Spinelli M G
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, 10032, USA.
Am J Psychiatry. 2001 May;158(5):811-3. doi: 10.1176/appi.ajp.158.5.811.
Neonaticide, or infant murder on the day of birth, is often preceded by denial of pregnancy. The preponderance of case reports of neonaticide describes a pattern of pregnancy denial, dissociation, and ego disorganization. The author systematically investigated the clinical characteristics of 16 women charged with homicide in the United States after alleged neonaticides.
The women received a psychiatric evaluation and were administered the Dissociative Experiences SCALE:
Nearly all of the women reported similar precipitants and symptoms, including depersonalization, dissociative hallucinations, and intermittent amnesia at delivery.
The characteristics of the women in the study were similar to those reported in the literature on neonaticide. The existence of this common pattern suggests that treatment strategies can be designed for women at risk for neonaticide.
杀婴，即出生当日杀害婴儿的行为，通常之前会有否认怀孕的情况。杀婴案例报告大多描述了一种否认怀孕、解离和自我紊乱的模式。作者系统地调查了美国16名被指控在涉嫌杀婴后犯杀人罪的女性的临床特征。
这些女性接受了精神病学评估，并接受了解离体验量表测试。
几乎所有女性都报告了类似的诱发因素和症状，包括人格解体、解离性幻觉以及分娩时的间歇性失忆。
该研究中女性的特征与杀婴文献中报道的特征相似。这种常见模式的存在表明，可以为有杀婴风险的女性设计治疗策略。
