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A Mothers Love? Postpartum Disorders the DSM-5 and Criminal Responsibility – A South African Medicolegal Perspective

机译:母爱?产后疾病DSM-5和刑事责任-南非法医学观点

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摘要

The interface between criminal law and the field of psychiatry has manifested predominantly with reference to the defence of pathological criminal incapacity, more commonly referred to as the insanity defence. The threshold requirement for establishing the defence of pathological criminal incapacity entails that the accused at the time of the commission of the offence should have suffered from a ‘mental illness’ or ‘mental defect’. Once it is established that the accused suffered from a mental illness or mental defect at the time of the commission of the offence, an assessment is conducted to determine whether the illness or defect rendered the accused either incapable of appreciating the wrongfulness of the act or of acting in accordance with such appreciation. The problem that inevitably arises during the assessment of the defence relates to the fact that the terms ‘mental illness’ and ‘mental defect’ are not defined. Mental health practitioners mainly rely on the DSM for answers, yet the DSM cautions that the disorders contained may not be wholly relevant for legal purposes. Postpartum disorders are generally classified as postpartum depression and the more serious manifestation, postpartum psychosis. Postpartum disorders were not provided for in the DSM-IV (1994) or the DSM-IV-TR (2000) as distinct mental disorders. The DSM-5 came into operation in 2013, and yet again these disorders fall outside the scope of the DSM-5. Research indicates that the mental health professional plays a vital and pivotal role in explaining these disorders and the various complexities associated with them. The focus of this article is to illustrate the phenomena of postpartum depression and postpartum psychosis against the backdrop of the defence of pathological criminal incapacity within the context of South African criminal law. The vital and essential role of the mental health expert within this context is explored.
机译:刑法与精神病学领域之间的关系主要是针对病理性犯罪行为能力丧失的辩护,这种行为通常被称为精神错乱辩护。建立病理性犯罪无能辩护的起点条件要求是,在犯罪时被告应遭受“精神疾病”或“精神缺陷”的困扰。一旦确定被告在犯罪时患有精神疾病或精神缺陷,便会进行评估,以确定该疾病或缺陷是否使被告无法意识到该行为的不当性或对行为的不当性。按照这种欣赏行动。在评估答辩过程中不可避免地出现的问题与以下事实有关:“精神疾病”和“精神缺陷”这两个术语没有定义。精神卫生从业人员主要依靠DSM寻求答案,但DSM告诫说,所包含的疾病可能并不完全出于法律目的。产后疾病通常分为产后抑郁症和更严重的表现,即产后精神病。 DSM-IV(1994)或DSM-IV-TR(2000)没有将产后障碍作为明显的精神障碍提供。 DSM-5于2013年投入运行,但这些疾病再次不在DSM-5的范围之内。研究表明,精神卫生专业人员在解释这些疾病以及与之相关的各种复杂性方面起着至关重要的作用。本文的重点是在南非刑法背景下辩护病理性犯罪无能的背景下,说明产后抑郁和产后精神病的现象。探讨了精神卫生专家在此背景下的至关重要的作用。

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