george b. palermo, m.d. director center forensic psychiatry and risk assessment clinical professor...
TRANSCRIPT
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GEORGE B. PALERMO, M.D.
DirectorCenter Forensic Psychiatry and Risk Assessment
Clinical Professor Psychiatry & NeurologyMedical College of Wisconsin
Adjunct Professor of CriminologyMarquette University
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OMICIDIO
L’omicidio riflette il carattere dell’omicida e lo stato socio-economico e morale della società.
Statistiche hanno dimostrato che gli uomini sono più propensi a violenza omicidiaria. Soltanto il 10%-20% di tutti gli omicidi sono commessi da donne.
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VITTIMIZZAZIONE USA 2002
Casi riportati - 23 milioni
• Crimini contro la proprietà (17.5 milioni)
• Crimini contro la persona (5.3 milioni)
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OMICIDI NEGLI STATI UNITI
1950 - 7,020 1960 - 9,1101970 - 16,000 1980 - 23,040
1990 - 21,000 2000 - 15,580 2001 - 15,980 2002 - 16,1102003 (gennaio - agosto)
Chicago - 559 (648 in 2002)New York - 596 (584 in 2002)
(FBI statistiche)
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CASI DI VIOLENZA RISOLTI 2000
• Omicidio - 63%• Aggressione grave – 65.5%• Stupro – 44.5%
• (Bureau of Justice Statistics, 2003)
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OMICIDI RISOLTI (CLEARANCE)
• 1958 – Wolfgang
90% su 6,435 omicidi (18 città)
• 2000 – FBI statistiche
63% su 16,000 omicidi (USA)
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OMICIDIO USA – 2002 STATISTICHE DEMOGRAFICHE
VittimeUomini percentuale più alta Bianchi (49.1%)Afro-Americani (46.9%)
CriminaliUomini (90%)Adulti (92%)Persone sconosciute (24%)Conosciute dalla vittima (77%)
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TEORIE SOCIOLOGICHE
SUTHERLAND E CRESSEY (1959)La violenza si apprende dai violenti
MASLOW (1960)Teoria dei basic needs
LORENZ (1963)Meccanismi di liberazione scatenano l’aggressivitàModello idraulicoImportanza della casa
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TEORIE SOCIOLOGICHE
WOLFGANG E FERRACUTI (1967)
Sottocultura della violenza
ARDREY (1970)
Teoria dello spazio adeguato (importanza della casa)
WILSON (1984)
Teoria del Right Man (l’uomo giusto)
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TEORIE SOCIOLOGICHE
LANGEVIN E HANDY (1987)
Indiziati di omicidio hanno una percentuale di matrimoni inferiore del 50% della popolazione
DALY E WILSON (1988)
Rapporto fra omicidio e parentela
BERKOWITZ (1989)
La frustrazione di un desiderio
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FATTORI CONTRIBUENTI ALLA VIOLENZA
• Urbanizzazione• Famiglia disfunzionale• Disoccupazione• Basso livello culturale• Mancanza di training• Gangs• Droge ed alcol• Armi da fuoco
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ABRAHAM MASLOWBASIC NEEDS (Maturità Sociale)
• Fisiologici
• Affettivi
• Sicurezza personale
• Dignità personale (onore)
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TEORIA DELL’ONORE E DELL’INSULTO
La persona oggetto di insulto lo vive come una minaccia alla propria reputazione sociale. Ciò è più frequente al sud che al nord (USA e Italia).
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TEORIE NEUROBIOLOGICHE
• Amigdala – ippocampo – ipotalamo – lobi
frontali – area preottica – regione mid-
temporale
• Sindrome disfunzionale dei lobi frontali
• Sostanze stupefacenti
• Neurotrasmettitori (serotonina, ecc.)
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SINDROME DISFUNZIONALE DEI LOBI PREFRONTALI
• Impulsività
• Mancanza di controllo
• Incapacità di modificare o inibire il proprio comportamento di un corretto giudizio
• Incapacità di anticipare le conseguenze del proprio operato
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FATTORI DEMOGRAFICI, SITUAZIONALI, AMBIENTALI
• Vivere in una zona popolare caotica
• Appartenenza ad una banda (gang)
• Uso di sostanze oppiodi
• Abuso di alcolici
• Disoccupazione
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KARL MENNINGER
• OMEOSTASI
• SINDROME DEL DISCONTROLLO
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EMOZIONI NEGATIVE
• Odio e Rabbia
• Ansia e Paura
• Frustrazione e Disperazione
• Gelosia e Depressione
• Umiliazione e Vendetta
• Senso di Grandiosità
• Idee Persecutorie e Deliri Mistici
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Gruppi Caratteriali
Personalità Antisociale Labilità Emotiva Dipendenza
Impulsività
Personalità Psicopatica Egocentricità
Narcisismo Sadismo
Aggressività
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Gruppi Caratteriali
Personalità Paranoide Impulsività Egocentricità Personalità Borderline
Ossessivo-Compulsivo Impulsività
Labilità Emotiva Aggressività Ambivalenza
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OMICIDA
• Difficoltà in rapporti affettivi/intimi
• Meno legami matrimoniali
• Forma di protesta sociale
• Maschilismo sfrenato (machismo)
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OMICIDIO
Difficoltà affettive
Matrimoni -
Rivendicazione o protesta sociale
Macismo
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2004 - 15,151 vittime in USA2004 - 15,151 vittime in USA2005 2005
Milwaukee - 122 (88 in 2004)Milwaukee - 122 (88 in 2004)New York City – 540New York City – 540Chicago – 447Chicago – 447Philadelphia – 377Philadelphia – 377Detroit – 357Detroit – 357Baltimore – 268Baltimore – 268Boston - 75Boston - 75
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OMICIDIO NON-SERIALE
Reattivo
Affettivo/Interpersonale
Spesso coniugato
14-24 anni
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PARRICIDIOOmicido di entrambi i genitori, genitori
adottivi, nonni, od altri parentiAbuso psicologicol/fisico/sessuale Omicida
DrogatoSottoposto ad abuso graveFigli con grave malattia mentale Figlio antisociale e pericoloso
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PATRICIDIOOmicidio del padre da figlio o figliaPadre ritenuto punitivo, limitante libertà,
non-affetuosoPadre spesso abusivo nel passato (fisico,
psicologico, sessuale)Motivazione
Rabbia - Benefici economiciOmicida giovane, passivo-aggressivo, a
volte schizofrenico o depresso
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MATRICIDIO
Omicidio della madre da parte figlio o figlia
Figlio – relazione simbiotica con made (Complesso di Edipo)
Liberarsi da stato dipendenza
Figlia – ambivalente, gelosa
(Complesso di Elettra)
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FIGLIOCIDIO
Neonaticidio (entro 24 ore di nascita)Infanticidio (24 ore ad 1 anno)Filicidio
In prima età (1-12 anni)Adolescenza (12-18 anni)
OmicidaDepressa – sia madre che padre o parenti adottiviDroga/alcol
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UXORICIDIO
Parte della violenza domestica Vittime (marito o moglie)4,000 donne Americane ucciso ogni anno
dallo sposo o amico intimoAbuso psicologico o fisico di vecchia dataOmicida
ParanoideAbuso di alcol e droga
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OMICIDO DA PARANOIA DI GELOSIA
Omicida sospettoso, sfiducioso
Sospetti si basano su premesse incorrette
Deliri
Assuefazione a droga e alcol
Spesso si suicida
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OMICIDA NON SERIALE
• Reattivo
• Affettivo-interpersonale
• Spesso sposato
• Età 14-24 anni
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OMICIDA MULTIPLO
• Spree killer
• Omicida di massa
• Omicida-suicida
• Omicida seriale
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Serial KillerCaratteristiche Social
Tipo Organizzato
• Intelligente
• Primogenito o secondogenito
• Padre lavoro stabile
• Disciplina paterna inconsistente
• Competenza sociale
• Competenza sessuale
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Serial KillerCaratteristiche Sociali (cont.)
• Coabita con partner
• Lavoro tecnico
• Usa alcol
• Frequente cambio lavoro e residenza (mobilità)
• Curioso di fatti criminosi in TV
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Serial KillerCaratteristiche Psicologiche
• Difficoltà nel relazionare• Senso di solitudine e isolamento• Ambivalenza• Mancanza di capacità empatica• Difficoltà nel mentalizing• Reificazione delle vittime• Fantasie stimolanti (devianti sessuali)
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Serial KillerCaratteristiche Psicologiche (cont.)
• Narcisismo
• Grandiosità
• Sentimenti e atteggiamenti paranoidi
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SERIAL KILLER
• Visionario
• Missionario
• Controllo
• Edonista
• Lussurioso Organizzato
Disorganizzato
Misto
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SERIAL KILLER MISSIONARIO
• Compito di protezione sociale
• Pseudo-religioso
• Pseudo-politico
• Pseudo-culturale
• Razziale
• Sessuologo moralista
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SERIAL KILLER LUSSURIOSO
• Usa simile tecnica• Uccide più di 3 vittime• Vittime simili fisicamente • Luogo di crimine simile• Tecnica del crimine simile• Ted Bundy-John Wayne Gacy-Jeffrey
Dahmer
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SERIAL KILLER SADICO
• Ritualismo settario
• Mafioso
• Di guerra
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SERIAL KILLERMODUS OPERANDI
• Stress precipita il crimine
• Pianifica il crimine
• Calmo durante il crimine
• Vittima è sconosciuta
• Accattivante la vittima
• Controlla la vittima
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SERIAL KILLERPARTICOLARITÀ
• Antropofagia• Sindrome di Reinfield (vampirismo)• Usa manette• Nasconde il corpo vittima• Mancanza di arma delitto alla scena del
crimine• Usa pornografia
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SERIAL KILLERS FAMOSI NELLA STORIA
• Gilles de Rais
• Madame Bartheley
• Jack the Ripper
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RECENTI SERIAL KILLERS AMERICANI
• Theodore Bundy
• John Gacy
• Richard Ramirez (Los Angeles Night Stalker)
• Jeffrey Dahmer (Il mostro di Milwaukee)
• Gary Ridgway (Green River Killer)
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TIPI DI OMICIDIO
• PRETERINTENZIONALE
• COLPOSO (NEGLIGENZA)
• DOLOSO (VOLONTARIO)
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PSICOSI
• Schizofrenia (paranoide)
• Disturbo paranoide con delirio
• Breve comportamento psicotico
• Psicosi isterica
• Psicosi esplosiva intermittente
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PSYCHOPATHY CHECKLIST(PCL-R)
• Fattori 1
Tratti affettivi/interpersonali
• Fattori 2
Tratti di devianza antisociali
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CARATTERISTICHE DI PERSONE A RISCHIO (VIOLENTI)
Egocentrictà Impulsività
Narcisismo Paranoia
Ossessività Compulsività
Sadismo Aggressività
Ambivalenza Labilità Emotiva
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SADISMOUn comportamento crudele, umiliante, aggressivo, e distruttivo sul soggetto assalito sessualmente
Kraft-Ebing - sadismo
Sigmund Freud – spinta a dominare
Erich Fromm – aggressività maligno
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SERIAL KILLER TIPOLOGIA
Visionario
Missionario
Edonista
Lussurioso
Organizzato/Disorganizzato
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SERIAL KILLER
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Use similar techniqueMore than 3 victimsVictim physical/demographic similarities
Ted Bundy – John Gacy – Jeffrey Dahmer Richard Ramirez (Night Stalker) Gary Ridgway (Green River Killer)
Dennis Nilsen – Andrei Chikatilo
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Sense of social isolationPreference for autoerotic activities/fetishesRebelliousAggressiveChronic liarsLack of trust/commitment Fantasy life
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Anthropophagia
Reinfield Syndrome (vampirism)
No weapon at scene of crime
Hides/disposes of body of victim
Signature
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CARATTERISTICHE IN USARazza: Bianca (84%); Afro-Americana (16%)Sesso: uomini (90%); donne (10%)Q.I. – media o al di sopra della media Famiglia – disunita/abusivaGenitori – madre dominatrice
odio genitoriIn fanciulezza
problemi psichiatricipiromaniaenuresi (60%)
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Mappa Cognitiva I
Sente il mondo come ostile
Incapace di interazione con gli altri
Introspettivo
Necessità stimuli abnormi
Tende ad isolarsi
Fantasie omicide
Fantasie sessuale
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Mappa Cognitiva II
Grandiosità Narcisistica
Si crede al di sopra di valori sociomorali medi
Impulsivo/programmato
Basso concetto di sé/senso di rifiuto
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JEFFREY DAHMER
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Nato a Milwaukee31 anni quando scopertoCelibeIntelligenza media +1 anno di college2 anni di servizio militare
volontario
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Sperimentato con:
marijuana
alcol
ashish
Bevitore (fine settimana)
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FAMIGLIA
Relazioni tense
Padre rigido
Madre comportamento cambievole
Comportamenti litigiosi
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OMICIDI
Ohio -- 1 a 18 anni (1979)
Milwaukee -- 2 a 30 anni (1990)
viveva con la nonna
Milwaukee --1 a 30 anni (1990)
in un’albergo
Milwaukee – 13 a 30/31 (1990/1991)
nel suo appartmento
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CARATTERISTICHE
Solitario, timidoSenso di non essere accettatoSenso di essere diversoTendenza omosessualeAttratto a giovani muscolosi (18-25)Fantasie ossessivi narcisisticheFantasie omosessuali Tendenze distruttive antisociali
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TRATTI PSICOLOGICI
MentitoreSeduttivoCalcolatore/programmatoIn controlloFeticista (foto)Robotizzazione delle vittimeStrangolamento o arma da taglio Semembramento
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Diagnosi
Disturbo di Personalità NOS, grave
(già Disturbo Misto di Personalità)
Antisociale/Ossessivo-Compulsivo
Sadistico/feticistico/narcisistico
Borderline e tratti necrofilici
Lust Killer non socializzato e organizzato
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LA SENTENZA
15 carceri a vita consecutivi
Ucciso in prigione da Christopher Scarver