Transcript eccentric & bizarre behaviors

eccentric & bizarre
behaviors
david a. brady, d.o.
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erotomania: obsessive loving
munchausen’s syndrome by proxy
frottage: a touch of love
vampirism: the ungrateful dead
sex slavery and the stockholm syndrome: from terror to
love
autoerotic asphyxia: breathless sex
capgras and other misidentification delusions: replaced
by an impostor
folie a deux: shared insanity
koro: the disappearing penis
savants: super talents in the subnormal
trichotillomania: hair pulling compulsion
necrophilia: sex after death
erotomania
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 27th, 1969
tarasoff warnings: the duty to warn
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.
munchausen’s syndrome
munchausen’s syndrome occurs
worldwide. it was first named by richard
asher, an english physician in 1951. the
disorder is regarded as factitious, which
means that its physical and psychological
symptoms are invented by the patient.
munchausen’s syndrome
wendy scott of scotland
disorder began at age 16
over 12 years she was admitted to 385 hospitals
38 operations
fistula was ignored
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…
munchausen’s syndrome
by proxy
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poisons
feces
urine
saliva
vaginal microbes
insulin
salt
pepper
sugar
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pins
suffocation
underfeeding
carotid pressure
sputum
otc medications
exposure to filth
water
instrumentation
frottage
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
vampirism
richard trenton chase “vampire of
sacramento”
 drank his victim’s blood
 delusional that he
needed to drink blood to
prevent the nazis from
turning his blood into
powder
chase
bedwetting
 macdonald triad
pyromania
zoo sadism
chase
 erectile dysfunction
 hypochondria
 suicide by overdose
lycanthropy /
therianthropy
lycanthropy=wolf
therianthropy=animal
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 negative feelings toward the
authorities responsible for his rescue…
 the hostage’s positive feelings towards the
hostage taker are reciprocated by the hostage
taker…
autoerotic asphyxia
autoerotic asphyxia
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huffing
scarfing
fantasy
ecstasy
flying the moon
headrushing
autoerotic asphyxia
koro
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
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
koro
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outbreaks and individual cases
penis theft
genital shrinkage
presentation can vary depending
on the geographic region
 poisons
 black magic
koro
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stroke
psychotic illness
drug abuse
body dysmorphic disorder
fear of hiv or sexual diseases
mass hysteria
anxiety
savants
 autistic savant
 both autism and savant syndrome
 severe developmental or mental handicap with
extraordinary mental abilities
 very high narrow intelligence in one or more
fields
 congenital or acquired (accident or illness)
savants
kim peek
savants
born november 11th, 1951
savants: kim peek
macrocephaly
agenesis of the corpus callosum
cerebellar damage
absence of the
anterior commissure
savants: kim peek
memorizing by age 16 to 20 months
remembers 98% of what he reads
began walking at age four
can not button shirt
social skills have increased
savants: alonzo clemons
acquired savant syndrome due to a
childhood head injury
savants: alonzo clemons
trichotillomania
trichotillomania
 1889 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
trichotillomania
 estimated 8 million cases in the u.s.
 trichophagy 10% (25% rub hair around
their mouth)
 ocd or not?
 impulse control disorder
necrophilia
necrophilia
 rarest, most gruesome of the sexual
disorders
 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)
necrophilia
 has occurred throughout history
 societies adopted safeguards against the
abuse of corpses
 delay of taking corpse to the embalmer
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
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
necrophilia
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 mesa’s 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 cosel’s necrophilia inspired the
hispanic song “Boda Negra” black
wedding
police sealed elena’s body in a metal tube
and buried her in a secret location
necrophilia
necrophilia
ed gein
ted bundy
jeffrey dahmer
necrophilia
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parker ward (age 54)
convicted of necrophilia in august 2006
forsyth county, georgia
4 years prison
4 years probation
corpse of a 43 year old
female who died by od
folie a deux
 dual madness = contagious insanity
 no condition more dramatically illustrates
our need for support from our fellow
human beings.
 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 quatre
 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
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.
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.
capgras’ delusion
capgras’ delusion
 1923 french psychiatrist jean marie
joseph capgras
 delusion usually involves a close relative
or friend
 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
 delusional misidentification
 may extend to objects and animals
 affects both sexes, prevalent in females
 cerebral lesions-posterior area of the right
hemisphere were face recognition is processed
 35% of case have an organic etiology
the end!