力和意志能力的评估、关于儿童监护权的决定等。以下通过一些案例进行说明。

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