Comparison of Clinical and Criminological Features of Patients with Organic Mental

S. Popov
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Abstract

Study Objective: To study the clinical and criminological factors in patients with schizophrenia and organic mental disorders (OMDs) recorded before the first socially dangerous act (SDA), and to analyse various features taking into account follow-up of these patients and repeated SDA prevention. Study Design: Comparative study. Materials and Methods. The study included 86 schizophrenia patients (study group A) and 45 patients with OMDs (study group B) who committed repeated SDAs, were found insane and were forced to undergo various court-appointed therapies for 2 and more times. In this study, we used the clinical psychopathologic method with due account to psychopathology and clinical statistic method as the main methods. Study Results. 49 (57%) and 23 (51.1%) patients in group A and group B, respectively, were not held criminally liable before; thus, 37 (43%) patients in group A and 22 (48.9%) patients in group B had criminal records. In group A, 26 (30.2%) patients were held criminally liable once, whereas in group B — 9 (20%); 11 (12.8%) and 13 (28.9%) patients, respectively, had multiple criminal records. Patients with schizophrenia committed more crimes against life — 13.5% in past medical history to 30.2% in case of a repeated SDA; the number of crimes against property remained relatively stable (from 59.4% in past medical history to 54.7% in case of a repeated SDA). Drug-related crimes became more numerous: an increase from 2.7 to 11.7%. In patients with OMDs, the number of crimes against property dropped from 86.4% in past medical history to 51.1% in case of a repeated SDA, whereas the number of crimes against life rose (from 4.5% in past medical history and up to 35.6% in case of a repeated SDA). At the same time, the incidence of drug-related crimes grew insignificantly (from 9.1% to 11.1%). Conclusion. It was found out that patients in these nosological categories have specific criminal behaviours affecting their illegal activities, features of SDA relapses, and changes in the criminal behaviour structure over the course of disease. The obtained data make it possible to study the characteristics of criminal behaviours of mentally handicapped individuals and will help develop recommendations for prevention and forecast of crimes committed by mentally ill persons. Keywords: psychiatry, organic mental disorders, schizophrenia, socially dangerous acts.
器质性精神病患者的临床与犯罪学特征比较
研究目的:探讨首次社会危险行为(SDA)发生前精神分裂症合并器质性精神障碍(OMDs)患者的临床及犯罪学因素,并结合患者的随访和反复预防分析其各种特征。研究设计:比较研究。材料与方法。该研究包括86名精神分裂症患者(A组)和45名omd患者(B组),他们反复进行SDAs,被发现精神失常,并被迫接受2次以上法院指定的各种治疗。本研究以临床精神病理学方法为主,兼顾精神病理学和临床统计学方法。研究结果:A组49例(57%)、B组23例(51.1%)患者此前未被追究刑事责任;A组37例(43%),B组22例(48.9%)有犯罪记录。A组26例(30.2%)被追究刑事责任,B组9例(20%);有多重犯罪记录的分别为11例(12.8%)和13例(28.9%)。精神分裂症患者对生命犯下了更多的罪行——既往病史为13.5%,重复SDA为30.2%;财产犯罪的数量保持相对稳定(从既往病史中的59.4%到重复SDA的54.7%)。与毒品有关的犯罪越来越多:从2.7%增加到11.7%。在omd患者中,对财产犯罪的比例从既往病史中的86.4%下降到重复SDA的51.1%,而对生命犯罪的比例则上升(从既往病史中的4.5%上升到重复SDA的35.6%)。与此同时,与毒品有关的犯罪发生率增长不大(从9.1%上升到11.1%)。结论。研究发现,这些疾病分类的患者具有影响其非法活动的特定犯罪行为,SDA复发的特征以及疾病过程中犯罪行为结构的变化。获得的数据使研究智障人士犯罪行为的特点成为可能,并将有助于制定预防和预测精神病患者犯罪的建议。关键词:精神病学,器质性精神障碍,精神分裂症,社会危险行为。
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