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題名:從精神鑑定個案論飲酒與犯罪的關係
書刊名:臺灣精神醫學
作者:許欣偉陳喬琪周仁宇游正名楊添圍胡維恆
作者(外文):Hsu, Hsin-weiChen, Chiao-chicyChou, Jen-yuYu, Jeng-mingYang, Tien-weiHu, Wei-herng
出版日期:1999
卷期:13:2
頁次:頁48-54
主題關鍵詞:酒精使用疾患酒精中毒刑案司法精神鑑定Alcohol use disorderAlcohol intoxicationCriminal offenseForensic psychiatric evaluation
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:5
  • 點閱點閱:185
     目的:探討酒精使用疾患者之飲酒與犯罪行為的關係。方法:以臺北市某精神科 專科教學醫院自民國 70 年 4 月至 85 年 12 月所有刑事鑑定個案中, 選取符合 DSM-IV 酒精依賴或酒精濫用診斷準則者 21 名為樣本,回溯分析其社會人口學背景、共患精神疾病 、犯罪行為性質與犯案時精神狀態。 結果:21 名個案的犯行中,以身犯最多,次為財犯; 犯行分項以殺人最多。再者,前科犯行與本次犯行的性質間,有密切的關係。以犯案時精神 狀態區分,在酒精中毒下之犯行以身犯最多,未達酒精中毒者的犯行以財犯最多,此一差異 已達統計學上的顯著意義。共患的精神科診斷方面,反社會人格違常、精神分裂症與酒精性 精神病皆佔有相當的比例。結論:犯案時精神狀態有否酒精中毒,可能是影響酒精使用疾患 者犯罪型態的重要因素。如何收集更多的資料,以確定犯案當時的精神狀態及其與犯行的關 係,應是此類司法精神鑑定的重點所在。
     Objective: To investigate the relationship between alcohol use disorder and criminal offense in criminal offenders referred for forensic psychiatric evaluation in Taiwan. Methods: The sample consisted of 21 criminal offenders with alcohol use disorder, who were referred to a psychiatric teaching hospital in Taipei for forensic psychiatric evaluation from 1981 to 1996. All subjects met the DSM-IV criteria for alcohol dependence or alcohol abuse. The socio-epidemiological characteristics, psychiatric co-morbidity, nature of the offense, and mental state at the time of the offense (MSO) were retrospectively analyzed. Results: As a whole, offenders were more likely to commit offenses against persons and, secondly, offenses against property. Homicide was the most frequently encountered offense. Among offenders with a prior criminal record, the index offense was frequently related to prior criminal offenses. The relation between MSO and the nature of the index offense was statistically significant (p=0.027). Alcohol-in-toxicated offenders were more likely to commit offenses against persons while non-alcohol-intoxicated offenders were more likely to commit offenses against property. The most frequently diagnosed psychiatric co-morbidity was antisocial personality disorder, followed by schizophrenia and alcoholic psychosis. Conclusion: The results of this study suggest that alcohol intoxication plays a significant role in shaping the nature of criminal offenses. There-fore, forensic psychiatric evaluation requires extensive comparison of alcohol use patterns as well as socio-epidemiologic characteristics, and psychiatric co-morbidity to clarify the relationship between MSO and the nature of a criminal offense.
期刊論文
1.Gillies, H.(1976)。Homicide in the West of Scotland。Br J Psychiatry,128,105-107。  new window
2.Gerson, L. W.(1978)。Alcohol-related acts of violence: who was drinking and where the acts occurred。J Stud Alcohol,39,1294-1296。  new window
3.Hwu, H. G.、Yeh, E. K.、Yeh, Y. L.、Chang, L. Y.(1988)。Alcoholism by Chinese diagnostic interview schedule: a prevalence and validity study。Acta Psychiatr Scand,77,7-13。  new window
4.楊逸鴻、林信男、林憲、胡海國、郭宗禮(1993)。兩階段飲酒試驗:司法精神鑑定個案報告。中華精神醫學,7,269-275。  延伸查詢new window
5.周仁宇、游正名、楊添圍、張良慧、陳喬琪、胡維恆(19971200)。情感性精神病患者之犯罪行為。臺灣精神醫學,11(4),15-25。new window  延伸查詢new window
6.Helzer, J. E.、Canino, G. J.、Yeh, E. K.(1990)。Alcoholism in north America。Arch Gen Psychiatry,35,591-600。  new window
7.Modestin, J.、Berger, A.、Ammann, R.(1996)。Mental disorder and criminality-Male alcoholism。J Nerv Ment Dis,184,393-402。  new window
8.Bradford, J. W.、Greenberg, D. M.、Motayne, G. G.(1992)。Substance abuse and criminal behavior。Psychiatr Clin North Am,15,605-622。  new window
9.Collins, J. J.、Schlenger, W. E.(1988)。Acute and chronic effects of alcohol use on violence。J Stud Alcohol,49,516-521。  new window
10.陳喬琪(1996)。與酒精或藥癮共患的精神疾病。中華精神醫學,10,315-324。  延伸查詢new window
11.Tiihonen, J.、Isohanni, M.、Rasanen, P.、Koiranen, M.、Moring, J.(1997)。Specific major mental disorders and criminality: a 26-year prospective study of the 1966 Northern Finland birth cohort。Am J Psychiatry,154,840-845。  new window
12.Lindqvist, P.(1991)。Homicides committed by abusers of alcohol and illicit drugs。Br J Addict,86,321-326。  new window
13.Rivara, F. P.、Mueller, B. A.、Somes, G.、Mendoza, C. T.、Rushforth, N. B.、Kellermann, A. L.(1997)。Alcohol and illicit drug abuse and the risk of violent death in the home。JAMA,278,569-575。  new window
14.Rossow, I.(1996)。Alcohol-related violence: the impact of drinking pattern and drinking context。Addiction,91,1651-1661。  new window
15.陳喬琪、葉英堃、胡海國(19870900)。一所綜合醫院住院病患之飲酒問題:酒精濫用與依賴之終生盛行率。中華精神醫學,1(3),166-172。  延伸查詢new window
16.劉絮愷、林信男、林憲(19951200)。縱火犯之犯行與動機。中華精神醫學,9(4),299-309。  延伸查詢new window
圖書
1.Guze, S. B.(1976)。Criminality and Psychiatric disorders。New York:Oxford University Press。  new window
2.柴田洋子、新井賢(1985)。酩酊犯罪の精神鑑定。東京:金剛出版社。  延伸查詢new window
3.林憲、林信男(1987)。精神鑑定。臺北市:橘井文化。  延伸查詢new window
4.蔡墩銘(1992)。刑法各論。臺北市:三民書局。  延伸查詢new window
5.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.:American Psychiatric Association。  new window
圖書論文
1.Hore, B.(1990)。Alcohol and crime。Principles and practice of forensic psychiatry。New York:Churchill Livingstone,。  new window
2.Collins, J. J.(1981)。Alcohol use and criminal behavior: An empirical, theoretical and methodological ovemew。Drinking and Crime。New York:Guilford Press。  new window
3.Pemanen, K.(1981)。Theoretical aspects of the relationships between alcohol use and crime。Drinking and crime。New York:Guilford Press。  new window
 
 
 
 
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