Kallivayalil Roy Abraham, Trivedi Jitendra Kumar, Tripathi Adarsh
Department of Psychiatry, Cooperative Medical College, Cochin, Kerela, India.
Curr Opin Psychiatry. 2009 Sep;22(5):482-7. doi: 10.1097/YCO.0b013e32832f56be.
Forensic psychiatry is a psychiatric specialty yet to be recognized in many countries. This review evaluates the current status and practice of forensic psychiatry in India and the impact of social factors as they relate to this area. It evaluates existing mental health legislation, civil and criminal laws, the standing of teaching and training of concerned professionals and emphasizes the scarcity of care provisions for mentally ill prisoners.
Mental health services in India have shown a tremendous improvement, especially during the last two decades. However there are some isolated reports of people with mental health disorders having been exposed to a wide range of human rights violations. Several reports identified gross inadequacies in the current mental health legislation and judicial apathy.
Forensic psychiatry in India at the dawn of the 21st century is practised in an environment of a bewildering mosaic of scarce resources, conflicting interests and apparent apathy of government, policy makers and legislators. Human rights and privileges to live with dignity of mentally ill prisoners have not been given adequate attention until now. This study also identifies pertinent issues for the future development of forensic psychiatry in India.
法医精神病学在许多国家仍是一个未被认可的精神病学专业领域。本综述评估了印度法医精神病学的现状与实践,以及社会因素对该领域的影响。它评估了现有的精神卫生立法、民法和刑法、相关专业人员教学与培训的状况,并强调了为患有精神疾病的囚犯提供护理的不足。
印度的精神卫生服务有了巨大改善,尤其是在过去二十年中。然而,有一些孤立的报告称,患有精神疾病的人遭受了广泛的人权侵犯。几份报告指出了当前精神卫生立法的严重不足以及司法冷漠。
21世纪初,印度的法医精神病学在资源稀缺、利益冲突以及政府、政策制定者和立法者明显冷漠的令人困惑的环境中开展。到目前为止,患有精神疾病的囚犯的人权和有尊严生活的权利尚未得到充分关注。本研究还确定了印度法医精神病学未来发展的相关问题。