Amok syndrome: Description, Causes and Risk Factors:A colloquial expression denoting maniacal, wild, or uncontrolled behavior threatening injury to others.Although the actual amok syndrome is less well-known, the phrase "running amok" (or "running amuck") has become part of the common language for English speakers around the world.Running amok is considered a rare culture-bound syndrome by current psychiatric classification systems, but there is evidence that it occurs frequently in modern industrialized societies. The historical origins of running amok as a psychiatric condition are reviewed in this article, and its relevance to modern day episodes of violent behavior is discussed. Psychotic illnesses, personality disorders, and mood disorders are all possible causes of amok, and the identification and treatment of patients who are at risk for manifesting violent behavior are discussed.Although early psychiatrists have suggested that amok is linked to psychodynamic factors such as loss of social standing, hostility, and victim blaming, more recent investigators have described it as a behavioral syndrome with different potential causes including medical illness such as malaria or neurosyphilis. Acute intoxication has also been suggested as a possible factor in some cases. Since most clinical amok cases have been diagnosed in prisons and psychiatric hospitals, it's hardly surprising that psychiatric diagnoses such as schizophrenia and bipolar disorder are commonly found in cases. Still, it is an open question whether these diagnoses can be used to explain the extreme violence in amok episodes.Today, amok should be viewed as one possible outcome of an individual's undiagnosed and/or untreated psychiatric condition with psychosis or severe personality pathology. Considering the large number of individuals who have psychotic psychiatric conditions, mood disorders, and personality disorders, amok is still a statistically uncommon occurrence.Preventing episodes of amok requires early recognition of susceptible individuals and prompt treatment of the underlying psychopathologic condition. Medical intervention is virtually impossible once an individual is running amok, and the outcome of his/her violent behavior is no different today than it was 200 years ago before the advent of modern psychiatric diagnosis and treatment. The first step in intervention is identifying those individuals whose psychiatric conditions or psychosocial stressors predispose them to running amok. Identification entails assessing patients for risk factors that are known to be related to violent behavior.Symptoms:Symptoms may include:An initial period of social withdrawal lasting for hours or days.
Sudden, unprovoked violence directed at anyone within reach, whether family, friends, or total strangers.
Assaults continuing for minutes, hours, or even days until the amok person is killed or restrained.
In cases where amok sufferers survive, they typically fall into a deep sleep or stupor that can last for days.
After waking, the formerly amok person continues to be withdrawn or uncommunicative and is unable to recall the violence that occurred.
Diagnosis:The psychiatric literature classifies amok as a culture-bound syndrome based on its discovery 2 centuries ago in remote primitive island tribes where culture was considered the predominant factor in its pathogenesis. The primitive groups' geographic isolation and spiritual beliefs were thought to produce a mental illness not observed elsewhere in the world. DSM-IV,which is the current consensus opinion on psychiatric diagnosis, depicts amok as a cultural phenomenon that rarely occurs today. However, characterizing amok as a culture-bound syndrome ignores the fact that similar behavior has been observed in virtually all Western and Eastern cultures, having no geographical isolation. Furthermore, the belief that amok rarely occurs today is contrary to evidence that similar episodes of violent behavior are more common in modern societies than they were in the primitive cultures where amok was first observed.Treatment:Proper treatment of the patient at risk for running amok requires that the clinician make an accurate diagnosis that can be used to determine which treatment modalities are best suited for each patient. To date, there is no medication that has been proven to specifically treat violent behavior, and since violence results from multiple factors, it is unlikely that any such medication will be developed in the near future. The mass violence observed in running amok may be caused by a variety of psychiatric conditions, and medical treatment should therefore be aimed at a diagnosable mental disorder or a personality disorder.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
Recent research from the University of California – Berkeley, US, finds that the deep sleep, which is called non-rapid eye-movement slow-wave sleep (NREM), can calm and reset the anxious brain. To study the effect of the deep sleep, a team of researchers performed a...
A new study from the US, that will be presented at the American Heart Health Association’s Scientific Sessions 2019, suggests that eating later in the evening, after 6 pm if more specific, is associated with poorer heart health in women. For participation in the...
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
When it is so hot outside you still can find hundreds of ways to cool yourself and drinking a mocktail is one of them. Here are few wonderful recipes for you to try. Kiwi Sour 1 oz orange juice 3 slices kiwi 0.75 oz demerara green tea syrup 0.75 oz lime juice 1 oz...
Many people are motivated for active sports in spring. However, before you buy a membership, you should check which exercises are useful to you and which ones should not be done in any way. Unfortunately, nowadays there are practically no people with an absolutely...
In childhood, many of us dreamed of learning to jump high. Now, after years, it became easier - Kangoo Jumps has appeared. This is one of the relatively new, but quickly gaining popularity types of fitness training. There are several advantages of jumpers. ...
Privacy & Cookies Policy
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.