Parricide and mental illness. A study of 12 cases.
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Biomedical subjects
Publications and source records attributed to F Millaud.
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The authors of the article propose an inventory for the systematic assessment of the dangerousness of psychiatric patients. This clinical tool is qualitative and is helpful in a case-by-case approach. The prediction of violent behaviour is discussed; quantitative and qualitative research perspectives are also mentioned.
This research analyses retrospectively a population of 24 psychotic patients, hospitalized in a maximum security institution for the criminality insane and who have committed or attempted to commit murder. The main focus is on finding the clinical elements which are associated with increased homicidal risk, in the short term. With that aim in mind, nine patients that were in contact with a mental health professional, during the month preceding the homicide, were studied more specifically. It seems that in addition to the elements usually described in the literature, the association of depressive and paranoid features in the psychotic is a risk factor for homicide in the short term.
In this article, the author seeks to distinguish between the notions of aggressivity and violence. He refers to Bergeret's theories and gives clinical illustrations using two patients. This differentiation will improve comprehension of events leading to acts of violence, and will enable better therapeutic interventions.
In psychiatric hospitals confusional states are frequent and represent about 20% of requests for EEG's. This study, covering a one year period, at S-Jean de Dieu psychiatric hospital in Lyon, revealed among all EEG's carried out for a confusional state the existence of a high proportion of pathological signs (59%). Etiological research demonstrates that a large proportion of these patients is diagnosed as senile dementia. Nevertheless, even if pure organic causes are rare, EEG remains an indispensable complement to clinical practice.