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Citation |
Saha R, Singh SM, Nischal A. Shanghai Arch. Psychiatry 2015; 27(5): 311-314. |
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Affiliation |
Department of Psychiatry, Dr. Ram Manohar Lohia Hospital, New Delhi, India. |
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Copyright |
(Copyright © 2015, Shanghai Mental Health Center) |
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DOI |
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PMID |
26977129 |
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Abstract |
This case report describes a 30-year-old mother of four with a 6-year history of obvious paranoia and psychosis from a poor rural farming community in India. Her symptoms and social functioning deteriorated over time, but the family did not seek medical care until she killed her 3-month-old daughter while under the influence of command hallucinations. Subsequent treatment with antipsychotic medication resulted in control of her psychotic symptoms and greatly improved psychosocial functioning. This case is an example of one of the many negative consequences of a community's failure to recognize and treat mental illnesses. The patient had severe symptoms that were obvious to all for 6 years prior to the infanticide, but the family's lack of basic knowledge about mental illness, the lack of locally available mental health care, and the relatively high cost of care prevented family members from obtaining the treatment that almost certainly would have prevented the tragic death of her infant. Changing these three factors in poor rural communities of low- and middle-income countries is the challenge we must work together to address. Infanticide secondary to untreated mental illness is a glaring reminder of how urgent this task is. Language: en |
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Vernacular Abstract |
本病例系一位4 个孩子的母亲，30 岁，来自印度贫困农村，有明显偏执和精神病史6 年。患者的症状和社会功能已经越来越恶化，但家人一直没有带其就医，直到她在命令性幻觉的影响下杀死了自己3 个月大的女儿。此后使用抗精神病药物治疗，患者的精神病性症状得到控制，心理社会功能也明显改善。该案例是在社区中未能识别和治疗精神疾病造成诸多负面后果的典型案例之一。该患者在弑婴之前已经有长达6 年的显而易见的严重症状，但由于家人缺乏关于精神疾病的常识，当地缺少精神卫生保健资源，加上医疗费用相对昂贵，患者未能得到及时治疗，导致了这起原本可以避免的婴儿惨死案件。要改变上述三个在中低等收入国家的农村贫困地区阻碍治疗的因素， 我们必须共同应对这一挑战。任务紧迫！这一因精神疾病未得到治疗所致的弑婴病例为我们敲响了警钟。. |