Dr. Zago and Dr. Difonzo are Clinical Neuropsychologists, Neurology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. Dr. Scarpazza is Assistant Professor and Dr. Sartori is Professor, Department of General Psychology, University of Padua, Padua, Italy. Dr. Arighi is a neurologist, Neurodegenerative Disease Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy, and Centro Dino Ferrari, University of Milan, Milan, Italy. Dr. Hajhajate is Clinical Research Assistant, Sorbonne Université, Paris, France. Dr. Torrente is Associate Professor, Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
J Am Acad Psychiatry Law. 2021 Jun;49(2):219-227. doi: 10.29158/JAAPL.200081-20. Epub 2021 Mar 17.
Criminal behavior is a clinical feature of the behavioral variant of frontotemporal dementia (bvFTD), ranging from socially inappropriate behavior and minor offenses (such as shoplifting, driving-related violations, housebreaking, trespassing) to the more extreme acts of sex crimes and violence. To our knowledge, no homicide case involving bvFTD is well illustrated in the scientific literature, and only a few anecdotal annotations are available about bvFTD and homicide. This is surprising considering the inclination of individuals with bvFTD to lack impulse control, to manifest disinhibition, to display diminished emotional awareness and loss of empathy, and to show behavior indicative of disordered moral reasoning. Here, we describe the 19th-century homicide case of Benjamin Reynaud, a man whose clinical characteristics suggest the bvFTD diagnosis. Reynaud's case may represent a rare instance of homicide committed by an individual with bvFTD and provide a basis for some reflections regarding the relationship between homicidal behavior and bvFTD.
犯罪行为是额颞叶痴呆行为变异型（bvFTD）的临床特征之一，范围从社交不当行为和轻微犯罪（如商店行窃、与驾驶相关的违规行为、入室盗窃、非法侵入）到更极端的性犯罪和暴力行为。据我们所知，科学文献中没有很好地说明涉及 bvFTD 的杀人案件，只有少数关于 bvFTD 和杀人的轶事注释。考虑到 bvFTD 患者缺乏冲动控制、表现出抑制解除、表现出情绪意识减弱和同理心丧失，以及表现出表明道德推理障碍的行为，这令人惊讶。在这里，我们描述了 19 世纪的杀人案，涉及本杰明·雷纳德（Benjamin Reynaud），他的临床特征提示 bvFTD 诊断。雷纳德的案件可能代表了 bvFTD 患者实施杀人的罕见实例，并为一些关于杀人行为与 bvFTD 之间关系的思考提供了依据。
