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。     

SPECIAL NEEDS CHILDREN IN FAMILY COURT CASES

This article presents a conceptual framework for describing cases involving children with special needs that are increasingly being seen in family court. Three categories that represent the most common of such cases include (1) acute, life-threatening medical conditions; (2) chronic developmental disorders; and (3) psychological and behavioral syndromes. After detailing the nature of the disabilities in each category, perspectives from the bench are offered with specific recommendations and general strategies for effective case management. This is followed by a proposal of an innovative conceptual model—the Individualized Parenting Plan (IPP)—that organizes and integrates nine domains essential for a comprehensive parenting plan for special needs children. The article concludes with a list of sixteen strategic guidelines for servicing the families of these special needs children, in their best interests.     

A Profile of Violent Offenders in Spanish Prisons

In Europe, it is relatively uncommon to find studies that investigate the criminal profiles of violent offenders, especially infrequent are those that pay special attention to offenders’ mental health/substance use disorders and histories of violence during childhood. The current research explores whether inmates who are incarcerated for violent offenses (n = 536) in Spain are different in terms of the aforementioned factors as compared to inmates incarcerated for non-violent offenses (n = 536). Multivariate logistic regression analysis revealed that violent offenders, as compared to their non-violent counterparts, were more likely to be younger, younger at the time of their first arrest, single, use alcohol, receive treatment in prison for anxiety or schizophrenia, and report physical abuse during childhood.     

Similarities and Differences in Victimization Risk Factors for Nonoffending and Offending Substance Users

In this cross-sectional study of substance users in Norway, the authors describe the patterns of victimization and investigate the factors associated with victimization, for nonoffenders and offenders separately. Recent victimization was reported by 59%, and the victimization rate was higher among offenders compared with nonoffenders (69% and 43%, p < .001). Women, regardless of offender status, experienced more victimization. Unstable housing was associated with victimization among nonoffenders, whereas markers for more severe substance use and indicators for poor mental health were associated with victimization in both groups. Addressing these factors may be important in reducing victimization and its negative outcomes among substance users.     

Escalon:

No abstract available for this article.     

Adolescent Co-occurring Disorders Treatment: Clinicians' Attitudes,Values, and Knowledge

This study examined community-based clinicians’ (N = 294) attitudes, background/experiences, values, and knowledge relating to issues of co-occurring disorders, which occur at a high rate among adolescents involved in the juvenile justice system. Study results reveal that clinicians self-rate their clinical values and attitudes at or above the expected level of competency, but they concede that their skill and knowledge levels are not adequate. Comparison measures reveal that employment setting conditions, geographic region, hours worked per week, and strongly held convictions about the importance of integrated mental health and substance use disorders service delivery distinguish clinicians’ co-occurring disorders knowledge levels. Implications are offered.     

交通事故脑外伤所致精神障碍伤残评定有关问题

在交通事故受伤人员脑外伤所致精神障碍伤残评定中,由于《道路交通事故受伤人员伤残评定》中涉及精神伤残评定条款内容可操作性差,精神伤残评定客观检查及量化指标较少,导致评定意见不一致,给交通事故理赔带来困难。在此就精神伤残评定技术操作中的有关问题提出一些经验性观点。     

Mental Health Literacy and Eating-Disordered Behavior: Beliefs of Adolescent Girls Concerning the Treatment of and Treatment-Seeking for Bulimia Nervosa

This research examined the “mental health literacy” of adolescents concerning eating-disordered behavior. A vignette describing a fictional 16-year old female meeting diagnostic criteria for bulimia nervosa was presented to 522 female high school students, followed by a series of questions concerning treatment of and treatment-seeking for the problem described. Results indicated that primary care practitioners, mothers and close female friends were most highly regarded as potential sources of help. Self-help interventions, including the use of vitamins and minerals, were also highly regarded, whereas participants were less positive about the benefits of mental health specialists and ambivalent about the use of anti-depressant medication. Most participants believed that the problem described would be difficult to treat, and that relapse was likely even given appropriate treatment. An additional finding of note was that among participants with a high level of eating disorder symptoms (n=36, 6.9%), recognition of an eating problem was poor. We conclude that beliefs likely to be conducive to low and/or inappropriate treatment-seeking for eating problems may be common among adolescent girls. In addition, the findings suggest that prevention programs for the eating disorders need to target not only at-risk individuals, but also individuals in their immediate social environment.     

Parental Inconsistency Versus Parental Authoritarianism: Associations with Symptoms of Psychological Disorders

While in western countries, such as the US and Europe, authoritarian parenting is associated with negative psycho-social outcomes. Studies have indicated that this is not the case in collective/authoritarian cultures. It has been hypothesized that inconsistency in parenting style and culture contributes to these negative outcomes. In this study a scale of authoritarian parenting and parental inconsistency has been developed. This scale and other scales of authoritarian parenting, adolescent-family connectedness, and psychological disorders were administered to 72 female and 106 male 11th grade Arab students. The results show that, while no measures of authoritarian parenting were associated with psychological disorders, all the measures of parental inconsistency were so associated. The results give empirical support to theories that indicate that parental inconsistency is an important factor in psychopathology. More research that is focused on inconsistency is needed across different psychological symptoms and across cultures. Marwan Dwairy, D.Sc., is associated professor of psychology in Emek Yezreel college and Oranim college. He is a licensed expert and supervisor in three areas: educational, medical, and developmental psychology. He received his B.A. and M.A. degrees in psychology from Haifa University, and his D.Sc. from the Faculty of Medicine at the Technion in 1991. http://Web:www.marwandwairy.com.     

Complaints of group-stalking (‘gang-stalking’): an exploratory study of their nature and impact on complainants

Stalking primarily concerns the actions of individuals. However, some victims report stalking by organised groups, this being known as ‘group-’ or ‘gang-stalking’. This phenomenon has not been subject to systematic study. An anonymous questionnaire was completed online by self-defined victims of stalking. One thousand and forty respondents met research definitions for stalking, of which 128 (12.3%) reported group-stalking. One hundred and twenty-eight individually stalked cases were randomly selected as a comparison group. All cases of reported group-stalking were found likely to be delusional, compared with 3.9% of individually stalked cases. There were highly significant differences between the two groups on most parameters examined. The group-stalked scored more highly on depressive symptoms, post-traumatic symptomatology and adverse impact on social and occupational functioning. Group-stalking appears to be delusional in basis, but complainants suffer marked psychological and practical sequelae. This is important in assessment of risk in stalking cases, early referral to psychiatric services and allocation of police resources.