共查询到20条相似文献,搜索用时 15 毫秒
1.
2.
Christopher A. Fischer M.D. Mace Beckson M.D. Park Dietz M.D. M.P.H. Ph.D. 《Journal of forensic sciences》2017,62(3):822-826
Factitious disorder involves the conscious simulation of psychological or physiological symptoms of illness, for the purpose of fulfilling the unconscious desire to be taken care of or to assume the “sick role.” Typically patients with factitious disorder simulate conditions that are designed to arouse feelings of empathy in care providers with the intention to engage them in caretaking. However, patients might also simulate conditions that arouse revulsion or rejection and still meet full diagnostic criteria for factitious disorder. In this case report, we present a patient who fabricated an elaborate history of being a sexually sadistic serial killer with homicidal ideation with the intention of obtaining personal attention, nurturance, and empathy from his psychotherapist. However, given the nature of his feigned condition, the patient frightened the very person whom he sought to engage in caretaking. 相似文献
3.
Sophie Raymond M.D. Anne‐Sophie Léger M.D. Ivan Gasman M.D. 《Journal of forensic sciences》2019,64(5):1568-1573
In today's society, human cannibalism is extremely rare and represents an unthinkable act of violence. Scientific literature on the topic is sparse due to significant methodological problems, such as collecting enough data and generating unbiased analyses. The purpose of this article is to illustrate some psychodynamic aspects of cannibalism. After a review of the literature, we will present and compare five cannibalistic patients hospitalized in the Henri Colin secure unit (Villejuif, France). The patients described fall into two subgroups, suffering either from severe schizophrenia or from a mixed personality disorder with sadistic and psychopathic features associated with paraphilia. For the schizophrenia group, cannibalism is a self‐defense reaction to a perceived threat of destruction: survival depends on the annihilation or assimilation of the other. For the mixed personality disorder group, ego and narcissism are the central issue with a desire to overcome deep‐rooted frustrations by means of an extraordinary act. 相似文献
4.
Hannu Lauerma M.D. Ph.D. Jukka Voutilainen M.D. Tiina Tuominen M.Sc. 《Journal of forensic sciences》2010,55(2):549-550
Abstract: While violence against sexual minorities is a well‐known phenomenon, sexual homicides committed by men with cross‐dressing or transsexual identity are not, because they are relatively few. We report a 23‐year follow‐up of the case of a transvestite, possibly transsexual, man who killed his mother by strangulation at the age of 20, and later in two separate cases strangled a female victim towards whom he felt sexual desire. He reported being sexually aroused by being strangled himself. The case raises questions concerning legislation which does not allow life‐long control of criminals. 相似文献
5.
Helinä Häkkänen-Nyholm Ph.D. ; Ghitta Weizmann-Henelius Ph.D. ; Stephan Salenius Ph.D. ; Nina Lindberg Ph.D. ; Eila Repo-Tiihonen Ph.D. 《Journal of forensic sciences》2009,54(4):933-937
Abstract: Information on homicide offenders guilty of mutilation is sparse. The current study estimates the rate of mutilation of the victim's body in Finnish homicides and compares sociodemographic characteristics, crime history, life course development, psychopathy, and psychopathology of these and other homicide offenders. Crime reports and forensic examination reports of all offenders subjected to forensic examination and convicted for a homicide in 1995–2004 ( n = 676) were retrospectively analyzed for offense and offender variables and scored with the Psychopathy Check List Revised. Thirteen homicides (2.2%) involved mutilation. Educational and mental health problems in childhood, inpatient mental health contacts, self-destructiveness, and schizophrenia were significantly more frequent in offenders guilty of mutilation. Mutilation bore no significant association with psychopathy or substance abuse. The higher than usual prevalence of developmental difficulties and mental disorder of this subsample of offenders needs to be recognized. 相似文献
6.
7.
The forensic psychiatric examiner often encounters defendants who deny memory for their offense. Past research proposes a variety of factors to account for offense amnesia. To date there have been few systematic studies of offense amnesia in relation to psychiatric diagnosis, either alone or in combination with other known factors such as substance use and malingering. We studied 53 pretrial felony defendants who had been referred for psychiatric examination; 40% claimed amnesia for their offense. Examinees with psychotic disorders in general, and schizophrenia in particular, were relatively less likely to claim amnesia than were examinees with other diagnoses. Substance use at the time of the offense and associated substance use disorder diagnoses were positively associated with offense amnesia. Malingering diagnosed by general clinical criteria was a poor predictor of amnesia claims. These data suggests that two prominent reasons for referral for forensic psychiatric evaluation include the presence of psychotic symptoms and claims of amnesia for the offense. 相似文献
8.
Abstract: The current research addresses the psychometric and diagnostic qualities of the Supernormality Scale-Revised (SS-R), a self-report measurement. Supernormality is defined as the tendency to systematically deny the presence of common symptoms (e.g., intrusive thoughts). In study 1, the SS-R was administered to forensic patients ( n = 63), psychiatric patients ( n = 26), honestly responding students ( n = 26), and students instructed to fake supernormality ( n = 20). Findings indicated good test–retest stability, and adequate internal consistency. Furthermore, the SS-R showed overall good predictive and convergent validity. Moreover, the diagnostic accuracy was excellent (sensitivity and specificity being 0.80 and 0.92, respectively). In study 2, 115 (healthy) controls and 32 forensic patients completed the SS-R and the Psychopathic Personality Inventory (PPI) ( J Pers Assess 1996; 66 :488), an instrument measuring psychopathy. Results showed again that the SS-R is a reliable and valid instrument. However, supernormality was not related to psychopathy as measured by the PPI. 相似文献
9.
Somnophilia is a rare paraphilia, a form of sexual fetishism which is characterized by the desire to have sex with an unconscious human object who is unable to respond. To the author's knowledge, this is the first case study concerning somnophilic sexual abuse associated with vaginal administration of triazolam. The perpetrator video‐recorded his sexual acts with two unconscious female victims with whom he also had normal sexual intercourse and who were unaware of his paraphilic activities. His Internet conversations with other persons whom he thought to be interested in somnophilic sex and his plans to kidnap a child were recorded by the police. It was evident that sex with an unconscious object played a specific fetishistic role for this man. He obviously used a combination of drugs mixed with alcoholic drinks to make his victims fall sleep and videotaped vaginal administration of triazolam used to deepen the victim's unconscious state. 相似文献
10.
Serena Maria Curti M.D. Francesco Lupariello M.D. Elena Coppo M.D. Evan Julian Praznik B.S. Sara Simona Racalbuto Psy.D. Giancarlo Di Vella M.D. Ph.D. 《Journal of forensic sciences》2019,64(5):1427-1437
The literature on child sexual abuse (CSA) perpetrated by female sexual offenders (FSOs) is exiguous, and many studies have focused on judicial databases. The present retrospective study, instead, analyzed clinical and judicial data of a group of both victims and alleged FSOs, to additionally include women who have not been convicted by the criminal justice system, but who hold strong clinical suspicions of being perpetrators of CSA. The medical records and the Court files of 11 children and their eight suspected FSOs have been collected and critically reviewed in light of the literature to date. This approach allowed for a deeper understanding of the relationship between child and FSO. The authors hypothesize that the victims’ severe psychopathological outcomes were a result of a failure to develop appropriate attachments with their prospective caregivers, which could have been damaged by the pathological relationship with FSOs, who were the victims’ caregivers. 相似文献
11.
12.
13.
Angélique Franchi M.D. Jacques Bagur M.D. Patrick Lemoine Ph.D. Delphine Maucort‐Boulch Ph.D. Daniel Malicier Ph.D. Géraldine Maujean M.D. 《Journal of forensic sciences》2016,61(1):109-115
This work compares epidemiological and sociological data on persons having committed suicide in 2002 and in 2012 through a retrospective study of every suicide case having led to an autopsy at the Institute for Forensic Medicine of Lyon in 2002 and in 2012. The study included sociodemographic data, medical data, and toxicological data. A total of 486 cases were included (242 cases in 2002 and 244 cases in 2012). People committing suicide were on average older in 2012 than in 2002 with a larger proportion of over 55. There was also an increase in the proportion of psychiatric antecedents (p < 0.001). Whatever the date of death by suicide, the most affected age range is the 45–54. The results highlight the necessity of bolstering the prevention plans, in particular for people over 45. 相似文献
14.
The authors present data on a mixed gender sample of 78 adult stalking perpetrators, each of whom was assessed with the Psychopathy Checklist:Screening Version (PCL:SV). Results indicate a generally low frequency of psychopathy in this group, although 15% of the sample was composed of psychopaths. Comparisons between this sample and other forensic samples indicate that both the frequency and degree of psychopathy were lower in the stalking group. The findings support previous theory and empirical findings, including the concept that underlying attachment pathology among stalkers and psychopaths is quite different, and psychopathy--in contrast to other areas of violence risk assessment--is usually not relevant when evaluating dangerousness among stalkers. 相似文献
15.
对邱兴华杀人案的司法鉴定学反思 总被引:2,自引:0,他引:2
关于邱兴华杀人案(下称邱案)的各种学术讨论和争论似乎已经不少,但查阅文献发现,有关邱案的文章,分别是从刑事诉讼法学、刑事证据学、刑事心理学、精神医学角度,法制新闻学以及从人权保护,法治进步等角度对该案进行解读。然而既然这是一个涉及司法鉴定的个案(虽然实际上并没有进行任何实质性鉴定活动),那么从司法鉴定学的角度对与该案有关的几个最基本的问题进行理论阐述,或许能有些许不同的作用。这几个问题包括:精神病概念的辨析,是否患病与是否需要接受刑事处罚之间是什么关系,何时需要启动司法精神医学鉴定?应如何配置我国刑事诉讼中的司法精神医学鉴定启动模式? 相似文献
16.
17.
Laurie Ragatz M.A. ; William Fremouw Ph.D. ; Tracy Thomas M.A. ; Katrina McCoy B.S. 《Journal of forensic sciences》2009,54(3):699-703
Abstract: Each year, 4.7 million people are bitten by dogs. Of those bitten each year, 386,000 are seriously injured and some killed. Consequently, many insurance companies refuse to issue homeowners insurance to owners of specific breeds of dogs considered "vicious" or high risk of causing injury. This study examined whether vicious dog owners were different on antisocial behaviors and personality dimensions. A total of 869 college students completed an anonymous online questionnaire assessing type of dog owned, criminal behaviors, attitudes towards animal abuse, psychopathy, and personality. The sample was divided into four groups: vicious dog owners, large dog owners, small dog owners, and controls. Findings revealed vicious dog owners reported significantly more criminal behaviors than other dog owners. Vicious dog owners were higher in sensation seeking and primary psychopathy. Study results suggest that vicious dog ownership may be a simple marker of broader social deviance. 相似文献
18.
AbstractA sample of 1533 sex offenders was examined for clinical characteristics associated with weapon use in their crimes. A total of 24.9% used weapons, most often knives (50.1%), with 13.6% using multiple weapons. Weapon-users were a very disturbed group, who showed a significantly higher prevalence than non-users of psychoses, suicide attempts, alcoholism, drug addiction and abuse, personality disorders, psychopathy, attention deficit hyperactivity disorder, cognitive impairment and violent criminal histories. The weapon-users recidivated more often than non-users and appeared in court on 8.7 separate occasions compared to 2.9 for non-users in an average follow-up of 21.5 years. The best predictors of weapon use were total violent offence convictions, sadism diagnoses and adult versus child victims. The importance of examining weapon use in assessing sex offenders is discussed. 相似文献
19.
J. Reid Meloy Ph.D. 《Journal of forensic sciences》2010,55(5):1393-1396
Abstract: A case of infanticide committed by a 37‐year‐old married man, the father of three sons, is reported. Clinically depressed since adolescence, and also diagnosed with obsessive‐compulsive disorder and a dependent personality, the subject began to worry about killing someone a decade before the homicide. Increasingly disabled by his major depression, unable to work, and confined in his home, the idea that his only recourse was to kill one of his sons became fixed and frequent. Following his fourth psychiatric hospitalization, he took his 13‐month‐old son home from day care and drowned him in the bathtub. He then called the police and reported his crime. This sudden act of intentional killing was followed by a period of emotional relief and calmness, clearly illustrating the three stages of chronic catathymic homicide. 相似文献
20.
Little is known about the clinical aspects and medico-legal consequences of disrobing in the context of epileptic seizures. Seizure-related disrobing may occur either as an ictal automatism or during the postictal period. Some patients may experience a seizure while already in the unclothed state, engage in ictal wandering, and thereby appear in public in the nude. Two cases involving disrobing associated with seizures captured via video-monitored electroencephalography are offered. An additional case reveals the legal consequences endured by one patient who experienced a nocturnal seizure and began wandering in an unclothed state. Collectively, these cases illustrate the medical reality of seizure-related disrobing and the related adverse effects on patients' quality of life. Disrobing associated with epileptic seizures carries the potential for serious legal consequences if not properly identified as an ictal phenomenon. 相似文献