Algorithm for forensic psychiatric assessment of overvalued states: psychopathological, personality and regulatory aspects
Suggested citation:
Ilyushina EA. [Algorithm for forensic psychiatric assessment of overvalued states: psychopathological, personality and regulatory aspects]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(2):4-15. Russian
In this cross-sectional retrospective study, 26 subjects with overvalued states were examined in order to develop an algorithm for forensic psychiatric assessment. In this article due to the reflection of the relationship between regulatory disturbances and the mechanisms of syndrome formation and syndromokinesis, the conceptual unity of medical and legal criteria for the formula of insanity is revealed. The psychopathological patterns of overvalued states, the reasons for their clinical heterogeneity are clarified, their dependence on personality and regulatory disorders is described. In addition to the significance of the phenomenon itself, the algorithm for the forensic psychiatric assessment of overvalued states takes into account its relationship with the offence, as well as the impact on the regulatory processes of nosology, the presence of an affect-generating situation and manifestations of personality decompensation.
Keywords forensic psychiatric assessment; overvalued state; psychopathology; personality disorders; regulatory disorders
1. Lunc DR. Problema nevmenyaemosti v teorii i praktike sudebnoj psihiatrii. Moscow: Medicina; 1966. 236 p. (In Russ.) 2. Metelica YuL. Sudebno-psihiatricheskaya ekspertiza poterpevshih. Moscow: Jurid. lit., 1990. 208 p. (In Russ.) 3. Tkachenko AA. [On the elusive subject matter of forensic psychiatry]. Psihicheskoe zdorov'e [Mental Health]. 2017;15(8(135)):83–90. (In Russ.) 4. Mal'ceva MM, Kotov VP. Psihopatologicheskie mekhanizmy obshchestvenno opasnyh dejstvij i problema nevmenyaemosti. Zh Nevropatol Psikhiatr Im SS Korsakova. 1991;91(2):106–10. (In Russ.) 5. Safuanov FS. Kriterii ekspertnoj ocenki ogranichennoj vmenyaemosti obvinyaemyh v agressivnyh prestupleniyah In: Ogranichennaya vmenyaemost'. TB Dmitrievа, BV SHostakovich, AA Tkachenko, editors. Moscow: Medkniga; 2008. p. 166–81. (In Russ.) 6. Fastovcov GA, Oskolkova SN, Klembovskaya EV, Pechenkina OI. Obosnovanie yuridicheskogo kriteriya ogranichennoj vmenyaemosti pri ekspertnoj ocenke shizotipicheskogo rasstrojstva: metodicheskie rekomendacii. Moscow: FGBU GNCSSP im. V.P. Serbskogo Minzdrava Rossii; 2013. 23 p. (In Russ.) 7. Usyukina MV, Lavrushchik MV. [Forensic psychiatric evaluation oforganic personality disorder due to epilepsy (legal criterion for insanity and diminished responsibility)]. Rossiiskii psihiatricheskii zhurnal [Russian Journal of Psychiatry]. 2018;(6):4–9. (In Russ.) 8. Gorinov VV, Korzun DN, Vasyukov SA, et al. Sudebno-psihiatricheskie aspekty rasstrojstv lichnosti v ugolovnom processe: analiticheskij obzor. Moscow: NMICPN im. V.P. Serbskogo; 2018. 55 p. (In Russ.) 9. Kudryavcev IA, Morosanova VI, Lapshina EN. Eksperimental'noe izuchenie celevogo urovnya samoregulyacii u lic, priznannyh ogranichenno vmenyaemymi, s razlichnymi lichnostnymi rasstrojstvami In: Sudebnaya psihiatriya. Rasstrojstva lichnosti. TB Dmitrieva, editor. Moscow; 2006. р. 131–44. (In Russ.) 10. Korzun DN, Tkachenko AA. [New tasks of forensic psychiatry in view of changes in applicable law]. Nevrologicheskij vestnik [Neurology bulletin]. 2013;45(4):11–8. (In Russ.) 11. Savina OF, Makushkin EV, Morozova MV. [The algorithm of forensic expert study of the dysregulation of activity in criminal situation in persons with mental disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2018;(1):31–42. (In Russ.) 12. Wernicke C. Uber fixe Ideen. Dtsch Med Wschr. 1892;(25):581. DOI: https://doi.org/10.1055/s-0029-1199224 13. Danilova SV. Sudebno-psihiatricheskoe znachenie paranojyal'nyh sostoyanij pri rasstrojstvah lichnosti (kliniko-psihologicheskij aspekt): [PhD thesis]. [Moscow (Russia)]: Gosudarstvennyj nauchnyj centr social'noj i sudebnoj psihiatrii im. VP Serbskogo [V Serbsky State Scientific Center for Social and Forensic Psychiatry]; 2005. 24 p. (In Russ.) 14. Kotov VP. Patologicheskie idei revnosti (sudebno-psihiatricheskij aspekt): [PhD thesis]. [Moscow (Russia)]: Central'nyj nauchno-issledovatel'skij institut sudebnoj psihiatrii im. VP Serbskogo [V Serbsky Central Research Institute of Forensic Psychiatry]; 1977. 27 p. (In Russ.) 15. Rybal'skij MI. Bred: Sistematika, semiotika, nozologicheskaja prinadlezhnost' bredovyh, navjazchivyh, sverhcennyh idej. Moscow: Medicina; 1993. 367 p. (In Russ.) 16. Sergeev II, Malinochka SA. Patologicheskie uvlecheniya bol'nyh shizofrenicheskogo kruga. Moscow: Cifrovichok; 2010. 198 p. (In Russ.) 17. Titievskij SV, Voevodina VS, Babyuk IA, et al. [Comparative assessment of overvalued ideas in different non-psychotic mental disorders]. ZHurnal psihiatrii i medicinskoj psihologii [Journal of psychiatry and medical psychology]. 2017;2(38):62–7. (In Russ.) 18. Kolyago OO. [A history of studying of psychopathological features of the overvalued disorders: the borders of the concept, the diagnostics criteria]. Psihiatriya [Psychiatriy]. 2017;4(76):89–96. (In Russ.) 19. Santin JM, Galvez FM. Overvalued ideas: psychopathologic issues. Actas Esp Psiquiatr. 2011;39(1):70–4. PMID: 21274824 20. Veale D. Over-valued ideas: A conceptual analysis. Behav Res Ther. 2002;40(4):383–400. DOI: https://doi.org/10.1016/s0005- 7967(01)00016-x 21. Mullen R, Linscott RJ. A comparison of delusions and overvalued ideas. J Nerv Ment Dis. 2010;198(1):35–8. DOI: https://doi.org/10.1097/NMD.0b013e3181c818b2 22. Bragin RB. K vzaimootnosheniyu sverhcennyh i bredovyh idej In: Tezisy nauchnoj konferencii, posvyashchyonnoj 100-letiyu so dnya rozhdeniya professora PB Gannushkina (29–30 iyunya 1975 g.). Moscow; 1975. р. 121–3. (In Russ.) 23. Bragin RB. Psihopatologicheskie formy sverhcennyh idej In: Kratkie tezisy dokladov Tambovskoj oblastnoj nauchno-prakticheskoj konferencii psihiatrov. Tambov; 1977. р. 62–3. (In Russ.) 24. Ilyushina EA, Tkachenko AA. [Psychopathological structure of overvalued states]. Obozrenie psihiatrii i medicinskoj psihologii im. VM Bekhtereva [Bekhterev VM review of psychiatry and medical psychology]. 2015;(2):51–8. (In Russ.) 25. Ilyushina EA, Tkachenko AA. Differencirovannyj podhod k sudebno-psihiatricheskoj ocenke podekspertnyh so sverhcennymi sostoyaniyami. In: Sudebnaya psihiatriya. Aktual'nye problemy. VV Vandysh, editor. Moscow; 2016. р. 96–119. (In Russ.) 26. Lashkova AV. Sindrom patologicheskogo fantazirovaniya u podrostkov v sudebno-psihiatricheskoj klinike: [PhD thesis]. [Moscow (Russia)]: Gos. nauch. centr soc. i sudeb. psihiatrii im. V P Serbskogo MZ RF; 2000. 19 p. (In Russ.) 27. Mayer HW. Uber katathyme Wahnbildung und Paranoia. Zeitschrift fur die gesamte Neurologie und Psychiatrie. Orig. 1912;13(B):555–610. 28. Ilyushina EA, Tkachenko AA. [Clinical-pathogenetic mechanisms of overvalued formations]. Rossiiskii psihiatricheskii zhurnal [Russian Journal of Psychiatry]. 2016;(3):26–35. (In Russ.) 29. Dobrogaeva MS. Kratkovremennye rasstrojstva psihicheskoj deyatel'nosti (isklyuchitel'nye sostoyaniya) v sudebno-psihiatricheskoj klinike: [PhD thesis]. [Moscow (Russia)]: VNII obshh. i sudebnoj psihiatrii im. Serbskogo; 1989. 44 p. (In Russ.) 30. Aleksandrovskij YUA. Referativno-analiticheskaya klassifikacionnaya skhema psihopaticheskih rasstrojstv (v sootvetstvii s koncepciej SS Korsakova, PB Gannushkina i ih posledovatelej). In: SHostakovich BV i problemy sovremennoj psihiatrii. TB Dmitrievа, editor. Moscow; 2008. р. 108–32. (In Russ.) 31. Smulevich AB, Volel' BA. Nekotorye spornye problemy rasstrojstv lichnosti. In: SHostakovich BV i problemy sovremennoj psihiatrii. TB Dmitrievа, editor. Moscow; 2008. р. 99–107. (In Russ.) 32. SHostakovich BV. Rasstrojstva lichnosti (psihopatii) v sudebno-psihiatricheskoj praktike. Moscow: MBA; 2006. 172 p. (In Russ.) 33. Konopkin OA. Psihologicheskie mekhanizmy regulyacii deyatel'nosti. Moscow; 1980. 255 p. (In Russ.) 34. Tkachenko AA, Korzun DN. Sudebno-psikhiatricheskaya ehkspertiza. 2-e izd., pererabot. i dop. Moscow: GJeOTAR-Media; 2020. 738 p. (In Russ.) 35. Nikitskij IS, Tkachenko AA. [Personal-situational interaction in the aspect of modeling a legally significant situation]. Rossijskii psihiatricheskii zhurnal [Russian Journal of Psychiatry]. 2022;(3):13–25. (In Russ.) 36. Asmolov AG. Po tu storonu soznaniya: Metodologicheskie problemy neklassicheskoj psihologii. Moscow: Smysl; 2002. 480 p. (In Russ.) 37. Leont'ev DA. Psihologiya smysla: Priroda, stroenie i dinamika smyslovoj real'nosti: Ucheb. posobie dlja studentov vuzov, obuchajushhihsja po napravleniju i special'nostjam psihologii. Moscow: Smysl; 2003. 487 p. (In Russ.) 38. Bratus' BS. Anomalii lichnosti. Moscow: Mysl'; 1988. 304 p. (In Russ.)
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