人格障碍违法者在司法鉴定前的诊疗史分析

目的通过分析司法鉴定案例中被鉴定为人格障碍者的既往诊疗史,为探讨人格障碍者被漏诊和误诊的原因提供依据。方法对22例司法精神医学鉴定为人格障碍的既往诊疗史进行回顾性分析。结果其中12例在违法犯罪前从未接受医疗机构的诊断与治疗,8例被误诊,2例在未明确诊断的情况下接受对症治疗。结论由于人格障碍是在人格发育过程中逐渐形成的,且缺乏典型的精神病性症状等原因,人格障碍者在违法前常被漏诊或误诊,违法犯罪后又常被其家属冠以患"精神病"而委托鉴定,鉴定者应正确掌握诊断标准,以免让这些本应从严评定责任能力的违法犯罪者逃避法律责任。

Analyses on diagnosis and treatment history before forensic expertise for criminal with personality disorder

Objective To provide bases for exploreing the missed-and mis-diagnosis causes of personality disorder through analyzing past diagnosis and treatment history of 22 cases appraised as personality disorder.Methods Retrospective anlyses on past diagnosis and treatment history were conducted in 22 cases with appraised personality disorder.Results Before crime,12 cases never received diagnosis and treatment from medical establishments,8 were mis-diagnosed and 2 received symptomatic treatment before identified diagnosis.Conclussion Because personality disorder is gradually formed during the personality development process,lacks causes such as typical psychotic symptoms etc,is missed-and mis-diagnosed before crime and entrusted appraise is requested crowned with "psychosis" by their families after crime,authenticators should correctly master diagnostic criteria to prevent the criminal from escaping law responsibility.