Differentiated evaluation of fitness to stand trial in compensation and decompensation of personality disorders
Suggested citation:
Gadisov TG, Tkachenko AA. [Differentiated evaluation of fitness to stand trial in compensation and decompensation of personality disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2021;(6):13-21. Russian
In this retrospective study with an objective of analyzing the influence of the dynamics of personality disorders on fitness to stand trial 90 subjects with personality disorder were examined. It is shown that the systemic analysis of structural impairments of individuality allows for a differentiated forensic psychiatric assessment. It was revealed that the features of the self-regulation system of compensated subjects does not indicate a limitation of fitness to stand trial. In decompensated subjects, fitness to stand trial can be limited or impaired due to a decrease or complete violation of the mediation of behavior by the motivational sphere with the domination of low-level structures of individuality in the construction of legally significant activities.
Keywords personality disorder; dynamics of personality disorders; decompensation; fitness to stand trial
1. Shchukina EYA, Tkachenko AA, Shishkov SN. Ehkspertnaya otsenka psikhicheskikh rasstroistv, vliyayushchikh na ugolovno-protsessual'nuyu deesposobnost', v svete Postanovleniya Konstitutsionnogo Suda RF ot 20.11.07. № 13-P: Informatsionnoe pis'mo. Moscow; 2009. 11 p. (In Russ.) 2. Tkachenko AA, Korzun DN, Usyukina MV, et al. Sudebno-psikhiatricheskaya otsenka ugolovno-protsessual'noi deesposobnosti. In: EV Makushkin, AA Tkachenko, editors. Sudebno-psikhiatricheskaya diagnostika. Moscow: FGBU “FMITSPN im. V.P. Serbskogo” Minzdrava Rossii; 2017. p. 420–7. (In Russ.) 3. Gorinov VV, Korzun DN, Samylkin DV, Shekhovtsova ES. [Limited criminal procedural competence in accused persons with personality disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2020;(4):49–57. (In Russ.) DOI: http://doi.org/10.24411/1560-957Х-2020-10406 4. Shostakovich BV. Rasstroistva lichnosti (psikhopatii) v sudebno-psikhiatricheskoi praktike. Moscow: MBA; 2006. 372 p. (In Russ.) 5. Dmitrieva TB. Patobiologicheskie aspekty dinamiki psikhopatii. Moscow: GNCSiSP im. V.P. Serbskogo; 1998. 161 p. (In Russ.) 6. Tkachenko AA. Predmet sudebno-psikhiatricheskoi ehkspertizy i translyatsionnaya meditsina. In: EV Makushkin, AA Tkachenko, editors. Sudebno-psikhiatricheskaya diagnostika. Moscow: FGBU “FMITSPN im. V.P. Serbskogo” Minzdrava Rossii; 2017. p. 34–70. (In Russ.) 7. Korzun DN, Tkachenko АА. [Forensic-psychiatric assessment of legally significant abilities and mechanisms of regulation of behavior]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2013;(3):4–12. (In Russ.) 8. Tkachenko AA, Korzun DN. Sudebno-psikhiatricheskaya ehkspertiza. Moscow: GEHOTAR-Media; 2016. 672 p. (In Russ.) 9. Tkachenko AA, Korzun DN. [The problem of experts differentiation of legally significant capabilities in the persons with mental disorders]. Psikhicheskoe zdorov’e [Mental Health]. 2012;(11):36–41. (In Russ.) 10. Demidova LYu, Gadisov TG, Tkachenko AA. [Individual differences during compensation and decompensation in personality disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2021;(4):48–60. (In Russ.) DOI: http://doi.org/10.47877/1560-957Х-2021-10406 11. Bratus' BS. Anomalii lichnosti. Moscow: Mysl'; 1988. 301 p. (In Russ.) 12. Kudryavtsev IA. Kompleksnaya sudebnaya psikhologo-psikhiatricheskaya ehkspertiza. Moscow: Izd-vo Mosk. un-ta; 1999. 497 p. (In Russ.) 13. DeYoung CG. Cybernetic Big Five Theory. J Res Pers. 2015;56:33–58. 14. Morosanova VI. Individual'nye osobennosti osoznannoi samoregulyatsii proizvol'noi aktivnosti cheloveka. Vestnik Moskovskogo universiteta. Seriya 14: Psikhologiya. 2010;(1):36–45. (In Russ.) 15. Smulevich AB. Rasstroistva lichnosti. Traektoriya v prostranstve psikhicheskoi i somaticheskoi patologii. Moscow: Meditsinskoe informatsionnoe agenstvo; 2012. 336 p. (In Russ.) 16. Gannushkin PB. Klinika psikhopatii, ikh statika, dinamika, sistematika. N. Novgorod: Medkniga; 2000. 124 p. (In Russ.) 17. Kerbikov OV. Izbrannye trudy. Moscow: Meditsina; 1971. 313 p. (In Russ.) 18. Wall BW, Ash P, Keram E, et al. AAPL Practice Resource for the Forensic Psychiatric Evaluation of Competence to Stand Trial. J Am Acad Psychiatry Law. 2018;46(3):74–9. DOI: http://doi.org/10.29158/JAAPL.003781-18 19. Kudryavtsev IA, Safuanov FS. Psikhologicheskie mekhanizmy narushenii myshleniya pri psikhopatiyakh. Zh Nevropatol Psikhiatr Im SS Korsakova. 1989;89(12):1837–42. (In Russ.) 20. Kudryavtsev IA, Safuanov FS. Ehmotsional'naya i smyslovaya regulyatsiya vospriyatiya u psikhopaticheskikh lichnostei vozbudimogo i istericheskogo kruga. Zh Nevropatol Psikhiatr Im SS Korsakova. 1984;84(12):1815–22. (In Russ.)
DOI: http://dx.doi.org/10.47877/1560-957Х-2021-10602
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