Forensic psychiatric evaluation of organic personality disorder due to epilepsy (legal criterion for insanity and diminished responsibility)
Suggested citation:
Usyukina MV, Lavrushchik MV. [Forensic psychiatric evaluation of organic personality disorder due to epilepsy (legal criterion for insanity and diminished responsibility)]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2018;(6):4-9. Russian
Based on the clinical-psychopathological study, and pursuing the objective of developing criteria for diagnosis and forensic-psychiatric assessment of organic personality disorder due to epilepsy, we have obtained data on the clinical and criminological peculiarities of patients with epilepsy. We have proposed the structure of organic personality disorder due to epilepsy as the totality of cognitive disturbances and personality alterations with the predominance of either explosive or defensive traits. We have identified the forensic expert tasks, pertaining to the establishment and substantiation of the legal criterion of the insanity and diminished responsibility formula for patients with various types of personality alterations.
Keywords epilepsy; organic personality disorder; forensic-psychiatric evaluation; insanity; diminished responsibility; legal criterion
1. Banerjee PN., Filippi D, Hauser WA. The descriptive epidemiology of epilepsy. Epilepsy Res. 2009;4(1):31–45. PMID: 19369037 2. Canuet L, Ishii R, Iwase M, et al. Factors associated with impaired quality of life in younger and older adults with epilepsy. Epilepsy Res. 2009;83(1):58–65. PMID: 18976886 3. Jacoby A, Snape D, Baker GA. Determinants of quality of life in people with epilepsy. Neurologic Clinic. 2009;27(4):843–63. PMID: 19853212 4. Neznanov NG, Kissin MY. Psikhicheskiye rasstroystva pri epilepsii. In: Eds Dmitriyeva TB, Krasnov VN, Neznanov NG, et al. Psikhiatriya. Natsional’noye rukovodstvo. Moscow; 2009. 651 p. Russian. 5. Usyukina MV, SHakhbazi TA. O sootnoshenii pozitivnykh i negativnykh rasstroystv pri epilepsii. Sotsial’naya i klinicheskaya psikhiatriya. 2013;(3):22–5. Russian. 6. Zemlyanaya AA, Kalinin VV, ZHeleznova EV, et al. Dinamika kognitivnogo snizheniya u bol’nykh epilepsii na protyazhenii bolezni. Zh Nevrol Psikhiatr Im SS Korsakova. 2016;2(9):35–41. Russian. 7. Fazel S, Lichtenstein P, Grann M, et al. Risk of violent crime in individuals with epilepsy and traumatic brain injury: a 35-year Swedish population study. PLoS Medicine. 2011;8(12):e1001150. PMID: 22215988 8. Treiman DM. Epilepsy and violence: medical and legal issues. Epilepsia. 1986;27(2):77–104. PMID:3720715 9. Granieri E, Fazio P. The Lombrosian prejudice in medicine. The case of epilepsy. Epileptic psychosis. Epilepsy and aggressiveness. Neurology Science. 2012;33(1):173–92. PMID: 21538126 10. Devinsky O, Ritaccio A. Personality disorders in epilepsy. Psychiatric issues in epilepsy. In: Eds Ettinger AB, Kanner AM. A practical guide to diagnosis and treatment. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 161. 11. Whittemore VH, Winawer MR, Patel M, et al. Issues related to symptomatic and disease-modifying treatments affecting cognitive and neuropsychiatric comorbidities of epilepsy. Epilepsia. 2013;54(4):44–60. PMID: 23909853 12. Kudryavtsev IA, Savina OF, Morozova MV. Praktika provedeniya kompleksnoy sudebnoy psikhologo-psikhiatricheskoy ekspertizy pri reshenii voprosa o primenenii st. 22 UK RF. Rossiyskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 1998;(5):42–6. Russian.
Article Metrics
Metrics powered by PLOS ALM