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Forensic evaluation of psychiatric disorders in epilepsy

Published online by Cambridge University Press:  16 April 2020

M.V. Usyukina*
Affiliation:
Serbsky Research Centre for Social and Forensic Psychiatry, Moscow, Russia

Abstract

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Objective of the study: Elaboration of the methodology of forensic psychiatric assessment and development of the system of expert evaluations of psychiatric disorders in epilepsy.

Material:

200 male offenders suffering from epilepsy.

Methods:

Clinical, EEG and statistical analysis.

Results:

The 4-stage of psychiatric disorders in epilepsy evaluation has been proposed: 1. Diagnosis. The choice of expert approach is determined by individual clinical picture and course of the disorders; character of prevailing psychiatric disorders - personality disorders, psychoses, dementia, paroxysmal states; 2. Finding out the cause and effect relationships. Revealing the psychopathological mechanisms of an offence and qualification of a principal syndrome at the moment of offence. 3. Situational analysis. Evaluation of an adequacy of perception of the situation by a patient, his chances to choose other ways of behavior; capability to foresee a result of his behavior; 3 Building an expert conclusion: comparing of the current clinical picture and psychopathological disorder at the moment of crime with medical and juridical criteria of the formulas of irresponsibility, diminished responsibility and criteria for involuntary hospitalization.

Conclusion:

The proposed algorithm distinguishing different types of the relationships between psychopathological condition and criminal situation gives a possibility of precise evaluation of persons suffering from epilepsy. It takes into consideration the clinical diversity of psycho-pathological conditions that can differently contribute to the persons' responsibility.

Type
Poster Session 2: Epidemiology
Copyright
Copyright © European Psychiatric Association 2007
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