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Titolo:
Two bankrobbers with "antisocial" and "schizoid/avoidant" personality disorders, comorbid with partial seizures: Temporal lobe epilepsy and limbic psychotic trigger reaction, respectively
Autore:
Pontius, AA;
Indirizzi:
Harvard Univ, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115Harvard Univ, Boston, MA 02115 USA Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA Massachusetts Gen Hosp Boston MA USA 02114 Psychiat, Boston, MA 02114 USA
Titolo Testata:
JOURNAL OF DEVELOPMENTAL AND PHYSICAL DISABILITIES
fascicolo: 2, volume: 13, anno: 2001,
pagine: 191 - 197
SICI:
1056-263X(200106)13:2<191:TBW"A">2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEVELOPMENTAL-DISABILITIES; PSYCHIATRIC-DISORDERS; QUESTIONABLE ASPECTS; HOMICIDE;
Keywords:
antisocial and schizoid/avoidant personality disorders; diagnostic overshadowing; partial temporo-limbic seizures; atavistic regression; criminality; childhood head injury;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Pontius, AA Waldschmidt St 6, D-60316 Frankfurt, Germany Waldschmidt St 6Frankfurt Germany D-60316 rankfurt, Germany
Citazione:
A.A. Pontius, "Two bankrobbers with "antisocial" and "schizoid/avoidant" personality disorders, comorbid with partial seizures: Temporal lobe epilepsy and limbic psychotic trigger reaction, respectively", J DEV PHY D, 13(2), 2001, pp. 191-197

Abstract

"Diagnostic overshadowing" is illustrated by, two cases of unplanned, motiveless bank robbery, initially merely attributed to "antisocoial" or "schizoid/ avoidant" (loner) personality disorder, respectively. Both disorders, however, were comorbid with their potentially unobservable counterparts, with brief partial seizures, supported by both men's abnormal scalp-EEG's, their symptomatology with psychosis, and their histories of closed head injury in childhood. Such injuries are known to render particularly the temporo-limbic brain system susceptible to Inter partial seizure: Mr. A. had temporal lobe epilepsy (TLE) with stereotypic auditory command hallucinations andclouding of consciousness. (His past "antisocial" aggressive behavior might also have reflected TLE-related inter-ictal events. ) Mr. B. had the symptomatology proposed as limbic psychotic trigger reaction (LPTR). Mr. B, a social loner, typically ruminated on past intermittent moderate stresses, a specific precondition of seizure kindling ultimately, elicited by a specificstimulus, resembling his past hurts. As is typical for LPTR, Mr B. had no clouding of consciousness and no amnesia for his atavistically regressive acts, committed with pat affect, nausea, and fleeting delusions of grandeur (being gifted like Rembrandt).

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Documento generato il 23/01/20 alle ore 03:44:04