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目的分析司法鉴定中颅脑外伤所致精神障碍的特点及相关因素。方法用自编的调查表对2013年度在我所鉴定的与颅脑外伤有关的精神障碍司法鉴定全部案例406例进行回顾性调查。结果与颅脑损伤有关的精神障碍中,男性287人(70.7%),女性119人(29.3%);工人和个体户358人(88.2%);初中以下学历者369人(90.9%);排在前四位的精神障碍诊断分别是:器质性遗忘209人(51.5%),器质性智能损害128人(31.5%),器质性神经症样综合征34人(8.4%),器质性人格改变23人(5.7%);部分案例被鉴定人心理评估有不合作现象。结论在我所鉴定的颅脑外伤致精神障碍案例有一定地区特异性,男性多于女性,工人和个体户所占比例高,低文化程度者比例高;重型颅脑损伤者多表现为智能损害,轻型及中型颅脑损伤者多表现为记忆损害;部分被鉴定人在鉴定时存在不合作现象。
Objective To analyze the characteristics and related factors of mental disorders caused by brain trauma in forensic identification. Methods A self-made questionnaire was used to conduct a retrospective survey of 406 cases of all the cases of neurological appraisal of mental disorders related to craniocerebral injury that I identified in 2013. Results There were 287 males (70.7%) and 119 females (29.3%) with mental disorders related to craniocerebral injury; 358 (88.2%) were working and self-employed individuals; 369 (90.9%) had junior high school education or below; The top four diagnoses of mental disorders were: organic forgotten 209 (51.5%), organic intellectual impairment 128 (31.5%), organic neurotic syndrome 34 (8.4%), 23 changes in sexual personality (5.7%); some cases of appraisers psychological assessment of non-cooperation phenomenon. Conclusions The cases of mental disorders caused by craniocerebral trauma identified by me have certain regional specificity, with more males than females, high proportions of workers and self-employed individuals, and a high proportion of people with low educational level. Among those with severe craniocerebral injuries, Light and medium-sized traumatic brain injury manifested as memory impairment; some identified in the identification of non-cooperation phenomenon.