Solomon P, Kleeman S T
Calif Med. 1971 May;114(5):19-24.
Physicians see violence in beaten wives, battered children, rage reactions, murder, and suicide. They should recognize that it may be a symptom of disease if it is unprovoked or bizarre, or is associated with impaired consciousness, confusion or irrationality. Violence in episodic trance-like states suggests limbic disease (temporal lobe lesions, psychomotor epilepsy, or "dyscontrol syndrome"); in association with personality change, dementia, or psychosis, it indicates cortical disease (structural, toxic, or idiopathic).
医生在遭受殴打的妻子、受虐儿童、愤怒反应、谋杀和自杀事件中看到暴力行为。他们应该认识到,如果暴力行为是无端发生的、怪异的,或者与意识障碍、混乱或非理性相关,那么它可能是一种疾病的症状。发作性恍惚状态下的暴力行为提示边缘系统疾病(颞叶病变、精神运动性癫痫或“失控综合征”);与人格改变、痴呆或精神病相关时,则表明是皮质疾病(结构性、中毒性或特发性)。