Presentation on theme: "Eccentric & bizarre behaviors david a. brady, d.o."— Presentation transcript:
eccentric & bizarre behaviors david a. brady, d.o.
erotomania: obsessive loving erotomania: obsessive loving munchausens syndrome by proxy munchausens syndrome by proxy frottage: a touch of love frottage: a touch of love vampirism: the ungrateful dead vampirism: the ungrateful dead sex slavery and the stockholm syndrome: from terror to love sex slavery and the stockholm syndrome: from terror to love autoerotic asphyxia: breathless sex autoerotic asphyxia: breathless sex capgras and other misidentification delusions: replaced by an impostor capgras and other misidentification delusions: replaced by an impostor folie a deux: shared insanity folie a deux: shared insanity koro: the disappearing penis koro: the disappearing penis savants: super talents in the subnormal savants: super talents in the subnormal trichotillomania: hair pulling compulsion trichotillomania: hair pulling compulsion necrophilia: sex after death necrophilia: sex after death
erotomania jodie foster
erotomania john w. hinckley, jr.
erotomania tanya tarasoff 20 year old student at the university of california at berkeley prasenjit poddar 25 year old graduate engineering student at berkeley dr. stuart gold, staff psychiatrist dr. lawrence moore, staff psychologist
erotomania tarasoff was shot and stabbed to death on october 27 th, 1969 tarasoff warnings: the duty to warn
munchausens syndrome baron karl heironymus von munchausen was eighteenth-century baron and cavalry officer. following his retirement, he mused his friends by telling outrageous stories about his prowess as a soldier and athlete. he became famous after rudoph raspe wrote a book about him and a 1989 movie The Adventures of Baron Munchausen.
munchausens syndrome munchausens syndrome occurs worldwide. it was first named by richard asher, an english physician in the disorder is regarded as factitious, which means that its physical and psychological symptoms are invented by the patient.
munchausens syndrome wendy scott of scotland disorder began at age 16 over 12 years she was admitted to 385 hospitals 38 operations fistula was ignored
munchausens syndrome by proxy msp typically involves a parent, usually a mother… nearly 10% of the victims die… one study of 48 msp children, 8 eventually died, listed 27 different poisons…
munchausens syndrome by proxy poisons poisons feces feces urine urine saliva saliva vaginal microbes vaginal microbes insulin insulin salt salt pepper pepper sugar sugar pins pins suffocation suffocation underfeeding underfeeding carotid pressure carotid pressure sputum sputum otc medications otc medications exposure to filth exposure to filth water water instrumentation instrumentation
frottage the frotteur seeks out strangers to rub against for his own sexual gratification.
frottage toucheurism is a variation of frottage in which the individual actually reaches out and touches the victim with their hand.
frottage personality studies reveal that most frotteurs have difficulties in their relationships with the opposite sex. the behavior may become compulsive… alcohol may lower inhibitions.
vampirism richard trenton chase vampire of sacramento drank his victims blood drank his victims blood delusional that he delusional that he needed to drink blood to needed to drink blood to prevent the nazis from prevent the nazis from turning his blood into turning his blood into powder powder
sex slavery and the stockholm syndrome patricia hearst symbionese liberation army
stockholm syndrome dr. frank ochberg is a leading expert on the effect of terrorism on individuals. he is a consultant for the fbi and an attending psychiatrist at the george washington university school of medicine and the national institute of mental health. dr. ochberg defines stockholm syndrome as the appearance of any or all of the following conditions:
stockholm syndrome the victim has positive feelings toward his captor… the victim has positive feelings toward his captor… the victim has negative feelings toward the authorities responsible for his rescue… the victim has negative feelings toward the authorities responsible for his rescue… the hostages positive feelings towards the hostage taker are reciprocated by the hostage taker… the hostages positive feelings towards the hostage taker are reciprocated by the hostage taker…
huffing huffing scarfing scarfing fantasy fantasy ecstasy ecstasy flying the moon flying the moon headrushing headrushing
koro genital retraction syndrome-belief that his/her external genitals or in females, the breast, are retracting into the body, shrinking, are being removed, or disappear from the body.
koro koro was first described in the yellow emperors book of medicine in china as early as 3000 b.c.. earliest reports came out of southwest asia and nearby regions. international cases
koro outbreaks and individual cases outbreaks and individual cases penis theft penis theft genital shrinkage genital shrinkage presentation can vary depending presentation can vary depending on the geographic region on the geographic region poisons poisons black magic black magic
koro stroke stroke psychotic illness psychotic illness drug abuse drug abuse body dysmorphic disorder body dysmorphic disorder fear of hiv or sexual diseases fear of hiv or sexual diseases mass hysteria mass hysteria anxiety anxiety
savants autistic savant autistic savant both autism and savant syndrome both autism and savant syndrome severe developmental or mental handicap with extraordinary mental abilities severe developmental or mental handicap with extraordinary mental abilities very high narrow intelligence in one or more fields very high narrow intelligence in one or more fields congenital or acquired (accident or illness) congenital or acquired (accident or illness)
savants kim peek
savants born november 11 th, 1951
savants: kim peek macrocephaly macrocephaly agenesis of the corpus callosum agenesis of the corpus callosum cerebellar damage cerebellar damage absence of the absence of the anterior commissure anterior commissure
savants: kim peek memorizing by age 16 to 20 months memorizing by age 16 to 20 months remembers 98% of what he reads remembers 98% of what he reads began walking at age four began walking at age four can not button shirt can not button shirt social skills have increased social skills have increased
savants: alonzo clemons acquired savant syndrome due to a childhood head injury
savants: alonzo clemons
trichotillomania 1889 french dermatologist hallopeau. described a maladaptive behavior pattern of self-mutilation… 1889 french dermatologist hallopeau. described a maladaptive behavior pattern of self-mutilation… pulling, plucking, or tweezing (not shaving) pulling, plucking, or tweezing (not shaving) reported in children as young as 17 months reported in children as young as 17 months
trichotillomania estimated 8 million cases in the u.s. estimated 8 million cases in the u.s. trichophagy 10% (25% rub hair around their mouth) trichophagy 10% (25% rub hair around their mouth) ocd or not? ocd or not? impulse control disorder impulse control disorder
necrophilia rarest, most gruesome of the sexual disorders rarest, most gruesome of the sexual disorders may take the form of murder in order to obtain a dead sex partner may take the form of murder in order to obtain a dead sex partner behavior includes a whole range of acts (kisses, intimate caresses, masturbation, intercourse) behavior includes a whole range of acts (kisses, intimate caresses, masturbation, intercourse)
necrophilia has occurred throughout history has occurred throughout history societies adopted safeguards against the abuse of corpses societies adopted safeguards against the abuse of corpses delay of taking corpse to the embalmer delay of taking corpse to the embalmer
necrophilia 3 categories of necrophilia: 3 categories of necrophilia: 1. violent necrophiles – kill to get a corps or obtain a sexual charge from mutilating dead bodies 2. fantasy necrophiles – imagine or play-act 3. romantic necrophiles
necrophilia sergeant francois bertrand 1849 sergeant francois bertrand 1849 french farm family violent, destructive temper fits sexually precocious – masturbating at age 8 fantasy of torturing, killing, and sexually assaulting entire rooms of naked women
necrophilia killed and mutilated dogs, cats, other animals dug up female corpses and masturbates while playing with the intestines sexual intercourse with the body of a 16y/o girl But all my enjoyment with living women is nothing as compared with it.
necrophilia most always male actress sarah bernhardt would agree only to meet her lovers while reclining in a coffin. luxury brothels mortuary chambers, prostitute in a burial shroud, lies motionless in a casket. uses cold compresses and makeup to look and feel dead.
necrophilia count karl tangler von cosel 60y/o count karl tangler von cosel 60y/o world war I german submarine skipper 9 college degrees living in key west, florida working as a x-ray technician elena hoyos mesa was a 20 year old cuban entertainer with progressive tuberculosis
necrophilia von cosel took mesas body after her death built an above ground burial vault with a telephone reconstructed face, breasts, arms, legs, and trunk vaginal tube airship, stratosphere, radiation
necrophilia von cosels necrophilia inspired the hispanic song Boda Negra black wedding police sealed elenas body in a metal tube and buried her in a secret location
necrophilia ed gein ted bundy jeffrey dahmer
necrophilia parker ward (age 54) parker ward (age 54) convicted of necrophilia in august 2006 convicted of necrophilia in august 2006 forsyth county, georgia forsyth county, georgia 4 years prison 4 years prison 4 years probation 4 years probation corpse of a 43 year old corpse of a 43 year old female who died by od female who died by od
folie a deux dual madness = contagious insanity dual madness = contagious insanity no condition more dramatically illustrates our need for support from our fellow human beings. no condition more dramatically illustrates our need for support from our fellow human beings. induced psychotic disorder induced psychotic disorder
folie a deux transference of delusional ideas from a psychotic individual to an intimate associate who has been under his or her influence for an extended period of time.
folie a deux folie a trois folie a trois folie a quatre folie a quatre folie a plusieres folie a plusieres
folie a deux the secondary, or submissive partner is gradually worn down by the primary, dominant partner and eventually surrenders, preferring to adopt crazy ideas rather than threaten his or her only human social relationship. assortive mating…
folie a deux imposed psychosis (folie imposee) a well-adjusted person comes to share a psychotic partners delusion after they have been living together for a long time. the secondary partners delusions clear after separation. the definition sometimes includes assertions that the primary partner is more intelligent, dominant, or forceful, and the secondary partner passive, suggestible, and submissive.
folie a deux simultaneous psychosis (folie simultanee) the partners come to believe in identical delusions. this occurs simultaneously, but independently, between or among associated individuals. no one individual is dominant, and therefore separation is not helpful.
folie a deux communicated psychosis (folie comminiquee) the secondary partner eventually develops delusions after a varying period of exposure and resistance. even after separation from the psychotic person, the influenced individual retains his or her delusions. delusions may expand independently.
1923 french psychiatrist jean marie joseph capgras 1923 french psychiatrist jean marie joseph capgras delusion usually involves a close relative or friend delusion usually involves a close relative or friend patient believes the friend or relative has been replaced by an imposter, an exact double patient believes the friend or relative has been replaced by an imposter, an exact double
capgras delusion patient may see himself or herself as their double patient may see himself or herself as their double delusional misidentification delusional misidentification may extend to objects and animals may extend to objects and animals affects both sexes, prevalent in females affects both sexes, prevalent in females cerebral lesions-posterior area of the right hemisphere were face recognition is processed cerebral lesions-posterior area of the right hemisphere were face recognition is processed 35% of case have an organic etiology 35% of case have an organic etiology