3 erotomania: obsessive loving munchausen’s syndrome by proxyfrottage: a touch of lovevampirism: the ungrateful deadsex slavery and the stockholm syndrome: from terror to loveautoerotic asphyxia: breathless sexcapgras and other misidentification delusions: replaced by an impostorfolie a deux: shared insanitykoro: the disappearing penissavants: super talents in the subnormaltrichotillomania: hair pulling compulsionnecrophilia: sex after death
7 erotomaniatanya tarasoff 20 year old student at the university of california at berkeleyprasenjit poddar 25 year old graduate engineering student at berkeleydr. stuart gold, staff psychiatristdr. lawrence moore, staff psychologist
8 erotomaniatarasoff was shot and stabbed to death on october 27th, 1969tarasoff warnings: the duty to warn
9 munchausen’s 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.
10 munchausen’s syndrome munchausen’s 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.
11 munchausen’s syndrome wendy scott of scotlanddisorder began at age 16over 12 years she was admitted to 385 hospitals38 operationsfistula was ignored
12 munchausen’s 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…
13 munchausen’s syndrome by proxy poisonsfecesurinesalivavaginal microbesinsulinsaltpeppersugarpinssuffocationunderfeedingcarotid pressuresputumotc medicationsexposure to filthwaterinstrumentation
23 sex slavery and the stockholm syndrome patricia hearst symbionese liberation army
24 stockholm syndromedr. 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:
25 stockholm syndrome the victim has positive feelings toward his captor… the victim has negative feelings toward the authorities responsible for his rescue…the hostage’s positive feelings towards the hostage taker are reciprocated by the hostage taker…
30 korogenital 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.
31 korokoro was first described in the yellow emperor’s book of medicine in china as early as 3000 b.c..earliest reports came out of southwest asia and nearby regions.international cases
32 koro outbreaks and individual cases penis theft genital shrinkage presentation can vary dependingon the geographic regionpoisonsblack magic
33 koro stroke psychotic illness drug abuse body dysmorphic disorder fear of hiv or sexual diseasesmass hysteriaanxiety
34 savants autistic savant both autism and savant syndrome severe developmental or mental handicap with extraordinary mental abilitiesvery high narrow intelligence in one or more fieldscongenital or acquired (accident or illness)
43 trichotillomania1889 french dermatologist hallopeau. described a maladaptive behavior pattern of self-mutilation…pulling, plucking, or tweezing (not shaving)reported in children as young as 17 months
44 trichotillomania estimated 8 million cases in the u.s. trichophagy 10% (25% rub hair around their mouth)ocd or not?impulse control disorder
46 necrophilia rarest, most gruesome of the sexual disorders may take the form of murder in order to obtain a dead sex partnerbehavior includes a whole range of acts (kisses, intimate caresses, masturbation, intercourse)
47 necrophilia has occurred throughout history societies adopted safeguards against the abuse of corpsesdelay of taking corpse to the embalmer
48 necrophilia 3 categories of necrophilia: 1. violent necrophiles – kill to get a corps or obtain a sexual charge from mutilating dead bodies2. fantasy necrophiles – imagine or play-act3. romantic necrophiles
49 necrophilia sergeant francois bertrand 1849 french farm family violent, destructive temper fitssexually precocious – masturbating at age 8fantasy of torturing, killing, and sexually assaulting entire rooms of naked women
50 necrophilia killed and mutilated dogs, cats, other animals dug up female corpses and masturbates while playing with the intestinessexual intercourse with the body of a 16y/o girl“But all my enjoyment with living women is nothing as compared with it.”
51 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.
53 necrophilia count karl tangler von cosel 60y/o world war I german submarine skipper9 college degreesliving in key west, floridaworking as a x-ray technicianelena hoyos mesa was a 20 year old cuban entertainer with progressive tuberculosis
54 necrophilia von cosel took mesa’s body after her death built an above ground burial vault with a telephonereconstructed face, breasts, arms, legs, and trunkvaginal tubeairship, stratosphere, radiation
55 necrophiliavon cosel’s necrophilia inspired the hispanic song “Boda Negra” black weddingpolice sealed elena’s body in a metal tube and buried her in a secret location
58 necrophilia parker ward (age 54) convicted of necrophilia in august 2006forsyth county, georgia4 years prison4 years probationcorpse of a 43 year oldfemale who died by od
59 folie a deux dual madness = contagious insanity no condition more dramatically illustrates our need for support from our fellow human beings.induced psychotic disorder
60 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.”
61 folie a deuxfolie a troisfolie a quatrefolie a plusieres
62 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…
63 folie a deux imposed psychosis (folie imposee) a well-adjusted person comes to share a psychotic partner’s delusion after they have been living together for a long time. the secondary partner’s 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.
64 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.
65 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.
67 capgras’ delusion 1923 french psychiatrist jean marie joseph capgras delusion usually involves a close relative or friendpatient believes the friend or relative has been replaced by an imposter, an exact double
68 capgras’ delusion patient may see himself or herself as their double delusional misidentificationmay extend to objects and animalsaffects both sexes, prevalent in femalescerebral lesions-posterior area of the right hemisphere were face recognition is processed35% of case have an organic etiology