CAJ | 학술논문

目的检验辨认和控制能力精神医学评定量表(Psychiatric Assessment Scale of Cognitive and Volition Capacity in crime,PASCVC)的实证效度,并制定全国常模.方法于2009年8月至2011年12月间在全国七大行政区的十五家司法鉴定机构共收集评定辨认和控制能力的司法精神鉴定案例1 000例,由量表评定者用PASCVC、精神病人限定刑事责任能力评定量表(Diminished Criminal Responsibility Rating Scale,DCRRS)和暴力作案行为人刑事责任能力评定量表(Criminal Responsibility Rating Scale of Violence,CRRSV)进行评分,所有案例均由鉴定人做出辨认和控制能力完全丧失、大部分丧失、部分丧失、小部分丧失、稍有受损和正常的六个等级判断.结果 ①依据频数分布表的结果得出:辨认和控制能力完全丧失的划界分为≤56、大部分丧失为57～ 66、部分丧失为67～76、小部分丧失为77～ 87、稍有受损为88～ 100、正常为≥101.②六级划界分评定的等级划分结果与专家鉴定意见的相关为0.939 (P=0.001).③PASCVC与DCRRS和CRRSV的一致性Kappa值分别为0.838和0.835 (P＜0.001).④PASCVC量表评定和专家评定两种方法分别建立判别函数,回代判别量表与专家判断的正确率分别为86.9％和85.1％；两种分级结果的一致性Kappa值为0.857 (P＜0.001).结论该量表具有较好的实证效度,可作为辨认和控制能力司法鉴定的客观评定工具.
목적 검험변인화공제능력정신의학평정량표(Psychiatric Assessment Scale of Cognitive and Volition Capacity in crime,PASCVC)적실증효도,병제정전국상모.방법 우2009년8월지2011년12월간재전국칠대행정구적십오가사법감정궤구공수집평정변인화공제능력적사법정신감정안례1 000례,유량표평정자용PASCVC、정신병인한정형사책임능력평정량표(Diminished Criminal Responsibility Rating Scale,DCRRS)화폭력작안행위인형사책임능력평정량표(Criminal Responsibility Rating Scale of Violence,CRRSV)진행평분,소유안례균유감정인주출변인화공제능력완전상실、대부분상실、부분상실、소부분상실、초유수손화정상적륙개등급판단.결과 ①의거빈수분포표적결과득출:변인화공제능력완전상실적화계분위≤56、대부분상실위57～ 66、부분상실위67～76、소부분상실위77～ 87、초유수손위88～ 100、정상위≥101.②륙급화계분평정적등급화분결과여전가감정의견적상관위0.939 (P=0.001).③PASCVC여DCRRS화CRRSV적일치성Kappa치분별위0.838화0.835 (P＜0.001).④PASCVC량표평정화전가평정량충방법분별건립판별함수,회대판별량표여전가판단적정학솔분별위86.9％화85.1％；량충분급결과적일치성Kappa치위0.857 (P＜0.001).결론 해량표구유교호적실증효도,가작위변인화공제능력사법감정적객관평정공구.
Objective To test the cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity for suspects in crime (PASCVC).Methods One thousand of forensic psychiatry cases from fifteen bodies of the seven administrative regions in China were collected for forensic assessment by the three scales of PASCVC,DCRRS and CRRSV in August 2009 to December 201 l.in all cases by the appraiser to make six grade judgment of the cognitive and volition capacity including completely lost,lost most,partial loss,partial loss of a small,slightly damaged and normal.Results ① Based on the results of frequency distribution table: complete loss of demarcation divided ＜ 56 minutes,lost most 57-66,partial loss 67-76,partial loss of a small 77-87,slightly damaged 88-100 and normal ≥ 101.②The correlation coefficient of six demarcation point grading assessment results and expert opinion was 0.939(P＜0.001).③PASCVC consistency with DCRRS and CRRSV,the Kappa values were 0.838 and 0.835 respectively(P＜0.001).④Discriminant function were established by two methods of PASCVC and expert assessment,the correct rates of PASCVC and expert judgment on back substitution determine were 86.9％ and 85.1％.Two kinds of classification results,the Kappa value of 0.857 (P＜0.001).Conclusion PASCVC has good empirical validity,and can be used as an objective assessment tool for forensic assessment of criminal cognitive and volition capacity.