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。
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.
出处
《法医学杂志》
CAS
CSCD
2011年第5期361-364,共4页
Journal of Forensic Medicine
关键词
司法精神病学
脑损伤
精神伤残
重新鉴定
forensic psychiatry
brain injuries
mental disability
reappraisal
