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Related Experiment Videos

Competence and responsibility in schizophrenia

G Gross1, G Huber

  • 1Research Unit for Course Psychiatry, University of Bonn, Germany.

The Japanese Journal of Psychiatry and Neurology
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

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Historical doctrines often denied responsibility and civil rights to individuals with schizophrenia. Recent research shows this is unjustified, as competence and rights are often preserved.

Area of Science:

  • Psychiatry
  • Legal Psychology

Background:

  • Classical doctrines historically linked schizophrenia with irresponsibility and suspension of civil rights.
  • Psychiatric textbooks globally reflect these historical views on schizophrenia and legal capacity.

Purpose of the Study:

  • To challenge the principle of summarily depriving individuals diagnosed with schizophrenia of civil rights and criminal responsibility.
  • To provide new guidelines for assessing competence and responsibility in schizophrenia based on recent research.

Main Methods:

  • Historical background survey of doctrines on responsibility in schizophrenia.
  • Review of recent research on the course and long-term outcome of schizophrenia and related psychoses.
  • Application of the basic symptom concept and non-psychotic basic stages.

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Main Results:

  • Recent research and the basic symptom concept demonstrate that automatic deprivation of rights for schizophrenia patients is unjustified.
  • Newer findings suggest that insight, freedom, responsibility, and competence are more frequently preserved in postpsychotic stages than previously assumed.
  • Overcoming outdated doctrines can lead to a more adequate social appreciation of schizophrenia.

Conclusions:

  • Individuals diagnosed with schizophrenia should not be automatically deprived of civil rights or criminal responsibility.
  • The concept of basic symptoms allows for a more nuanced assessment of competence and responsibility.
  • A revised understanding can improve social integration and appreciation of individuals with schizophrenia.