Infanticide is the most serious form of child abuse, and has been tolerated until the end of the XVII Century due to a conception of children as parents' property.This is a case report of infanticide. The perpetrator was mother, 26 years old woman. Death of the child was caused by cardiac arrest due to multiple rib dislocation fractures, which led to contusion and rupture of the left lung. During childhood, the infant's mother was continuously abused by her parents, alcoholics, mostly by mother, so at the age of 12 she was diagnosed of behavior disorder, high-grade neurotic reaction, and emotional deprivation. At the age of 16, she and her father had murdered her elderly sister, having stabbed her 82 times with a kitchen knife. Criminal charges were then brought against her and her father, and she as a minor was punished to detention in a correctional institution. Ten years after that she killed her own 5 months old daughter. She was found to suffer from profound and permanent personality disorders corresponding to borderline structure incapable to control her aggressive impulses.Alcoholism is highly connected with violence behavior. The mothers neglecting their children pose a specific problem because of their commensal relationship with them, and because of high transmition possibility through future generations.The authorities of Republic of Croatia have developed legal, administrative, social and educational models to prevent all kind of violence against children and adolescents. Unfortunately, too late for this family, but on time for many others.
U radu se raspravlja o fenomenu agresivnosti i nasilja kod čovjeka, s posebnim osvrtom na duševno oboljele. Krizno stanje i nasilno ponašanje ne događa se samo u psihijatriji. Ono se može dogoditi uvijek, a žrtva i počinitelj pod određenim okolnostima može biti svatko. Poznavanje multikauzalnosti i kompleksnosti te individualnih okolinskih i situacijskih čimbenika koji dovode do nasilnog ponašanja imaju malu snagu predikcije. Statistički pokazatelji mogu skrivati lažno pozitivne i negativne rezultate, pri čemu pogreška procjene može drastično povećati rizik da se neko ponašanje dogodi ili dovesti do neopravdanog suspendiranja ljudskoga prava na slobodu. Primjena prisile u psihijatriji nužna je samo iznimno i u ograničenom trajanju u situacijama kada se opasnim ponašanjem izravno ugrožava život i zdravlje osobe ili okoline. Pozitivna zakonska regulativa, posebice Zakon o zaštiti osoba s duševnim smetnjama (NN 76/2014) te Pravilnik o vrstama i načinu primjene mjera prisile prema osobama s težim duševnim smetnjama (NN 16/2015) dodatno štiti prava oboljelih i propisuje vrste i način primjene prisile kao i procedure za postupanje. Strukovna psihijatrijska društva dala su dodatne smjernice i strategije za postupanje. U radu se ističe potreba za boljim uvjetima, infrastrukturom i ljudskim resursima uz kontinuirano unaprjeđenje i evaluaciju kvalitete rada u psihijatriji. Zaključno, propituju se standardi i etička pitanja društva te širokog spektra aktivnosti, od destigmatizacije, preko bolje dostupnosti usluga do standarda života i socijalne uključenosti, koji posredno mogu dovesti do bitnog smanjenja nasilja u društvu.
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