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A scoping review of the forensic psychiatric expertise for compulsory treatment application in Brazil
International Journal of Law and Psychiatry ( IF 2.479 ) Pub Date : 2023-04-21 , DOI: 10.1016/j.ijlp.2023.101887
Rita de Cassia Consule 1 , Carla Aparecida Arena Ventura 1
Affiliation  

In the Brazilian penal system, a person with a mental disorder who commits an offense may be exempt from penalty if, at the time of the offense, they were entirely unable to understand the illicit character of the fact. A forensic psychiatric expert makes this determination and may also recommend to the magistrate the type of commitment to be applied. As a rule, this measure is stipulated based on the judge's sentence rather than the kind of treatment that the mental disorder requires. This difference motivates the present study that seeks to identify criteria for expertise. Additionally, this work focuses on the biopsychological method which influences the application of the measure as detailed in the expert's report. Expert reports have considerable importance in criminal proceedings and often influence determinations of the deadline for compliance and, potentially, hospitalisation. For this question, a scoping review searched for relevant literature, regardless of the study design. Of 1014 references, 27 answered the guiding question, giving rise to 10 categories with several items corresponding to the criteria for expertise. These items, although not exhaustive, demonstrated the deficient interrelationship between law and mental health due to the lack of communication and interaction between them the two. This could be addressed through interdisciplinary legislation or alteration of criminal and criminal procedural laws. Additionally, the lack of communication could be further addressed through the magistrate's interpretation of mental health laws as a new parameter for criminal law based on the human dignity principle which recognises fundamental human rights.



中文翻译:

对巴西强制治疗申请的法医精神病学专业知识的范围界定审查

在巴西的刑罚制度中,如果精神障碍患者在犯罪时完全无法理解事实的非法性质,则可以免除处罚。法医精神病学专家做出此决定,还可能向地方法官建议适用的承诺类型。通常,这项措施是根据法官的判决而不是精神障碍需要的治疗类型来规定的。这种差异促使本研究试图确定专业知识的标准。此外,这项工作的重点是影响专家报告中详述的措施应用的生物心理学方法。专家报告在刑事诉讼中具有相当重要的意义,并且通常会影响合规期限的确定,并可能影响住院的期限。对于这个问题,范围审查搜索了相关文献,而不考虑研究设计。在 1014 篇参考文献中,有 27 篇回答了指导性问题,产生了 10 个类别,其中有几个项目与专业知识标准相对应。这些项目虽然不是详尽无遗,但由于两者之间缺乏沟通和互动,表明法律与心理健康之间的相互关系不足。这可以通过跨学科立法或修改刑法和刑事诉讼法来解决。此外,可以通过地方法官进一步解决缺乏沟通的问题。

更新日期:2023-04-21
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