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PSYCHOLOGICAL DISORDERS

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Title: PSYCHOLOGICAL DISORDERS


1
?15?
  • PSYCHOLOGICAL DISORDERS
  • ?????

2
cultural relativist perspective 1/2 Proponents of
a cultural relativist perspective argue that we
should respect each culture's definitions of
abnormality for the members of that culture. By
doing so, we do not impose one culture's
standards for behavior on another. Opponents of
this position point to a number of dangers,
however (Szasz, 1971).
??????? 1/2 ????????(cultural relativist
perspective)??????????????????????????????????????
????????????????????????????,?????????????????????
?????????????????,?????????????????????????(Szasz,
1971)?
3
cultural relativist perspective 2/2 Throughout
history, societies have labeled individuals as
abnormal to justify controlling or silencing
them, as Hitler branded the Jews abnormal to
justify the Holocaust. Another problem is that
the concept of abnormality changes over time
within the same society. Forty years ago, most
Americans would have considered men wearing
earrings abnormal. Today, such behaviors tend to
be viewed as differences in lifestyle rather than
as signs of abnormality. Thus, ideas of normality
and abnormality differ from one society to
another and over time within the same society.
??????? 2/2 ?????,??????????????????????????????,?
????????????????????????????????????????????,?????
?????????????????????,????????????????????????????
???????????????????????,40????????????????????????
????????????????????????????,?????????????????????
??????,???????????????????????????,???????????????
?????????????????????
4
abnormal What do we mean by abnormal behavior?
By what criteria do we distinguish it from
normal behavior? In this age of rapid
technological advances, you might think that
there would be some objective testa blood test
or brain scanthat could determine whether an
individual has a mental disorder. There is no
such test currently, however. Instead, we must
rely on signs and symptoms, and on subjective
criteria for deciding when those symptoms
constitute abnormality. A number of different
types of criteria for defining abnormality have
been proposed.
?? ???????,???????????????????????????????????????
??,?????????????????,??????,??????????????????????
??,????????????????????????????????????????????,??
???????????????????????????????????,??????????????
??????????????????????????????????????????????????
?,??????????????????????
5
maladaptive 1/2 Rather than defining abnormal
behavior in terms of deviance from either
statistical or societal norms, many social
scientists believe that the most important
criterion is how the behavior affects the
well-being of the individual or the social group.
According to this criterion, behavior is abnormal
if it is maladaptivethat is, if it has adverse
effects on the individual or on society.
?????? 1/2 ????????????,?????????????????????????
???,??????????????????????????????????????????????
??????????,?????(maladaptive)?????????????????????
??????
6
maladaptive 2/2 Some kinds of deviant behavior
interfere with the welfare of the individual (a
man who is so fearful of crowds that he cannot
ride the bus to work, alcoholics who drink so
heavily that they cannot hold a job, a woman who
attempts suicide). Other forms of deviant
behavior are harmful to society (an adolescent
who has violent aggressive out bursts, a paranoid
individual who plots to assassinate national
leaders). If we use the criterion of
maladaptiveness, all of these behaviors would be
considered abnormal.
?????? 2/2 ??????????????????,???????????????????,
?????????????,??????????????,????????????,????????
??????????????,??????????????????????????,????????
????????????
7
distress 1/2 A fourth criterion considers
abnormality in terms of the individual's
subjective feelings of distresstheir feelings of
anxiety, depression, or agitation, or experiences
such as insomnia, loss of appetite, or numerous
aches and pains. Most people who are diagnosed
with a mental disorder feel acutely miserable.
Sometimes personal distress may be the only
symptom of abnormality, and the individual's
behavior may appear normal to the casual
observer.
?? 1/2 4??????,??????????????????????(distress)???
???,?????,??????????????,????,????????????????????
??????????????????????????????,???????????????????
???????????????,???????????????????????,??????????
???????????
8
distress 2/2 None of these definitions provides a
completely satisfactory description of abnormal
behavior. In most in stances, all four
criteriasocial deviation, statistical frequency,
maladaptive behavior, and personal distressare
considered in diagnosing abnormality.
?? 2/2 ???????????????????????????????????????????
?????????(?????,?????,??????,?????)???????????
9
normality Normality is even more difficult to
define than abnormality, but most psychologists
would agree that the characteristics in the
following list indicate emotional well-being.
Note that these characteristics do not make sharp
distinctions between the mentally healthy and the
mentally ill. Rather, they represent traits that
a normal person possesses to a greater degree
than an individual who is diagnosed as abnormal.
?? ???(normality)???????????????????????,?????????
????????????????????????????????????????,?????????
?????????????????????????????????????,
????????????,??????????????????????????????
10
Diagnostic and Statistical Manual of Mental
Disorders, 4th edition (DSM-IV) The
classification of mental disorders used by most
mental health professionals in the United States
is the Diagnostic and Statistical Manual of
Mental Disorders,4th edition (DSM-FV for short),
which corresponds generally to the international
system formulated by the World Health
Organization. The major categories of mental
disorders classified by DSM-IV are listed in the
Concept Review Table. DSM-IV provides an
extensive list of subcategories under each of
these headings, as well as a description of the
symptoms that must be present for the diagnosis
to be applicable.
???????????????4? ???????????????????????????????
???????,???????????????4?(Diagnostic and
Statistical Manual of Mental Disorders, 4th
edition DSM-IV)?,?????????????(WHO)??????????????
????DSM-??????????????lt???gt????????DSM-IV?????????
???????????????,??????????????????????????????
11
neuroses, psychoses 1/2 You have probably heard
the terms neurosis and psychosis and may be
wondering where they fit into the categories of
mental disorders listed in the Concept Review
Table. Traditionally, these terms denoted major
diagnostic categories. Neuroses (the plural of
neurosis) included a group of disorders
characterized by anxiety, unhappiness, and
maladaptive behavior that were seldom serious
enough to require hospitalization.
?????? 1/2 ????????????????????????????,?????????
??????????????????????????????????????????????????
????(neuroses neurosis????)??????????????????????
?????????,??????????????????????
12
neuroses, psychoses 2/2 The individual could
usually function in society, though not at full
capacity. Psychoses (the plural of psychosis)
included more serious mental disorders. The
individuals behavior and thought processes were
so disturbed that he or she was out of touch with
reality, could not cope with the demands of daily
life, and usually had to be hospitalized.
?????? 2/2 ???,????????????,???????????????????(p
sychoses psychosis ????)?????????????????????????
????????????,???????????????????????,???????????
13
biological perspective 1/2 A tendency to develop
mood disorders, particularly bipolar disorders,
appears to be inherited (Wallace, Schneider,
McGuffin, 2002). Family history studies of people
with bipolar disorder find that their
first-degree relatives (parents, children, and
siblings) have at least two to three times higher
rates of both bipolar disorder and depressive
disorders than relatives of people without
bipolar disorder (Wallace et al., 2002
MacKinnon, Jamison, De Paulo, 1997).
??????? 1/2 ????,???????????????????????????(Walla
ce, Schneider, MoGuffrn,2002)?????????????????,?
???????(?,???,?????)??????????????????????????????
??2,3?????(Wallace et al.2002 Mackinnon,
Jamison, De Paulo, 1997)?
14
biological perspective 2/2 Twin studies of
bipolar disorder have also consistently suggested
that the disorder has a genetic component.
Indeed, the concordance rates between identical
twins (the likelihood that both twins will have
the disorder if one twin has the disorder) range
from 50 to 100 across recent studies (Stoll,
Renshaw, Yurgelun-Todd, Cohen, 2000).
??????? 2/2 ????????????????,?????????????????????
??????,????????????(?????????????,????????????????
?)???????????,50??100???????(Stolt, Renshaw,
Yurgelun-Todd, Cohen, 2000)?
15
psychological perspective There are a number of
specific psychological perspectives that see
mental disorders as problems in the functioning
of the mind.
??????? ??????????????????????????(psychological
perspective)?????????????
16
psychoanalytic perspective The psychoanalytic
perspective emphasizes unconscious conflicts,
usually originating nearly childhood, and the use
of defense mechanisms to handle the anxiety
generated by the repressed impulses and emotions.
Bringing the unconscious conflicts and emotions
into awareness presumably eliminates the need for
the defense mechanisms and alleviates the
disorder.
???????? ????????(psychoanalytic
perspective)?,??????????????????????,?????????????
?????????????????????????????????????????????????,
??????????????????????????
17
behavioral perspective The behavioral perspective
investigates how fears become conditioned to
specific situations and the role of reinforcement
in the origin and maintenance of inappropriate
behaviors. This approach looks at mental
disorders from the standpoint of learning theory
and assumes that maladaptive behaviors are
learned.
?????? ??????(behavioral perspective)?,???????????
???????????????,??????????????????????????????????
?????????????????????????????,????????????????????
???
18
cognitive perspective The cognitive perspective
suggests that some mental disorders stem from
disordered cognitive processes and can be
alleviated by changing these faulty cognitions.
Rather than stressing hidden motivations,
emotions, and conflicts, however, it emphasizes
conscious mental processes. The way we think
about ourselves, the way we appraise stressful
situations, and our strategies for coping with
them are all interrelated.
?????? ??????(cognitive perspective)?,????????????
?????????????,????????????????????????????????????
??,?????????????,???????????????????????????,?????
???????????,????????????????????????????,?????????
??????
19
cultural or sociological perspective Cultural or
sociological perspectives take the view that
mental disorders are not situated in the brain or
mind of the individual but in the social context
in which the individual lives. Proponents of this
perspective look to stresses in the physical and
social environment, such as discrimination and
poverty, which can interfere with people's
functioning. They also pay attention to how
culture shapes the types of mental disorders
people are most susceptible to and how they
manifest their distress.
????????????? ?????????????(cultural or
sociological perspective)?,?????????????????????,?
?????????????????????????????????????,????????????
???????????????,???????????????????????????,?????
????????????????????????????????,?????????????????
???????
20
vulnerability-stress model 1/2 Which considers
the interaction between a predisposition, which
makes a person vulnerable for developing a
particular disorder, and stressful environmental
conditions encountered by that person. At the
biological level, vulnerability might stem from
genetic factors. This is evident in disorders in
which having a close relative with the disorder
increases a person's risk of developing it.
?????????? 1/2 ???????????,????????????????,?????
??????????????????????????????????????????????????
,????????????????????????????????????,??????????,?
?????????????????????
21
vulnerability-stress model 2/2 At the
psychological level, a chronic feeling of
hopelessness and inadequacy might make an
individual vulnerable to depression. Having a
predisposition for a particular disorder does not
guarantee that the person will develop the
disorder. Whether the predisposition leads to an
actual disorder often depends on the kinds of
stressors, including poverty, malnutrition,
frustration, conflicts, and traumatic life
events, the individual encounters.
?????????? 2/2 ????????????,?????????????????????
????????????????????????????????????,?????????????
?????????????????????????,?????????????(??????????
)???????????,?????????,????,????,?????????????????
?????????????,?????????????????????????????,?????
??????????????????????,?????????????????????????,?
???????????
22
anxiety disorders Most of us feel anxious and
tense in the face of threatening or stressful
situations. Such feelings are normal reactions to
stress. Anxiety is considered abnormal only when
it occurs in situations that most people can
handle with little difficulty. Anxiety disorders
include a group of disorders in which anxiety
either is the main symptom (generalized anxiety
and panic disorders) or is experienced when the
individual attempts to control certain
maladaptive behaviors (phobic and
obsessive-compulsive disorders).
???? ????,????????????????????????????????????????
??????????????????????????????????,???????????????
?????????????????????(anxiety disorders)??????????
?????(??????????????)?????????????????????????????
??(?????????)???????
23
generalized anxiety disorder In one form of
anxiety disorder, generalized anxiety disorder,
the person experiences a constant sense of
tension and dread. Inability to relax, disturbed
sleep, fatigue, headaches, dizziness, and rapid
heart rate are the most common physical
complaints. In addition, the individual
continually worries about potential problems and
has difficulty concentrating or making decisions.
When the individual finally makes a decision, it
becomes a source of further worry (Did I foresee
all the possible consequences?). Some
self-descriptions provided by people with
chronically high levels of anxiety appear in
Table 15-3.
??????? ?????????????????(generalized anxiety
disorder)??????????????????????????????????????,??
??,???,??,???,?????????????????????????,??????????
??????,??????????????????????????????????????????(
???????????,???????????)?????????????????????????
????15-3?????
24
panic attack 1/2 Hazel's symptoms suggest that
she experienced a panic attack an episode of
acute and overwhelming apprehension or terror.
During panic attacks, the individual feels
certain that something dreadful is about to
happen. This feeling is usually accompanied by
such symptoms as heart palpitations, shortness of
breath, perspiration, muscle tremors, faintness,
and nausea. The symptoms result from excitation
of the sympathetic division of the autonomic
nervous system (see Chapter 2) and are the same
reactions that an individual experiences when
extremely frightened. During severe panic
attacks, the per son fears that he or she will
die.
??????1/2 ???????????????????(panic
attack),??????????????????????????????????????????
????,?????????????????????,?????????????????,??,??
???,??,??????????????????????????????????????(?2??
?)??????????????????????????????????????????
25
panic attack 2/2 As many as 40 of young adults
have occasional panic attacks, especially during
times of stress (King, Gullone, Tonge,
Ollendick, 1993). For most of these 534 CHAPTER
15 PSYCHOLOGICAL DISORDERS people, the panic
attacks are annoying but isolated events that do
not change how they live their lives. When panic
attacks become a common occurrence and the
individual begins to worry about having attacks,
he or she may receive a diagnosis of panic
disorder.
??????2/2 ???40????,????????????????????????????(
King, Gullone, Tonge, Ollendick,
1993)?????????????,???????????????????????????????
????????????????????,???????????????????????????,?
?????(panic disorder)??????????
26
panic disorder 1/3 Panic disorder is relatively
rare Only about 1.5 to 3.5 of the population
will ever develop a panic disorder (American
Psychiatric Association, 2000). Usually panic
disorder appears sometime between late
adolescence and the mid-30s. Without treatment,
panic disorder tends to become chronic (Weiss
Last, 2001). Panic-like symptoms may take a
different form across cultures. People from
Latino cultures, particularly in the Caribbean,
sometimes experience a sudden rush of anxiety
symptoms known as ataque de nervios.
?????? 1/3 ???????????????????????????1.53?????(
American Psychiatric Association,
2000)??????????,??????????????????????????????????
??(Weiss Last, 2001)?????????????????????????????
?????,????????????????????(ataque de
nervios)???????,???????????????????????
27
panic disorder 2/3 The symptoms of ataque include
trembling, feelings of out of control, sudden
crying, screaming uncontrollably, verbal and
physical aggression, and sometimes seizure-like
or fainting episodes and suicidal gestures (Lopez
Guarnaccia, 2000). When ataque de nervios comes
out of the blue, it is often attributed to the
stresses of daily living or to spiritual causes.
A study of Puerto Ricans after the 1985 floods
found that 16 of the victims reported
experiencing an ataque (Guarnaccia Canino,
Rubio-Stipec, Bravo, 1993).
?????? 2/3 ???????????,????????,????????,?????????
?????,?????????,???????????????????????,??????????
????????(Lopez Guarnaccia, 2000)????????????????
?????,???????????????,?????????????1985???????????
??????????????,??????16????????????(GuarnacciaCan
ino, Rubio-Stipec , Bravo, 1993)?
28
panic disorder 3/3 People with panic disorder may
believe that they have a life-threatening
illness, such as heart disease or susceptibility
to stroke, even after such illnesses have been
ruled out by medical examinations. They may go
from one physician to another, searching for the
one who can diagnose their ailments. They may
also believe that they are going crazy or
losing control. If their symptoms go untreated,
they may become depressed and demoralized.
?????? 3/3 ??????????,????????????????????????????
?,?????????????????????????????????????????????,??
??????????????????????????????????????????????????
??,??????????????????????????????????,????????????
?????????
29
ataque de nervios Panic-like symptoms may take a
different form across cultures. People from
Latino cultures, particularly in the Caribbean,
sometimes experience a sudden rush of anxiety
symptoms known as ataque de nervios. The symptoms
of ataque include trembling, feelings of out of
control, sudden crying, screaming uncontrollably,
verbal and physical aggression, and sometimes
seizure-like or fainting episodes and suicidal
gestures (Lopez Guarnaccia, 2000).
???? ?????????????????????????????????,???????????
?????????(ataque de nervios)???????,??????????????
????????????????????,????????,????????,???????????
???,?????????,???????????????????????,????????????
??????(Lopez Guarnaccia, 2000)?
30
agoraphobia About a third to half of people with
panic disorder also develop agoraphobia (American
Psychiatric Association, 2000). People with
agoraphobia fear any place where they might be
trapped or unable to receive help in an
emergency. The emergency they most often fear is
having a panic attack.
???? ????????????,2??1??3??1?????(agoraphobia)????
?(American Psychiatric Association,
2000)?????????,???????????????????????????????????
??????????????????????????????
31
phobia A phobia is an intense fear of a stimulus
or situation that most people do not consider
particularly dangerous. The individual usually
realizes that this fear is irrational but still
feels anxiety (ranging from strong uneasiness to
panic) that can be alleviated only by avoiding
the feared object or situation.
??? ???(phobia)??,????????????????????????????????
???????????,??????????????????????????????,??????(
???????,?????????)???,?????????????????????????
32
simple phobia A simple phobia is a fear of a
specific object, animal, or situation. Irrational
fears of snakes, germs, enclosed places, and
darkness are examples. Some people may develop a
simple phobia but be normal in other respects. In
more serious cases, the individual has a number
of phobias that interfere with many aspects of
life and may be intertwined with obsessive or
compulsive behavior.
???? ????(simple phobia)?????,??,?????????,??????,
???,?????????,?????????????????????????????????,??
????????????,?????????????????????????????????????
,???????????????.
33
social phobia People with social phobias feel
extremely insecure in social situations and have
an exaggerated fear of embarrassing themselves.
Often they are afraid that they will betray their
anxiety by such signs as hand tremors, blushing,
or a quavering voice. These fears are usually
unrealistic Individuals who fear that they might
shake do not do so those who fear that they will
stutter or quaver actually speak quite normally.
Fear of public speaking or of eating in public
are the most common complaints of socially phobic
individuals.
???? ????(social phobias)??????????????????,??????
???????????????????????,??????????????????????????
??????????????????????????,???????????????????????
????????????,?????????????????????????????????????
????????????????????????????????????
34
Obsessive-compulsive disorder, obsession, and
compulsion A teenage girl is always late to
school because she feels compelled to repeat many
of her actions (replacing her brush on the
dresser, arranging the school supplies in her
book bag, crossing the threshold to her bedroom)
a set number of times, usually some multiple of
the number 4. All of these people have symptoms
of obsessive compulsive disorder Obsessions are
persistent intrusions of unwelcome thoughts,
images, or impulses that elicit anxiety.
Compulsions are irresistible urges to carry out
certain acts or rituals that reduce anxiety.
????????????????? ????????????,???????????????????
,??????????????,???????????????????,??????????????
?,????4????????????????????????????????,?????(obse
ssive compulsive disorder)??????????????(obsession
)??????????????,????,??????????????????????(compul
sion)????????????????????????????????????????????
35
Mood disorders, depressive disorders, and bipolar
disorders Individuals with mood disorders may be
severely depressed or manic (wildly elated), or
may experience periods of depression as well as
periods of mania. Mood disorders are divided into
depressive disorders, in which the individual has
one or more periods of depression without a
history of manic episodes bipolar disorders, in
which the individual alternates between periods
of depression and periods of mania, usually with
a return to normal mood between the two extremes.
Manic episodes without some history of depression
are uncommon.
????????????????? ????(mood disorders)????,????,??
??(?????????????),????????????????????????????????
??????????????????????????????(depressive
disorders)????????????????,?????????????????(bipol
ar disorders)???????????????????????????????
36
Anhedonia The emotional symptoms of depression
are not the everyday blues that we all experience
from time to time, but an unrelenting pain and
despair. People also report that they have lost
the ability to experience joy, even in response
to the most joyous occasions, a symptom referred
to as anhedonia. They say that they don't find
interacting with family or friends, their work,
or their hobbies enjoyable anymore.
???? ???????????,?????????????????????????????,???
?????????????????,??????????????????????,?????????
?????????????????????????(anhedonia)??????????????
????????????,????????????????????
37
manic episode During mild manic episodes, they
are energetic, enthusiastic, and full of
self-confidence. They talk continually, rush from
one activity to another with little need for
sleep, and make grandiose plans, paying little
attention to their practicality.
??? ???(manic episodes)???????,???????????????????
?????????????????,????????????????????????,???????
???????????????,?????????????????????????
38
schizophrenia Sometimes schizophrenia develops
slowly as a gradual process of increasing
seclusiveness and inappropriate behavior.
Sometimes the onset is sudden, marked by intense
confusion and emotional turmoil. Such acute cases
are usually precipitated by a period of stress in
individuals whose lives have tended toward
isolation, preoccupation with self, and feelings
of insecurity.
????? ??????????????????????????????????,?????????
???????????????????????????,?????????????,????????
??,????????????????????????????????
39
word salad The juxtaposition of unrelated words
and phrases and the idiosyncratic word
associations (sometimes called word salad) are
characteristic of schizophrenic writing and
speech.
?????? ???????????????????????????(??????(word
salad)??????)?????????????????????
40
loosening of associations They reflect a
loosening of associations in which the
individuals ideas shift from one topic to another
in ways that appear unrelated.
???? ???????????????????,?????????????????,????(lo
osening of association)????????
41
delusion They are also subject to delusions,
beliefs that most people would view as
misinterpretations of reality. The most common
delusions are beliefs that external forces are
trying to control one's thoughts and actions.
?? ??(delusion)???????????????????????????????????
????????????????????????????????????????????????
42
paranoid The term paranoid is used to refer to an
individual who has delusions of persecution. Such
a person maybe come suspicious of friends and
relatives, fear being poisoned, or complain of
being watched, followed, and talked about.
??? ???????????????(Paranoid)????????????????????,
?????????????????,???????,???????,????????????????
????????
43
hallucination Some people fail to recognize
themselves in a mirror, or see their reflection
as a triple image. The most dramatic disturbances
of perception are hallucinations, sensory
experiences in the absence of relevant or
adequate external stimulation.
?? ??????????????????,??????????????????????????(h
allucinations)????,??????????????????????????????
44
personality disorder Personality disorders are
long-standing patterns of maladaptive behavior.
In Chapter 13, we described personality traits as
enduring ways of perceiving or relating to the
environment and thinking about oneself. When
personality traits become so inflexible and
maladaptive that they significantly impair the
individual's ability to function, they are
referred to as personality disorders.
???? ????(personality disorders)??????????????????
??????13??,???????????????????????????????????????
????????????????????????,??????????????????????,??
??????????????
45
antisocial personality disorder People who have
antisocial personality disorder have little sense
of responsibility, morality, or concern for
others. Their behavior is determined almost
entirely by their own needs. In other words, they
lack a conscience.
???????? ????????(antisocial personality
disorder)?????,??????????????,????????????????????
??,?????????????????????,??????????????????
46
borderline personality disorder Borderline
personality disorder is a lifelong disorder
characterized by extreme variability in mood,
relationships, and self-perceptions. Instability
is a key feature of borderline personality
disorder.
??????? ???????(borderline personality
disorder)?,???????????????????????????????????????
?????????????????????????????
47
dissociative identity disorder Dissociative
identity disorder, also called multiple
personality disorder, is the existence in a
single individual of two or more distinct
identities or personalities that alternate in
controlling behavior.
???????? ????????(dissociative identity
disorder),????????????,???????????????????????????
?????????????????
48
M'Naghten Rule In 1724 an English court
maintained that a man was not responsible for an
act if he doth not know what he is doing, no
more than ... a wild beast. Modern standards of
legal responsibility, however, have been based
on the M'Naghten decision of 1843. The M'Naghten
Rule states that a defendant may be found not
guilty by reason of insanity only if he was so
severely disturbed at the time of his act that he
did not know what he was doing, or if he did know
what he was doing, did not know that it was wrong.
???????? 1724 ?????????,??????????????,???????????
??????????????,????????????????????????????,1843??
??????????????????????????(M' Naghten Rule)?,
??????????????????????,?????????????????????,?????
???????????????,??????????????????????????????
49
American Law Institute Rule During the 1970s, a
number of state and federal courts adopted the
American Law Institute Rule, a broader legal
definition of insanity proposed by the American
Law Institute, which states A person is not
responsible for criminal conduct if at the time
of such conduct, as a result of mental disease or
defect, he lacks substantial capacity either to
appreciate the wrongfulness of his conduct or to
conform his conduct to the requirements of the
law.
????????? 1970??????,????????????,?????????(Americ
an Law Institute Rule)????????????????????????????
?????????????????????????,????????????????????,???
????????????????????????????, ????????????
50
guilty but mentally ill Generally, the laws
permit a finding of guilty but mentally ill when
a defendant is found to have a substantial
disorder of thought or mood that afflicted him at
the time of the crime and significantly impaired
his judgment, behavior, capacity to recognize
reality, or ability to cope with the ordinary
demands of life.
??,???????? ?????,????????(guilty but mentally
ill)????????????????????????????????????,?????????
??????????,??????,????????????????????????????????
51
English Bold 18 point English standard 18 point
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