The sexual asphyxias have, in the past, often been described by forensic pathologists after an apparently accidental death has brought the condition to light. The following case is exceptional in that it came to light before a fatality occurred and suggests that intense self-punitive tendencies may play a part in some cases.
polypharmacy, broadly anticipating the concerns of Lepping & Harborne. Finally, we respectfully suggest that the word polypharmacy be reconsidered, since pharmacy is seldom the originator of the plan! 1 Lepping P, Harbone GC. Polypharmacy: how bad are we really?Psychiatrist 2010; 34: 208-9.2 Tungaraza TE, Gupta S, Jones J, Poole R, Slegg G. Polypharmacy and high-dose antipsychotic regimes in the community. Psychiatrist 2010; 34: 44-6.
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