关键词: forensic psychiatry homicide suicide

Mesh : Child Humans Female Adult Psychotic Disorders / diagnosis psychology Mental Disorders / diagnosis Psychiatry Forensic Medicine

来  源:   DOI:10.12740/PP/OnlineFirst/135902

Abstract:
The article describes the case of a 40-year-old woman who attempted suicide and killed two of her own children and was examined by three teams of forensic psychiatrists and psychologists for the purpose of judiciary. This women was somatically healthy, did not use psychiatric or psychological help. The authors were the third team of experts and, after conducting double psychiatric and psychological examinations and analysis of documents from the case files, which include the course of forensic-psychiatric observation, recognized the symptoms of dependant personality disorders and acute stress reaction, which resulted in a complete loss of the ability to recognize the meaning of the act and to manage proceeding. The paper discusses the diagnostic process as well as the analysis of psychotic disorders in relation to specific clinical diagnoses in accordance with the current classification of mental illnesses and disorders. Attention was paid to the problem of differentiating individual disorders and the way of defining psychotic disorders. The existence of difficulties in drawing the line between psychotic and non-psychotic disorders in the context of forensic psychiatric evaluation is emphasized.
摘要:
本文描述了一名40岁妇女的案例,该妇女企图自杀并杀死了自己的两个孩子,并由三支法医精神病学家和心理学家小组进行了司法检查。这个女人身体很健康,没有使用精神病或心理帮助。作者是第三组专家,在进行精神和心理双重检查和分析案件档案文件后,其中包括法医-精神病学观察的过程,认识到依赖性人格障碍和急性应激反应的症状,这导致完全丧失了识别行为含义和管理诉讼程序的能力。本文根据当前的精神疾病和障碍分类,讨论了与特定临床诊断相关的精神障碍的诊断过程以及分析。注意区分个体疾病的问题和定义精神病的方法。强调在法医精神病学评估的背景下,在精神病和非精神病性障碍之间划清界限存在困难。
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