Obsessions of infanticide and imminent psychosis

Psychosis or Obsessions? Clozapine Associated with Worsening Obsessive-Compulsive Symptoms

One underrecognized adverse event of clozapine is the emergence or worsening of obsessive-compulsive symptoms (OCS). OCS, particularly violent thoughts, can be inaccurately described as psychosis and result in a misdiagnosis. We report a case of a 42-year-old man, initially diagnosed with schizoaffective, who was placed on clozapine for the management of "violent delusions." However, clozapine ...

Commentary: postpartum psychosis, infanticide, and insanity--implications for forensic psychiatry.

Two dozen nations have infanticide laws that decrease the penalty for mothers who kill their children of up to one year of age. The United States does not have such a law, but mentally ill mothers may plead not guilty by reason of insanity. As in other crimes, in addition to the diagnosis of a mental disorder, other factors, such as knowledge of wrongfulness and motive, are critical to the asse...

Porcine maternal infanticide as a model for puerperal psychosis.

Childbirth is a period of substantial rapid biological and psychological change and a wide range of psychotic disorders can occur ranging from mild 'baby blues' to severe episodes of psychotic illnesses. Puerperal psychosis is the most extreme form of postnatal psychosis, occurring in 1 in 1,000 births. In this study, we have used the pig as an animal model for human postnatal psychiatric illne...

Obsessions Revisited

Sexual obsessions and OCD

Sexual obsessions are common symptoms of obsessive–compulsive disorder (OCD). The literal content of these obsessions superŽ cially resembles other types of iterative sexual ideation, as seen in the paraphilias, PTSD, and normal sexual fantasy. However, their form, function, and effect on behavior vary greatly. A failure to distinguish these different categories of sexual thought can lead to co...