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P0148 - Disorders of self-regulation among epileptic offeders

Published online by Cambridge University Press:  16 April 2020

M.V. Usukina
Affiliation:
The Serbsky National Research Centre for Social and Forensic Psychiatry, Department of Exoge-Nous Mental Disorders, Moscow, Russia
S.V. Kornilova
Affiliation:
The Serbsky National Research Centre for Social and Forensic Psychiatry, Department of Exoge-Nous Mental Disorders, Moscow, Russia
V.G. Bulygina
Affiliation:
The Serbsky National Research Centre for Social and Forensic Psychiatry, Department of Exoge-Nous Mental Disorders, Moscow, Russia

Abstract

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The aim of the study of 118 mail offenders with epilepsy diagnosis was to determine factors, witch of severe antisocial deeds. Some key characteristics of self-regulation were revealed by using standardized psychiatric interview and psychological tests.

In our study we assumed the cognitive paradigm, in witch self-regulation was considered to be cyclical conscious psychological process, which consisted of following phases: long-term planning, pro-gramming, modeling, evaluation. Self-regulation is also characterized by level of flexibility and intercon-nection/autonomy.

The typical variants of self-regulation disorders were:

  1. 1) disconnectedness within process, while the phases, themselves, were on high level of function-ing;

  2. 2) «disharmonious» profile of self-regulation with non-realistic planning and hyper function of pro-gramming;

  3. 3) low level of functioning of all phases of the process, with combination of sufficient evaluation abilities and lack of anticipating capacities.

In the first variant: aggressive manifestations could be related to the following factors. Specific for epilepsy personal treats increased the rate of negative attributions in a wide range of situations. Alcohol intoxication disrupted compensatory formed manners of self regulation and interpersonal relations.

In the second variant: epilepsy patients exhibited general cognitive morbidity and personal disorders. Negative symptoms in combination with suspiciousness and jealousy determined the evaluation even of neutral situations as hostile and threatened. This leaded to fixation of aggressive patterns as the common way of interaction.

In the third variant: criminal history and aggressiveness appeared much earlier than epilepsy manifestation. Such manner of self-regulation was more the result of preceding personal and conduct dis-orders, than the epilepsy outcome.

Type
Poster Session III: Forensic Psychiatry
Copyright
Copyright © European Psychiatric Association 2008
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