2004-08-012024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/701528摘要：刑事司法實務的運作，常必須倚賴法律以外的其他學科之輔助。刑事責任之認定，即是醫學與法律之間進行科際整合的重要領域之一。對於刑法意義上的「心神喪失」與「精神耗弱」之認定，無法僅從法學的觀點進行考察，尤需要精神醫學的觀點進入法學領域，以補充法官在醫學知識上的不足。 目前刑事責任能力之認定，由於法律用語在概念與語意上過於概括與模糊，實務界在運用上，基本上是遵循最高法院判例之意見，以行為人行為時對於外界事物全然缺乏知覺理會及判斷作用，作為審查之標準。然而，精神醫學界在精神鑑定時，基本上使用的是精神醫學上的概念與用語，而非全然以判例上之概念為依歸。就此而言，醫學與法律用語的差異性，常使責任能力的認定陷入混亂狀態。甚至法院一方面採擇醫學鑑定報告之內容與結論，另一方面卻同時引用與醫學鑑定意見在內涵上不相融合之判例見解。 關於刑法上犯罪責任能力之理論建構，已有豐碩且詳盡的研究成果。因此本研究計畫不打算再以理論之建構與引介作為研究之重點，而希望以我國判決就行為人精神狀態乃至責任能力之認定，進行深入且有系統的實證分析與研究。亦即整理及研讀自民國八十八年八月一日至九十三年七月三十一日為止，我國實<br> Abstract: The operation of legal practice on criminal law field often requires the assistance of some other scopes of knowledge besides law. The identity of mental capacity is just one of the significant realms of interdisciplinary integration between medicine and jurisprudence . To identify the ideas “insanity” and “psychasthenia” cannot be understood only from the aspect of jurisprudence, but also requires the viewpoints of psychiatry in order to supplement the insufficiency of judges’ medical knowledge. Due to the vagueness in the meaning of legal terms, the identity of criminal responsibility in legal practice primarily follows the legal precedents of the Supreme Court. That is, to determine that whether the defendant entirely lacks the capacities of consciousness and judgment or not while conducting as a rule. However, when conducting the psychiatric evaluation, the psychiatrists basicly use the psychiatric ideas and terms which do not entirely correspond to the ideas of legal precedents. As a result, the difference between medical terms and legal terms often makes the identity of mental capacity complicated and chaotic. Even the court adopts the context and results of the medical evaluation reports on one hand, but quotes the opinions of precedents which are incompatible with the medical evaluation on the other hand. There have been abundant and thorough researches on the construction of criminal responsibility theory in criminal law. Therefore, this research will not focus on the construction and introduction of theories, but intend to conduct the profound and systematic practical analyses and researches on defendants’ mental conditions as to the identity of criminal responsibility on the basis of domestic verdicts. In other words, to classify the domestic verdicts in legal practice from August,1,1999 to July,31,2004 which are concerning the identity of defendants’ criminal responsibility. In order to realize the gap(or the extent of integration)between jurisprudence and medicine, this research will especially deal with the comparisons, statistics and analyses on the consistence and difference of the determination between medical evaluation reports and criminal verdicts. This research will also react to the relative questions which were found through the procedure of verdicts analyses by practically visiting judges and psychiatrists. Hoping that this local practicing research could benefit the discussions of existent theories and give a more convincing foundation for the amendments of law or legal practice in the future.心神喪失精神耗弱精神鑑定科際整合刑事判決責任能力精神疾病insanitypsychiatric evaluationinterdisciplinary integrationcriminal responsibilitypsychiatric defectscriminal verdicts