dr roan homicide

8/11/2019 Dr Roan Homicide

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Curriculum Vitae: dr W.M. ROAN

Lahir: Cirebon, 10 September 1936

Menikah: 1 isteri. 3 anak, 1 (lk) dokter-psikiater, 1 (lk) dokterbidang pharmaceuticals, 1 (pr) insinyur pertanian (hortikulturis),sudah punya 6 cucu

1963: Lulus dokter Univ. Airlangga, Surabaya.

1966-1969: Direktur Rumah Sakit Jiwa Jakarta

1969-1971: Pendidikan spesialistik di Inggeris & mendapatDiploma in Psychological Medicine, Institute of Psychiatry, &Institute of Neurology, Univ. of London, United Kingdom.

1972-1992: Kasubdit Pencegahan, Dit Kes Jiwa, Dep Kes RI

1973-kini: Dosen FK UPH, FK UKI, FKUI: m.k. Terapi Perilaku,(pensiun 2005) FK Atmajaya (pensiun 2003).

1977: ASEAN Ageing Project, Expert for Indonesia

1995: Psikiater RS St Carolus, Siloam Kb Jeruk & Karawaci


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HOMICIDE

JAKARTA, 17 NOVEMBER 2013

DR. W.M.ROAN DPM(Lond.), SpKJ(K)


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AGGRESSION

Many definitions:

Violent actions against others

Intent to harm or injure another person

Physical attacks against self or other

Physical attacks against objects

Verbal aggression

Coercion Intimidation

Premeditated social ostracism


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Some DSM-4 TR Disorders ass. With

aggressionsMental Retardation

Attention Deficit Hyperactivity Disorder

Conduct disorder

Cognitive Disorders: delirium, dementia

Psychotic disorders: Schizophrenia, other psychosis

Mood disorders: due general medical conditions, substance induced

Intermittent explosive disorders

Adjustment disorders + disturbance of conduct

Personality disorders: paranoid, antisocial, borderline, narcissisticChildhood, adolescent or adult antisocial behaviour


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Commonly cited predictors of

dangerousnessHigh degree of intent to harm

Presence of a victim

Frequent & open threats

Concrete plan

Access to instruments of violence

History of loss of control

Chronic anger, hostility or resentment

Enjoyment in watching or inflicting harm

Lack of compassionS elf-view as victim

Resentful of authority

Childhood brutality or deprivation

Decrease warmth & affection in home

Early loss of parents


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ETIOLOGY

Instinctive behaviour: Freuds eros & thanatos

Learned behaviour

Social factor

Frustration Direct provocation

Television violence

Environmental factors

Air pollution Noise

crowding


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ETIOLOGY

Situational

Sexual arousal

Pain

Biological factors

Testosterone, progesterone, dopamine, B-

endorphine, epinephrine, etc

Neuroanatomical damage

Epilepsy, history of physical abuse


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ETIOLOGY

Neurotransmitters

Cholinergic & catecholaminergic enhance

aggresssion

Gaba, serotonin decrease aggression

Genetic factors

Twin studies

Chromosomal influence: XYY syndrome


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TERMINOLOGIES

Homicide

Infanticide

Filicide Suicide

dr roan homicide

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