Категория «сложности» применительно к судебно-психиатрическим экспертным исследованиям

Полный текст:
Читать

Рекомендуемое оформление библиографической ссылки:

Потемкин Б.Е., Ткаченко А.А. Категория «сложности» применительно к судебно-психиатрическим экспертным исследованиям // Российский психиатрический журнал. 2016. №1. С. 35-45.

Аннотация

Обсуждается проблема объективной оценки «сложности» судебно-психиатрической экспертизы. Сложность может быть определена через анализ времени, затраченного экспертом на обоснование решения в различных клинических ситуациях. Сложность собственно клинической оценки объясняется несоответствием наблюдаемой симптоматики диагностическому стандарту. Трудность обоснования экспертного решения определяется другими факторами. Так, выявление умеренно выраженных нарушений психики подразумевает возможность различной экспертной оценки. В этом случае требуется оценка совокупности клинических, психологических, социальных и ситуационных факторов, что усложняет обоснование экспертного вывода. Кроме того, работа эксперта усложняется в случае совмещения компетенции судебно-психиатрического эксперта и эксперта-психолога при проведении комплексных психолого-психиатрических экспертных исследований. Показывается различие категорий «трудоемкости» и «сложности».

Ключевые слова сложность; судебно-психиатрическая экспертиза; клиническая диагностика; экспертная оценка; хронометраж

Литература

1. Tkachenko A.A. Prospects of forensic-psychiatric science in relation to problems of criminal law. Forensic psychiatry. Methodical and organizational problems of modern forensic-psychiatric practice (Iss. 1). Edited by T.B. Dmitrievа. Moscow, 2004: 163–76. (in Russian) 2. Tkachenko A.A. Individual and commission forensic-psychiatric examinations: legal and organizational aspects. Forensic psychiatry. Forensic-psychiatric examination in civil process (Iss. 4). Edited by T.B. Dmitrievа. – Moscow, 2007: 199–217. (in Russian) 3. The review of jurisprudence on application of the legislation regulating appointment and carrying out examination on civil cases. Byulleten’ Verkhovnogo suda Rossiyskoy Federatsii [Bulletin of the Supreme Court of the Russian Federation]. 2012; N 3. Available at: http://www.supcourt.ru/vscourt_detale.php?id=7866. Accessed November 1, 2015. (in Russian) 4. Labour Code of the Russian Federation of 30.12.2001 N 197-FZ (in the version of 05.10.2015). Available at: http://www.consultant.ru/document/cons_doc_law_34683. Accessed November 1, 2015. (in Russian) 5. Bukreeva N.D. Modern problems of standardization of forensicpsychiatric expert activity. Forensic psychiatry. Methodical and organizational problems of modern forensic-psychiatric practice (Iss. 1). Edited by T.B. Dmitrievа. Moscow, 2004: 4–16. (in Russian) 6. Filatov V.N., Kadyrov F.N., Yugay M.T. The issues of implementation effective contract in healthcare system: opportunities and risks. Vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. I.I. Mechnikova [Bulletin of the North-Western I.I. Mechnikov State Medical University]. 2014; Vol. 1. (6): 87–97. (in Russian) 7. Mohоn’ko A.R., Muganceva L.A. The main indicators of activity of forensic-psychiatric expert service of the Russian Federation in 2009. Analytical Review (Iss. 18). Moscow, 2010: 188 р. (in Russian) 8. Shishkov S.N. Forensic-psychiatric examination (concept and types). Manual. Annex to the Independent Psychiatric magazine. Prilozhenie k Nezavisimomu Psihiatricheskomu zhurnalu. [Annex to the Independent Psychiatric Journal]. Moscow, 1996: 15 р. (in Russian) 9. Tkachenko A.A. The subject of forensic psychiatry and expert competence: the training of forensic psychiatric expert in the light of legal reform expert activities in the Russian Federation. Available at: http://psychiatr.ru/download/1159?view=1&name=Accessed November 1, 2015. (in Russian) 10. Pechernikova T.P. Features of the outpatient forensic psychiatric examinations. – Clinical and forensic psychiatry in the scientific heritage of Professor T.P. Pechernikovoj. Edited by T.B. Dmitrievа, A.Ju. Berezancev. Moscow, 2009: 5–19. (in Russian) 11. Dmitrievа T.B., Tkachenko A.A., Haritonova N.K., Shishkov S.N. Forensic psychiatry: Manual. Moscow: Meditsinskoe informatsionnoe agentstvo, 2009: 752 р. (in Russian) 12. Mikulecky D.C. If the whole world is complex, why bother? SlideServe, 2012. Available at: http://views.vcu.edu/~mikuleck Accessed November 1, 2015. 13. Danilov Ju.A., Kadomcev B.B. What is the synergetrics? Danilov Ju.A. Wonderful world of science. Edited by V.I. Sanjuk, D.I. Trubeckoy. Moscow: Progress-Tradicija, 2008: 130–142. (in Russian). 14. Utrobin I.S. Category of complexity in the modern theory of development: Diss. Perm’, 1993. (in Russian) 15. Kazarjan V.P. The complexity as a characteristic of post-nonclassical science. Rossijskij gumanitarnyj zhurnal [Russian Humanitarian Journal]. 2014; Vol. 6 (3): 417–24. (in Russian). 16. Prigozhin I. Prospects of research complexity. System researches. Methodological problems. Moscow: Nauka, 1987: 45–57. (in Russian) 17. Arshinov V.I. The synergetrics meets complexity. Voprosy filosofii [The problems of philosophy]. 2011; Vol. 4: 73–84. (in Russian) 18. Shhedrovickij G.P. Programming of scientific researches and development. Categories of complexity in situations and systems of “cogitative-action”. Available at: http://gtmarket.ru/laboratory/basis/6473/6478#t680. Accessed November 1, 2015. (in Russian). 19. Uemov A.I. Properties, Systems, Complexity. Voprosy filosofii [The Problems of Philosophy]. 2003; Vol. 6: 96–110. (in Russian) 20. Morkina Yu.S. Concept of complexity of the analysis of art creativity. Sbornik materialov VIII Mezhdunarodnogo simpoziuma «Refleksivnye protsessy i upravlenie» [Collection of materials VIII of the International symposium “Reflexive processes and management”]. Moscow, 2011: 182–4. (in Russian) 21. Yakovenko O.O. Types of forensic expert activity and organization of work of Department of examination of victims, defendants and other persons in a large city: Diss. St. Petersburg, 2007. (in Russian) 22. Information letter of the Presidium of the SAC dated 01.07.2014 N 167 “Recommendations on the application of the criteria of complexity of disputes considered in arbitration courts of the Russian Federation”. Available at: http://base.garant.ru/70701674/ Accessed November 1, 2015. (in Russian) 23. The disorders of sexual behavior. Ed. by A.A. Tkachenko. Moscow: Medkniga, 2008: 636 p. (in Russian) 24. Garb H. Cognitive and social factors influencing clinical judgment in psychiatric practice. World Psychiatry. 2013; Vol. 12 (2): 108–10. 25. Yaspers K. The general psychopathology. Moscow, 1997: 1056 p. (in Russian) 26. Nikiforov A.L. Semantic concept understanding. The mystery of human understanding. Edited by A.A. Yakovleva. Moscow, 1991: 72–94. (in Russian) 27. Shсhedrovickij G.P. Selected works. Moscow, 1995: 800 p. (in Russian) 28. Bogin G.I. The philological hermeneutics. Kalinin, 1982: 50 p. (in Russian) 29. Korzun D.N., Tkachenko A.A. Towards forensic psychiatric expert examination methodology. Rossiyskiy psikhiatricheskiy zhurnal [Russian Journal of Psychiatry]. 2012; Vol. 5: 23–30. (in Russian) 30. Kendell R., Jablensky A. Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry. 2003; Vol. 160: 4–12. 31. McGorry P. The next stage for diagnosis: validity through utility. World Psychiatry. 2013; Vol. 12 (3): 213–5. 32. Westen D. Prototype diagnosis of psychiatric syndromes. World Psychiatry. 2012. Vol. 11 (1): 16–21. 33. Maercker A., Brewin C., Bryant R., Cloitre M., Ommeren M., Jones L., Humayan A., Kagee A., Llosa A., Rousseau C., Somasundaram D., Souza R., Suzuki Y., Weissbecker I., Wessely S., First M., Reed G. Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry. 2013; Vol. 12 (3): 198–206. 34. Kronfeld A. Formation of a sindromology and the concept of schizophrenia. Moscow, 2006: 768 p. (in Russian) 35. Pechernikova T.P., Komarova E.V. The mental disorders cerebrovascular origin and post-mortem forensic psychiatric evaluation in civil procedure. Rossiiskiy psikhiatricheskiy zhurnal [Russian Journal of Psychiatry]. 2007; Vol. 1: 23–7 (in Russian) 36. Gorinov V.V., Vasjukov S.A., Danilova S.V. The concomitant mental disorders with multi-factorial determinism of the clinical picture The practice of forensic psychiatric expertise (Iss. 44). Edited by T.B. Dmitrievа. Moscow, 2006: 73–85. (in Russian) 37. Vandysh-Bubko V.V., Tarasova G.V. Gilenko M.V. Clinical dynamics of organic mental disorders associated with cardiovascular pathology, forensic investigation situations. Forensic psychiatry. The organic mental disorders and epilepsy: forensic psychiatric diagnosis. (Iss. 7). Edited by T.B. Dmitrievа. Moscow, 2010: 3–13. (in Russian) 38. Makushkin E.V. Schizophrenia, schizotypal, schizoaffective and adulthood schizophreniform disorder in forensic psychiatric expertise (minimal commentary). Forensic psychiatry. Forensic psychiatric examination of persons under the age of majority (Iss. 7). Edited by T.B. Dmitrievа. Moscow, 2008: 81–96. (in Russian) 39. Piven’ B.N. On mixed forms of mental illness. Nezavisimyj psihiatricheskij zhurnal [Independent Psychiatric Journal]. 2003; Vol. 4: 27–9. (in Russian) 40. Semichev S.B. The premorbid psychiatric disorders. Moscow: Meditsina, 1987: 184 p. (in Russian) 41. Clinical and forensic adolescent psychiatry. Edited by V.A. Gur’eva. Moscow, 2007: 488 р. (in Russian) 42. Kazakovtsev B.A. Psychiatric disorders in epilepsy. Moscow, 1999: 416 р. (in Russian) 43. Pechernikova T.P. The difficulties in the diagnosis of exceptional conditions in the practice of forensic psychiatric examination (response “short-circuit”). The practice of forensic psychiatric expertise (Iss. 44). Edited by T.B. Dmitrievа. Moscow, 2006: 198–209. (in Russian) 44. Usjukina M.V., Prostova A.S. For the differential diagnosis of “exceptional condition” in patients with organic mental disorders. The practice of forensic psychiatric expertise (Iss. 44). Edited by T.B. Dmitrievа. Moscow, 2006: 210–20. (in Russian) 45. Kharitonova N.K., Koroleva E.V. The forensic psychiatric expert examination in a civil procedure (The clinical and social aspects). Moscow, 2009: 396 p. (in Russian) 46. Korzun D.N., Tkachenko A.A. The role of different sources of information in the production of forensic psychiatric examination. Forensic psychiatry. Actual problems (Iss. 9). Edited by V.V. Vandysh-Bubko. Moscow, 2006: 102–11. (in Russian) 47. Engаlychev V.F., Junda A.V. The psychological features of professional communication of forensic psychology - an expert in the context of solving expert tasks. Materialy nauchno-prakticheskoj konferencii «Ispol’zovanie psihologicheskih znanij v interesah pravosudija» [Proceedings of the scientific-practical conference “The use of psychological knowledge in the interests of justice”]. Ekaterinburg, 2006: 85–8. (in Russian) 48. Sobeloff S. E. From McNaghten to Durham and beyond. Crime and insanity. New York, 1958: 136–52. 49. Guidelines for Forensic Psychiatry. Edited by A.A. Tkachenko. Moscow: Jurajt, 2012: 960 p. (in Russian) 50. Korzun D.N., Tkachenko A.A. Models of a forensic psychiatric expert examination. Obozrenie psihiatrii i medicinskoj psihologii [Review of Psychiatry and Medical Psychology]. 2013; Vol. 1: 44–8. (in Russian) 51. Safuanov F.S. Problem integrative inference in complex forensic psychological-psychiatric examination. Forensic psychiatry. Actual problems (Iss. 9). Edited by V.V. Vandysh-Bubko. Moscow, 2006: 179–90. (in Russian)

Метрики статей

Загрузка метрик ...

Metrics powered by PLOS ALM