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目的探讨精神病患者性受害的特点和性自我防卫能力。方法回顾性分析185例不同精神疾病患者性受害司法精神医学鉴定资料,探讨不同精神疾病性受害特点和性自我防卫能力的判定原则。结果性受害被害人鉴定占司法精神医学鉴定总数11.71%;所鉴定精神病患者性受害中以精神发育迟滞居首位(54.59%),其余依次为精神分裂症(34.05%),情感性精神障碍(6.49%)和其他精神障碍(4.86%)。其性受害的特点和性自我防卫能力因病种不同而各有差异。结论判定性受害者是否有性自我防卫能力最关键的问题是判定被害女性对两性行为的意义、性质及后果是否缺乏辨认能力或丧失控制能力。
Objective To explore the characteristics of sexual victimization and sexual self-defense ability. Methods A retrospective analysis of 185 cases of mental illnesses of patients with different mental illness victims of forensic psychiatric identification information to explore the characteristics of different mental disorders and sexual self-defense ability to determine the principle. The victims of sexual assault accounted for 11.71% of the total. Among the identified victims of mental illness, mental retardation was the highest (54.59%), followed by schizophrenia (34.05%), affective disorder %) And other mental disorders (4.86%). The characteristics of sexual victimization and the ability of self-defense vary from disease to illness. Conclusions The most crucial issue for determining whether a sexual victim has the ability to self-defense is to determine whether the victim’s sexuality, lack of control over the meaning and nature and consequences of the sexual activity of both sexes is deter- mined.