法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (5): 361-364.DOI: 10.3969/j.issn.1004-5619.2011.05.012

• 案例分析 • 上一篇    下一篇

54例脑外伤精神伤残重新鉴定分析

王云介1，孙大明2，郑瞻培1，张晓彤1，胡少轩1   

  1. （1. 上海市司法鉴定中心，上海 200031； 2. 华东政法大学 司法鉴定学研究中心，上海 200042）
  • 发布日期:2011-10-25 出版日期:2011-10-28
  • 作者简介:王云介（1978—），男，江苏无锡人，硕士，主检法医师，主要从事法医学司法鉴定实务与司法鉴定制度研究；E-mail：sfjdsfjd@163.com

Analysis of 54 Mental Disability Reappraisal Cases Due to Brain Damage

WANG YUN-JIE1, SUN DA-MING2, ZHENG ZHAN-PEI1, ZHANG XIAO-TONG1, HU SHAO-XUAN1   

  1. （1. Shanghai Forensic Science Identification Center, Shanghai 200031, China; 2. Research Center of Forensic Science, East China University of Political Science and Law, Shanghai 200042, China）
  • Online:2011-10-25 Published:2011-10-28

被引次数

6

摘要： 目的 研究有争议的脑外伤后各种精神伤残案例，分析其在初次鉴定中暴露出来的问题，并探讨解决问题的方法。 方法 收集2007—2011年上海市司法鉴定中心脑外伤后致精神障碍重新鉴定案件，分别对初次鉴定和重新鉴定的资料进行分析比较。 结果 鉴定时机不当，初次鉴定时鉴定人对被鉴定人的精神状态调查不全面、不客观，鉴定人对标准的理解有误等问题是重新鉴定改变结论的主要原因。 结论 针对上述问题应该从规范执业行为、提高鉴定人专业技能、合理把握此类案件的鉴定时机、完善鉴定标准等方面来提高此类案件的鉴定质量。

关键词: 司法精神病学, 脑损伤, 精神伤残, 重新鉴定

Abstract: Objective To investigate the different kinds of controversial cases of mental disability after brain damage, to analysis the problems in the first appraisal, and to explore solutions of the problems. Methods The reappraisals of mental disorders after traumatic brain damage were collected from 2007—2011 in Shanghai forensic center, and the first appraisal and reappraisal cases were analyzed and compared. Results The changes of conclusion in reappraisal cases showed the following major reasons： inappropriate appraisal time, not comprehensive and object investigation of mental state of patients in first appraisal, misunderstanding the standards, etc. Conclusion The quality improvement of appraisal should adopt the following measures： regulating the practice, improvement of the professional skills of experts, choosing appropriate appraisal time, improvement of appraisal standards, etc.

Key words: forensic psychiatry, brain injuries, mental disability, reappraisal

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