【摘要】目的探讨法医精神病学鉴定中癫痫所致精神障碍患者的犯罪学特征。方法采用自编法医精神病学鉴定案例
登记表，对98例癫痫所致精神障碍患者的犯罪学特征进行研究。依据ccmd一3划分为精神病性症状组(51例，52．04％)、人
格改变组(42例，42．65％)和智能障碍组(5例，5．31％)，并对精神病性症状组与人格改变组犯罪学特征对照分析。结果 癫痫
所致精神障碍患者违法犯罪者以未婚、青年男性农民为主。其犯罪学特征主要是被鉴定人与被害人双方关系一般(44．9％)，无
作案前预谋(53．1％)，作案目标临时确定(69．4％)，使用暴力手段(88．8％)，无明显作案诱因(67．3％)，作案目的以报复居多
(4jd．4％)，现实作案动机(42．9％)，作案结果既遂(89．8％)，作案次数以1次为主(88．8％)，作案类型以凶杀(46．9％)为主，作案
后多无自称遗忘(65．3％)，作案后多以停留现场、不潜逃等非反侦查表现(57．1％)为主。精神病性症状组和人格改变组在作案
预谋( =27．64)、作案目的( =13．0386)、作案动机(x。=23．5290)和作案后表现(×2=19．3591)方面的差异均具有统计学意义
(p<0．005)，作案目的以报复为主、作案动机以现实动机为主。结论癫痫所致精神障碍患者的犯罪学特征有多以无作案前
预谋，多以报复为主要目的，作案后多无反侦查表现。与以精神病性症状为主要表现者相比，以人格改变为主要表现者多在现
实动机下以报复为主要目的进行作案，因此在法医精神病学鉴定时应予重视。
【关键词】癫痫；癫痫所致精神障碍；刑事责任能力；犯罪学特征
【中图分类号】d919．3
【文献标识码】a
【文章编号】10o7—9297(20o6)03—0230—05
criminological characteristics of pafien~ th mental disorder due to epilepsy．￡，Ⅳ l，0， ，zha ng do， un ，hu ze—qing~。，
et以1．department offorensic psychiatry,college ofpreclinicalmedcine andforensic medcine，sichuan university，sichuan chengdu,
610041．2．mental health center ofwestchina hospital,sichuan universsty
【abstract】 ive to explore the criminological characteristics of patients with mental disorder due to epilepsy in forensic
psychiatry assessment． methods e criminological characteristics of 98 patients with mental disorder due to epilepsy were researched
through the record of forensic psychiatry assessment designed by ourselves and patients with mental disorder were divided
into 3 groups according to ccmd一3，psychotic symptom group (51 cases，52．o4％)，personality change group (42 cases，42．65％)
and inteligence impairment group(5 cases，5．31％)．the criminological characteristics between the psychotic symptom group and
the personality change group were researched by control analysis．results majority of patients with mental disorder due to epilepsy
who committed crimes were unmarried young male farmers，relationship between the two sides were usual(4 ．9％)，they usually did
not have plans before the ofence(53．1％)，the ofence targets were determined temporarily(69i4％)，most of the ofence were violence
(88．8％)with no distinguished incentive(67．3％)，the ofence aims were mainly revenge(40．4％)and the ofence motives were re．
alistic(42．9％)，the ofence results were successful(89．8％)and the ofence number was usually only one(88．8％)，the ofence type
was mainly homicide(46．9％)and they often did not state that they forgot it after the ofence(65．3％)and stayed at the ofence scene
rather than anti—detection behaviors such as escape (57．1％)．in addition， the diferences between psychotic symptom group and
personality change group were significant in statistics(p<0．005)in the ofence plan (x2=27．64 )，ofence aim(x2=13．0386)，ofence
motives(x2=23．5290)and performances after the ofence(x2=19．3591)．their ofence aims were mainly revenge，ofence motives were
realistic．conclusion e main criminological characteristics of patients with mental disorder due to epilepsy was that for most of
them there were no plans before the ofence，homicide with revenge as its main aim，and without anti—detection behaviors after offence．
compared with patients with psychotic symptom as their main symptoms，those with personality change usually took ofence
with revenge as their main aim under the realistic motives。so more attentions should be paid in forensic psychiatric assessment．
【key words】epilepsy；mental disorder due to epilepsy；capacity of criminal responsibility；criminological characteristics
【作者简介】林勇(1981．4一)，男，汉族，山东泗水人，i~jll大学基础医学与法医学院2004级法医学硕士研究生，研究方向：法医精神病学．
e-mail：ly2864 @sina．com；
【通讯作者1胡泽卿，教授，tel：+86—028—85502643，e-mail：huzeqing@126．com。
法律与医学杂志2006年第13卷(第3期)
癫痫在我国是一种常见病、多发病，如不及时而
恰当地治疗可导致疾病慢性化甚至残疾，并容易产生
精神障碍即癫痫所致精神障碍(mental disorder due to
epilepsv)。lernpert等研究表明66％ 的癫痫病人有精
神异常，其中最多的是抑郁症状。而与之相关的越来
越多的违法犯罪问题亦引起国内外众多专家学者的
高度重视。国内多数法医精神病学鉴定资料分析表
明．癫痫所致精神障碍患者违法犯罪者仅