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21世纪的弑母与精神分裂症:综述及实例分析

Matricide and schizophrenia in the 21(st) century: a review and illustrative cases.

作者信息

Ogunwale A, Abayomi O

机构信息

Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria.

出版信息

Afr J Psychiatry (Johannesbg). 2012 Jan;15(1):55-7. doi: 10.4314/ajpsy.v15i1.8.

Abstract

Studies have shown an association between homicidal behaviour and psychiatric disorders although it remains difficult to conclude that definite causal relationships exist between specific mental illnesses and particular forms of homicide. However, matricide has been linked to schizophrenia for several decades with an assortment of explanations to explain the connection. To review the psychosocial, contextual and clinical issues involved in the perpetration of matricide by patients with schizophrenia. Two detailed case reports are presented alongside review of relevant literature. There are complex psychodynamic, phenomenological and contextual factors in the act of matricide by persons with schizophrenia. The observation that ambivalent relationships exist between schizophrenics and their mothers (or other carers) probably suggests the need for adequate clinical intervention with families of affected patients in resolving psychological tension which might be the provoking stimulus to murder.

摘要

研究表明,杀人行为与精神疾病之间存在关联,尽管仍难以断定特定精神疾病与特定形式的杀人行为之间存在明确的因果关系。然而,几十年来,杀母行为一直与精神分裂症有关,对此有各种各样的解释。回顾精神分裂症患者实施杀母行为所涉及的心理社会、背景和临床问题。本文在回顾相关文献的同时,呈现了两例详细的病例报告。精神分裂症患者实施杀母行为这一行为存在复杂的心理动力学、现象学和背景因素。精神分裂症患者与其母亲(或其他照料者)之间存在矛盾关系这一观察结果可能表明,需要对受影响患者的家庭进行充分的临床干预,以解决可能成为谋杀挑衅刺激因素的心理紧张问题。

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