Understanding the religious ideation of forensically committed patients.
ABSTRACT Provides help for clinicians working with forensically committed, mentally ill patients. The article is designed to help clinicians to think therapeutically and psychoanalytically about a wide variety of religious ideation often found in such patients. Case material and conceptualizations are offered to enhance an understanding of the following functions of religious ideation: (a) religious delusions as motivations for violence; (b) religious distortions as justifications for violence; (c) religious ideas as expressions of intrapsychic dynamics; and (d) authentic religious beliefs as defenses and resources. The article suggests that working directly with religious material can be an avenue to deeper understanding of the patient's psychic life and thus a path toward therapeutic growth and change. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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ABSTRACT: The main scope of this paper is to delineate some findings from a review of the literature concerning the possible impact of delusions on violence toward others by psychiatric patients. According to this review, studies on a possible association between delusions and increased risk of violence are scarce, but steadily growing, and have shown some interesting results. However, since delusions are also common in nonviolent psychiatric patients, there is emerging evidence that our attention should be directed to specific hallmarks of delusions that indicate an increased risk of violence. Among the main findings of the present review are: the number of empirical studies were surprisingly low; about 80% of the studies were conducted during the last 8 years; and less than one third of the studies used a prospective design. Further findings were that persecutory delusions appear to increase risk of violence in some patients; co-occurence of persecutory delusions and emotional distress may increase risk of violence; and there is limited but tentative support to the existence of an association between symptoms of perceived threat and internal control override (TCO) and violence.Aggression and Violent Behavior 11/2002; 7(6-7):617-631. DOI:10.1016/S1359-1789(01)00049-0 · 1.95 Impact Factor
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ABSTRACT: In this article, we present a psychodynamic explanation for the complex crime of filicide motivated by religious delusions. To begin, we provide an overview of filicide, including its typology and epidemiology. Second, we examine the psychoanalytic theories of Heinz Kohut and Otto Kernberg so as to better understand how family-of-origin experiences add to the ways in which psychotic disorders later take shape in filicide cases. Third, we offer an explication of the psychology of religion, including the role that religious defences and religious delusions play in cases involving filicide. Ultimately, we hypothesise that mothers with religious delusions commit acts of filicide due to the dynamic and reciprocal interaction between mental illness, psychological functioning, and the psychological role played by religion. We conclude our article with a case illustration to demonstrate our theoretical model.Mental Health Religion & Culture 06/2012; 15(5):529-549. DOI:10.1080/13674676.2011.594998
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ABSTRACT: It is not currently known how psychotic symptoms are associated with the nature of violence among homicide offenders with schizophrenia, or, more specifically, whether different psychotic symptoms are differentially linked with excessive violence. To identify factors associated with the use of excessive violence among homicide offenders with schizophrenia. Forensic psychiatric examination statements and Criminal Index File data of 125 consecutive Finnish homicide offenders with a diagnosis of schizophrenia were analysed. Nearly one-third of the cases in this sample involved extreme violence, including features such as sadism, mutilation, sexual components or multiple stabbings. Excessive violence was a feature of acts when the offender was not the sole perpetrator or when there was a previous homicidal history. Positive psychotic symptoms, including delusions, were not associated with the use of excessive violence. These results highlight the importance of variables other than clinical state when examining qualitative aspects of homicidal acts, such as the degree and nature of violence, by offenders with schizophrenia. Further study is needed with a more specific focus on the qualities of the violence among different subgroups of offenders, but inclusive of those with psychosis.Criminal Behaviour and Mental Health 12/2006; 16(4):242-53. DOI:10.1002/cbm.635 · 1.28 Impact Factor