Lauerma H
Psychiatric Clinic, University Central Hospital of Turku, Finland.
Psychiatry. 1996 Summer;59(2):206-11. doi: 10.1080/00332747.1996.11024763.
It is generally accepted that sleepwalking (SW) is a state of automatism in which an individual is unaware of, and has no control of, his or her behavior. Recently, Broughton et al. (1994) reported a case of a homicide and an attempted homicide during SW in which somnambulism was a legal defense and led to an acquittal. The wide variety in the clinical manifestations of SW and sleep terrors (ST) may sometimes lead to difficulties in diagnosing these treatable entities. The present case illustrates a diagnostic and clinical problem, deciding between histrionic behavior, suicidal acting out, REM-sleep behavioral disorder, and SW; and assessing the risk of suicide during SW.
人们普遍认为，梦游（SW）是一种自动行为状态，处于这种状态的个体对自己的行为没有意识且无法控制。最近，布劳顿等人（1994年）报告了一例在梦游期间发生的杀人及杀人未遂案件，其中梦游被用作合法辩护并导致无罪释放。梦游（SW）和夜惊（ST）临床表现的广泛差异有时可能导致诊断这些可治疗病症时出现困难。本病例说明了一个诊断和临床问题，即在表演型行为、自杀性冲动行为、快速眼动睡眠行为障碍和梦游之间进行判断；以及评估梦游期间的自杀风险。
