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边缘系统功能障碍的亚型在边缘性(?)精神病触发反应和颞叶癫痫中引发杀人行为——进化限制。

Subtypes of limbic system dysfunction evoking homicide in limbic (?) Psychotic trigger reaction and temporal lobe epilepsy--evolutionary constraints.

作者信息

Pontius A A

出版信息

Psychol Rep. 1989 Oct;65(2):659-71. doi: 10.2466/pr0.1989.65.2.659.

DOI:10.2466/pr0.1989.65.2.659
PMID:2798685
Abstract

Within an evolutionary context two subtypes of limbic system dysfunctioning are compared: (1) the previously proposed limbic psychotic trigger reaction, in which nondrive motivated homicide is triggered by a specific individualized external stimulus, which evokes a brief-lasting active reliving of past (moderately) stressful, frequently repeated ("kindled"?) situations. The brief-lasting out-of-character homicidal episode with flat affect is typically associated with first-time formed or unformed hallucinations of various modalities and with overactivation of the autonomic nervous system. There is no (noticeable) loss of consciousness, enabling the patient's full recall (at times with suicidal attempts) (Pontius, 1981, 1984, 1987). (2) A rare case of homicide during a fugue state with echopraxia in temporal lobe epilepsy is discussed.

摘要

在进化背景下,对边缘系统功能障碍的两种亚型进行了比较:(1) 先前提出的边缘性精神病触发反应,其中非驱力动机的杀人行为由特定的个体化外部刺激引发,该刺激唤起对过去(适度)压力、频繁重复(“点燃”?)情境的短暂活跃重现。伴有情感平淡的短暂性异常杀人发作通常与各种形式的首次形成或未形成的幻觉以及自主神经系统的过度激活有关。没有(明显的)意识丧失,使患者能够完全回忆(有时伴有自杀企图)(庞修斯,1981年、1984年、1987年)。(2) 讨论了颞叶癫痫发作时在神游状态下伴有模仿动作的罕见杀人案例。

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