2000 suplement 4

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Volume 9, suplement 4

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An attempt to use sequential analysis to assess the diagnosis of diminished capacity

Stanisław Ilnicki1
1. Poradni Zdrowia Psychicznego Centralnego Szpitala KlinicznegoWojskowej Akademii Medycznej w Warszawie
Postępy Psychiatrii i Neurologii, 2000, suplement 4 (12), 145-153
Keywords: accuracy of diagnosis, diminished capacity, sequential analysis, military offences

Abstract

1741 forensic-psychiatric opinionsissued by over adozen experts in cases of perpetratorsof typical military offences were analyzed.The premises for diminished capacity, their diagnosticsignificance and accuracy of the diagnosis of soundness of mind of the culprits were assessedusing a computerised sequential analysis program.Significant differences among the experts were revealed for frequency of diagnosing diminished capacity– 21-54% (M=39%) – and for assessmentof the importance attributed to individual diagnostic features. Only slight mental handicap and nonpsychoticreactive disorders were treated as decisivepredictors of diminished capacity by all the experts.Significant individual differences were found forrate of conformity of the real diagnosis of diminishedcapacity and the diagnosis determined on thebasis of the sequential analysis: 19-70%(x=47%). The didactic usefulness of sequentialanalysis for the self-control of diagnostic-decisiveprocesses has thus been confirmed.

Address for correspondence:
Dr Stanisław Ilnicki, Poradnia Zdrowia Psychicznego Centralnego Szpitala Klinicznego WAM,
ul. Koszykowa 78, 00-909 Warszawa 60,
e-mail: ilnicki@warszawa.eta.pl