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Volume 8, Issue 4 (Suppl)

J Addict Res Ther

ISSN: 2155-6105 JART, an open access journal

Alcoholism 2017

July 03-04, 2017

July 03-04, 2017 Kuala Lumpur, Malaysia

International Conference on

Addictive Disorders and

Alcoholism

Alcoholism and crepuscular state. medical legal potential of dysbehavioural changes

Simona Trifu, Lecturer, PhD, Arina Cipriana Trifu, Miruna Dragoi, Lpsy and Antonia Ioana Trifu

UMF Carol Davila, Bucharest, Romania

Medical Military Institute of Bucharest, Romania

Hospital for Psychiatry Sapunari, Romania

Medical Military Institute of Bucharest, Romania

Research subject choice reasoning:

The present case brings into discussion the alcohol pathology, occurred over a paranoid type

personality structure, in which jealousy dimension is major.

Objectives:

The patient reaches the guard room of psychiatry hospital for death threats addressed to his own children, including

ritualic scenes for anticipation scenes, all these being carried out on the changed background of consciousness (the development

of a crepuscular state with the preservation of motor automatisms and relative post-critical amnesia).

Hypothesis:

Patient’s speech suggests in après coupe a crepuscular state with the narrowing of consciousness field and preservation

of motor automatisms, potentiated by the increased alcohol consumption at the respective moment. The same idea is supported

by the partial post-critical amnesia and by patient’s inability to order chronologically the events of that period. At the same time,

at the assessment moment, he dissimulates the seriousness of acts and has confabulatory explicative constructions.

Materials and methods:

EEG, MRI, psychological assessment (psychometric examination - clinical scales: Hamilton anxiety

scales and Hamilton depression scale), projective examination - Lusher color test and Szondi test - destiny analysis), clinical

interview, observation, psychiatric treatment.

Results:

The patient is slightly inner-tensioned, with attitude of embarrassment and willing to get out of this situation, confused by

the acts committed and by their consequences, trying to have a “picture” attitude, offering expected answers and potentially valid

counter-arguments for each sequence of behavioral acts. He offers tangential information related to the acts committed.

Conclusions:

A difficult recalling is acknowledged, entangling the chronology of events committed, thing suggesting the

possibility of a crepuscular state, potentiated by the alcohol consumption at the critical moment of the action, when he threatened

his children with death.

J Addict Res Ther 2017, 8:4 (Suppl)

DOI: 10.4172/2155-6105-C1-031