精神障礙者民事行為能力標(biāo)準(zhǔn)化評定初步研究
本文選題:司法精神病學(xué) + 民事行為能力; 參考:《蘇州大學(xué)》2009年碩士論文
【摘要】: 目的:(1)探討并確定精神障礙者民事行為能力的概念及其評定分級;(2)探討精神障礙者民事行為能力的評定要點及考量指標(biāo);(3)編制精神障礙者民事行為能力評定量表,完成量表信效度的初步研究。 方法:從司法精神病學(xué)實踐出發(fā),結(jié)合我國民事法律相關(guān)規(guī)定,參考國內(nèi)外民事行為能力評定標(biāo)準(zhǔn)研究成果,明確民事行為能力的概念及評定分級;歸納并確定民事行為能力的六個主要考量指標(biāo):處境認(rèn)識、爭端理解、結(jié)果認(rèn)識、信息利用、決定交流、環(huán)境功能,并在人身損害賠償和合同糾紛鑒定案例中進(jìn)行驗證。將上述六條考量指標(biāo)細(xì)化,經(jīng)咨詢、討論后確定量表初稿,按照民事行為能力評定的邏輯順序制定民事行為能力標(biāo)準(zhǔn)化評定量表,并進(jìn)行橫斷面研究,對該量表的信度、效度及實用性進(jìn)行初步檢驗。同時運用健康問題與疾病定量測試法(RTHD)量化被鑒定人精神癥狀。 結(jié)果:(1)民事行為能力宜實行三級評定。(2)六條民事行為能力考量指標(biāo)在人身損害賠償案件及合同糾紛案件中與專家鑒定結(jié)論具有較高的相關(guān)性,相關(guān)系數(shù)在0.632~0.876和0.703~0.834之間(p=0.000),各條目內(nèi)部相關(guān)性也較高,相關(guān)系數(shù)在0.575~0.911和0.712~0.877之間;(3)斷面研究顯示,我們編制出的量表總分及各條目的評分者一致性較高,kendall和諧系數(shù)為0.649~0.977,P0.05;按照專家結(jié)論分成三組,三組的得分分別為:完全民事行為能力組2.45±3.297、限制民事行為能力組12.56±4.788、無民事行為能力組25.44±4.054,三組得分差異有統(tǒng)計學(xué)意義(F=146.116,P=0.000);全量表Cronbachα=0.9787;分半信度r=0.9741,P=0.000;量表各條目與總分的相關(guān)系數(shù)在0.7443~0.9414。量表得分結(jié)論與專家鑒定結(jié)論一致性較高(kappa=0.726,P=0.000);判別回代顯示88.5%的樣本劃分正確。 結(jié)論:初步研究表明,精神障礙者民事行為能力評定量表具有較好的信、效度,可開展進(jìn)一步研究。
[Abstract]:Objective: to explore and determine the concept of civil capacity of mental disorders and its evaluation classification. (2) to explore the main points of assessment and evaluation index of civil capacity of mental disorders and to develop the rating scale for civil capacity of mental disorders. To complete a preliminary study of the reliability and validity of the scale. Methods: based on the practice of judicial psychiatry and the relevant provisions of civil law in our country, the concept and classification of civil capacity were defined by referring to the research results of domestic and foreign civil capacity evaluation standards. Six main measures of civil capacity are summarized and determined: situational cognition, dispute understanding, result cognition, information utilization, decision communication, environmental function, and verified in the case of personal injury compensation and contract dispute appraisal. After consulting and discussing, the first draft of the scale is determined, and the standardized rating scale of civil capacity is established according to the logical order of the evaluation of civil capacity, and the cross-sectional study is carried out to determine the reliability of the scale. The validity and practicability were preliminarily tested. At the same time, the method of quantitative testing of health problems and diseases was used to quantify the mental symptoms. Results: (1) A three-level assessment of civil capacity should be carried out. (2) six indexes for the evaluation of civil capacity have a high correlation with the expert appraisal conclusions in personal injury compensation cases and contract disputes cases. The correlation coefficient was between 0.632n 0.876 and 0.703 / 0.834, and the correlation between each item was also high. The correlation coefficient was 0.575n0.911 and 0.7120.7877) cross-sectional study showed that, The total score of the scale and the consistency of each item were higher than that of the others, and the coefficient of harmony was 0.649 ~ 0.977g / P0.05. according to the expert conclusion, we were divided into three groups. The scores of the three groups were 2.45 鹵3.297, 12.56 鹵4.788 and 25.44 鹵4.054, respectively. The differences among the three groups were statistically significant (P < 0.05); Cronbach 偽 was 0.9787; the split-half reliability was r 0.9741 P0.000; the correlation coefficient between each item and the total score was 0.74430.941414. The score of the scale was in good agreement with the conclusion of expert identification, and the discriminant back generation showed that 88.5% of the samples were correctly classified. Conclusion: the preliminary study shows that the rating scale of civil capacity of mental disorders has good reliability and validity, and can be further studied.
【學(xué)位授予單位】:蘇州大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2009
【分類號】:D919.3
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