Catathymic violence in a case of triple homicide

In this article, the authors describe a case of catathymia that culminated with the homicide of three attachment figures. The subject is a middle-aged man without previous history of criminal behavior or substance abuse. Two independent, multidisciplinary examinations failed to reveal evidence of DSM-IV psychopathology or neuropsychological impairment. However, the offenses occurred within the context of an ego-threatening relationship and the authors observed evidence of the inherently conflictual traits of dependency and entitlement thought to be central to the catathymic process. The study also found a link between catathymic violence and depleted narcissism. Finally, the authors conclude with recommendations regarding the clinical management of catathymia.