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題名：殺人罪受刑人之精神障礙
書刊名：臺灣精神醫學
作者：楊添圍／郭千哲／黃智佳／吳文正／蔡盧浚／陳喬琪／許文耀 引用關係／蔡墩銘
作者(外文)：Yang, Tien-wei／Kuo, Chian-jue／Huang, Chih-chia／Wu, Wen-cheng／Tsai, Lu-jun／Chen, Chiao-chicy／Hsu, Wen-yau／Tsai, Tun-ming
出版日期：2003
卷期：17:4
頁次：頁283-292
主題關鍵詞：殺人行為；人格疾患；物質依賴；酒精中毒；Homicidal behavior；Personality disorder；Substance dependence；Alcohol intoxication
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(2) 博士論文(3) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:12
  • 點閱點閱:154
　　　　　目的：為了解殺人犯罪與精神疾病、酒精使用之關係。 方法：以某監獄服刑者中被處普通殺人罪之受刑人為研究對象，運用精神科醫師評估記錄表（Psychiatrist's Diagnostic Assessment, PDA）與人格結構問卷（Structured Interview for DSM-III-R Personality Disorders,SIPD-R）為工具，進行半結構會談方式收集資料。 結果：86 位個案中，有52.3%（45位）具有酒精使用疾患，其中18.6%（16位）達酒精依賴，37.2%（32位）具人格疾患。個別人格疾患，最多為反社會人格18.6%（16位）、虐待狂型人格10.5%（9位），而16位酒精依賴個案同時罹患人格疾患5位（5.8%）。反社會性人格與虐待型人格疾患診斷者，及乙型人格疾患診斷者，於犯行時較容易有酒精中毒之情形（分別為p=0.001 與p=0.006 ＜ 0.05）。 結論：在本研究，人格疾患與物質使用疾患是較為常見的精神疾病。對於較具衝動性之反社會性人格疾患及乙型人格疾患個案，酒精之急性作用對殺人行為影響似較顯著。仍有相當比率非人格疾患與物質使用疾患之精神疾病患者，應使其接受治療以降低再犯率。
　　　　　Objectives: This study investigated the relationship between homicidal behavior, psychiatric morbidity, and alcohol use. Methods: The Psychiatric Diagnostic Assessment (PDA) and Structured Interview for DSM-III-R Personality Disorders (SIPD-R) were used to investigate the psychiatric morbidity and related data among prisoners in one prison who had been convicted of homicide from m 1999 to 2000. Results: Among the 96 prisoners included in the study, 45 (52.3%) had alcohol- related disorders, 16 (18.6%) had alcohol dependence and 32 (37.2 %) had personality disorders. The most prevalent personality disorders were antisocial(18.6%) and sadistic(10.5%). Among the 16 subjects with alcohol dependence, 5 had personality disorders. Subjects with antisocial and/or sadistic personality disorders and those with Cluster B personality disorders tended to have had alcoholic intoxication while committing homicide (p=0.001, p=0.006 respectively). Conclusion: Personality disorders and substance use disorders were the most common psychiatric disorders in this study of prisoners convicted of homocide. The acute effects of alcohol might play an important role in offenses committed by individuals with antisocial personality disorders or Cluster B personality disorders. A significant portion of offenders in this study had psychiatric morbidity other than personality disorders or substance-use disorders. Psychiatric intervention is indicated to reduce the rate of repeat offenses.
期刊論文
1.許欣偉、陳喬琪、周仁宇、游正名、楊添圍、胡維恆(19990600)。從精神鑑定個案論飲酒與犯罪的關係。臺灣精神醫學，13(2)，48-54。new window  延伸查詢new window
2.葉英堃、胡海國、葉元麗(19870400)。Social Changes and Prevalences of Specific Mental Disorders in Taiwan。中華心理衛生學刊，3(1)，31-42。new window  延伸查詢new window
3.葉佐偉、周仁宇、游正名、楊添圍、陳喬琪、胡維恆(19981200)。34例安非他命使用疾患者之精神鑑定。臺灣精神醫學，12(4)，24-35。new window  延伸查詢new window
4.蔡尚穎、陳喬琪、葉英堃(1997)。Alcohol Problems and Long-Term Psychosocial Outcome in Chinese Patients with Bipolar Disorder。Journal of Affective Disorders，46，143-150。  new window
5.陳喬琪、蔡尚穎、束連文、蔡長哲、胡海國、楊添圍(1999)。Psychiatric Co-morbidity among Male Heroin Addicts: Differences between Hospital and Incarcerated Subjects in Taiwan。Addiction，94(6)，825-832。  延伸查詢new window
6.陳喬琪(1996)。與酒癮或藥癮共患的精神疾病。中華精神醫學，10(4)，315-324。  延伸查詢new window
7.Gunn, J.(1977)。Criminal Behaviour and Mental Disorder。The British Journal of Psychiatry，130，317-329。  new window
8.Wallace, C.、Mullen, P.、Burgess, P.、Palmer, S.、Ruschena, D.、Browne, C.(1998)。Serious Criminal Offending and Mental Disorder: Case Linkage Study。The British Journal of Psychiatry，172，477-484。  new window
9.林信男、林憲、張迺良(1978)。犯罪及虞犯青少年153位症例之精神鑑定。中華民國神經精神醫學會會刊，4，35-46。  延伸查詢new window
10.Swanson, J. W.、Holzer, C.、Ganju, V.(1990)。Violence and Psychiatric Disorder in the Community: Evidence from the Epidemiologic Catchment Area Surveys。Hospital & Community Psychiatry，41(7)，761-770。  new window
11.Swanson, J. W.、Swartz, M. S.、Borum, R.、Hiday, V. A.、Wagner, H. R.、Burns, B. J.(2000)。Involuntary Out-patient Commitment and Reduction of Violent Behaviour in Persons with Severe Mental Illness。The British Journal of Psychiatry，176，324-331。  new window
12.Swartz, M. S.、Swanson, J. W.、Hiday, V. A.、Borum, R.、Wagner, H. R.、Burns, B. J.(1998)。Violence and Severe Mental Illness: The Effects of Substance Abuse and Nonadherence to Medication。American Journal of Psychiatry，155(2)，226-231。  new window
13.Gillis, H.(1976)。Homicide in the West of Scotland。The British Journal of Psychiatry，128，105-107。  new window
14.Tiihonen, J.、Eronen, M.(1993)。Criminality Associated with Mental Disorders and Intellectual Deficiency。Archives of General Psychiatry，50(11)，917-918。  new window
15.Tiihonen, J.、Hakola, P.(1994)。Psychiatric Disorders and Homicide Recidivism。The American Journal of Psychiatry，151(3)，436-438。  new window
16.Tiihoenn, J.、Hakola, P.、Eronen, M.、Varitanen, H.、Ryynanen, O. P.(1996)。Risk of Homicidal Behavior among Discharged Forensic Psychiatric Patients。Forensic Science International，79(2)，123-129。  new window
17.Asnis, G. M.、Kaplan, M. L.、Hundorfean, G.、Saeed, W.(1997)。Violence and Homicidal Behaviors in Psychiatric Disorders。The Psychiatric Clinics of North America，20(2)，405-425。  new window
18.Tardiff, K.、Marzuk, P. M.、Leon, A.、Hirsch, C. S.、Stajic, M.、Portera, L.、Hartwell, N.(1994)。Homicide in New York City: Cocaine Use and Firearms。JAMA: The Journal of the American Medical Association，272(1)，43-46。  new window
19.Lindqvist, P.(1991)。Homicides Committed by Abusers of Alcohol and Illicit Drugs。British Journal of Addiction，86(3)，321-326。  new window
20.Spunt, B.、Brownstein, H.、Goldstein, P.、Fendrich, M.、Liberty, H. J.(1995)。Drug Use by Homicide Offenders。Journal of Psychoactive Drugs，27(2)，125-134。  new window
21.Kellermann, A. L.、Mercy, J. A.(1992)。Men, Women, and Murder: Gender-specific Differences in Rates of Fatal Violence and Victimization。The Journal of Trauma，33(1)，1-5。  new window
22.Mullen, P. E.(1988)。Violence and Mental Disorder。British Journal of Hospital Medicine，40(6)，460-463。  new window
23.Ellinwood, E. H.(1971)。Assault and Homicide Associated with Amphetamine Abuse。The American Journal of Psychiatry，127(9)，1170-1175。  new window
24.陳喬琪、郭宗禮、Chen, C. C.、Kuo, T. L.(2000)。The Role of Forensic Psychiatry in Substance Abuse: Practice and Research in Taiwan。Forensic Science Review，12，69-77。  new window
25.Eronen, M.、Tiihonen, J.、Hakola, P.(1996)。Schizophrenia and Homicidal Behavior。Schizophrenia Bulletin，22(1)，83-89。  new window
26.Kunjukrishnan, R.、Varan, L. R.(1992)。Major Affective Disoders and Forensic Psychiatry。The Psychiatric Clinics of North America，15(3)，569-574。  new window
27.Modestin, J.、Berger, A.、Ammann, R.(1996)。Mental Disorder and Criminality-male Alcoholism。The Journal of Nervous and Mental Disease，184(7)，393-402。  new window
28.Arseneault, L.、Moffitt, T. E.、Caspi, A.、Taylor, P. J.、Silva, P. A.(2000)。Mental Disorders and Violence in a Total Birth Cohort: results from the Dunedin study。Archives of General Psychiatry，57(10)，979-986。  new window
29.Holcomb, W. R.、Anderson, W. P.(1983)。Alcohol and Multiple Drug Abuse in Accused Murderers。Psychological Reports，52，159-167。  new window
30.Shaw, J.、Appleby, L.、Amos, T.、McDonnell, R.、Harris, C.、McCann, K.、Kiernan, K.、Davies, S.、Bickley, H.、Parsons, R.(1999)。Mental Disorder and Clinical Care in People Convicted of Homicide: National Clinical Survey。British Medical Journal，318(7193)，1240-1244。  new window
圖書
1.Wolfgang, Marvin E.(1958)。Patterns in Criminal Homicide。New York：Wiley。  new window
2.American Psychiatric Association(1987)。Diagnostic and Statistical Manual of Mental Disorders: DSM-III-R。Diagnostic and Statistical Manual of Mental Disorders: DSM-III-R。Washington, DC。  new window
3.Malmquist, C. P.(1996)。Homicide: A Psychiatric Perspective。Homicide: A Psychiatric Perspective。Washington, DC。  new window
4.Sullivan, W. C.(1924)。Crime and Insanity。Crime and Insanity。New York, NY。  new window
5.Collins, J. J.(1981)。Alcohol Use and Criminal Behavior: An Empirical, Theoretical and Methodological Overview。Drinking and Crime。New York, NY。  new window
6.蔡墩銘(1992)。刑法個論（再修訂初版）。刑法個論（再修訂初版）。臺北市。  延伸查詢new window
其他
1.Moeller, F. G.，Barratt, E. S.，Dougherty, D. M.，Schmitz, J. M.，Swann, A. C.(2001)。Reviews and overviews: Psychiatric aspects of impulsivity，https://doi.org/10.1176/appi.ajp.158.11.1783。  new window
 
 
 
 
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