Aggressiveness, violence, homicidality, homicide, and Lyme disease

Robert C Bransfield Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA Background: No study has previously analyzed aggressiveness, homicide, and Lyme disease (LD). Materials and methods: Retrospective LD chart reviews analyzed aggressiveness, compared 50 homic...

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Autor principal:	Bransfield RC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Borrelia burgdorferi impulsive tick-borne rage suicide aggression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/96b487fe69ce4bbe99693ede1fe7785e
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spelling	oai:doaj.org-article:96b487fe69ce4bbe99693ede1fe7785e2021-12-02T05:14:30ZAggressiveness, violence, homicidality, homicide, and Lyme disease1178-2021https://doaj.org/article/96b487fe69ce4bbe99693ede1fe7785e2018-03-01T00:00:00Zhttps://www.dovepress.com/aggressiveness-violence-homicidality-homicide-and-lyme-disease-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Robert C Bransfield Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA Background: No study has previously analyzed aggressiveness, homicide, and Lyme disease (LD). Materials and methods: Retrospective LD chart reviews analyzed aggressiveness, compared 50 homicidal with 50 non-homicidal patients, and analyzed homicides. Results: Most aggression with LD was impulsive, sometimes provoked by intrusive symptoms, sensory stimulation or frustration and was invariably bizarre and senseless. About 9.6% of LD patients were homicidal with the average diagnosis delay of 9 years. Postinfection findings associated with homicidality that separated from the non-homicidal group within the 95% confidence interval included suicidality, sudden abrupt mood swings, explosive anger, paranoia, anhedonia, hypervigilance, exaggerated startle, disinhibition, nightmares, depersonalization, intrusive aggressive images, dissociative episodes, derealization, intrusive sexual images, marital/family problems, legal problems, substance abuse, depression, panic disorder, memory impairments, neuropathy, cranial nerve symptoms, and decreased libido. Seven LD homicides included predatory aggression, poor impulse control, and psychosis. Some patients have selective hyperacusis to mouth sounds, which I propose may be the result of brain dysfunction causing a disinhibition of a primitive fear of oral predation.Conclusion: LD and the immune, biochemical, neurotransmitter, and the neural circuit reactions to it can cause impairments associated with violence. Many LD patients have no aggressiveness tendencies or only mild degrees of low frustration tolerance and irritability and pose no danger; however, a lesser number experience explosive anger, a lesser number experience homicidal thoughts and impulses, and much lesser number commit homicides. Since such large numbers are affected by LD, this small percent can be highly significant. Much of the violence associated with LD can be avoided with better prevention, diagnosis, and treatment of LD.Keywords: Borrelia burgdorferi, impulsive, tick-borne, rage, suicide, immune Bransfield RCDove Medical PressarticleBorrelia burgdorferiimpulsivetick-borneragesuicideaggressionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 693-713 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Borrelia burgdorferi impulsive tick-borne rage suicide aggression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Borrelia burgdorferi impulsive tick-borne rage suicide aggression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Bransfield RC Aggressiveness, violence, homicidality, homicide, and Lyme disease
description	Robert C Bransfield Department of Psychiatry, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, USA Background: No study has previously analyzed aggressiveness, homicide, and Lyme disease (LD). Materials and methods: Retrospective LD chart reviews analyzed aggressiveness, compared 50 homicidal with 50 non-homicidal patients, and analyzed homicides. Results: Most aggression with LD was impulsive, sometimes provoked by intrusive symptoms, sensory stimulation or frustration and was invariably bizarre and senseless. About 9.6% of LD patients were homicidal with the average diagnosis delay of 9 years. Postinfection findings associated with homicidality that separated from the non-homicidal group within the 95% confidence interval included suicidality, sudden abrupt mood swings, explosive anger, paranoia, anhedonia, hypervigilance, exaggerated startle, disinhibition, nightmares, depersonalization, intrusive aggressive images, dissociative episodes, derealization, intrusive sexual images, marital/family problems, legal problems, substance abuse, depression, panic disorder, memory impairments, neuropathy, cranial nerve symptoms, and decreased libido. Seven LD homicides included predatory aggression, poor impulse control, and psychosis. Some patients have selective hyperacusis to mouth sounds, which I propose may be the result of brain dysfunction causing a disinhibition of a primitive fear of oral predation.Conclusion: LD and the immune, biochemical, neurotransmitter, and the neural circuit reactions to it can cause impairments associated with violence. Many LD patients have no aggressiveness tendencies or only mild degrees of low frustration tolerance and irritability and pose no danger; however, a lesser number experience explosive anger, a lesser number experience homicidal thoughts and impulses, and much lesser number commit homicides. Since such large numbers are affected by LD, this small percent can be highly significant. Much of the violence associated with LD can be avoided with better prevention, diagnosis, and treatment of LD.Keywords: Borrelia burgdorferi, impulsive, tick-borne, rage, suicide, immune
format	article
author	Bransfield RC
author_facet	Bransfield RC
author_sort	Bransfield RC
title	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_short	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_full	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_fullStr	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_full_unstemmed	Aggressiveness, violence, homicidality, homicide, and Lyme disease
title_sort	aggressiveness, violence, homicidality, homicide, and lyme disease
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/96b487fe69ce4bbe99693ede1fe7785e
work_keys_str_mv	AT bransfieldrc aggressivenessviolencehomicidalityhomicideandlymedisease
_version_	1718400485197611008

Aggressiveness, violence, homicidality, homicide, and Lyme disease

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