Incest in the Schizophrenic patient: Case report

2017 ◽  
Vol 41 (S1) ◽  
pp. S588-S588
Author(s):  
M. Mezghani ◽  
F. Fekih-Romdhane ◽  
F. El Ghali ◽  
M. Zghal ◽  
G. Jmii ◽  
...  
Keyword(s):  
Case Report ◽  
Sexuality Education ◽  
Clinical Observation ◽  
Criminal Responsibility ◽  
Patient Case ◽  
Annihilation Anxiety ◽  
Psychiatric Expertise ◽  
Competing Interest ◽  
The Individual ◽  
The Relationship

IntroductionIncest may be defined as sexual relations between close blood relatives. Legally, incest and sexual aggression toward minors are classified as a criminal behaviour. Tunisia is among the countries from which incest cases are rarely reported.Objectives and methodThe aim of this study is to investigate the relationship between the psychotic structure and incest, and to describe the individual, clinical, and criminal traits of the incestuous father through clinical observation.Case reportMr T.G is 46 years old. He is married and has six daughters. His wife appears to be passive, and largely dependent on her husband. Mr T.G has had incestuous relationships, initially, with his two eldest daughters. The acts were followed by the mother's complicit silence and the non-denunciation of the daughters. Two years later, he starts an incestuous behavior with his third daughter. Incest took place in the context of delusion. The patient was convinced that he is responsible of his daughters’ sexuality education. He develops an incoherent theory of purification with a tendency towards morbid rationalism. It is only after four years of insufferable paternal incestuous relationships that the third daughter filed a complaint to the police. A psychiatric expertise concluded that the accused is exempt from criminal responsibility.ConclusionIncest is a multi-faceted phenomenon, which makes its approach, comprehension, and treatment quite complex. For a psychotic patient incest is a means to deny alterity by crushing other. It also allows him to find, in this complete power, control over his annihilation anxiety.Disclosure of interestThe authors have not supplied their declaration of competing interest.

9. Mental conditions, intoxication and mistake

2021 ◽  
pp. 292-358
Author(s):  
David Ormerod ◽  
Karl Laird
Keyword(s):  
External Factor ◽  
Criminal Responsibility ◽  
Common Law ◽  
Burden Of Proof ◽  
Mental Condition ◽  
Individual Actor ◽  
The Common ◽  
The Individual ◽  
The Mind ◽  
The Relationship

This chapter considers the most commonly occurring ‘mental condition defences’, focusing on the pleas of insanity, intoxication and mistake. The common law historically made a distinction between justification and excuse, at least in relation to homicide. It is said that justification relates to the rightness of the act but to excuse as to the circumstances of the individual actor. The chapter examines the relationship between mental condition defences, insanity and unfitness to be tried, and explains the Law Commission’s most recent recommendations for reforming unfitness and other mental condition defences. It explores the test of insanity, disease of the mind (insanity) versus external factor (sane automatism), insane delusions and insanity, burden of proof, function of the jury, self-induced automatism, intoxication as a denial of criminal responsibility, voluntary and involuntary intoxication, dangerous or non-dangerous drugs in basic intent crime and intoxication induced with the intention of committing crime.

scholarly journals Transition Between Sensitive Delusion of Reference and Mood Disorder: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Cecilia Maria Esposito ◽  
Alessio Fiorentini ◽  
Antonio Callari ◽  
Gian Maria Galeazzi ◽  
Paolo Brambilla
Keyword(s):  
Case Report ◽  
Mood Disorder ◽  
Mood Disorders ◽  
Clinical Case ◽  
Clinical Observation ◽  
Individual Case ◽  
Clinical Entity ◽  
Ernst Kretschmer ◽  
The Face ◽  
The Individual

The Sensitive Delusion of Reference is a clinical entity described by Ernst Kretschmer and never integrated into mainstream nosographic systems. It represents the possibility of developing psychosis starting from a personality characterized by sensitivity, scrupulousness, and fear of judgment of others. The presentation of the following clinical case highlights how the overlap between this clinical entity and mood disorders leads to characteristic psychopathology, which has not been sufficiently detailed. In particular, the delusions, which always starts from the idea of reference and the shame in the face of the judgment of others, takes on characteristics of guilt during the depressive phases and persecutory themes during the activation phases. This clinical observation, which obviously needs to be confirmed on a larger scale, encourages a renewed interest in the concept of Kretschmer's Sensitive Delusion of Reference and creates the possibility of intersecting multiple psychopathological levels, for a more complete perspective on the individual case.

Contribution Of Night Eating Syndrome To The Evolution Of Anorexia Nervosa – Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S426-S426
Author(s):  
F. Coutinho ◽  
I. Brandão
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Case Report ◽  
Sleep Disturbances ◽  
Review Of The Literature ◽  
Night Eating Syndrome ◽  
Eating Pattern ◽  
Night Eating ◽  
Competing Interest ◽  
The Relationship

IntroductionNight Eating Syndrome (NES) was described in 1955 in a subset of patients resistant to weight loss. It is characterized by morning anorexia, evening hyperfagia and sleep disturbances. It is also more prevalent among patients with another eating disorder (ED), particularly binge-eating disorder (BED) or bulimia nervosa (BN).ObjectiveReview of the literature about the relationship between NES and another EDs and to present a case report of a patient with a long-standing purgative anorexia nervosa (AN-BP) and comorbid NES.Methodsreview of the literature using the database Medline through Pubmed, with the keywords: “night eating syndrome” and “eating disorder”.ResultsNES is highly prevalent among patients with EDs, with an estimated prevalence of about 5–44%. However, most of the existent literature explores the relationship between NES and BED or BN, and it is not consensual if NES is a subtype of another ED. There is still scarce evidence about NES and AN comorbidity.ConclusionIn this case report, we present a patient with a history of AN-BP, in which the recovery of lost weight and the increase of body mass index (BMI) occurred simultaneously with a period of worsening NES symptoms, which leads the authors to question if the psychopathology of NES has contributed to the recovery of BMI at the expense of maintaining a dysfunctional eating pattern.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Lack of Occupation and Depression Onset in Oncology Patient – Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S497-S498
Author(s):  
L. Filipovic-Grcic ◽  
F. Đerke ◽  
M. Braš ◽  
V. Djordjevic
Keyword(s):  
Case Report ◽  
Support Groups ◽  
Psychiatric Treatment ◽  
Patient Case ◽  
Oncology Patient ◽  
Von Hippel Lindau ◽  
Cancer Support ◽  
Cancer Support Groups ◽  
Competing Interest ◽  
Von Hippel Lindau Syndrome

Being able to live an active and meaningful life is important for mental health of every individual. In this case report we examine the life of an oncology patient who developed depression six years ago. The patient is a fifty seven year old woman who has been suffering from Von Hippel-Lindau syndrome for the last forty years. Her father and two uncles died from the same disease. She had her first operation when she was seventeen years old and has had numerous operations since then. During this time she has undergone four neurosurgical operations, nephrectomy, spine and pancreas operation and eye enucleation. Despite the fact that by being a chronic oncology patient she was prone to depression, she did not develop depressive symptoms. It did not happen even as her husband went to war and left her to take care of their child. It did not come afterwards as they struggled financially. Only after they moved to a new apartment and as she finished decorating it, did depression finally occur. During entire life she was an active, outgoing person, who took pleasure in socialising and various hobbies. She only developed depression after she was pensioned, left with the responsibility to care for her old mother. Following the psychiatric treatment she regained interest in people and become active in different cancer support groups. This example accentuates the importance of every-day pleasurable activities as a defence mechanism against depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Onset of Psychotic Disorders and the Immigration Status – A Look Into A Growing Reality

2016 ◽  
Vol 33 (S1) ◽  
pp. S491-S491
Author(s):  
L. Maia ◽  
I. Carvalho ◽  
D. Silva ◽  
L. Carneiro
Keyword(s):  
Psychotic Disorders ◽  
Minority Groups ◽  
Immigrant Population ◽  
Host Countries ◽  
Refugee Status ◽  
Ethnic Density ◽  
Substantial Risk ◽  
Competing Interest ◽  
The Individual ◽  
The Relationship

IntroductionRecent studies point for an increased incidence of psychotic disorders among immigrants when compared to nom-immigrant population, with a substantial risk variation being observed among different ethnic minority groups and diverse host countries/societies.ObjectiveThis communication explores the relation between immigration and the onset of psychosis disease, namely the individual and socio-environmental factors implicated in this association.AimsAccessing the implications of immigration in the establishment of psychotic disorders.MethodsThe authors conducted a literary search on Medline and PsychInfo databases regarding the subject immigration and psychotic disorders, elaborating a bibliographic review of the topic.ResultsA greater incidence of psychotic disorders in immigrants (in comparison to nom-immigrant population) has been established. In actuality a range of studies carried out in different socio demographic contexts and with different ethnic groups (of immigrants) identify ethnicity, neighbourhood characteristics (namely level ethnic density), discrimination and refugee status, as some of the probable factors that modulate the rate of psychotic disorder and influence its incidence in immigrants.ConclusionsWith regard to the relationship between immigration and the development of psychosis, much is still to be understood. Future studies with focuses on different individual, social, cultural and demographic aspects need to be developed in order to better understand and addressed this phenomenon.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Skin Picking – A Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S494-S495
Author(s):  
A. Fonseca ◽  
A. Poças ◽  
A. Batista ◽  
R. Araújo
Keyword(s):  
Case Report ◽  
Clinical Improvement ◽  
Psychotropic Drugs ◽  
Tissue Damage ◽  
Impulse Control ◽  
Clinical Observation ◽  
Skin Lesions ◽  
Skin Picking ◽  
Competing Interest ◽  
Clinical Advances

IntroductionCompulsive skin picking and trichotillomania are both impulse control disorders, characterized by the need or urge to touch, scratch, scrub, friction, rub, bite, press or dig in the skin; it is often an answer to minimum skin defects or to mild acne. The resulting tissue damage can be moderate to severe.ObjectiveCase report of a woman with Skin picking resistant to treatment.MethodsClinical observation.Results43-year-old woman who was admitted in emergency in June 2014 because of her skin lesions. After observation by Dermatologist she was sent to the Psychiatric due to injuries caused by her. She referring compulsion to scratch, bite and tear the skin since she was 3 years old. After introduction of psychotropic drugs, the patient was referred to the Psychiatric consultations. After 1 year consultation there is some clinical improvement.ConclusionDespite clinical advances in psychiatry, the Skin Picking disease is still little known today, requiring more research and knowledgement in terms of phenomenology and of treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The birth of Athena – Psychodynamic formulation and case report

2016 ◽  
Vol 33 (S1) ◽  
pp. S562-S562
Author(s):  
M. Skokou ◽  
K. Assimakopoulos ◽  
P. Gourzis
Keyword(s):  
Case Report ◽  
Depressive Symptoms ◽  
Psychodynamic Psychotherapy ◽  
Patient Experiences ◽  
Maternal Role ◽  
Narcissistic Personality ◽  
Intrapsychic Conflict ◽  
Competing Interest ◽  
Personality Features ◽  
The Relationship

IntroductionAthena possesses a special place among the Greek Gods, as she was born from her father, according to an extreme patriarchal model with a marked depreciation of the maternal role. Zeus had swallowed and absorbed the mother of Athena, Mites, because of an oracle that if Mites gave birth to a boy, the boy would take his throne. When the time comes, Zeus commands Hephaestus to cleave his forehead with an axe, and then Athena leaps fully armed and shouting her cry of war, in front of the astonished Gods. The next moment she puts her weapons down, as a token of obedience and devotion. The exceptionally close bond between father and daughter is evident through their uniquely confidential relationship. The ancient myth is paralleled, from a psychodynamic aspect, with the case of a narcissistic patient receiving psychodynamic psychotherapy.MethodsCase report.ResultsA case of a woman with narcissistic personality features and depressive symptoms is described, presenting with the complaints of withdrawal, self-depreciation, passivity, and agoraphobia. Psychodynamic factors defining her pathology are her narcissistic and sexualized relationship with her father, whereas the relationship with her mother has been depreciated. The patient experiences an intrapsychic conflict of reciprocal idealization, against her anger and fear for her father, resulting in the symptoms of agoraphobia and passivity.ConclusionLike Athena, who puts her weapons down, the patient resigns from her will for autonomy and moves to a passive position, as a result of her entrapment in her idealized relationship with the father.Disclosure of interestThe authors have not supplied their declaration of competing interest.

When schizophrenia leads to terrorism: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. s839-s839
Author(s):  
N. Staali
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Clinical Features ◽  
Mentally Ill ◽  
Personality Type ◽  
Treatment Processes ◽  
Terrorist Organization ◽  
Competing Interest ◽  
The Relationship

BackgroundSome have suggested that terrorists are mentally ill and have used labels such as psychopathic or sociopathic, narcissistic, paranoid, are schizophrenic types, or passive–aggressive. Others have argued that although terrorist actions may seem irrational or delusional to society in general, terrorists in fact, act rationally, and there is no evidence to indicate that they are mentally ill/disordered, psychopathic or otherwise psychologically abnormal.Objective and methodHere we present the case of Mr. A, a 32 year old man diagnosed with schizophrenia, who travelled to Egypt and Syria in attempt to join the ISIS terrorist organization, and discuss the clinical features, treatment processes and two years follow-up of this particular case.ConclusionAs described in some studies, most terrorists do not demonstrate serious psychopathology and there is no single personality type. Thus, the relationship between terrorism and mental illness mostly refers to the question about pathological travel as part of a religious and messianic delirium.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

9. Mental conditions, intoxication and mistake

2018 ◽  
Author(s):  
David Ormerod ◽  
Karl Laird
Keyword(s):  
External Factor ◽  
Criminal Responsibility ◽  
Common Law ◽  
Burden Of Proof ◽  
Mental Condition ◽  
Individual Actor ◽  
The Common ◽  
The Individual ◽  
The Mind ◽  
The Relationship

This chapter considers the most commonly occurring ‘mental condition defences’, focusing on the pleas of insanity, intoxication, and mistake. The common law historically made a distinction between justification and excuse, at least in relation to homicide. It is said that justification relates to the rightness of the act but excuse to the circumstances of the individual actor. The chapter examines the relationship between mental condition defences, insanity, and unfitness to be tried, and explains the Law Commission’s most recent recommendations for reforming unfitness and other mental condition defences. It explores the test of insanity, disease of the mind (insanity) versus external factor (sane automatism), insane delusions and insanity, burden of proof, function of the jury, self-induced automatism, intoxication as a denial of criminal responsibility, voluntary and involuntary intoxication, dangerous or non-dangerous drugs in basic intent crime, and intoxication induced with the intention of committing crime.

Sadistic sexual assault, perversion and schizophrenia: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. S594-S594
Author(s):  
M. Zghal ◽  
F. Fekih Romdhane ◽  
G. Jmii ◽  
F. El Ghali ◽  
A. Belkhiria ◽  
...  
Keyword(s):  
Case Report ◽  
Criminal Responsibility ◽  
Clinical History ◽  
Review Literature ◽  
Psychotic Symptoms ◽  
Sexual Perversion ◽  
Sexual Impotence ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Psychiatric Department

IntroductionIn some forms of sexual perversion, sexual satisfaction is achieved only by treating one's partner violently (sadism) or conversely, by suffering pain (masochism).Objective and methodThe objectives of our study were to understand the complex relationship between psychotic and perverse structures, and discuss the importance of some criminal risk factors for psychotics who have sexually perverse behaviors, through clinical observation and review literature.Case reportMr AB was 35-year-old, single and unemployed. He was hospitalized in our forensic psychiatric department following a dismissal for criminal responsibility for an act of emasculation on a child aged 5 years without sexual abuse. In his biography we have objectified cruelty to animals, charged judicial history (imprisonment for theft, murder and escape from prison, hetero aggressive acts) and substance use.The patient explained with indifference that he heard voices making fun of his “sexual impotence and loss of his manhood”. The day of the forensic act, he got an uncontrollable urge to emasculate the first man he met on his way at the behest of this hearing hallucinatory activity. Psychiatric experts retained the diagnosis of psychosis with perverse arrangements. Under neuroleptic treatment, psychotic symptoms disappeared but the patient's sadistic problems remained present and active throughout his hospitalization.ConclusionThe following case illustrates the issue of dangerousness and responsibility in a perverse psychotic author assault of a sexual nature. Given their clinical history, the path between perversion and psychosis shows that perverse manifestations are prior to the first psychotic symptoms and the perverse constitution is developed parallel to the psychotic illness.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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