TY  - JOUR
PY  - 2018//
TI  - Paranoiac delirium, dangerousness and homicide
JO  - Annales medico-psychologiques
A1  - Bouchard, J.-p.
A1  - Brulin-Solignac, D.
A1  - De Jésus, A.
A1  - Floris, E.
A1  - Quillerou, B.
A1  - Lodetti, C.
A1  - Soulan, X.
SP  - 702
EP  - 711
VL  - 176
IS  - 7
N2  - "Are you threatening to kill me?", asks the psychiatrist. "It's not a threat, it's a promise!", replies the paranoiac patient. In just a few short words, this exchange raises the issue of a dangerous, potentially homicidal nature linked to paranoia. This mental disorder is such that it severely complicates interpersonal relationships. Its mechanisms and delusional themes often cause paranoiac individuals - male or female - to have difficult, tense, conflictual and even violent relationships both inside and outside of the family. These difficult relationships can sometimes lead to serious non-lethal attacks or, more exceptionally, single or multiple homicides that have frequent precursory warning signs. The motives for homicides committed by paranoiacs are linked to the themes of their delusions: persecution, prejudice, jealousy, filiation, erotomania, betrayal, etc. The therapeutic alliance, frequently difficult to set up and maintain, makes healthcare treatment difficult for dangerous paranoiac individuals. Ideally, this treatment is based on two key approaches: medicinal treatment and psychotherapy. When these people are not considered to be criminally responsible for the acts that they have committed they are forced to receive care. © 2018<p /> <p>Language: en</p>
LA  - en
SN  - 0003-4487
UR  - http://dx.doi.org/10.1016/j.amp.2018.06.001
ID  - ref1
ER  -