慢性精神病的30年法医病例报告:意大利法医精神病学对系统的影响
Luigi Buongiorno1,2, Anna Margari1, Gabriele Mandarelli1
1Interdisciplinary Department of Medicine, Section of Criminology and Forensic Psychiatry, University of Bari "Aldo Moro", 70124 Bari, Italy.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
意大利的法医精神病学系统正在与慢性,抗治疗的患者作斗争,这些患者仍然是社会危险的. 这一案例凸显了为复杂的法医病例提供安全的长期护理和改善心理健康部门资源的需要.
科学领域:
- 法医精神病学 法医精神病学
- 临床心理学 临床心理学
- 心理健康系统 心理健康系统
背景情况:
- 意大利改革了法医精神病学体系,以社区为导向的模式.
- 这个模型假设临床可恢复性,这对于慢性,耐治疗性疾病并不总是可能的.
- 持续存在社会危险的个人挑战了当前的制度.
研究的目的:
- 介绍一个30年的纵向病例研究,一个患有慢性妄想障碍的个体.
- 分析意大利系统内抗治疗法医精神病患者所带来的挑战.
主要方法:
- 一个长度为期30年的病例研究患者G.D.M. 是进行的.
- 审查临床数据,法医评估,机构记录和康复报告.
- 重建患者的临床,犯罪学和法医轨迹.
主要成果:
- 这位患者被诊断为精神分裂症,后来慢性妄想障碍,犯下了杀女性罪,后来被追踪.
- 尽管接受了广泛的治疗和住院治疗,但他的精神病理和社会危险性仍然很高.
- 他表现出固定的妄想和对自己的情况的最小洞察力.
结论:
- 该案揭示了意大利法医精神病系统的结构性缺陷,包括缺乏分层安全和长期护理.
- 意大利精神卫生部门 (DSM) 面临着管理复杂的法医病例而没有足够的资源的增加负担.
- 需要进行改革,以确保长期护理,结果监测和更明确的法医任务.
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