淡路島5人殺害事件──妄想症患者的責任能力【寰宇醫事裁判】 試閱
Five Murders in Awaji Shima: The Responsibility of delusional Disorder Patients
被告因罹患注意力不足過動症而服用利他能，開始出現妄想症狀，殺害兩戶鄰居共5名長者。一審法院認為，被告雖因過度服藥而罹患藥劑性精神疾病，惟其妄想並未嚴重影響其決策與行動，故仍具完全責任能力。二審法院重新鑑定，認為被告由於妄想症惡化，在衝動性和攻擊性升高的狀況下導致犯罪，其於犯行時責任能力顯著減退，相當於心神耗弱的狀態，判處無期徒刑。
Because of suffering from the attention deficit hyperactivity disorder (ADHD) and having Ritalin, the patient has already had illusions, killing two neighbors including five elders. The court of the first instance was the opinion thatthe illusion the accused suffered from was not so serious to affect his decision-making and behaviors, even though he overdosed and suffered from mental illnesses. Therefore had he the complete responsibility. The court of the second instance referred to the psychiatry assessment once again, being the opinion that the accused responsibility had degenerated conspicuously because of that the illusion had worsened. The accused committed the crime under the circumstance that the impulse and offensive had arisen. He was mentally infirm at that time and sentenced to the life imprisonment.
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