癫痫所致精神障碍违法者的犯罪学特征及其刑事责任能力评定的影响因素研究

发布时间：2018-06-12 07:34

本文选题：癫痫所致精神障碍 + 犯罪学特征　；参考：《四川大学》2007年硕士论文

【摘要】： 目的：探讨癫痫所致精神障碍违法者的犯罪学特征、精神病理学因素及其社会功能状况，研究其刑事责任能力评定的影响因素，，加深对癫痫所致精神障碍违法者犯罪行为的认识，为法医精神病学鉴定提供理论依据。方法：首先将所有符合纳入标准的样本使用自编法医精神病学鉴定登记表逐项登记、整理，同时完成GAF评分、PANSS评分、SDSS评分。然后将数据输入电脑，使用SPSS13．0进行统计分析，根据CCMD-3作出鉴定诊断的不同分为研究组(癫痫所致精神障碍组)和对照组(无精神病组)，并进行一般人口学资料、犯罪学特征的对照统计分析；根据责任能力的有无，将研究组进一步细分为有刑事责任能力组(包括部分刑事责任能力者)和无刑事责任能力组，并进行相关对照分析；根据研究组中影响被鉴定人作案的主要症状不同，从另外一个角度将研究组进一步细分为精神病性症状组和人格改变组，并进行相关对照分析。最后以有无刑事责任能力为因变量，其他相关因素为自变量进行Spearman或Pearson相关分析和Logistic回归分析，并得出研究结论。结果：研究组与对照组相比，在智商(P=0．000)、言语智商(P=0．000)、操作智商(P=0．000)、鉴定时距离案发时的时间间隔(P=0．028)、作案动机(P=0．000)、作案前的准备活动(P=0．000)、作案是否顺利(P=0．044)、值班巡逻情况(P=0．000)、对作案时间(日期、钟点)的选择(P=0．000)、对作案时间选择的主要考虑因素(P=0．000)、作案后是否自称遗忘(P=0．000)、作案后的反应(P=0．003)、案件类型(P=0．008)和作案结果(P=0．032)方面的差异具有统计学意义。精神病性症状组与人格改变组相比，在鉴定时距离案发时的时间间隔(P=0．001)、作案前有无诱发事件(P=0．000)、作案动机(P=0．000)、作案是否顺利(P=0．028)、作案目的(P=0．000)、作案后是否自称遗忘(P=0．009)、作案后的反应(P=0．004)、GAF评分(P=0．000)、P分(P=0．000)、N分(P=0．000)、G分(P=0．000)、PANSS总分(P=0．000)、SDSS总分(P=0．000)方面的差异具有统计学意义。无刑事责任能力组与有刑事责任能力组相比，在鉴定时距离案发时的时间间隔(P=0．027)、作案前有无诱发事件(P=0．000)、作案动机(P=0．000)、作案目的(P=0．000)、作案后是否自称遗忘(P=0．009)、作案后的反应(P=0．007)、GAF评分(P=0．000)、P分(P=0．000)、N分(P=0．000)、G分(P=0．000)、PANSS总分(P=0．000)、SDSS总分(P=0．000)方面的差异具有统计学意义。进行相关性分析后发现，刑事责任能力的评定与诱发事件(r=-0．299)、作案动机(r=-0．464)、作案目的(r=-0．439)、自称遗忘(r=0．231)、作案后反应(r=-0．266)、诊断(r=0．845)、GAF评分(r=-0．677)、P分(r=-0．543)、N分(r=-0．482)、G分(r=-0．613)、PANSS总分(r=-0．578)、SDSS总分(r=-0．369)共12个因素间存在相关关系，其中与诊断之间存在最强的正相关，r=0．845。以有无刑事责任能力作为因变量Y(二分类变量)，上述与评定责任能力之间存在相关性的12个因素作为自变量X，进行Logistic回归分析后发现，只有GAF评分(OR=0．325，P=0)、G分(OR=0．837，P=0．003)和诊断(OR=3．783，P=0．023)三个因素进入方程，其中诊断为危险性因素，GAF评分和G分为保护性因素。结论：癫痫所致精神障碍违法者在犯罪学特征方面，作案动机、作案后是否自称遗忘、作案后的反应可作为刑事责任能力评定的重要参考指标。研究组与对照组相比在智商、言语智商、操作智商方面评分明显偏低；精神病性症状组与人格改变组相比、无刑事责任能力组与有刑事责任能力组相比，在智商、言语智商、操作智商方面的差异并无统计学意义，在GAF评分、P分、N分、G分、PANSS总分、SDSS总分方面的差异均具有统计学意义，需充分重视GAF、PANSS、SDSS在癫痫所致精神障碍违法者刑事责任能力评定中的参考价值。最后经Logistic回归分析发现，GAF评分、G分和诊断三个因素是癫痫所致精神障碍违法者刑事责任能力评定的主要影响因素。另外，精神病性症状组与无刑事责任能力组、人格改变组与有刑事责任能力组之间具有较强的一致性，需充分重视正确诊断在刑事责任能力评定中的重要作用。
[Abstract]:Objective : To study the criminological characteristics , psychopathology factors and social function status of the patients with mental disorders due to epilepsy , to study the influencing factors of their criminal responsibility ability assessment , to deepen the understanding of the criminal behavior of mental disorders caused by epilepsy , and to provide theoretical basis for forensic psychiatric appraisal .

Methods : All samples conforming to the inclusion criteria were registered and sorted by self - compiled forensic psychiatric accreditation registration form , and the GAF score , PANSS score and SDSS score were completed at the same time . Then , the data were input into the computer , and the data were input into the computer . Then , the data were input into the computer , and the data were analyzed by SPSS 13.0 . According to CCMD - 3 , the diagnosis was divided into the study group ( mental disorder group caused by epilepsy ) and the control group ( no psychosis group ) , and the comparative statistical analysis of general demographic data and criminological characteristics was carried out .
Based on the presence or absence of responsibility , the study group is further subdivided into criminal liability groups ( including some of the criminal responsibility capabilities ) and the non - criminal liability group , and the relevant control analysis is carried out ;
The study group was further divided into psychotic symptom group and personality change group according to the main symptoms of the study group , and the related control analysis was carried out . Finally , based on the ability of criminal responsibility as the dependent variable and other relevant factors as independent variables , Pearson correlation analysis and Logistic regression analysis were performed on the independent variables , and the conclusion was drawn .

Results : Compared with the control group , the study group had significant difference in the intelligence quotient ( P = 0.000 ) , verbal intelligence quotient ( P = 0.000 ) , operator intelligence quotient ( P = 0.000 ) , time interval at the time of identification ( P = 0.028 ) , the case type ( P = 0.000 ) , the case type ( P = 0.003 ) , the case type ( P = 0.008 ) and the case type ( P = 0.032 ) .

Compared with the personality change group , the time interval ( P = 0 . 001 ) , the time interval ( P = 0.000 ) , the case motivation ( P = 0.000 ) , the score of GAF ( P = 0.000 ) , the total score of PANSS ( P = 0.000 ) , the total score of SDSS ( P = 0.000 ) and the total score of SDSS ( P = 0.000 ) were statistically significant .

Compared with the criminal liability group , there was a significant difference between the time interval ( P = 0.027 ) , the time interval ( P = 0.000 ) , the case motivation ( P = 0.000 ) , the case purpose ( P = 0.000 ) , the total score ( P = 0.000 ) , the total score of PANSS ( P = 0.000 ) , the total score of SDSS ( P = 0.000 ) and the total score of SDSS ( P = 0.000 ) .

Correlation analysis revealed that there was a correlation between the evaluation of criminal responsibility and the evoked event ( r = - 0.299 ) , the motive of action ( r = - 0.464 ) , the purpose of the action ( r = - 0.439 ) , the post - action response ( r = - 0.643 ) , the total score of PANSS ( r = - 0.482 ) , the score of G ( r = - 0.643 ) , the total score of PANSS ( r = - 0.482 ) , the total score of SDSS ( r = - 0.673 ) , the total score of PANSS ( r = - 0.578 ) , the total score of SDSS ( r = - 0.673 ) , the total score of PANSS ( r = - 0.578 ) , the total score of SDSS ( r = - 0.673 ) , the score of G ( OR = 0.837 , P = 0 ) . 003 ) The three factors of diagnosis ( OR = 3.783 , P = 0.023 ) entered the equation , in which the diagnosis was the risk factor , GAF score and G were divided into protective factors .

Conclusion : It is an important reference for the evaluation of the ability of criminal responsibility in the aspects of the characteristics of criminology , the motive of the crime , whether it is self - forgotten or not , and the post - action response can be regarded as an important reference index for the evaluation of criminal responsibility .
Compared with the group of criminal responsibility , there was no significant difference in the scores of GAF , PANSS and SDSS .
【学位授予单位】：四川大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：D919.3

【引证文献】