A presentation on the case of Billy Milligan, who was free from all criminal charges on the grounds of insanity.
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This document discusses terrorism, including defining it as the unlawful use of force against people or property to intimidate governments or populations for political goals. It outlines some terrorist groups like Al-Qaeda, causes of terrorism like religious extremism and poverty, and examples of terrorist attacks over the years such as in Mumbai, London, and Delhi. These attacks have social, political, and economic impacts. Prevention measures discussed include education, security, and unity. Government acts against terrorism are also mentioned.
Bangladesh's foreign policy aims to preserve its sovereignty and economic advancement while maintaining friendly relations with all countries. It faces challenges from territorial disputes with neighbors like India and Myanmar over borders and maritime boundaries. However, Bangladesh has worked through international arbitration to peacefully resolve disputes. It plays an important role in regional economic cooperation initiatives like BIMSTEC and BCIM due to its strategic location connecting South and Southeast Asia. While Bangladesh faces economic and security threats in the region, strengthened regional connectivity and cooperation could help address issues like extremism and climate change.
Although we might have come across this term plenty of times during our lives, we still need to set some standards so that we can distinguish a great score from an average one.
IQ is nothing but the number that a person scores after taking one of the many standardized tests to measure the intelligence level of individuals.
Originally, the intelligence quotient was calculated as the ratio of mental age and chronological age (IQ= MA/CA x 100, where MA is mental age, CA is chronological age). However, today, intelligence scores are calibrated against values of actual population scores
This document discusses various topics related to global terrorism:
1. It identifies some of the perceived causes of terrorism such as injustice and control of media by politicians.
2. It describes different types of terrorism including state terrorism, bioterrorism, cyberterrorism, ecoterrorism, and narco terrorism.
3. Specific examples are provided for some types like the use of anthrax and smallpox in bioterrorism and hacking networks in cyberterrorism.
Mary Tudor was the first Queen of England, reigning from 1553 until her death in 1555. She was the daughter of King Henry VIII and staunchly Catholic, earning her the nickname "Bloody Mary" for ordering the executions of over 300 Protestants during her reign in an attempt to reverse the Protestant reforms of her father and half-sister Elizabeth I. Some of the prominent Protestants executed on her orders included her cousin Lady Jane Grey and Archbishop Thomas Cranmer.
Definition, Types, Goal, Tactics, Financing of Terrorism, Global Terrorism Index (GTI), Terrorism in India, Agencies dealing with terrorism in India, How to stop Terrorism?
This document defines and discusses national security. It explains that national security originally referred to defense against military attacks but now includes non-military threats like terrorism, crime, cyber attacks, and natural disasters. The modern concept of national security evolved during the 17th century to establish the nation-state's sovereign power over domestic and foreign affairs. There are differing views on national security between those who support international institutions and those who favor a nation-state primacy approach. The document also lists some key elements that comprise national security, such as socio-political stability, territorial integrity, and economic solidarity.
This document discusses terrorism, including defining it as the unlawful use of force against people or property to intimidate governments or populations for political goals. It outlines some terrorist groups like Al-Qaeda, causes of terrorism like religious extremism and poverty, and examples of terrorist attacks over the years such as in Mumbai, London, and Delhi. These attacks have social, political, and economic impacts. Prevention measures discussed include education, security, and unity. Government acts against terrorism are also mentioned.
Bangladesh's foreign policy aims to preserve its sovereignty and economic advancement while maintaining friendly relations with all countries. It faces challenges from territorial disputes with neighbors like India and Myanmar over borders and maritime boundaries. However, Bangladesh has worked through international arbitration to peacefully resolve disputes. It plays an important role in regional economic cooperation initiatives like BIMSTEC and BCIM due to its strategic location connecting South and Southeast Asia. While Bangladesh faces economic and security threats in the region, strengthened regional connectivity and cooperation could help address issues like extremism and climate change.
Although we might have come across this term plenty of times during our lives, we still need to set some standards so that we can distinguish a great score from an average one.
IQ is nothing but the number that a person scores after taking one of the many standardized tests to measure the intelligence level of individuals.
Originally, the intelligence quotient was calculated as the ratio of mental age and chronological age (IQ= MA/CA x 100, where MA is mental age, CA is chronological age). However, today, intelligence scores are calibrated against values of actual population scores
This document discusses various topics related to global terrorism:
1. It identifies some of the perceived causes of terrorism such as injustice and control of media by politicians.
2. It describes different types of terrorism including state terrorism, bioterrorism, cyberterrorism, ecoterrorism, and narco terrorism.
3. Specific examples are provided for some types like the use of anthrax and smallpox in bioterrorism and hacking networks in cyberterrorism.
Mary Tudor was the first Queen of England, reigning from 1553 until her death in 1555. She was the daughter of King Henry VIII and staunchly Catholic, earning her the nickname "Bloody Mary" for ordering the executions of over 300 Protestants during her reign in an attempt to reverse the Protestant reforms of her father and half-sister Elizabeth I. Some of the prominent Protestants executed on her orders included her cousin Lady Jane Grey and Archbishop Thomas Cranmer.
Definition, Types, Goal, Tactics, Financing of Terrorism, Global Terrorism Index (GTI), Terrorism in India, Agencies dealing with terrorism in India, How to stop Terrorism?
This document defines and discusses national security. It explains that national security originally referred to defense against military attacks but now includes non-military threats like terrorism, crime, cyber attacks, and natural disasters. The modern concept of national security evolved during the 17th century to establish the nation-state's sovereign power over domestic and foreign affairs. There are differing views on national security between those who support international institutions and those who favor a nation-state primacy approach. The document also lists some key elements that comprise national security, such as socio-political stability, territorial integrity, and economic solidarity.
Antisocial personality disorder is characterized by an abnormal disregard for others and a lack of empathy. People with this disorder often violate the rights of others and do not comply with social norms. Key symptoms include manipulation, lack of guilt, impulsivity, and aggression. There is no known single cause, but factors like childhood abuse, neglect, and a family history of personality disorders are linked to its development. Left untreated, people with antisocial personality disorder are at high risk of criminal behavior, substance abuse, and physical harm.
These case studies describe situations where victims of human trafficking presented for medical care but were not recognized. In the first case, "Jill" was brought to the emergency department by her trafficker after suffering complications from an attempted abortion. Due to a busy emergency department and missed signs of abuse, she was not identified as a trafficking victim. The second case involved an 18-year-old female who was actually a 15-year-old trafficking victim. These cases highlight how traffickers coach victims and manipulate healthcare encounters to avoid detection. Emergency departments frequently encounter trafficking victims but often fail to recognize them.
The document discusses Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It provides details on the diagnostic criteria, symptoms, prevalence, course, treatment, and portrayal in media. DID is characterized by distinct personality states and an inability to recall personal information. Estimates suggest it affects between 250,000-2.5 million people in the US. Long term treatment includes psychotherapy and medication. Celebrities like Britney Spears have been speculated to have the disorder due to exhibiting different personalities.
The document discusses Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It provides details on the diagnostic criteria, symptoms, prevalence, course, treatment, and portrayal in media. DID is characterized by distinct identities that recurrently take control of behavior and amnesia. It affects an estimated 250,000 to 2,500,000 people in the US. Long term treatment includes psychotherapy and medication. Celebrities like Britney Spears have been speculated to have the disorder due to exhibiting different personalities.
This document discusses psychopathic personalities and the risks they pose, especially in clinical treatment settings. It provides information on identifying psychopathic traits using the DSM and PDM criteria. Examples are given of psychopaths manipulating or harming therapists through false claims, lawsuits, or seeking revenge. The document stresses the importance of therapists maintaining strict boundaries and being aware of the risk of psychopathic clients. Treatment is difficult and often counterproductive with psychopaths, who are experts at manipulation.
The document provides statistics on mental health in the United States and Wyoming. It states that approximately 1 in 5 adults in the US experiences a mental illness each year, and half of all chronic mental illnesses begin by age 14. Wyoming has the highest suicide rate in the nation at 30 deaths per 100,000 people. The document also discusses the causes and effects of mental health stigma, including inadequate treatment and discrimination. It previews a poem about OCD by Neil Hilborn that will be shared to help engage students in conversations around mental health awareness.
William Bonin, known as the "Freeway Killer", sexually abused and murdered over 20 young males in Southern California between 1979 to 1980. He would pick up victims, torture and rape them, then dump their bodies along freeways. Bonin was abused as a child which may have led to his crimes. He was caught in 1980 after being observed abducting a teenage boy. Bonin was convicted of 14 counts of murder and sentenced to death, becoming the first person executed by lethal injection in California in 1996.
This document summarizes an open seminar on Stockholm syndrome. It defines Stockholm syndrome as when hostages express sympathy and positive feelings towards their captors. It discusses the historical event in Stockholm, Sweden in 1973 that coined the term. The document then covers causes like survival strategies, defense mechanisms, and cognitive dissonance. It examines psychological, behavioral, cognitive and social explanations. Symptoms, treatment and other case examples are provided. Statistics on prevalence from the FBI are presented. The inverse Lima syndrome is also introduced.
Michael "Sonny" Corinthos Jr. is a 46-year-old divorced mob boss referred for therapy after a major depressive episode following his divorce. He has a history of bipolar disorder and noncompliance with lithium treatment. His childhood was marked by abandonment, domestic violence, and witnessing the abuse of his mother. As an adult, he continues criminal activities as head of a crime family and struggles with impulse control issues when angry or perceiving disloyalty.
This document discusses various types of abuse and neglect, including definitions, characteristics, and indicators. It covers domestic violence, child abuse (physical, emotional, sexual), and sexual assault. Key points include:
1) Abuse can include physical, emotional, or sexual maltreatment. It affects all populations and the abuser often experienced abuse as a child.
2) Domestic violence follows a cycle of tension building, acute battering, and respite. It is underreported due to fear of reprisal. Victims often stay due to financial concerns or lack of support.
3) Child abuse signs include unexplained injuries, behavioral changes, and fear of parents/caregivers. Neglect is
HEATHER HAYES AND HOLLY RYAN - HIDING IN PLAIN SIGHT: WORKING WITH VICTIMS OF...iCAADEvents
The International Labour Organization estimates that there are 20.9 million victims of human tra cking globally. Every country in the world is impacted by human tra cking and communities across the globe are changed forever as humans are sold into slavery, sexually exploited, and die in captivity. This 21st century slave trade feeds a global demand for cheap and vulnerable labour. In fact, the United Nations estimates that this multi- billion dollar industry is the third largest source of revenue for organized crime. Victims of tra cking often endure brutal conditions that results in physical, emotional, and psychological trauma. Victims are isolated from friends and family, subdued with drugs, and forced to live and work in unsanitary conditions. This presentation will provide clinicians with the knowledge on tra cking and give specifc tools that can be used to identify, intervene upon, and treat victims and survivors.
Robert Lobit, Leon White, cylvania allen-pringleEthical Scrapb.docxjoellemurphey
Robert Lobit, Leon White, cylvania allen-pringle
Ethical Scrapbook Pt.1
Samaritan
A helpful or charitable person
Society in a whole is made up of many individuals who are different from one another when it comes to moral and ethical standards. The United States government creates laws based on what society deems is right and good. Individually, we as humans have the ability to to choose between right and wrong. This presentation shows examples of random acts of kindness, acts of vigilantism, acts of civil disobedience, and criminal acts committed by professionals in the course of their employment.
Introduction
New York Police Officer
In this picture a NY police officer later identified as Larry DePrimo gives a homeless man a poor of boots and thermal socks. Jennifer Foster, the woman ho caught this action took to social media to bring attention to this random act of kindness. ‘I have these size 12 boots for you, they are all-weather,'”.(Clark, 2012) The officer proceeded to help the man place his new socks and boots on his feet. He didn’t know he was being recorded and expected nothing in return. This video has been shared over 114,000 times and has been liked over 400,000. This goes to show there are good officers out there.
Mother Teresa
By blood, an Albanian, by citizenship, an Indian, by faith a Catholic nun, and as to my calling I belong to the world. (Missionaries of Charity, n.d.) Here is Mother Teresa, a life long Samaritan. In this picture Mother Teresa is accepting the Medal of Freedom award from President Ronald Reagan in 1985. Mother Teresa was widely known for caring for the poorest of the poor. She started many charities, travelled through war zones to help evacuate young patients, and opened homes for person tainted with the most deadliest diseases. By the year 1996 Mother Teresa had 517 missions in more than 100 countries.
Acts of civil disobedience—violating the law to change the law
An act done to illegally to protest a law.
Must be done openly or in public view.
Done to draw attention to a law or policy they hope to change.
Questions one must ask
Do you think the person(s) made the best decision, given the circumstances?
Could you see yourself doing the same, given the circumstances?
Service Dog
Here pictured is a service dog named Figo. In Brewster, NY Figo threw himself in front of a moving school bus to protect his blind owner, Audrey Stone. Even though the owner was still injured Figo took most of the impact and didn’t leave her side. Figo’s leg was cut down to the bone, he under went surgery and remained in veterinary hospital until Ms. Stone was able to care for him again.
Baltimore Riots
From early 205 through present day, there have been numerous incidents involving the civil rights of African American and law enforcement. In many cases law enforcement went too far thus causing l ...
This document discusses psychiatric emergencies commonly encountered in prehospital care. It begins by defining psychiatric disorders and outlining the DSM-IV-TR system for categorizing mental disorders. It then provides case studies demonstrating schizophrenia, mood disorders like depression and bipolar disorder, anxiety disorders, and other conditions. It aims to familiarize emergency personnel with identifying and assessing patients experiencing psychiatric crises.
Histrionic personality disorder is characterized by excessive emotionality, attention seeking, and an overwhelming desire for approval. It is estimated to affect 2-3% of the population and is more common in women. Symptoms include inappropriate sexually seductive behavior, shifting emotions, attention seeking, and exaggeration of emotions. Treatments include psychodynamic, cognitive, and group therapies which aim to help patients understand their feelings and dysfunctional thoughts. Treatment can take years and while personality traits are long-lasting, symptoms may decrease with age.
This document provides information on various psychiatric emergencies that may present to the emergency room. It begins with an introduction to psychiatric emergencies and their epidemiology. It then discusses specific emergency presentations such as suicide, agitation, panic attacks, and side effects of medications. For each topic, it covers definitions, risk factors, signs and symptoms, diagnosis, and treatment approaches. The document aims to equip emergency healthcare providers with knowledge on identifying and managing common psychiatric crises.
This document provides information on Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It discusses skepticism around DID and explains that dissociation exists on a spectrum from mild daydreaming to more severe identity fragmentation. The document outlines characteristics of DID like disturbances in identity, existence of distinct alters, and types of relationships between alters. Causes like childhood trauma and abuse are explored, as are popular portrayals of DID in films and books. Assessment tools, integration in therapy, and two case studies of individuals with DID are summarized.
Assessment of suicide risk dr essam hassanEssamHassan32
This document provides an overview of suicide risk assessment. It begins with definitions of suicide and epidemiological data showing suicide is a leading cause of death. It then discusses risk factors like psychiatric disorders, previous attempts, and life stressors. Methods of suicide and self-harm are outlined. The assessment process involves understanding current suicidal thoughts, intent, plans and stressors, as well as protective factors. Tools like the TASR can aid evaluation. Management depends on the individual's risk level, mental state, and social support. Ongoing monitoring is important given risk can change over time.
Dr. Harold Fredrick Shipman was convicted of murdering 15 elderly women by injecting them with lethal doses of diamorphine. Further investigations revealed he had killed over 400 people in various locations in England, demonstrating his actions as a typical serial killer who murders 3 or more people over a period of one month or longer. Serial killers commonly exhibit traits like a history of childhood abuse, interest in torturing animals, and involvement in petty crimes.
The document discusses psychiatric emergencies, defining suicide and suicidal clients. It covers common psychiatric emergencies, risk factors for suicide, and guidelines for preventing suicide through education, screening, treatment, restricting access to lethal means, and responsible media reporting. The document also provides guidance on managing suicidal clients in emergency departments and inpatient psychiatric wards.
Antisocial personality disorder is characterized by an abnormal disregard for others and a lack of empathy. People with this disorder often violate the rights of others and do not comply with social norms. Key symptoms include manipulation, lack of guilt, impulsivity, and aggression. There is no known single cause, but factors like childhood abuse, neglect, and a family history of personality disorders are linked to its development. Left untreated, people with antisocial personality disorder are at high risk of criminal behavior, substance abuse, and physical harm.
These case studies describe situations where victims of human trafficking presented for medical care but were not recognized. In the first case, "Jill" was brought to the emergency department by her trafficker after suffering complications from an attempted abortion. Due to a busy emergency department and missed signs of abuse, she was not identified as a trafficking victim. The second case involved an 18-year-old female who was actually a 15-year-old trafficking victim. These cases highlight how traffickers coach victims and manipulate healthcare encounters to avoid detection. Emergency departments frequently encounter trafficking victims but often fail to recognize them.
The document discusses Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It provides details on the diagnostic criteria, symptoms, prevalence, course, treatment, and portrayal in media. DID is characterized by distinct personality states and an inability to recall personal information. Estimates suggest it affects between 250,000-2.5 million people in the US. Long term treatment includes psychotherapy and medication. Celebrities like Britney Spears have been speculated to have the disorder due to exhibiting different personalities.
The document discusses Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It provides details on the diagnostic criteria, symptoms, prevalence, course, treatment, and portrayal in media. DID is characterized by distinct identities that recurrently take control of behavior and amnesia. It affects an estimated 250,000 to 2,500,000 people in the US. Long term treatment includes psychotherapy and medication. Celebrities like Britney Spears have been speculated to have the disorder due to exhibiting different personalities.
This document discusses psychopathic personalities and the risks they pose, especially in clinical treatment settings. It provides information on identifying psychopathic traits using the DSM and PDM criteria. Examples are given of psychopaths manipulating or harming therapists through false claims, lawsuits, or seeking revenge. The document stresses the importance of therapists maintaining strict boundaries and being aware of the risk of psychopathic clients. Treatment is difficult and often counterproductive with psychopaths, who are experts at manipulation.
The document provides statistics on mental health in the United States and Wyoming. It states that approximately 1 in 5 adults in the US experiences a mental illness each year, and half of all chronic mental illnesses begin by age 14. Wyoming has the highest suicide rate in the nation at 30 deaths per 100,000 people. The document also discusses the causes and effects of mental health stigma, including inadequate treatment and discrimination. It previews a poem about OCD by Neil Hilborn that will be shared to help engage students in conversations around mental health awareness.
William Bonin, known as the "Freeway Killer", sexually abused and murdered over 20 young males in Southern California between 1979 to 1980. He would pick up victims, torture and rape them, then dump their bodies along freeways. Bonin was abused as a child which may have led to his crimes. He was caught in 1980 after being observed abducting a teenage boy. Bonin was convicted of 14 counts of murder and sentenced to death, becoming the first person executed by lethal injection in California in 1996.
This document summarizes an open seminar on Stockholm syndrome. It defines Stockholm syndrome as when hostages express sympathy and positive feelings towards their captors. It discusses the historical event in Stockholm, Sweden in 1973 that coined the term. The document then covers causes like survival strategies, defense mechanisms, and cognitive dissonance. It examines psychological, behavioral, cognitive and social explanations. Symptoms, treatment and other case examples are provided. Statistics on prevalence from the FBI are presented. The inverse Lima syndrome is also introduced.
Michael "Sonny" Corinthos Jr. is a 46-year-old divorced mob boss referred for therapy after a major depressive episode following his divorce. He has a history of bipolar disorder and noncompliance with lithium treatment. His childhood was marked by abandonment, domestic violence, and witnessing the abuse of his mother. As an adult, he continues criminal activities as head of a crime family and struggles with impulse control issues when angry or perceiving disloyalty.
This document discusses various types of abuse and neglect, including definitions, characteristics, and indicators. It covers domestic violence, child abuse (physical, emotional, sexual), and sexual assault. Key points include:
1) Abuse can include physical, emotional, or sexual maltreatment. It affects all populations and the abuser often experienced abuse as a child.
2) Domestic violence follows a cycle of tension building, acute battering, and respite. It is underreported due to fear of reprisal. Victims often stay due to financial concerns or lack of support.
3) Child abuse signs include unexplained injuries, behavioral changes, and fear of parents/caregivers. Neglect is
HEATHER HAYES AND HOLLY RYAN - HIDING IN PLAIN SIGHT: WORKING WITH VICTIMS OF...iCAADEvents
The International Labour Organization estimates that there are 20.9 million victims of human tra cking globally. Every country in the world is impacted by human tra cking and communities across the globe are changed forever as humans are sold into slavery, sexually exploited, and die in captivity. This 21st century slave trade feeds a global demand for cheap and vulnerable labour. In fact, the United Nations estimates that this multi- billion dollar industry is the third largest source of revenue for organized crime. Victims of tra cking often endure brutal conditions that results in physical, emotional, and psychological trauma. Victims are isolated from friends and family, subdued with drugs, and forced to live and work in unsanitary conditions. This presentation will provide clinicians with the knowledge on tra cking and give specifc tools that can be used to identify, intervene upon, and treat victims and survivors.
Robert Lobit, Leon White, cylvania allen-pringleEthical Scrapb.docxjoellemurphey
Robert Lobit, Leon White, cylvania allen-pringle
Ethical Scrapbook Pt.1
Samaritan
A helpful or charitable person
Society in a whole is made up of many individuals who are different from one another when it comes to moral and ethical standards. The United States government creates laws based on what society deems is right and good. Individually, we as humans have the ability to to choose between right and wrong. This presentation shows examples of random acts of kindness, acts of vigilantism, acts of civil disobedience, and criminal acts committed by professionals in the course of their employment.
Introduction
New York Police Officer
In this picture a NY police officer later identified as Larry DePrimo gives a homeless man a poor of boots and thermal socks. Jennifer Foster, the woman ho caught this action took to social media to bring attention to this random act of kindness. ‘I have these size 12 boots for you, they are all-weather,'”.(Clark, 2012) The officer proceeded to help the man place his new socks and boots on his feet. He didn’t know he was being recorded and expected nothing in return. This video has been shared over 114,000 times and has been liked over 400,000. This goes to show there are good officers out there.
Mother Teresa
By blood, an Albanian, by citizenship, an Indian, by faith a Catholic nun, and as to my calling I belong to the world. (Missionaries of Charity, n.d.) Here is Mother Teresa, a life long Samaritan. In this picture Mother Teresa is accepting the Medal of Freedom award from President Ronald Reagan in 1985. Mother Teresa was widely known for caring for the poorest of the poor. She started many charities, travelled through war zones to help evacuate young patients, and opened homes for person tainted with the most deadliest diseases. By the year 1996 Mother Teresa had 517 missions in more than 100 countries.
Acts of civil disobedience—violating the law to change the law
An act done to illegally to protest a law.
Must be done openly or in public view.
Done to draw attention to a law or policy they hope to change.
Questions one must ask
Do you think the person(s) made the best decision, given the circumstances?
Could you see yourself doing the same, given the circumstances?
Service Dog
Here pictured is a service dog named Figo. In Brewster, NY Figo threw himself in front of a moving school bus to protect his blind owner, Audrey Stone. Even though the owner was still injured Figo took most of the impact and didn’t leave her side. Figo’s leg was cut down to the bone, he under went surgery and remained in veterinary hospital until Ms. Stone was able to care for him again.
Baltimore Riots
From early 205 through present day, there have been numerous incidents involving the civil rights of African American and law enforcement. In many cases law enforcement went too far thus causing l ...
This document discusses psychiatric emergencies commonly encountered in prehospital care. It begins by defining psychiatric disorders and outlining the DSM-IV-TR system for categorizing mental disorders. It then provides case studies demonstrating schizophrenia, mood disorders like depression and bipolar disorder, anxiety disorders, and other conditions. It aims to familiarize emergency personnel with identifying and assessing patients experiencing psychiatric crises.
Histrionic personality disorder is characterized by excessive emotionality, attention seeking, and an overwhelming desire for approval. It is estimated to affect 2-3% of the population and is more common in women. Symptoms include inappropriate sexually seductive behavior, shifting emotions, attention seeking, and exaggeration of emotions. Treatments include psychodynamic, cognitive, and group therapies which aim to help patients understand their feelings and dysfunctional thoughts. Treatment can take years and while personality traits are long-lasting, symptoms may decrease with age.
This document provides information on various psychiatric emergencies that may present to the emergency room. It begins with an introduction to psychiatric emergencies and their epidemiology. It then discusses specific emergency presentations such as suicide, agitation, panic attacks, and side effects of medications. For each topic, it covers definitions, risk factors, signs and symptoms, diagnosis, and treatment approaches. The document aims to equip emergency healthcare providers with knowledge on identifying and managing common psychiatric crises.
This document provides information on Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. It discusses skepticism around DID and explains that dissociation exists on a spectrum from mild daydreaming to more severe identity fragmentation. The document outlines characteristics of DID like disturbances in identity, existence of distinct alters, and types of relationships between alters. Causes like childhood trauma and abuse are explored, as are popular portrayals of DID in films and books. Assessment tools, integration in therapy, and two case studies of individuals with DID are summarized.
Assessment of suicide risk dr essam hassanEssamHassan32
This document provides an overview of suicide risk assessment. It begins with definitions of suicide and epidemiological data showing suicide is a leading cause of death. It then discusses risk factors like psychiatric disorders, previous attempts, and life stressors. Methods of suicide and self-harm are outlined. The assessment process involves understanding current suicidal thoughts, intent, plans and stressors, as well as protective factors. Tools like the TASR can aid evaluation. Management depends on the individual's risk level, mental state, and social support. Ongoing monitoring is important given risk can change over time.
Dr. Harold Fredrick Shipman was convicted of murdering 15 elderly women by injecting them with lethal doses of diamorphine. Further investigations revealed he had killed over 400 people in various locations in England, demonstrating his actions as a typical serial killer who murders 3 or more people over a period of one month or longer. Serial killers commonly exhibit traits like a history of childhood abuse, interest in torturing animals, and involvement in petty crimes.
The document discusses psychiatric emergencies, defining suicide and suicidal clients. It covers common psychiatric emergencies, risk factors for suicide, and guidelines for preventing suicide through education, screening, treatment, restricting access to lethal means, and responsible media reporting. The document also provides guidance on managing suicidal clients in emergency departments and inpatient psychiatric wards.
Similar to Billy Milligan- The Insanity Defence (20)
A Critical Study of ICC Prosecutor's Move on GAZA WarNilendra Kumar
ICC Prosecutor Karim Khan's proposal to its judges seeking permission to prosecute Israeli leaders and Hamas commanders for crimes against the law of war has serious ramifications and calls deep scrutiny.
The presentation deals with the concept of Right to Default Bail laid down under Section 167 of the Code of Criminal Procedure 1973 and Section 187 of Bharatiya Nagarik Suraksha Sanhita 2023.
Indonesian Manpower Regulation on Severance Pay for Retiring Private Sector E...AHRP Law Firm
Law Number 13 of 2003 on Manpower has been partially revoked and amended several times, with the latest amendment made through Law Number 6 of 2023. Attention is drawn to a specific part of the Manpower Law concerning severance pay. This aspect is undoubtedly one of the most crucial parts regulated by the Manpower Law. It is essential for both employers and employees to abide by the law, fulfill their obligations, and retain their rights regarding this matter.
7. ■ William Stanley Milligan (February 14, 1955 –
December 12, 2014), known as Billy Milligan, was an
American citizen who was the subject of a highly
publicized court case in Ohio in the late 1970s.
■ Committed several felonies including armed robbery, he
was arrested for three rapes on the campus of the Ohio
State University.
■ In the course of preparing his
defence, psychologists diagnosed Milligan with multiple
personality disorder.
8. ■ Milligan's mother, Dorothy Milligan, grew up
in Ohio farm country, and lived in Circleville, with her
husband.
■ They divorced, and she eventually moved to the Miami,
Florida area, where she worked as a singer.
■ There she began living with Johnny Morrison,
a comedian who was still unmarried.
■ They had 3 children together, and the burden was too
much for Johnny, he started suffering from depression
and alcoholism
■ He committed suicide by carbon monoxide poisoning,
when Milligan was 4 years old.
9. ■ Dorothy took her children and returning to Circleville,
Ohio, where she remarried her ex-husband.
■ This marriage lasted about a year
■ In 1962, she met Chalmer Milligan, who’s first wife
Bernice divorced him on "grounds of gross neglect".
■ Dorothy and Chalmer married in Circleville, Ohio on
October 27, 1963.
■ Chalmer was blamed for abusing Billy.
10. ■ According to psychiatric reports based on Billy
Milligan's memory, his stepfather repeatedly sodomized
him and tortured him by burying him alive and
hanging him by his toes and fingers.
■ Chalmer Milligan denied all of those allegations, and
he was never charged.
■ The abuse caused Milligan's personality to splinter,
psychiatrists said, and from that point on, he ran into
trouble almost everywhere.
12. ■ Dissociative identity disorder (DID)/multiple personality
disorder (MPD), is a mental disorder characterized by
– at least two distinct and relatively enduring
identities or dissociated personality states that
alternately show in a person's behaviour,
– accompanied by memory impairment for important
information not explained by ordinary forgetfulness.
■ These symptoms are not accounted for by substance abuse,
seizures, other medical conditions, nor by imaginative play
in children
■ Diagnosis is often difficult as there is
considerable comorbidity with other mental disorders.
13. ■ DID is one of the most controversial psychiatric disorders,
with no clear consensus on diagnostic criteria or treatment
■ Research on treatment efficacy has been concerned
primarily with clinical approaches and case studies.
■ Dissociative symptoms range from common lapses in
attention, becoming distracted by something else, and
daydreaming, to pathological dissociative disorders.
■ It is not the same as schizophrenia.
■ DID is also controversial within the legal system, where it
has been used as a rarely successful form of the insanity
defence.
■ The 1990s showed a parallel increase in the number of
court cases involving the diagnosis.
14. ■ Dissociative disorders including DID have been attributed
to disruptions in memory caused by trauma and other
forms of stress, but research on this hypothesis has been
characterized by poor methodology
■ Although neither epidemiological surveys nor longitudinal
studies have been conducted, it is generally believed that
DID rarely resolves spontaneously.
■ Symptoms are said to vary over time.
■ DID became a popular diagnosis in the 1970s, 80s and 90s,
but it is unclear if the actual rate of the disorder increased,
if it was more recognized by health care providers, or if
sociocultural factors caused an increase in therapy-induced
(iatrogenic) presentations.
16. ■ Milligan was suspended from junior high school
because he went into trances and wandered around
Lancaster.
■ His parents committed him to a state mental hospital
on the Hilltop in Columbus where hysterical neurosis
was diagnosed.
■ The hospital kicked him out three months later because
his behaviour was too disruptive.
■ His high School expelled him in 1972, and he joined the
Navy.
■ The Navy discharged him a month later because he
couldn't adapt to Navy life.
17. ■ A judge found Milligan guilty of accused rape, and
Milligan served six months in a Zanesville youth camp.
■ After his release, his personalities began working as a
security guard for a drug and gun dealer
■ In late 1974, two cross-dressing men approached
Milligan at a rest stop. He beat them up and took their
purses
■ He helped plan a Lancaster drugstore robbery in early
1975
■ 2 years later, the campus-area rapes started.
19. ■ In 1975, Milligan was imprisoned at Lebanon
Correctional Institution in Ohio, for rape and armed
robbery.
■ He was also forced to register as a sex offender.
■ In October 1977, Milligan was arrested for raping three
women on the Ohio State University campus.
■ He was indicted on "[...] three counts of kidnapping,
three counts of aggravated robbery and four counts of
rape"
20. ■ In the course of preparing his defence, he underwent
a psychological examination by Dr. Willis C. Driscoll,
who diagnosed Milligan with acute schizophrenia.
■ He was then examined by psychologist Dorothy Turner
of Southwest Community Mental Health Centre
in Columbus, Ohio.
■ During this examination, Turner concluded that
Milligan suffered from multiple personality disorder.
■ One of the victims said that he was quite nice and that
he acted like a 3-year-old girl.
22. ■ For the trial of a man accused as the locally notorious
“university rapist, the proceedings were low-key.
■ It was a trial by stipulation, with written statements
read uncontested by both sides.
■ Attorneys read the statements in dry, sometimes
almost inaudible voices.
■ The prosecution didn’t contest the plea of insanity.
■ The defence didn’t deny that Milligan committed three
of the four rapes he was charged with.
23. ■ What the defence argued was that Milligan is not an
ordinary rapist/robber/kidnapper.
■ The contention of the defence, unchallenged by the
prosecution, was that the real Bill Milligan, called an
artistically talented man with the I.Q. of a genius, had not
been present during the crimes.
■ Instead, according to the testimony of psychiatrists,
Milligan had been “asleep” for most of the last seven years,
and the crimes actually had been committed by two other
personalities who sometimes “take over and use his body.”
■ Legally, Milligan could be set free—after some required
conditions have been met—if, in the future, psychiatrists
judge him to be sane.
25. ■ Billy Milligan is the first person to avoid jail for
robberies and rapes thanks to his multiple personality
disorder on insanity defence
■ Eventually acquitted due to insanity, he was sent to the
Athens Mental Health Centre to recover by fusing all
his personalities into one.
■ He had to visit different centres, as no singe one was
able to keep him under control
■ Released in 1988, Billy Milligan became free from
supervision in 1991.
26. ■ He moved to California in 1996 to work on a movie about
his life with James Cameron & Joel Schumacher, but never
made it.
■ California judge had found Milligan incapable of handling
his own affairs in 1996, where the State sued him for the
amount spent on his treatment
■ He declared bankruptcy in San Diego. He came out of it in
2000
■ His location thereafter remained for a long time unknown,
his former acquaintances having lost contact with him.
■ Milligan died of cancer at a nursing home in Columbus,
Ohio on December 12, 2014. He was 59
28. ■ Also known as the mental disorder defence, is
a defence by excuse in a criminal case, arguing that the defendant
is not responsible for their actions due to an episodic or
persistent psychiatric disease at the time of the criminal act.
■ This is contrasted with an excuse of provocation, in which
defendant is responsible, but the responsibility is lessened due to
a temporary mental state
■ The defence is based on evaluations by forensic mental health
professionals with the appropriate test according to the
jurisdiction.
■ Their testimony guides the jury, but they are not allowed to
testify to the accused's criminal responsibility, as this is a matter
for the jury to decide.
■ Similarly, mental health practitioners are restrained from making
a judgment on the issue of whether the defendant is or is not
insane or what is known as the "ultimate issue".
30. ■ The Ten
– These ten are the alters whom personalities "Ragen"
and "Arthur" decided were not "undesirable."
– They freely shared consciousness, and doctors quickly
learned of their existences.
■ The Undesirables
– These 14 more people were labelled "undesirable" after
breaking the rules laid down by Ragen and Arthur.
– These alters were no longer allowed "on the spot" and
only revealed themselves after Milligan was sent to the
hospital.
31. Billy Milligan
■ (William Stanley
Milligan) is the core
personality.
■ Actual owner of the body
Arthur
■ Is an extremely
sophisticated and
educated Englishman.
■ An expert in science and
medicine, with a focus
on hematology.
■ He is in the spot during
times that required
intellectual thinking.
■ Arthur is one of only two
personalities who could
classify a person in the
group as an undesirable.
32.
33. Allen
■ A con man and a
manipulator.
■ He is the most common
person to talk to the
outside world.
■ He plays the drums and
paints portraits.
■ Also the only right-handed
self.
■ He is the only personality
that smokes cigarettes.
Ragen Vadascovinich
■ The "keeper of hate".
■ His name comes from the
words "rage again".
■ Describes himself as
Yugoslavian, has
a Slavic accent, can write and
speak in Serbian and is
extraordinarily strong.
■ Controls the spot in dangerous
times and can designate group
members as "undesirable".
■ He admitted committing
robbery in order to support
"the family", but had no
knowledge of the rapes.
34.
35. Tommy
■ Is the escape artist; he is
often confused with Allen.
■ He plays the tenor sax
and is an electronics
expert.
■ He is also a painter,
specializing in
landscapes.
Danny
■ Is afraid of people,
especially men.
■ He only paints still life
and never paints
landscapes.
■ He says this was because
Chalmer made him dig
his own grave and buried
him in it.
36.
37. Christene,
■ Aged three, was the one
who would stand in the
corner in school when
"Billy" would get in
trouble.
■ She has dyslexia, but
Arthur taught her to read
and write.
■ Ragen has a special bond
with her.
Christopher,
■ Christene's brother, plays
the harmonica.
38.
39. Adalana,
■ A lesbian,
■ Cooks and cleans house
for the others,
■ And writes poetry.
■ Milligan's attorney
claimed that adalana had
admitted to committing
the rapes without the
knowledge of milligan or
the other alters.
David,
■ Age eight, is the "keeper
of pain".
■ He comes to the spot to
take the pain of the
others.
40.
41. The Teacher
■ The Teacher, was by far the greatest milestone to helping
Billy achieve fusion. He is the sum of all 24 people put
together, and has almost total recall of all the other
people's actions and thoughts.
■ Dr. David Caul at the Athens Mental Health Centre
wanted to treat Milligan by "fusing” him. But it turned out
Milligan was already fused in a personality called "The
Teacher.“
■ The Teacher helped the other personalities learn their
special talents, but he didn't hold Milligan's consciousness.
■ Caul drew The Teacher into consciousness in December
1978 which was the first time Milligan had felt like one
person since he was little.
42. Influences on Culture
■ Daniel Keyes authored a biographical non-fiction
novel called The Minds of Billy Milligan (1981)
■ His follow-up book, The Milligan Wars, was published
in Japan in 1994
■ Several attempts had been made by Hollywood to adapt
Keyes' book. In the early 1990s, James Cameron co-wrote a
screenplay with Todd Grafffor a film version he was to
direct then-titled A Crowded Room
■ After Cameron left the project, Warner Bros. continued to
develop it now slightly retitled The Crowded Room, which
stalled till February 2015, where it was confirmed that
Leonardo DiCaprio would star as Milligan, with Jason
Smilovic to pen the script.[13]
43. ■ The Tamil Language Film – Anniyan (2005) – was loosely
based on Milligan's life.
■ The movie Split (2017 film) by M. Night Shyamalan, James
McAvoy plays Kevin, a man with 24 different personalities
who kidnaps three teenagers.
■ American-born Taiwanese Mandopop singer-
songwriter Wilber Pan released a song and music video
inspired by Billy Milligan on 2012 called "24個比利" (The
Story of Billy) as part of his ninth studio album 'The Story
of Billy'.
■ This song went on to win 'Golden Melodies of the Year' At
the 20th Chinese Music Chart Awards held at Taipei Arena
on 29 December, 2012.
The definition of sodomize is to perform unnatural or abnormal sexual intercourse on a person.
In medicine, comorbidity is the presence of one or more additional diseases or disorders co-occurring with (that is, concomitant or concurrent with) a primary disease or disorder; in the countable sense of the term, a comorbidity (plural comorbidities) is each additional disorder or disease.
schizophrenia :
a long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behaviour, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation
A longitudinal survey is a correlational research study that involves repeated observations of the same variables over long periods of time
Epidemiology is the study and analysis of the patterns, causes, and effects of health and disease conditions in defined populations
Iatrogenic relating to illness caused by medical examination or treatment.
He was released on parole in early 1977.
,” in a case publicized nationally by the New York Times, the Washington Post, the Detroit Free Press, Time magazine, CBS and other media
trial by stipulation:An agreement between attorneys that concerns business before a court and is designed to simplify or shorten litigation and save costs. During the course of a civil lawsuit, criminal proceeding, or any other type of litigation, the opposing attorneys may come to an agreement about certain facts and issues.
Uncontested:
Something that's contested is argued over or questioned.
James Cameron, who later directed Titanic; Joel Schumacher, who directed Batman Forever; and actors John Cusack, Leonardo DiCaprio and Colin Farrell
Ohio took him to court for royalties on The Minds of Billy Milligan and recovered $120,000 of the $450,000 spent on his treatment.
Phil is a thug and took part in planning some small time crimes. Has a Brooklyn accent. Marked due to him being a criminal.
Kevin is a criminal planner; he helped devise a plan to rob a drug store. Labeled also because he is a criminal.
Walter is Australian. He calls himself a big-game hunter and has an excellent sense of direction. Was often used as a spotter. He was labeled because he shot and killed a crow.
April only has thoughts about destroying Billy's stepfather. Declared an Undesirable when she convinced Ragen to kill Chalmer. Luckily though Arthur was able to talk him out of it at the last second.
Samuel is a Jewish person and the only one who believes in God. Was marked because he sold some of the other people's personal paintings.
Mark is the workhorse. He is often referred to as the zombie because he does nothing unless he is told, and will stare at walls when bored.
Steve is the impostor, he uses imitations for comedy. Steve never accepted that he was an MP. He was made to be undesirable because his comedy caused the family problems.
Lee is the prankster and his practical jokes normally get the family into trouble. He does not care about consequences for his actions. He was made an undesirable because one of his jokes put them into solitary confinement.
Jason is the pressure valve. He was used at the beginning to release tension for the family, but he caused them to get into too much trouble and was marked as an undesirable.
Bobby always dreams of leading some adventure or fixing some global crisis, but he has no ambitions and was labeled due to that fact.
Shawn, who is four and deaf, makes buzzing sounds so he can feel the vibration in his head. He was labeled an undesirable because there was no benefit from being deaf later on in life. (Even though he is an undesirable he was never cast into the shadows beyond the spot; he was just never allowed to take the spot.)
Martin is a snob, from New York. He wants things just handed over to him without earning them.
Timothy worked in a florist shop until he encountered a gay man who flirted with him. He went into his own world after that.
This adaptation never came into fruition because Cameron was sued by adaptation rightsholder Sandy Arcara, demanding "her salary should be raised from $250,000 to $1.5 million";[9] seeing the project stalled, Milligan also sued Cameron in 1993.