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对48例颅脑外伤所致精神障碍鉴定案例进行分析,发现在20例精神医学鉴定中存在脑外伤与伤后精神障碍的程度有不相称的情况,涉及此类情况的医法学评价已成为不可忽视的课题。在28例涉案鉴定中以脑外伤后人格改变占多数,对精神损伤的程度的评估牵连着责任能力的判定。应认为由于颅脑外伤直接或间接的作用而导致个体人格、智能及其他精神活动的改变,而这种改变系以器质性损伤为基础,并与个体精神素质、社会心理因素相关联,其医法学评定较外伤后法医鉴定要复杂而困难得多。
Analysis of 48 cases of mental disorders caused by traumatic brain injury analysis found that in 20 cases of psychiatric identification of brain injury and post-traumatic mental disorders have disproportionate levels, involving the medical legal evaluation of such cases has become impossible Neglected topics. In 28 cases involved in the identification of personality changes after traumatic brain injury accounted for the majority of the assessment of the extent of mental damage implicated in the determination of responsibility. Should be considered as a direct or indirect role in traumatic brain injury caused by personal personality, intelligence and other mental activity changes, and this change is based on organic damage, and individual mental quality, social psychological factors associated with its Medical assessment of law than forensic identification of trauma to be more complex and much more difficult.