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題 名 | 老年司法精神醫學--三案例報告=Geriatric Forensic Psychiatry--3 Cases Report |
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作 者 | 王景正; 邱南英; 廖以誠; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 4:3 2009.08[民98.08] |
頁 次 | 頁203-213 |
分類號 | 415.9518 |
關鍵詞 | 老年科; 司法精神醫學; 司法鑑定; 成年監護; 失智症; Geriatric; Forensic psychiatry; Forensic assessment; Adult custody; Dementia; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:在台灣進入高齡化社會後,老人司法精神醫學的重要性也逐漸增加,然而相關的司法鑑定報告卻相當少被提出。我們報告三個不同類型的老年司法精神醫學案例來呈現並討論相關可能引起臨床關注的因素。 病例報告:這三個案例包括一位 74歲女性立囑能力的鑑定、一位 76歲女性的刑事責任能力鑑定,以及一位 83歲男性的性侵害再犯風險的評估。 結論:評估失智症病患或疑似「意思與行為能力」障礙病患採用完整詳盡的臨床路徑並配合詳實的病歷記錄,不只對診斷有幫助,也對其後續可能的司法鑑定,如民法新修正之成年監護制度判定有所助益;司法體系與健康照護系統的協調整合也能夠提供獨居老人早期介入的機會;而進一步關於台灣老年性侵害加害者的加害傾向及特性,也會對未來的老人健康照護政策有所助益,並可能對兒童養育及保護提供更多的益處。 |
英文摘要 | Objective: Geriatric forensic psychiatry is getting more important while Taiwan has merged into an aging society. However, related forensic cases are rarely reported. We report 3 cases to illustrate 3 different types of geriatric forensic assessment and discuss the associated issues that may cause clinical concerns. Case report: 3 cases including assessments of the contractual capacity of a 74 years old female, criminal responsibility of a 76 years old female, and sexual reoffending risk of a 83 years old male. Conclusion: Going through a comprehensive clinical pathway of assessment for those with dementia and suspected disabled mental capacity or legal incompetence, and with detailed medical records are crucial for the diagnosis and possible consequential forensic assessment, such as the newly amended adult custody of civil law. The coordination of law system with health care system can also provide early intervention of dementia processing old alone persons. The further studies of sex offending trait and characters of Taiwanese geriatric offenders are also important to our geriatric health care policy and possibly provide more benefits to children rearing and protection. |
本系統中英文摘要資訊取自各篇刊載內容。