精神分裂症患者犯下的犯罪案件试图拉近这个问题的距离

M. Konieczny
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摘要

本文详细介绍了严重精神分裂症,特别是未经治疗的精神分裂症过程中应受惩罚的犯罪行为问题。专家们对精神病学和法律的认识很高,而社会上仍然广泛存在着伤害冷静的精神分裂症患者的刻板印象和神话,他们的数量超过了好斗的精神分裂症患者。就像在健康的人群中,也就是精神正常的人群中,有犯罪行为一样,在只占人口1%的精神分裂症人群中,也有统计上的攻击案例。大多数情况下,患者在停止药物治疗后会做出被禁止的行为,根据精神科医生的一致意见,这应该是治疗这种疾病的基础。此外,精神分裂症患者的家人和朋友经常否认精神分裂症的生物学本质,并说服他们停止或减少药物剂量,这在大多数情况下以病情恶化甚至完全复发告终。在脑中最常听到的低语和声音(幻听,精神分裂症中最常见的幻觉)的影响下,告诉他要杀死自己和/或其他人的病人,通常完全不理智,受到命令声音的指挥,不能进监狱,因为他的精神状态会进一步恶化。强制治疗是保护患者及其周围人的生命和健康的唯一途径。预防精神分裂症患者犯罪,特别是最严重的犯罪(谋杀、强奸、抢劫)的唯一方法是对社会进行心理教育,使其了解精神病理学的基本知识,并养成一种健康的习惯,即不要漠不关心,而是对任何令人不安的信号作出反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CASES OF CRIMES COMMITTED BY PEOPLE SUFFERING FROM SCHIZOPHRENIA AN ATTEMPT TO BRING THE PROBLEM CLOSER
The article presents in detail the issue of punishable criminal acts in the course of severe, especially untreated schizophrenia. Psychiatric and legal awareness is high among experts, while stereotypes and myths that harm calm people with schizophrenia, who outnumber aggressive ones, still exist in wide circles of society. Just like among the healthy, i.e. mentally normalized, there are crimes, so also in the population of schizophrenics, who constitute only 1% of the population, there are statistically cases of aggression. Most often, patients commit prohibited acts after discontinuing pharmacological treatment, which, according to the unanimous opinion of psychiatrists, should be the basis of therapy for this disease. Also very often the families and friends of schizophrenic people deny the biological nature of schizophrenia and persuade them to discontinue or reduce the dose of medication, which in most cases ends in exacerbation or even full-blown relapse. A patient who, under the influence of the most frequently heard whispers and voices in the head (auditory hallucinations, the most common hallucination in schizophrenia), which tell him to kill himself and/or someone else, is often not sane at all, commanded by commanding voices and cannot go to prison where his mental state would deteriorate further. Compulsory treatment is the only way to protect the life and health of both the patient and people around them. The only way to prevent crimes in schizophrenia, especially the most serious ones (murder, rape, robbery), is psychoeducation of the society in the basic knowledge of psychopathology and the acquisition of a healthy habit of not being indifferent, but reacting to any disturbing signals.
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