Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8960033 | Annales Mdico-psychologiques, revue psychiatrique | 2018 | 10 Pages |
Abstract
“Are you threatening to kill me?”, asks the psychiatrist. “It's not a threat, it's a promise!”, replies the paranoiac patient. In just a few short words, this exchange raises the issue of a dangerous, potentially homicidal nature linked to paranoia. This mental disorder is such that it severely complicates interpersonal relationships. Its mechanisms and delusional themes often cause paranoiac individuals - male or female - to have difficult, tense, conflictual and even violent relationships both inside and outside of the family. These difficult relationships can sometimes lead to serious non-lethal attacks or, more exceptionally, single or multiple homicides that have frequent precursory warning signs. The motives for homicides committed by paranoiacs are linked to the themes of their delusions: persecution, prejudice, jealousy, filiation, erotomania, betrayal, etc. The therapeutic alliance, frequently difficult to set up and maintain, makes healthcare treatment difficult for dangerous paranoiac individuals. Ideally, this treatment is based on two key approaches: medicinal treatment and psychotherapy. When these people are not considered to be criminally responsible for the acts that they have committed they are forced to receive care.
Keywords
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Authors
Jean-Pierre Bouchard, Diane Brulin-Solignac, Arnaud De Jésus, Emmanuelle Floris, Bluenn Quillerou, Célia Lodetti, Xavier Soulan,