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目的 探讨２０ 年来司法精神病鉴定中责任能力评定的现状。方法 以１９８９ 年《精神疾病司法鉴定暂行规定》颁布为界，对前后１０ 年责任能力评定结果进行比较分析。结果 规定后较规定前责任能力评定总体呈趋严的趋势（ Ｐ＜ ０－０１） ；对精神分裂症、精神发育迟滞、癫痫性精神病障碍患者责任能力评定趋严（ Ｐ＜０－０１、Ｐ＜ ０－０１ 和Ｐ＜０－０１） ；对盗窃、强奸和流氓危害行为责任能力评定趋严（Ｐ＜ ０－０５） 。结论 规定后１０ 年较规定前１０ 年责任能力评定呈趋严倾向，动机论对责任能力评定的影响较深远，但尚有待进一步研究完善。
Objective To explore the status quo of assessing the responsibility of judicial psychiatry in the past 20 years. Methods Taking the promulgation of the Interim Provisions on Judicial Identification of Mental Illnesses as a guide in 1989, the author compared and evaluated the results of the assessment of responsible abilities in the past 10 years. The result showed that the assessment of the former responsibility tended to be tighter (P <0-01) than that of the pre-prescription (P <0-01), and the responsibility of patients with schizophrenia, mental retardation and epileptic psychosis was more severe (P <0-01, P <0-01 and P <0-01); and the assessment of liability for theft, rape and rogue endangerment (t = 0-05). Conclusions The regulations ten years after the provisions of the first ten years of responsibility assessment tends to be more stringent, the impact of motivation theory on the assessment of responsibility far-reaching, but remains to be further studied.