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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.59598/ME-2305-6053-2025-117-4-193-203</article-id><article-id custom-type="elpub" pub-id-type="custom">medecol-1166</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Комплексная судебная психолого-психиатрическая экспертиза – кумулятивный аффект: насилие как источник преступления</article-title><trans-title-group xml:lang="en"><trans-title>Complex forensic psychological and psychiatric examination – cumulative affect: violence as a source of crime</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сафуанов</surname><given-names>Ф. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Safuanov</surname><given-names>F. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119991, г. Москва, Кропоткинский пер., 23</p></bio><bio xml:lang="en"><p>119991, Moscow c., Kropotkinsky l., 23</p></bio><email xlink:type="simple">info@serbsky.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудайбергенова</surname><given-names>А. Ж.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudaibergenova</surname><given-names>A. Zh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Айжан Жаканбаевна Кудайбергенова</p><p>030000, г. Алматы, ул. Толе Би, 94, 050000;</p><p>010000, г. Астана, ул. Кенесары, 8</p></bio><bio xml:lang="en"><p>Aizhan Zhakanbayevna Kudaibergenova </p><p>050000, Almaty c., Tole Bi str., 94;</p><p>010000,  Astana c., Kenesary str., 8</p></bio><email xlink:type="simple">kudaibergenova.a@kaznmu.kz</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калымбетова</surname><given-names>Э. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalymbetova</surname><given-names>E. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050040, г. Алматы, пр. Аль-Фараби, 71</p></bio><bio xml:lang="en"><p>050040,  Almaty c., Al-Farabi ave., 71</p></bio><email xlink:type="simple">info@kaznu.edu.kz</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Урисбаева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Urisbayeva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050040, г. Алматы, пр. Аль-Фараби, 71</p></bio><bio xml:lang="en"><p>050040,  Almaty c., Al-Farabi ave., 71</p></bio><email xlink:type="simple">info@kaznu.edu.kz</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мадалиева</surname><given-names>С. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Madaliyeva</surname><given-names>S. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>030000, г. Алматы, ул. Толе Би, 94, 050000</p></bio><bio xml:lang="en"><p>050000, Almaty c., Tole Bi str., 94</p></bio><email xlink:type="simple">info@kaznmu.kz</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Токтыбеков</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Toktybekov</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050013, г. Алматы, ул. Сатпаева, 16а</p></bio><bio xml:lang="en"><p>050013, Almaty c., Satpayev str., 16a</p></bio><email xlink:type="simple">reception@turan-edu.kz</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр психиатрии и наркологии им. В. П. Сербского» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">V. P. Serbsky National Medical Research Center for Psychiatry and Narcology FSBI of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">НАО «Казахский национальный медицинский университет им. С. Асфендиярова»; Республиканская палата судебных экспертов Республики Казахстан<country>Казахстан</country></aff><aff xml:lang="en">Asfendiyarov Kazakh National Medical University NC JSC; Republican Chamber of Judicial Experts of the Republic of Kazakhstan<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Казахский национальный университет им. аль-Фараби<country>Казахстан</country></aff><aff xml:lang="en">Al-Farabi Kazakh National University<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">НАО «Казахский национальный медицинский университет им. С. Асфендиярова»<country>Казахстан</country></aff><aff xml:lang="en">Asfendiyarov Kazakh National Medical University NC JSC<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru">Университет Туран<country>Казахстан</country></aff><aff xml:lang="en">University Turan<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>01</month><year>2026</year></pub-date><volume>0</volume><issue>4</issue><fpage>193</fpage><lpage>203</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сафуанов Ф.С., Кудайбергенова А.Ж., Калымбетова Э.К., Урисбаева А.А., Мадалиева С.Х., Токтыбеков Т.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Сафуанов Ф.С., Кудайбергенова А.Ж., Калымбетова Э.К., Урисбаева А.А., Мадалиева С.Х., Токтыбеков Т.А.</copyright-holder><copyright-holder xml:lang="en">Safuanov F.S., Kudaibergenova A.Z., Kalymbetova E.K., Urisbayeva A.A., Madaliyeva S.K., Toktybekov T.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medecol.qmu.kz/jour/article/view/1166">https://medecol.qmu.kz/jour/article/view/1166</self-uri><abstract><p>Основная цель исследования состоит в строгом ограничении экспертного понятия «аффект» в рамках Комплексной судебной психолого-психиатрической экспертизы кульминационным типом, характеризующимся тотальным нарушением произвольной регуляции поведения, для обеспечения его корректного правового применения как «внезапно возникшего сильного душевного волнения» (статьи 101 и 111 Уголовного кодекса Республики Казахстан).</p><p>Методология исследования основывается на многофакторном теоретическом и практическом анализе правовых и психологических основ понятия «аффект» в контексте судебной экспертизы. Исследование включало тщательный обзор литературы, охватывающий методологические и организационно-правовые основы Комплексной судебной психолого-психиатрической экспертизы и концептуальные расхождения понятия аффекта в общей психологии и уголовном праве. В качестве основного аналитического подхода использовалось социально-психологическое моделирование взаимодействия лиц, участвующих в судебной оценке, для определения способности подэкспертного к осознанной регуляции действий.</p><p>Исследование подтверждает наличие ключевого конфликта: понятие «аффект» существенно различается в общепсихологическом, судебно-психологическом и уголовно-правовом значениях (статьи 101/111 Уголовного кодекса Республики Казахстан, где используется термин «внезапно возникшее сильное душевное волнение»). Основная выявленная проблема заключается в отсутствии системного подхода в Комплексной судебной психолого-психиатрической экспертизе для точной привязки психологических выводов к конкретному правовому критерию, что приводит к потенциальной путанице истинного аффекта с другими сильными эмоциональными состояниями (стресс, страх).</p><p>Для эффективного применения результатов Комплексной судебной психолого-психиатрической экспертизы и их корректного соотнесения с правовым понятием «внезапно возникшее сильное душевное волнение» (согласно статьям 101 и 111 Уголовного кодекса Республики Казахстан), экспертное понятие «аффект» должно быть строго ограничено кульминационным типом, характеризующимся тотальным нарушением произвольной регуляции поведения и временным сужением сознания, что устраняет двусмысленность, возникающую из-за различий в концептуальных объемах в психологии и праве, и значительно повышает объективность и юридическую достоверность экспертного заключения.</p></abstract><trans-abstract xml:lang="en"><p>The main idea of the study is to strictly limit the expert concept of «affect» within Complex Forensic Psychological and Psychiatric Examination to the culminating type, characterized by a total disruption of voluntary regulation, in order to ensure its correct legal application as «sudden strong emotional turmoil» (Articles 101 and 111 of the Criminal Code of the Republic of Kazakhstan).</p><p>The research methodology relies on a multi-factor theoretical and practical analysis of the legal and psychological basis of the concept of «affect» within the framework of forensic expertise. The study involved a thorough literature review covering methodological and organizational-legal foundations of Complex Forensic Psychological and Psychiatric Examination and the conceptual discrepancies of affect between general psychology and criminal law. The core analytical approach utilized was socio-psychological modeling of the individuals involved in the forensic assessment to evaluate the examinee's capacity for conscious action regulation.</p><p>The study confirms a crucial conflict: the concept of «affect» differs significantly among general psychology, forensic psychology, and criminal law (Articles 101/111 of the Criminal Code of the Republic of Kazakhstan, referring to «sudden strong emotional turmoil»). The primary issue identified is the absence of a systemic approach in Complex Forensic Psychological and Psychiatric Examination to accurately link psychological findings to the specific legal criterion, leading to the potential confusion of true affect with other strong emotional states (stress, fear).</p><p>For the effective application of Complex Forensic Psychological and Psychiatric Examination results and their correct correlation with the legal concept of «sudden strong emotional turmoil» (as per Articles 101 and 111 of the Criminal Code of the Republic of Kazakhstan), the expert concept of «affect» must be strictly limited to the culminating type, characterized by a total disruption of the voluntary regulation of behavior and temporary narrowing of consciousness, thereby eliminating the ambiguity resulting from the varying conceptual scopes in psychology and law and significantly increasing the objectivity and legal validity of the expert conclusion.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>диагностика эмоционального состояния</kwd><kwd>аффект</kwd><kwd>насилие</kwd><kwd>преступление</kwd><kwd>убийство</kwd><kwd>комплексная психолого-психиатрическая экспертиза</kwd></kwd-group><kwd-group xml:lang="en"><kwd>emotional state diagnostics</kwd><kwd>affect</kwd><kwd>violence</kwd><kwd>crime</kwd><kwd>murder</kwd><kwd>complex psychological and psychiatric examination</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Данная научная статья подготовлена в рамках финансирования по научным и (или) научно-техническим программам на 2025 – 2027 гг. при реализации проекта BR28713695 «Теоретические и метологические основы сотрудничества семьи и общества по проблемам насилия в отношении женщин и девочек-подростков», финансируемого Комитетом науки Министерства науки и высшего образования Республики Казахстан.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Campbell R. 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