eccentric & bizarre behaviors david a. brady, d.o.
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 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…
poisons feces urine saliva vaginal microbes insulin salt pepper sugar pins suffocation underfeeding carotid pressure sputum otc medications exposure to filth water instrumentation munchausen’s syndrome by proxy
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 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 • huffing • scarfing • fantasy • ecstasy • flying the moon • headrushing
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 • outbreaks and individual cases • penis theft • genital shrinkage • presentation can vary depending on the geographic region • poisons • black magic
koro • 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
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 • 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.”