Vasi ya da Yasal Danışman önerilen Şizofreni veya Hezeyanlı Bozukluk Tanılı Hastalarının Adli ve Psikiyatrik Yönlerinin Karşılaştırmalı Analizi

Year 2024, Volume: 38 Issue: 2, 124 - 134, 26.08.2024

İlker Taşdemir , Muhammed Emin Boylu , Zeynep Merzifonlu , Tuba Özcanlı Şenol Turan

Abstract

Amaç: Bu çalışmada şizofreni veya hezeyanlı bozukluk tanısı ile vasi/yasal danışman önerilen bireyler ile vasi/yasal danışman gerekmediğine karar verilen bireylerin psikiyatrik ve adli özellikleri ile Rorschach bulgularının incelenmesi ve karşılaştırılması amaçlanmıştır.
Yöntem: Vasi tayini ya da yasal danışman gerekip gerekmediğinin değerlendirmesi için mahkemeler tarafından Adli Tıp Kurumu Gözlem İhtisas Dairesine yönlendirilen bireylerin kayıtları retrospektif olarak toplanmıştır.

Bulgular: Çalışmamızda şizofreni tanısı ile vasi veya yasal danışman önerilen 61 hasta (SGR), hezeyanlı bozukluk tanısı ile vasi önerilen 40 hasta (DDGR) ve yasal temsilci gerektirmediğine karar verilen 66 birey vardı. DDGR grubunun %20'sinde ve SGR grubunun %34,4'ünde psikiyatrik belirtilerin dissimülasyonu gözlenmiştir. SGR grubunun psikiyatrik muayenesinde çağrışımlarda dağılma, işlevsellik kaybı ve düşünce içeriğinin fakirleşmesi gibi psikiyatrik belirtiler anlamlı derecede daha sık; Rorschach bulgularında ego zayıflığı, psikotik kişilik organizasyonu, perseverasyon diğer gruplara kıyasla anlamlı düzeyde daha yüksek bulunmuştur. DDGR grubunda çok sayıda dava açılmasına yol açan aktif hezeyanlar sıklıkla mevcuttu.

Sonuç: Şizofreni hastalarında, kendi başına günlük yaşantıyı idame ettirmede güçlükler, psikotik belirtilerin devam etmesinin yarattığı sorunlar, işyerindeki sorunlar, hastalığından dolayı çok sayıda yersiz dava açma, insanlar tarafından kandırılma ve dürtüsellik gibi çok çeşitli nedenlerle vesayet gerekebilmektedir. Buna karşılık, sanrısal bozuklukta, sınırlı bir alandaki hezeyanlar nedeniyle yargılamayı bozulur. Kıskançlık sanrılarının neden olduğu boşanma davaları ve perseküsyon sanrıları veya yasadışı bir örgüt olduğuna dair sanrılar nedeniyle çok fazla dava açılması gibi belirli bir alanda yargılama bozukluğu nedeniyle vasi atanması gerekebilir.

Keywords

Rorschach, delüzyon, şizofreni, sanrılar, dissimülasyon, yargılama bozukluğu, vesayet

Comparative Analysis of Guardianship Recommendations in Schizophrenia and Delusional Disorder: Insights from Psychiatric and Legal Perspectives

Abstract

Objective: This study aimed to examine and compare the psychiatric and legal characteristics, as well as Rorschach findings, among individuals diagnosed with schizophrenia, delusional disorder and recommended a legal guardian, and those deemed not to require a legal guardian.

Method: Data were gathered retrospectively from the records of individuals who were referred to our institution by the courts for legal guardianship or consultant assessments.

Results: There were 61 patients diagnosed with schizophrenia recommended for a legal guardian or consultant (SGR), 40 patients diagnosed with delusional disorder recommended for a legal guardian (DDGR), and 66 individuals not requiring a legal representative (NLR). Psychiatric symptom dissimulation was observed in 20% of the DDGR group and 34.4% of the SGR group. Analysis indicated significantly higher levels of psychiatric symptoms such as dispersion in associations, loss of daily functioning, and impoverishment of thought content during psychiatric examinations, as well as features like ego weakness, psychotic personality organization, and perseveration in Rorschach findings among the SGR group compared to the other groups. Active delusions were present in the DDGR group, often leading to multiple lawsuits.

Conclusion: Schizophrenia presents a spectrum of psychopathology necessitating guardianship due to difficulties in daily living, persistence of psychotic symptoms, workplace issues, filing multiple lawsuits, undue influence, and impulsivity. Conversely, delusional disorder manifests through ongoing delusions affecting judgment and leading to problems like jealousy delusions-induced divorces and persecution delusions or delusional belief in illegal organizations resulting in multiple lawsuits.

Keywords

Conservatorship, multiple lawsuits, dissimulation, Rorschach, judgement, delusions

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