应激相关障碍的损伤程度评定标准之比较与探讨

应激相关障碍的损伤程度评定,因无统一的评定标准,成为司法鉴定中的一个难点和热点。不同专家提出的评定标准中对该类伤害评定为轻微伤、轻伤、或重伤的意见不一,甚至还有对轻伤再分级的,且各家对应激相关障碍的定义亦有差别。本文对有代表性的观点进行比较、分析后,进一步进行探讨并提出见解,认为该类伤害应该属于损伤并应该评定损伤程度。评定必须严格按照《中国精神障碍分类与诊断标准(第三版)》(CCMD-3)进行诊断,按照已有的损伤鉴定标准的原则,根据具体的临床种类、病情程度、病程及预后等综合考量,酌情作出不评定伤情程度,或评定为轻微伤、轻伤或重伤的结论,意在对此问题的解决有所帮助。

Analysis and Comparison of the Criteria for Forensic Assessment and Gradation of Trauma due to Stress-Related Disorders

How to assess and grade trauma of stress-related disorders is often problematic and is one of the most concerns in forensic practice due to the lack of standard criteria as well as the presence of diverse expert opinions with regard to minor trauma, mild trauma, and severe trauma and their grading. In addition, consensus on definitions of stress-related disorders have not been reached among forensic experts. In this article, the author compares, analyzes, and discusses the current opinions and disputes, and proposes his own view and suggestions for assessment and gradation of trauma due stress-related disorders. In forensic evaluation of trauma due to stress-related disorders, one must follow the standard criteria given in the Chinese Classification and Diagnostic Criteria of Mental Disorder III (CCMD-III) in combination with a specific disorder type as well as its severity, clinical course and prognosis to make an appropriate assessment and gradation.