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[母亲弑子并企图自杀]

[Mother's filicide with suicide attempt].

作者信息

Misić-Pavkov Gordana, Gajić Zoran, Golubović Boris, Bozić Ksenija

机构信息

Institute of Psychiatry, Clinical Centre of Vojvodina, Novi Sad, Serbia.

出版信息

Srp Arh Celok Lek. 2010 Sep-Oct;138(9-10):647-50. doi: 10.2298/sarh1010647m.

Abstract

INTRODUCTION

Filicide is the killing of a son or daughter by a parent. The paper examines interaction between stress and maternal psychopathology that led to the killing.

CASE OUTLINE

After prolonged conflict with her ex-husband and father of her only child, the respondent committed filicide. Two years before committing filicide, after she had divorced the father of the child, the respondent attempted suicide and had to be hospitalized. On that occasion, she was diagnosed with depressive disorder, which was not treated after hospitalization. Having killed her daughter by cutting her throat, she tried to commit suicide in the same manner, by slitting her throat. During further observation, the respondent was found to suffer from acute psychotic disorder, depressive disorder and histrionic personality disorder. These disorders in interaction with stress do not provide us with an explanation for an unusual and psychopathological motivation analysis of killing the child.

CONCLUSION

Filicide is a violent act, most frequently multifactorial in its nature. Histrionic personality disorder in mother cannot explain the filicide act. Only interactive and dynamic evaluation of this psychiatric disorder in its longitudinal, development aspects and its potentiality to enable the expression of some other psychiatric disorders, especially dissociative states, as well as the importance of prolonged and acute stress and its subjective importance for the individual can shed some more light on the mental state of the mother at the time of filicide.

摘要

引言

杀子(女)行为是指父母杀害自己的儿子或女儿。本文探讨导致此类杀戮行为的压力与母亲精神病理学之间的相互作用。

案例概述

在与她的前夫及独子的父亲长期冲突后,被告实施了杀子行为。在实施杀子行为的两年前,她与孩子的父亲离婚后曾试图自杀并住院治疗。当时,她被诊断患有抑郁症,但住院后未接受治疗。她通过割喉杀死女儿后,试图以同样的方式割喉自杀。在进一步观察中,发现被告患有急性精神障碍、抑郁症和表演型人格障碍。这些障碍与压力的相互作用,并未为杀害孩子这一异常且具有精神病理学动机的行为分析提供解释。

结论

杀子(女)行为是一种暴力行为,其本质通常是多因素的。母亲的表演型人格障碍无法解释杀子行为。只有从纵向、发展的角度对这种精神障碍及其引发其他精神障碍(尤其是分离状态)的可能性进行互动式动态评估,以及考量长期和急性压力的重要性及其对个体的主观影响,才能更深入地了解母亲在实施杀子行为时的精神状态。

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