title: [Hebephrenic symptoms as an expression of an XYY chromosome abnormality? Case report of a patient with suspected sexual abuse of his own 2 minor children].
abstract: A 48 year old patient was hospitalised because of parasuicidal behaviour and suicidal ideation. He was under suspicion of having sexually abused his 4-year old daughter and his 4-year old son. At the age of 17, he was hospitalised in a psychiatric ward under the diagnosis of hebephrenic schizophrenia. He successfully received an insulin coma therapy. Because of his increased height (1.89 m), mental retardation and other psychical disorders in his youth, we now suspected him of having an extra Y chromosome which was confirmed by chromosome analysis. The non-uniform symptomatology of XYY-individuals includes a hebephrenic aspect. Concerning the different therapeutical and juridical consequences, we considered a critical investigation of the former diagnosis "Hebephrenic Schizophrenia".
authors.affiliation: Psychiatrische Klinik, Heinrich-Heine-Universität Düsseldorf.
authors.forename: T
authors.initials: T
authors.lastname: Dirksen
authors.forename: E
authors.initials: E
authors.lastname: Mönikes
mesh_terms: D000293:Adolescent; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000235:genetics / Q000523:psychology; D002650:Child Abuse, Sexual / Q000331:legislation & jurisprudence* / Q000523:psychology; D002675:Child, Preschool; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003937:Diagnosis, Differential; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005260:Female; D006801:Humans; D007298:Insanity Defense; D016365:Liability, Legal; D008297:Male; D008875:Middle Aged; D010378:Pedophilia / Q000175:diagnosis / Q000235:genetics* / Q000523:psychology; D012562:Schizophrenia, Disorganized / Q000175:diagnosis / Q000235:genetics* / Q000523:psychology; D013406:Suicide, Attempted / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology; D014997:XYY Karyotype / Q000235:genetics* / Q000523:psychology
vernacular_title: Hebephrene Symptomatik als Ausdruck einer XYY-Chromosomenanomalie? Kasuistik über einen Patienten mit Verdacht auf sexuellen Missbrauch zweier leiblicher, minderjähriger Kinder.