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Journal Article

Citation

Garnier E, Brun A. Evol. Psychiatr. (Paris) 2016; 81(4): 789-802.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.evopsy.2016.01.004

PMID

unavailable

Abstract

OBJECTIVEs. - Criminals that are considered as criminally irresponsible may have committed violent acts under the influence of hallucination. In this article, the author aims to cast light on the function of the act in this extreme clinical situation.

METHOD. - The account of the encounter with two patients in a unit for difficult patients is completed by theorefiCal contributions aiming to identify the mental processes involved when action emerges while a person is under the influence of hallucination.

RESULTS. - It appears that, when undergoing hallucination, the subject is faced with reappearance in the present of a part of his story that had never been symbolized, and he breaks free from the hallucination by turning it into an act that is committed in real life. Once splitting phenomena have been identified in the encounter with these patients, the crime scene can then be regarded as a representation of terrors experienced in sensorimotor and perceptual manner.

DISCUSSION. - The article shows how, by killing another person, criminals protect themselves from their own feeling of annihilation, among other things by freeing themselves from a melancholic state. The subject/non subject of the crime is aiming to become a separate individual through the murder of an object from which he is attempting to "un-merge".

CONCLUSION. - The crime therefore functions as means of survival for the hallucinating subject who is faced with the reappearance of a part of his history never before symbolized, with which he is trying to deal through enactment. To contain the experience of catastrophic fusion with the primary object, murder appears as an attempt to separate the subject and the object; in the absence of introjection of an empathetic double, murder "seems to be an ultimate attempt to instate the other person as a non-threatening double. (C) 2016 Elsevier Masson SAS. All rights reserved.


Language: fr

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